HFG -
Healthy Families Georgia Database and Evaluation
Personnel
Tracey Daniels Hickey , Evaluation
Coordinator and Site Liaison
Myoungjin Yang “Jina”
Tollett , HFGIS Program Specialist
Description
Since February, 2000, the Center for Family Research has been under
contract with the Georgia
Children’s Trust Fund to evaluate the effectiveness of
Healthy
Families Georgia. Part of a larger national child abuse prevention
program, Healthy Families Georgia (HFG) was established in Georgia
in 1992. In twenty communities across the state, HFG screens all
first-time mothers in an effort to identify women who are at risk
for developing abusive or neglectful relationships with their babies.
These mothers receive in-home services aimed at educating them about
healthy child development and promoting positive parenting practices.
These visitation services are provided to the mother through the
first three years of the child’s life. The long-term goal
of the program is to prevent or reduce the incidence of child abuse
and neglect.
Project Goals
The goals of the Center’s ongoing HFG database and evaluation
project are to:
• Collect and store data on the intervention activities
and services provided by the Healthy Families Georgia staff
• Document and track changes in the families being served
by the program through routine administration and scoring of standardized
evaluation measures
• Provide the Georgia Children’s Trust Fund with quarterly
statewide reports on the effectiveness of the HFG program.
Evaluation Questions
Evaluation data are analyzed in order to provide answers to the
following questions:
• Do child-rearing attitudes and behaviors significantly
improve during a mother’s involvement in the Healthy Families
Georgia program?
• Are children who are at risk for developmental delay monitored
and referred to an early intervention program (Babies Can’t
Wait) for further developmental assessment?
• Are there significant improvements in a child’s
home environment between 6 months and 12 months of age as a result
of the Healthy Families Georgia services the family has received?
Assessment Measures
Adult-Adolescent Parenting Inventory (AAPI-2)
Ages and Stages Developmental Questionnaire (ASQ)
Home Observation for the Measurement of the Environment (HOME)
Supplement to the HOME Scale for Impoverished Families (SHIF)
Sample Results
• Between July, 2000, and September, 2003, 1632 families
were represented in the Healthy Families Georgia database. The average
age of mothers participating in HFG was 19 years old. Over half
of the participants were Black, 27% were White and 21% were Hispanic.
• As measured by the AAPI-2, at least 34% of the participants
were at high risk for abusive and/or neglectful parenting behaviors
and were in need of intervention addressing those areas. This percentage
dropped to 30% at a 12-month follow-up.
• The mean developmental scores on the ASQ were well above
the established cutoff score, indicating that in general the children
participating in HFG are following typical developmental trajectories
at 4, 8, 12, 16, 20 and 24 months.
• Analysis of ratings on the HOME/SHIF showed significant
positive changes in mean total scores between the 6- and 12-month
evaluations, thus indicating overall positive changes in the home
environments of families participating in HFG.
Technical Assistance
The Healthy Families Georgia Information
System (HFGIS), a web-based database application, was designed
specifically for Healthy Families program sites across the state
of Georgia by staff at the Center for Family Research. Its purpose
is to allow information about HFG families and the services provided
to them to be easily collected, safely stored and accurately summarized.
Information about the program sites, the staff, the participating
families and the services they receive is entered into the database
by HFG staff. Reports reflecting summarized information from the
database can be generated in several categories, including participant
file reports, program manager reports, and administrative/credentialing
reports. This web-based application was launched in August, 2003.
Links
ZeroTo Three
Healthy Families
America
Prevent Child Abuse
Georgia
The Child Abuse Prevention
Network
Nat’l Clearinghouse
on Child Abuse/Neglect
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