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Maternal Infant Early Childhood Home Visiting (MIECHV) Orientation

The following training modules are part of the MIECHV Orientation for new staff. Each module includes information of screening tools, MEICHV Benchmark measures and resources. These are required trainings for all MIECHV staff.

Model Overviews

Early Head Start
This brief video (14 minutes) provides an overview of the Early Head Start Home Based model, including history of Head Start and Early Head Start, model elements, guiding principles and program goals.

Healthy Families America
This video provides an overview of the Healthy Families America home visiting model. It describes how services are initiated and delivered with families and discusses outcomes of the program. Length: 10:47

Nurse-Family Partnership
Nurse-Family Partnership® (NFP) is an evidence-based, community health program that serves low-income women pregnant with their first child. Each vulnerable new mom is partnered with a registered nurse early in her pregnancy and receives ongoing nurse home visits. It is a life-transforming partnership, for the mom and her child. Nurse-Family Partnership helps families — and the communities they live in — become stronger while saving money for state, local and federal governments. Please visit for more information. For a brief overview of NFP in Oregon, watch this 16 minute video.

Workforce Development

Oregon Home Visiting Core Competencies:​ Core Competencies create a common thread of Professional Development expectations across the variety of home visiting programs for the ultimate benefit of families in Oregon. They are established to provide a framework and a common language for workforce development planning that supports state, local, agency and individual workforce development. The Oregon Home Visiting Core Competencies is intended to be used as a tool by the workforce to conduct ongoing self-assessments as well as professional development planning.

Relationship Assessment Tool

The Relationship Assessment Tool is a screening tool for intimate partner violence (IPV). The Relationship Assessment Tool (RAT) assesses for emotional abuse by measuring a woman’s perceptions of her vulnerability to physical danger and loss of power and control in her relationship. The tool can be self-administered or used during home visits. The information gained from the screening can be used for individualized planning and follow up.

In Part 1 of the Relationship Assessment Tool video, participants will be able to:

  • Describe the importance of screening for domestic violence.
  • Understand barriers to domestic violence assessment during home visits.
  • Demonstrate how to discuss limits of confidentiality prior to screening clients for domestic violence.
  • Describe how to use the Safety Card during home visits.

In Part 2 of the video, participants will be able to:

  • Administer the Relationship Assessment Tool as a screen for domestic violence.
  • List actions steps in a safety plan that a client can take if he or she feels unsafe.
  • Apply knowledge of the Relationship Assessment Tool results to refer family to additional resources when appropriate.

Presenter: Patrick Lemmon is a Violence Prevention Health Educator for the Public Health Division of the Oregon Health Authority. In his role, he provides training and technical support for Oregon’s Rape Prevention and Education grants and for Project Connect, which supports screening and referral for domestic violence in reproductive health care settings.

Substance Use Risk Profile: Pregnancy Scale (SURP)

The Substance Use Risk Profile-Pregnancy scale (SURP) provides a simple but effective way to screen for alcohol and illicit substance use in pregnant women. The SURP is a self-report screening questionnaire for hazardous substance use in pregnant women. The information gained from the screening can be used for individualized planning and follow up.

In this two-part video, participants will:

  • Describe the importance of screening for prenatal alcohol and drug use.
  • Recognize the nearly-universal discomfort associated with asking about alcohol and drug use, and develop steps to overcome that discomfort.
  • Learn about administering the Substance Use Risk Profile-Pregnancy Scale as a screening for parental use of alcohol.
  • Apply knowledge of the screening results to refer parent to additional resources when appropriate.

Presenter: Kristin Funk, MA, LCSW, Sr. Research Assistant, University of Oregon. Kristin holds a Master’s Degree in Social Work from the University of Chicago and is licensed in the state of Oregon as a clinical social worker. She is currently involved in research with the SEAM (Social Emotional Assessment Measure) a curriculum-based social emotional assessment for infants, toddlers, and preschoolers. She also provides training to early childhood and other professionals in the use of the Assessment, Evaluation and Programming System (AEPS), the Ages and Stages Questionnaires (ASQ) and the I Can Problem Solve® (ICPS) Curriculum.

One Key Question

The One Key Question® Initiative (OKQ) is the Oregon Foundation for Reproductive Health’s groundbreaking, yet simple, solution to making Oregon women and families healthier and ensure that more pregnancies are wanted, planned, and as healthy as possible. By asking women “Would you like to become pregnant in the next year?” home visitors can more fully support women’s reproductive health needs, such as preventing an unintended pregnancy or preparing for a healthy pregnancy. The information gained from the screening can be used for individualized planning and follow up.

