“Empowering Young Families Everyday”

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“The only thing you can count on in this line
of work is that things are always changing.”
This is often the mantra of Healthy Families
home visitors. Whether it is in-home visit
schedules, funding, or fiscal agent, Healthy
Families staff and supporters must always be
flexible, yet diligent in finding ways to provide
quality, uninterrupted services to young
families and children in Shenandoah County.
This year has been particularly challenging with
state budget cuts and the reorganization of
Healthy Families Shenandoah County (HFSC)
operations. Through it all, however, we have maintained the highest caseload of any
year since the program opened, and our home visit completion rate for home visitors
was the best it has ever been over (90 percent).

After 11 years as fiscal agent for HFSC, Valley Health Systems recently restructured
its management of nonprofits that it hosts. While Shenandoah Memorial Hospital, as
a part of Valley Health, continues graciously to provide and maintain the HFSC office
on the SMH campus a new partnership with James Madison University’s Institute for
Innovation in Health and Human Services (IIHHS) moved fiscal responsibility for
HFSC to JMU in October 2010. Many hours and much thought went into the
development of this new partnership.

On behalf of everyone associated with Healthy Families, we would like to thank

Valley Health for hosting the program in Shenandoah County for the last decade. We
look forward to our continued collaboration with Shenandoah Memorial
Hospital/Valley Health, and we are very excited about the possibilities that may
emerge from our new association with JMU.

Yvonne
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Yvonne Frazier
Program Manager
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Healthy Families Shenandoah County is dedicated to developing, supporting, and
empowering first-time families in Shenandoah County by providing systematic, early
identification of at-risk families and offering in-home services.

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1. To achieve positive health outcomes for mothers and children
2. To promote optimal child development
3. To enhance family functioning
4. To reduce the potential of child abuse and neglect
5. To improve school readiness for children

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1. Strengthen community partner collaboration to insure eligible families are
connected to HFSC as early as possible
2. Increase community awareness and support through improved marketing to
diversify funding, foster volunteer involvement, and enhance service delivery
3. Lead community efforts to address teen pregnancy and teen parenting concerns
in a way that provides positive outcomes for all

Healthy Families Annual Report | 4

56.#(,7!!
Since 1999, HFSC has offered screenings and assessments for all first-time parents
delivering at Shenandoah Memorial Hospital (SMH). Nearly 250 and families have
participated in HFSC home-visiting services in that time. Services begin prenatally or
shortly after birth. HFSC supports overburdened parents and their young children
through consistent and meaningful home visits that provide information and guidance
regarding child development, parent/child relationships, nutrition, health and safety,
and other issues important to the child’s well being. Referrals to health care and social
service agencies, free materials including newborn supplies, home safety devices, and
children’s books assist families in creating a safe, nurturing home environment.
Services are individualized for each family and generally continue for about 5 years
until the child enters preschool or kindergarten.

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HFSC operates as a grant-funded, non-profit agency under fiscal management of
James Madison University in collaboration with JMU’s Institute for Innovation in
Health and Human Services. Healthy Families Shenandoah Country receives grants to
support home visiting and other services. Community support and donations are
essential for continued services to young families. Grant funding this year includes
Virginia Department of Social Services, United Way Northern Shenandoah Valley,
Quality Child Care Initiative, Safe and Stable Families, Shenandoah Memorial
Hospital Foundation and Shenandoah Community Foundation. We are grateful to all
our partners.

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Healthy Families is a line item in the Virginia state budget, with funds coming through
the Department of Social Services, child abuse prevention division. This year, Healthy
Families programs across the state are facing a nearly $3 million cut in funds from the
state, which could result in forced closure of many Healthy Families programs,
including HFSC. We need to advocate with our general assembly to maintain funding.
Please contact your Virginia General Assembly members NOW urging them to
support Healthy Families’ continued funding as a part of the 2011-2012 state budget.

Virginia State Senator, Mark D. Obenshain (804) 698 - 7526

House of Delegates, C. Todd Gilbert (804) 698 - 1015

Healthy Families Annual Report | 5

58"=!*,(>%?#%9!/-%,$#6':!@+9:%#!2344!

