Hospital-to-Home Care Model and Systems Change HE2

Thursday, May 9, 6:30 pm–8:00 pm
American Sign Language available for this session

Pre-Registration Required

This presentation will discuss the Hospital-to-Home Care Model, which is an innovative, interdisciplinary approach to ESIT services for infants discharging from the NICU into ESIT that integrates support for the perinatal mental health of parents within therapeutic support for the infant's feeding, growth, and development. The presentation will also share about the Hospital-to-Home Systems Change efforts, which are working to address the barriers to equitably providing this care throughout the state of Washington. Following a Neonatal Intensive Care Unit (NICU) stay, infants are at risk of developing feeding concerns and/or experiencing developmental delays. Their parents are also at high risk for experiencing Perinatal Mood and Anxiety Disorders given their birth and post-partum experience. Racial and ethnic disparities, including systemic racism and health bias, impact the care and outcomes for BIPOC infants as well as increase the perinatal mental health distress of caregivers. The Hospital-to-Home (H2H) program at Northwest Center was developed because Early Support (ESIT) providers recognized these significant disparities and challenges faced by children who had an extended stay in the NICU and the impact it had on the emotional well-being of parents. ESIT services are a low-barrier way to monitor and support an infant’s development where the emotional well-being of caregivers, particularly BIPOC families who have faced systemic inequities, can also be supported.

Presented by


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Leslie Butterfield
Perinatal Psychologist
Transition to Parenthood

Dr. Butterfield is a psychologist providing services for people experiencing perinatal mood and anxiety disorders, perinatal loss, traumatic birth, NICU stays, and parenting medically complex infants. She travels both nationally and internationally providing training and consultation to medical and mental health organizations such as U.W. Infant Palliative Care, National Association of Perinatal Social Workers, KK Women and Children’s Hospital of Singapore, YANMA Parenting Academy of China, Association of Women’s Health, Obstetric and Neonatal Nursing and others. She is an official trainer for Perinatal Support of WA, Postpartum Support International, and PATTCh (Prevention and Treatment of Traumatic Birth).


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Sara Circelli
Hospital-to-Home Systems Change Manager
Northwest Center

Sara Circelli, MA, IMH-E, PMH-C is a Family Resources Coordinator and Hospital-to-Home Systems Change Manager at Northwest Center, a Seattle-based Early Supports agency. Sara has received extensive training in recognizing and supporting Perinatal Mood and Anxiety Disorders. She is a certified Promoting First Relationships (PFR) provider, a University of Washington program designed to help caregivers best support their young child's social-emotional development. She is also trained as a Group Peer Support (GPS) facilitator and leads a group for Parents of 1 - 4-year-old children for Postpartum Support International.


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Tiffany Elliott
Hospital-to-Home Systems Change Specialist
Northwest Center Kids

Tiffany Elliott is a Speech-Language Pathologist, Certified Neonatal Therapist, and an International Board-Certified Lactation Consultant, specializing in pediatric feeding/swallowing disorders with emphasis on preterm and medically complex infants and strengthening the caregiver-infant dyad. She works in a grant-funded position at Northwest Center as a hospital-to-home systems change specialist, where she focuses on improving the transition from hospital-to-home and co-leads novel training approaches for workforce across the state. Additionally, she works at Seattle Children’s Hospital, as a SLP on the outpatient infant feeding team providing direct service for infants and families.


Handouts

Hospital-to-Home Care Model and Systems Change
Age Group Addressed:
Birth to Age 3
Audience:
All
Core Competency Area:
Families and Community Partnerships
Skill Level:
Fundamental
Presentation Outcomes:
Following a Neonatal Intensive Care Unit (NICU) stay, infants are at risk of developing feeding concerns and/or experiencing developmental delays. Their parents are also at high risk for experiencing Perinatal Mood and Anxiety Disorders given their birth and post-partum experience. Racial and ethnic disparities, including systemic racism and health bias, impact the care and outcomes for BIPOC infants as well as increase the perinatal mental health distress of caregivers. The Hospital-to-Home (H2H) program at Northwest Center was developed because Early Support (ESIT) providers recognized these significant disparities and challenges faced by children who had an extended stay in the NICU and the impact it had on the emotional well-being of parents. ESIT services are a low-barrier way to monitor and support an infant’s development where the emotional well-being of caregivers, particularly BIPOC families who have faced systemic inequities, can also be supported. This presentation will share the key components of the H2H care model, which promotes positive outcomes for infants and their parents, through an interdisciplinary, trauma and perinatal-informed approach. Furthermore, the Hospital-to-Home Systems Change team shares this knowledge through interdisciplinary trainings, follow-up groups, and consultation support to ensure that infants and their families throughout the state of Washington have equitable access to this model of care regardless of geographical location.
Learning Objectives:
  1. Learners will be able to identify the unique care needs of infants and parents transitioning from the NICU into Early Supports, including how critical the need is and how home visitors are well-positioned to provide support for the emotional well-being of parents.
  2. Learners will be able to list the components of an Early Supports' Hospital-to-Home program and how support for a parent’s emotional well-being is integrated within therapy for an infant's feeding, growth, and overall development.
  3. Learners will be able to describe the Hospital-to-Home Systems Change work and how it is attempting to address the barriers to equitably providing Hospital-to-Home care in Washington through interdisciplinary trainings, ECHO groups, and consultation support.