After viewing this video, participants will be able to:

  • Describe the importance of preconception care and inter-birth interval
  • Ask the "One Key question" for the purpose of screening
  • Apply knowledge of the OKQ response to refer parent as appropriate

Presenters: Helen Bellanca, MD, MPH, former Medical Director, and Michele Stranger Hunter, Executive Director, Oregon Foundation for Reproductive Health

Patient Health Questionnaire (PHQ-9) Maternal Depression Screening

The PHQ9 is used to screen for maternal mood and depressive symptoms. It is a brief questionnaire completed by the client during a home visit. In this two part video participants will learn how to:

  • Describe the importance of screening for maternal mood and depressive symptoms
  • Administer the PHQ-9 as a screen for maternal depression
  • Apply knowledge of results to refer family to additional resources when appropriate

Presenter: Wendy N. Davis, PhD Post-Partum Support International
Wendy has counseling and consulting practice, specializing in pregnancy, birth, and postpartum mental health and recovery. She works for Postpartum Support International as their Executive Director and Oregon support coordinator. She chaired Oregon’s Maternal Mental Health Workgroup in 2009. She was the Founding Director of Baby Blues Connection mom-to-mom support organization in 1994, and now serves as their clinical advisor and volunteer trainer. Wendy provides training and consultation in governmental, clinical, and community settings and enjoys working with diverse communities to develop sustainable perinatal mental health networks. She lives in Portland with her husband and two children.

Parenting Stress Index – 4 (PSI-4), Part 1

The PSI is used to assess parenting stress and identifying issues that may lead to problems with the child’s or parent’s behavior. The information gained from the screening can be used for individualized planning and follow up.

In Part 1, participants will be able to:

  • Describe the importance of screening for parent emotional well-being/parenting;
  • Describe the effects of stress on parenting and the parent-child relationship.

Presenter: Debby Bassett, MA, has over twenty years of experience as an Early Childhood Mental Health Consultant. She has provided trainings and consultation to clinicians, supervisors, teachers, home visitors and parents on trauma, attachment, brain development, child development, relationship-based treatment, parenting skills, and reflective practice. Debby has worked extensively with Early Head Start and Healthy Families America home visitors. She served on the faculty of the Infant Toddler Mental Health Certificate program at Portland State University for the last 4 years.

Parenting Stress Index – 4 (PSI-4), Part 2

In Part 2, participants will be able to:

  • Administer and score the PSI/SF as a screen for parent emotional well-being/parenting;
  • Interpret and apply knowledge of the PSI results to refer families to additional resources when appropriate.

Note: It may be helpful to print a copy of the sample scoring sheets (see below) to follow along with the scoring portion of the video.

Presenter: Brenda Dolan has worked for the Early Head Start and Head Start programs at Mt. Hood Community College since 2002. As a bilingual home visitor and trainer, she’s specialized in early childhood development and successful family engagement. Her experience as a presenter and speaker extend internationally as well covering topics such as parenting, domestic violence, child abuse, use of technology in observations, and recycled play materials.

HOME Inventory Training

The HOME Inventory is used to assess the home environment from the child’s perspective. The HOME is an observation based tool and is conducted in the home. The tool is divided into 8 sections and contains 59 items. Not all data points are recorded for MIECHV, as described in the video and materials below. The information gained from the screening can be used for individualized planning and follow up.

Optional Training Resources:

Self Care: Yes it Is Required
Motivational Interviewing to Promote Safe Sleep
Pregnancy and Postpartum Mental Health: The Home Visitor’s Role

ACES and NEAR Science

ACEs are Adverse Childhood Experiences that harm children’s developing brains so profoundly that the effects show up decades later; they cause much of chronic disease, most mental illness, and are at the root of most violence.
NEAR Science includes a cluster of fields of study that include Neuroscience, Epigenetics, ACEs and Resilience.

The following website provide information and resources about ACES, NEAR Science, Trauma and Resiliency.

Institute for Learning and Brain Sciences (ILABS)

ILABS is an online library of resources​ for early learning professionals, parents , caregivers, policymakers and community members. The online training modules are designed to share the latest science of child development with the broader community. Each module explores a particular topic of science, such as early brain development, children’s imitation, or language acquisition, and nests it within the larger landscape of child development. All modules are free and are designed to be useful for both everyday interactions with children and for informing systems-level programs and policies. New users can register at

Achieve OnDemand Online Professional Development for Home Visitors​​​

Achieve OnDemand is a comprehensive, online catalog of learning series available to home visitors and supervisors nationwide. The learning series were developed by home visiting experts leveraging over 30 years of experience in home visiting.​​

Overview of National efforts in Home Visiting and Early Childhood Systems:
The following video was presented at the Oregon Home Visiting Statewide Leadership Forum on July 24, 2013. Dr. David Willis, MD, Director of Home Visiting and Early Childhood Systems at the Health Resources and Services Administration (HRSA), Washington DC.
In this 57 minute video, Dr. Willis give an overview of national trends in health, home visiting and early childhood systems.