HFSC Projected Budget 2011

Projected Revenue

State DSS funds $64,068

Local DSS/Safe and Stable Families funds $14,376
Local DSS/Child Care Initiative $5,575
United Way Impact $14,000
SMH Foundation $10,000
Shen. Community Foundation $5,000
Fundraisers/local contributions $4,000

Total Revenue $117,019

Anticipated Expenses
Salaries $95,000
FICA for part time $2,831
Benefits for fulltime $26,050.00
Staff education/seminars $125.00

Personnel Expenses Total $124,005.50

Family services supplies $100

phone and internet $1,200
Affiliation Fees $2,105
Office Supplies/Expenses $300
Auto Repair & Fuel $1,800
Mileage $1,000

Non-Personnel Expenses Total $6,505

Total Expenses $130,511

*Reserve fund will be used to cover deficit
Additional Support
HFSC Auxiliary pays cell phone 120/month $1,440

SMH In-kind Contributions

Rent, utilities, maintenance $26,323

Healthy Families Annual Report | 6

Our Services
Educational and support groups continue to be offered in conjunction with
community organizations. Families really enjoy these groups. Grace Baptist
Church in Woodstock has provided the meal for several of our groups. Staff has
provided transportation. A series of Teen Mom groups, lead in part by interns
from Shenandoah University and JMU, have been well received, with about 6
teens attending each session. These will continue in 2011.

Creative outreach services continue to be utilized by home visitors to gain or

maintain consistent home visits. Workers send cards and curriculum by mail,
provide transportation, give goodie bags, children clothing, books and other
incentives to encourage weekly visits. All workers are available for early morning,
late evening, and even weekend visits to accommodate parents work and school
schedules. Efforts are made to make visits when both Mom and Dad can be there.

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23 Parent Surveys (Assesments) were completed.
All assessed families received community and parenting resource information.
19 additional families received outreach support and/or visitis at the request of
doctors, school personnel, or other community partners
20 families assessed were eligble for and offered home visiting servies
19 of these accepted home visiting services
50 families, 19 of which were new families, received home visits during the year
9 of new families were enrolled prenatally
7 mothers currently enrolled in the program are still in middle or high school; the
youngest mother is 14 years old

In 2010, 814 home visits and 118 additional

in-person contacts—groups, doctors
appointments, etc—were provided. (This
equals about 932 home visits and familiy
visits)

Healthy Families Annual Report | 7

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! The target population was redefined by the Executive Board in January 2010 as “First-
time families who receive prenatal care at Shenandoah Women’s Care, Woodstock, Va.”
It was also decided that the program would serve families referred from outside the
target population, on a case by case basis, as caseloads allow. This would primarily
include families who received prenatal care outside of the county or special
circumstances in which the newborn is not the mother’s first child.

! Four family graduated from HFSC this year—All four of the children are now enrolled
in preschool programs and will be attending kindergarten. Parents have made great
strides to better the lives of their families through improved housing, employment, and
parenting skills.

! All staff members are newly certified in the Parents As Teachers (PAT) curriculum,
the current recommended home visiting curriculum of HFV. Following a week of
training, staff members are now collecting and compiling PAT kits with activities and
educational materials to use with families. This new curriculum focuses largely on brain
development and has materials appropriate for all literacy levels, as well as, Spanish
speakers. It has been well received.

! Healthy Families Shenandoah County affiliated with JMU’s Institute for Innovation in
Health and Human Services (IIHHS). Already this affiliation has resulted in three new
interns contributing over 500 hours this semester. HFSC is working more collaboratively
with Healthy Families Page County (HFPC), also a part of IIHHS, with both the
Program Manager and bilingual FSW working part time for each Healthy Families
program.

! This year’s Cultural Review of the program focused on the impact of media and
technology(both positive and negative) this year. In keeping with the cultural sensitivity
review, staff received training at UVA on the effects of media on risky behaviors of
young women. This enlightening information is helping staff to guide participants, and
has given us some new tools with which to approach our families. Our participants
continue to be primarily young mothers, mostly under 22 years of age. Education is a
primary focus with these families as well as finding inexpensive ways to provide learning
opportunities and activities for children.

