Implementing Health Access Nurturing Development Services (HANDS) Program Meets HHS Criteria

Implementation last updated: 2015

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(s) here may differ from how the model(s) was implemented in the research 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. Similarly, models described here may not all have impact studies, and those with impact studies may vary in their effectiveness. Please see the Effectiveness button on the left for more information about research on the effectiveness of the models discussed here.

Training to support implementation

Requirements for program certification

Kentucky regulations require that HANDS home visitors must (1) meet the staff licensure, qualification, and training requirements outlined in the HANDS legislation (see below); (2) report program data on a schedule as directed by the state; and (3) adhere to the 12 Healthy Families America (HFA) critical elements (see the HFA Implementation Profile for more information).

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Pre-service staff training

Home visitors and family support workers must complete the following pre-service training requirements:

  • Sixty (60) hours of training (30 hours of training per home visitor role and 30 hours of training per family support worker role) that describes HANDS’ philosophy, purpose, goals, staff roles, and service delivery approach
  • Thirty-seven and a half (37.5) hours of training to become certified in the GGK Tier I curriculum

Supervisors also attend the 60 hours of preservice training on the HANDS model and receive additional training on supervision.

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In-service staff training

HANDS program staff must also fulfill the following ongoing training requirements:

  • Thirty (30) hours of wraparound training within the first year of hire
  • Fifteen (15) hours of GGK Tier II curriculum training and 15 hours of ongoing training within two years of hire
  • Fifteen (15) hours of GGK Tier III curriculum training and 10 hours of ongoing training within three years of hire
  • Ten (10) hours of developmental training each year after the first three years of service
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Training materials

All materials that sites use to facilitate training are provided by the HANDS Central Office. Trainees receive all manuals and forms during their training sessions. Each site has received ongoing training materials, including Tier II and Tier III DVDs, wraparound training modules and materials, and access to the TRAIN online learning system.

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Qualified trainers

HANDS employs nationally certified trainers. Great Kids, Inc. certifies trainers in one of three areas: the family support worker role, the parent home visitor role, and the GGK curriculum. Trainers are required to be a HANDS program coordinator or director with at least two years of experience in program management and supervision.

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Technical assistance

The regional technical assistance team consists of six quality assurance specialists (QAs) and four technical assistance specialists (TAs) who have had prior experience in the HANDS program as either HANDS coordinator and/or supervisor, and have completed the HANDS QA or TA training.

Both QAs and TAs work with other HANDS team members to identify and address concerns, promote program growth, and evaluate outcomes.

QAs assess site productivity and implementation of regulations, policies, procedures, and best practices reflected in the HANDS Core Components through annual quality assurance site visits to each HANDS site. The site receives written documentation about its overall performance and areas for growth. TAs support the implementation of the HANDS Core Components, with the goal of consistent implementation at local HANDS sites throughout the state. TAs help sites prioritize needs based on areas for growth identified during the QA site visit, and develop a plan to address the needs, including the steps the site will take in the upcoming year and time lines for each step. The regional TA is responsible for contacting each site, via phone, mail, email or on-site visit, once per quarter to provide technical assistance, as needed.

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Implementation notes

The information contained on this page was last updated in June 2015. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the HANDS program office on April 24, 2015. HomVEE reserves the right to edit the profile for clarity and consistency.

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