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Service Coordination in Early Childhood Home Visiting: a Multiple-Case Study.

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Effective service coordination in early childhood home visiting programs relies on strong relationships and collaboration. Key facilitators include interagency partnerships and trusting family connections, while barriers involve resource limitations and provider stigma.

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Area of Science:

  • Public Health
  • Social Work
  • Early Childhood Education

Background:

  • Early childhood home visiting is a crucial preventive service promoting child and parent well-being, development, and family economic stability.
  • Service coordination, linking families to community resources, is vital for home visiting programs to meet diverse family needs.
  • Understanding facilitators and barriers to service coordination is essential for optimizing early childhood systems of care.

Purpose of the Study:

  • To identify and describe facilitators and barriers to service coordination in early childhood home visiting programs.
  • To explore the perspectives of home visiting program staff and families on service coordination processes.
  • To inform strategies for enhancing service coordination within the early childhood service system.

Main Methods:

  • A multiple-case study design was employed, analyzing data from four diverse home visiting programs in the eastern USA.
  • Interviews were conducted with program managers, supervisors, home visitors, and participating families.
  • Qualitative data analysis focused on identifying common themes related to service coordination facilitators and barriers across cases.

Main Results:

  • Facilitators included strong interagency relationships, collaborative teamwork, dedicated staff, effective supervision, and trusting relationships with families.
  • Key barriers comprised limited local resource availability and accessibility, stigma associated with certain services, and families' hesitancy towards some referrals.
  • Both staff and families highlighted the critical role of multi-level relationships and the intensive nature of effective service coordination.

Conclusions:

  • Robust relationships and collaboration across multiple levels are fundamental to successful service coordination in home visiting.
  • Addressing complex barriers requires systemic approaches, potentially through state and local coalitions involving diverse stakeholders.
  • Investing in coordination support can strengthen the early childhood service system and improve outcomes for families.