Healthy Steps for Young Children

Healthy Steps for Young Children provides timely well child visits/ immunizations and increases parental knowledge of child development, healthy eating habits, and obesity prevention. In addition, the program seeks to improve access to care for all patients and their families. Healthy Steps has 662 families enrolled.

The goals of the Healthy Steps for Young Children program include timely well child visits/immunizations and increasing parental knowledge of child development, healthy eating habits, and obesity prevention. In addition, the program seeks to improve access to care for all patients and their families.

Outcomes

In 2014:

  • Healthy Steps had 662 families enrolled, and Healthy Steps specialists conducted Healthy Steps specialists conducted 1606 office visits and 61 early intervention visits.
  • The MGH Revere Health Center was awarded a grant from the Massachusetts Department of Public Health-Family Home Visiting Program to expand the current Healthy Steps Program in order to reach those families at highest risk within the communities served.Healthy Steps Home Visiting Program has 31 families enrolled. The social workers have conducted 123 home visits, and they have participated in 197 pediatric well child visits and 34 prenatal OB visits with expectant mothers.
  • The Healthy Steps Home Visiting Program has 51 families enrolled. The social workers have conducted 93 home visits, and they have participated in 90 pediatric well child visits. The family advocate conducted 97 home visits to further support these families with information on resources, play activities, and literacy.The family advocate conducted 29 home visits to further support these families with information on resources, play activities, and more.
  • The Healthy Steps specialist collaborated with Sue Ellen Oblom from the Revere Council for Families and Children to host some literacy groups for preschoolers. They also collaborated with Joanne Stone-Libon of CAPIC Head Start to offer Incredible Years parenting groups.
  • One of the Healthy Steps specialists is a lactation consultant, and she facilitates a weekly breastfeeding support group called Mother Infant Lactation Club (MILC). During FY2014, there were 73 individual visits to MILC.
  • MGH Revere was able to start a Parents as Teachers program. A parent educator was hired to conduct home visits with eligible families in this evidenced-based program, and staff attended the Parents as Teachers model trainings. During FY2014, 11 families were enrolled and 69 home visits were conducted. Referrals are made by the pediatricians and Healthy Steps specialists. The parent educator also facilitates a weekly playgroup, which is available to any pediatric patient in the practice.
  • All mothers in the practice are screened for depression when they come in for the baby’s 2-month well child check. All Healthy Steps and PAT mothers with Edinburgh scores of 13 or higher are eligible for referrals to Moving Beyond Depression (MBD) at North Suffolk Mental Health. The services provided in this program are 15 sessions of in-home cognitive behavioral therapy for mothers who are experiencing depression. Mothers in Healthy Steps and PAT have completed MBD, and they report that they are better able to manage their depression.
  • During the spring of FY2014, mothers from Healthy Steps Home Visiting and PAT participated in a Parents Together support group. The goals of this evidence-based support group are to help mothers identify and strengthen their social support networks.  Eleven mothers participated in the 8-week group, with an average weekly attendance of 8-9 mothers.