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4. What services are provided through home visitation services? The Hawaii Healthy Start program is an early childhood promotion prevention program. It promotes the health and safety of children. Families are provided the supports they need to assure that their child(ren) have a medical home, are fully immunized, are developmentally on target, and not neglected or abused. As the program grew, Child Development Specialists were added to the program to assist with the child development screening and anticipatory guidance. Clinical Specialists were added to address high end issues related to domestic violence, substance abuse, and mental health issues. Specific program activities are described: Familv Training and Consultation: A scheduled or unscheduled home visit with eligible children and family in their natural environment (ideally should be in the home). Activities include parenting education, crisis intervention, family strengthening activities, transition activities/discussion, intake, care coordination, and IFSP meetings. Child Development Screening and Referral: Home Visit time may also include time used to administer developmental screening scales, developmental assessments, pre- and post-tests, etc. Consultation to family may be provided by a child development specialist; if the child is found to have a documented delay then the child will be referred into the Early Intervention Services program for further assessment and therapeutic intervention. Care coordination: Activities to identify child and family's needs and coordinate services; this includes home visits, consultations and correspondence with other professionals within and outside of the program, and phone calls with family members and other interested persons as appropriate. Care coordination also includes transition activities. Transition or transfer includes activities to support the transition of a child out of the Healthy Start program to another EI program, DOE, or a community preschool program. Child Team Meeting: Scheduled meeting for substantive discussion regarding a family's and child's progress or lack of progress. These would also include Ohana conferencing and/or CWS multi disciplinary meetings. Groups: Group activities to support the child's or family's goals on their IFSP. Transportation: This is the time necessary for a service provider to transport a consumer to and from services identified on Section VI of the IFSP. Outreach Services: which included supportive, consistent contact with families who for various reasons do not keep their home visitation appointments was always a key element of the program. Reaching out to isolated and needy populations is an important intervention for at-risk families, however following the budget restriction in September, 2008, outreach services were discontinued. Families who had 2 "no shows" for their home visitation appointments were discharged from the program. Additionally, the Healthy Start Program assists families with referrals to other community services for mental health, domestic violence, and substance abuse issues. Healthy Start FAQ -4-