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Implementing Following Baby Back Home (FBBH)

Model Overview

Last Updated

May 2018

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The information in this profile reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model here, including any adaptations, may differ from how it was implemented in the studies reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness.

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Implementation Support

Following Baby Back Home (FBBH) is a home visiting model implemented in Arkansas that is administered by the Department of Pediatrics at the University of Arkansas for Medical Sciences and the Arkansas Home Visiting Network. The Arkansas Home Visiting Network offers training and implementation support to FBBH staff.

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Theoretical Model

FBBH targets families of medically complex, high-risk infants as they transition home from the neonatal intensive care unit (NICU). FBBH aims to foster developmentally appropriate parenting and promote child health. The home visitor works with the family to set goals based on the family’s strengths and challenges. The goal development process incorporates family resilience, family stress and adaptation, attachment, and adult learning theories.

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Target Population

The model serves families residing in Arkansas with medically complex, high-risk infants discharged from the NICU. Families are enrolled immediately following the infant’s discharge from the NICU.

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Targeted Outcomes

FBBH aims to reduce morbidity and mortality rates among medically complex, high-risk infants by reducing preventable infant rehospitalizations, improving adherence to infants’ medical appointments and immunizations, and increasing families’ skills and self-efficacy in caring for their high-risk infants.

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Model Components

The model consists of home visits with a registered nurse and a licensed social worker. The home visiting team provides care coordination, helps families identify local resources to meet the service needs of the infant, and provides referrals to support families’ social functioning and overall well-being. The team also follows up with families by phone between visits.

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Model Intensity and Length

FBBH offers services immediately following discharge from the NICU until the child’s third birthday. The FBBH intervention includes two home visits per month for the first two months after enrollment, one home visit per month until the child is 1 year of age, and one visit every other month until age 3. Home visits typically last 60 minutes.

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Location

The model is implemented in 57 of the 75 counties in Arkansas.

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Adaptations and Enhancements

Some local programs offer the Parents as Teachers® curriculum in addition to the FBBH curriculum. The medical director and the program director manage adaptations to the model.

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Notes

The information contained on this page was last updated in May 2018. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by Following Baby Back Home on May 17, 2018. HomVEE reserves the right to edit the profile for clarity and consistency.

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