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By Jenny Durand

This resource provides guidance around infant mental health (IMH) and reflective supervision.

Resource
By Jacqui Van Horn

The MIECHV Region X Innovation in Home Visiting Workforce Development Project developed a comprehensive and integrated system of trauma supports and refective practices for home visitors. Tis efort is intended to help reduce burnout and turnover of home visiting staf and to maintain the quality and impact of home visiting services in Alaska, Idaho, Oregon, and Washington. Te supports are tailored to the intensive work that home visitors do with families that are experiencing high rates of historical trauma and co-occurring mental health difculties, substance use disorders, and domestic violence. This guide has been developed as part of this project. (author summary)

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By Alliance for the Advancement of Infant Mental Health

This document provides guidance for both the Supervisor/Consultant and the Supervisee/Consultee regarding best practices for entering into a reflective supervision/consultation (RSC)relationship that uses distance technology. This document should be used as a companion document to the Best Practice Guidelines for Reflective Supervision/Consultation. (author summary).

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By First 5 San Joaquin

This Home Visiting Workforce Development Action Plan (Action Plan) advances the goal of and develops strategies for “recruiting, training, supporting, and retaining a well-qualified and committed home visiting workforce” (Goal 2 in the Strategic Plan). The Action Plan takes the workforce development objectives and strategies from the Strategic Plan and adds the detailed action steps needed to turn thought into action, and the evaluation metrics to determine whether a strategy is working. The Action Plan builds upon the significant effort already underway by First 5 California (F5CA) to inform policy recommendations that support the state’s efforts to build a cohesive home visiting workforce infrastructure. (author summary)

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By Sarah Shea Crowne, Danielle Hegseth, Yuko Yadatsu Ekyalongo, Rachel Chazan Cohen, Erin Bultinck, Maggie Haas, Sara Anderson, and Madeline Carter

The First 5 California (F5CA) Home Visiting Workforce Study collected data to help the state understand the landscape of California’s home visiting workforce, including characteristics of home visitors and supervisors, implementation supports for staff, and program needs for workforce recruitment, development, and retention. These data will be used to develop policy recommendations to support F5CA in this infrastructure development. This report presents findings from a survey of the California home visiting workforce, which received responses from more than 900 home visitors and supervisors across the state, representing 48 counties and 54 home visiting models. (author summary)

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By Sandina Begic, Jennifer M. Weaver, and Theodore W. McDonald

The overarching goal of this study was to understand the context of home visitor secondary traumatic stress and burnout, and how this might affect intention to quit among home visitors, particularly focusing on potential risk factors and supportive strategies identified by the home visitors. All home visitors providing services in the state in which the research was conducted (N = 27) completed a structured interview and a quantitative survey at two time points, 6 months apart. Results indicated that more than two-thirds of the home visitors experienced either medium or high levels of secondary traumatic stress and burnout over the course of the study. Approximately one quarter of home visitors indicated thinking of leaving their present position. Qualitative data indicated that risk factors associated with burnout included those related to both direct and non-direct services. Risk factors associated with secondary traumatic stress included traumatic stress of families, inability to recognize one’s own experiences of secondary traumatic stress, and unhealthy work culture. In terms of protective factors, home visitors strongly emphasized the importance of having a supportive supervisor who they could trust and communicate with openly. (author abstract)

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By Beth L. Green, Peggy Nygren, Mackenzie Burton, Amy Gordon, and Diane Reid

This final report details the results of a MIECHV Innovation Grant awarded to Washington and partner states in Region X (Alaska, Idaho and Oregon) to implement an innovative set of home visiting workforce supports and conduct an evaluation that would help improve these approaches.

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By Miriam J. Landsman

The National Resource Center for Family Based Services (NRC) created this profile of Iowa’s family support workforce under sponsorship of the Iowa Department of Public Health (IDPH). The purpose was to gain a greater understanding of the family support workforce and its organizational contexts with the goal of strengthening the workforce and improving the quality of family support services. (author summary)

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By Megan E. Carolan and Amber Posey Fishel

The early childhood workforce encompasses a range of professionals across health care, early childhood education, mental health, child welfare, and early intervention. Despite the differences in daily responsibilities, these professionals experience similar systems-level challenges which impede their ability to professionally flourish and risk undermining the needs of families. In this article, we highlight four key challenges—compensation, burnout, safety, and retention—which have long impacted their sectors and have been further exacerbated by the pandemic. Opportunities for policymakers and program administrators to discuss these challenges are discussed. (author abstract)

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By Karen Ruprecht, Angela Tomlin, Kelley K. Perkins, and Stephan Viehweg

Early care and education workers are increasingly recognizing their role in helping children who have experienced trauma, including extended parental separations due to incarceration. These children may have emotional reactions and behaviors that are particularly challenging in group settings. Moreover, early care and education professionals themselves have often had challenging experiences in their own lives. As a result, there is a need for training and support to help the workforce recognize the secondary trauma and stress associated with caring for these young children. This article will explore how to establish systems and policies that support the early care and education workforce who are on the frontlines of helping children cope with trauma. (author abstract)