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Maternal, Child, & Adolescent Health

   

MCAH Programs


Contact Information
Los Angeles County
Department of Public Health
Maternal, Child, and Adolescent Health Programs
600 S. Commonwealth Ave., 8th Floor
Los Angeles, CA 90005
Tel: (213) 639-6400
FAX: (213) 639-1034
Nurse - Family Partnership Program

History and Model:

The Nurse-Family Partnership (NFP) Program is an evidence-based model program that was developed by Dr. David Olds in Elmira, New York in 1977 to help young women take better care of themselves and their babies. NFP uses specially trained public health nurses (PHNs) who begin follow-up of high-risk, low income pregnant youth/women who are pregnant for the first time and who are living in poverty. All services are free, voluntary and families are followed and supported using an intensive home visiting schedule until the first-born child reaches the age of 2 years old.

The L.A. Department of Public Health piloted this nurse home visiting program in September 1997 with four Public Health Nurses (PHNs) in collaboration with California Hospital Medical Center. In 2000, the Department expanded NFP services countywide with funding from the Department of Public Social Services (DPSS). The NFP program is funded in multiple ways, including by MCH block grant, Mental Health Services Act (MHSA) through the L.A. Department of Mental Health, and the California Home Visiting Program (federal). When appropriate, NFP also pulls down matching funding from the federal Targeted Case Management (TCM) program when the funding does not originally come from the federal government.

At this time (2012-2013), NFP capacity can serve 1,075 clients throughout all of Los Angeles, and within the cities of Long Beach and Pasadena, which represents only a small percentage of the over 5,500 eligible, pregnant youth who deliver their first child in Los Angeles. NFP coordinates overflow referrals to other community resources as needed and available.


Health Problems:

  • High risk pregnancy (e.g., teen pregnancy, living in poverty, first-time pregnant)
  • Barriers to receiving adequate prenatal care.
  • Barriers including inappropriate social functioning and parental behaviors.
 

Goals:
 

  • Improve Pregnancy Outcomes
  • Improve Child Health and Development
  • Improve Motherís Life Course.

 


Objectives:

  • Prevent child abuse and neglect.
  • Reduce premature births and low birth weight births.
  • Reduce substance abuse, alcohol use and cigarettes smoking during pregnancy.
  • Improve breast-feeding rates.
  • Reduce the number of children's health care-encounters for injuries and ingestion of poisons from birth through child's second birthday.
  • Increase in the number of labor force participation by the mothers by the first child's fourth birthday.
  • Improve graduation rates and/or increase employment of the mothers served.
  • Reduce subsequent pregnancies among low-income, unmarried women by first child's fourth birthday.

Activities/Services:

Home visits by nurses:

  • Weekly during the first month following enrollment;
  • Biweekly for the remainder of the pregnancy;
  • Weekly nurses during the first six weeks after delivery;
  • Biweekly thereafter through the 21st month of childhood; and
  • Monthly until the child reaches age two.

Also provide:

  • As needed home visits by a specially-trained mental health practitioner; and
  • Periodic distribution of support materials to families (e.g., cribs, safety gates, emergency preparedness kits, etc.)

Eligibility/Target Population:

First time pregnant young mothers who are less than 24 weeks pregnant and living in poverty.


Nurse-Family Partnership Conficential Referral Form for first time mothers.

Microsoft Word:

Confidential Referral Form (fillable)

Confidential Referral Form (Instruction)

 
NFP Program Overview

For more information or to make referral by phone, please call (213) 639-6433 or
(213) 639-6434
.
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