! We were saddened to lose our long time office assistant, Lin Manual, this year, as a
part of budget reduction. Lin has been a wonderful asset to the program over the years.
Even though she was only in the office 6-8 hours each week, her contributions are
greatly missed.
Healthy Families Annual Report | 8
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Yvonne Frazier Program Manager/Staff Supervision
Jackie Funkhouser Family Resource Specialist
Laurie Robinson Family Support Worker
Jackie Funkhouser Family Support Worker
Becky Kipps Bilingual Family Support Worker
Brittany Utterback JMU Student Intern
Alexandra Warren JMU Student Intern
Brandi Mooring JMU Student Intern

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John Ayers, Chairman, Department of Social Services
Rev. Lance Braun, Vice Chairman, Community representative
Janet Ferguson, Secretary, Community representative
Virginia Kilmer, Shenandoah Memorial Hospital, CFO
Charles Moore, Mt. Jackson Town Manager
Jean Martin, Shenandoah County Pregnancy Center
Elizabeth Andrews, Shenandoah County Health Department
Carol Felton, Shenandoah County Public Schools, Preschool Services
Karen Poff, Virginia Cooperative Extension Service
Ofelia Tapia, Virginia Cooperative Extension Services, community representative
Cathy Gilbert, Literacy Volunteers-Adult Education, community representative
Peggy Davison, Community representative
Lisa Lewis, Community representative

JMU’s Institute for Innovation in Health and Human Services

Rhonda Zingraff, Director of the Institute
Emily Akerson, Associate Director

Healthy Families Annual Report | 9

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We primarily serve first time families, all
residents of Shenandoah County, first time
parents. About 25% of our families are teens.
We provide family assessments, ongoing home
visiting, and parent education and support
groups.

“The Healthy Families Program is an

amazing program. I have to give credit
where it is deserved, and this program
helped me find where I needed to be.”

“It can be extremely overwhelming, especially if that first-time Mother, is a single-

Mother. I found myself in that very situation about four years ago. I had just found out
that I was expecting my first child. I was by myself, my daughter’s father was not in the
picture. I had no idea what I was going to do. I finished my first year of college and after
the spring semester, I moved back home to have my daughter.

I eventually met a Healthy Family worker through the help of a friend. The worker,
Laurie, came over to my Mother’s house, where I was staying, and we talked. We talked
about all the options that were available to me and my daughter. Without the help of
Laurie and the Healthy Families program, I honestly don’t know what I would have done.
Very cliché, but with their help, I was able to find an apartment, apply for aid, among
many other things. There were also many get-togethers with other single-mother’s who
were in just about the same situation as I was.

The Healthy Families Program is an amazing program. I have to give due credit where it
is deserved and this program helped me find where I needed to be. I am now back with
my daughter’s father, and we are married and have another daughter. I am back in school
perusing a Bachelor degree in Nutrition Science. If this program had not helped me
throughout the first few years, I’m not sure what I would have been doing. They helped
keep me grounded and they guided and helped me with many things.”

–Recent Healthy Families Graduate

Healthy Families Annual Report | 10

Our Partners

Primary partners
James Madison University, Harrisonburg Virginia
Shenandoah Memorial Hospital/Valley Health, Woodstock, Virginia

Special Thanks to our Community Partners & Supporters

JMU’s Institute for Innovation in Health and Human Services
Shenandoah Memorial Hospital/Valley Health System
Shenandoah County Department of Social Services
JMU Social Work and Psychology Departments
St. Jacob’s Lutheran Church, Edinburg, Virginia
Grace Baptist Church, Woodstock, Virginia

Major Funding provided by

Virginia General Assembly- Healthy Families Initiative
Safe and Stable Families Grant fund recipient (through local DSS)
Quality Child Care Initiative fund recipient (through local DSS)
Shenandoah Memorial Hospital Foundation fund recipient
United Way of Northern Shenandoah Valley
Member Agency and Impact Grants recipient
Shenandoah Community Foundation Grant recipient
Community donations and funding efforts

Referral Sources
Shenandoah Women’s Care, Woodstock, Virginia
Shenandoah County Public Health Department
Shenandoah County Public Schools
Shenandoah County Public Services

Healthy Families Annual Report | 11

 Mailing address:
759 South Main St.
Woodstock, VA 22664

Office located at:

768 Spring Parkway
Woodstock, VA 22664

Phone: 540- 459-8558

Fax: 540-459-8727