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.
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).
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.
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.