Implementing Following Baby Back Home (FBBH)

Model implementation summary last updated: 2020

The information in this implementation report reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the manuscripts 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. Please see the Effectiveness button on the left for more information about any research on the effectiveness of the model, including any version(s) of the model with effectiveness research. Versions of the model that are described in the Adaptations and enhancements section of this implementation report may include (1) versions that were identified by the model’s developer and (2) versions that have been implemented by researchers and have manuscripts that HomVEE rated high or moderate, but that are not supported by the model’s developer.

Prerequisites for implementation

Type of implementing program

Implementing agencies can include organizations that provide services for children from birth to age 3 who have been discharged from a NICU or newborn nursery, and their families.

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Staffing requirements

Two-person teams consisting of a registered nurse (RN) and a licensed social worker conduct home visits. A medical director provides medical consultation and a program director provides operational and clinical oversight. A part-time social work manager oversees the social work component of the model.

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Staff education and experience

The FBBH home visitors must maintain professional licensure in their respective fields. The FBBH nurses must be licensed as RNs by the state board of nursing. The FBBH social workers must be licensed by the Council on Social Work Education. Experience in maternal and child health is preferred.

The medical director must be licensed by the state medical board. The program director must have a minimum of a bachelor’s degree in nursing, social work, or a related field. The program director and social work manager must have clinical supervisory experience.

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Supervision requirements

The program director and the social work manager must be available to the home visitors at all times for telephone consultation. In addition, the home visitors receive the following types of supervision:

  • Monthly reflective supervision focused on the home visitor’s professional development that includes caseload review, family engagement strategies, home visit planning, and staff development;
  • Monthly 1.5-hour team case conference presentations with the medical director that include evaluating the family’s needs and developing strategies to assist the family with health-related concerns and community resource needs; and
  • Monthly clinical supervision focused on supporting high quality service delivery that covers developing home visits, delivering the curriculum, identifying family strengths, and setting goals with the family.

The ratio of supervisor to home visitors is 1:12.

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Staff ratio requirements

FBBH home visiting teams have a caseload capacity of 45 infants.

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Data systems/technology requirements

FBBH requires the use of a web-based data management system to enter clients’ data and document home visits.

Home visitors need a laptop and cell phone.

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Implementation notes

The information contained on this page was last updated in May 2020. 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 in April 2020. HomVEE reserves the right to edit the profile for clarity and consistency.

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