Discovering Frugal Innovations Through Delivering Early Childhood Home‐visiting Interventions in Low‐resource Tribal Communities

Dados Bibliográficos

ID11276331
AutoresA Barlow (0000-0002-5071-1877, Johns Hopkins Center for American Indian Health, autor correspondente), Judy A McDaniel (Choctaw Nation of Oklahoma), Farha Marfani (Native American Health Center, Inc.), Anne Lowe (Native American Health Center, Inc.), A V Lowe (Native American Health Center), Cassie Keplinger (Kodiak Area Native Association), Moushumi Beltangady (U.S. Department of Health & Human Services Administration for Children and Families), Novalene Goklish (0000-0001-8478-4604, Johns Hopkins Center for American Indian Health)
Ano2018
Volume39
Fascículo3
Páginas276-286
Data de publicação2018-05-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoInfant Mental Health Journal (JOURNAL)
Identificadores do periódicoISSN: 0163-9641 • E-ISSN: 1097-0355
EditoraWiley (PUBLISHER • GB)
DOI10.1002/imhj.21711
PMID29800487
OpenAlexW2804418201
IdiomaEN
Citações recebidas9
Referências citadas6

Early childhood home‐visiting has been shown to yield the greatest impact for the lowest income, highest disparity families. Yet, poor communities generally experience fractured systems of care, a paucity of providers, and limited resources to deliver intensive home‐visiting models to families who stand to benefit most. This article explores lessons emerging from the recent Tribal Maternal and Infant Early Childhood Home Visiting (MIECHV) legislation supporting delivery of home‐visiting interventions in low‐income, hard‐to‐reach American Indian and Alaska Native communities. We draw experience from four diverse tribal communities that participated in the Tribal MIECHV Program and overcame socioeconomic, geographic, and structural challenges that called for both early childhood home‐visiting services and increased the difficulty of delivery. Key innovations are described, including unique community engagement, recruitment and retention strategies, expanded case management roles of home visitors to overcome fragmented care systems, contextual demands for employing paraprofessional home visitors, and practical advances toward streamlined evaluation approaches. We draw on the concept of “frugal innovation” to explain how the experience of Tribal MIECHV participation has led to more efficient, effective, and culturally informed early childhood home‐visiting service delivery, with lessons for future dissemination to underserved communities in the United States and abroad

Business · Community engagement · Developmental psychology · Early childhood · Economic growth · Environmental health · Political science · Population · Psychological intervention · Public relations · Service delivery framework · Service provider · Socioeconomic status · Child Abuse and Trauma · Child Welfare and Adoption · Family and Disability Support Research · Medicine · Nursing · Psychology · Marketing