Appendix F: Stronger Families LA Database Variables Variable Visit Information Attempted Visits Date of verbal consent Reason client did not accept WB program1 Supervisor name Date of Engagement Location of Visit2 Who participated in home visit?3 If newborn not present for visit, why?4 Start time/End time Client information Estimated Due Date (EDD) Last Menstrual Period (LMP) Date of Delivery Expected Date of Discharge Client Characteristics Marital Status5 Born in the U.S.? If no, country of birth? If no, how many years in U.S. Primary language spoken at home6 Language client would like for services Race/ethnicity7 Education & Employment Highest level completed8 Type of Education Program currently enrolled in9 Employment Status10 Household Income11 # of people supported by household income Public Benefits Is client’s family receiving any of the following benefits?12 Information on local food resources (WIC, Farmers’ Markets, etc) Secondary Caregiver Information Relationship to Baby13 Secondary Caregiver Race/Ethnicity14 Other Children in Household Health Kids Is the client covered by any of the following health insurance programs?15 Medical Provider Information Engagement Points Collected All visits except hospital visit Prenatal intake; hospital visit Prenatal intake; hospital visit All visits All visits Prenatal HV (27 wk/28-32 wk); All postpartum HV All visits except phone calls All postpartum visits All visits All prenatal engagement points All prenatal engagement points Hospital Intake Hospital Intake Intake visits Intake Visits Intake Visits Intake Visits Intake Visits Intake Visits Intake Visits Intake Visits Intake Visits Intake Visits; postpartum 2 month phone call Intake Visits; Postpartum 2 month phone call Intake visits All visits except RN Visit All postpartum visits Intake Visits Intake Visits Intake Visits All Visits except RN visits Appendix F: Stronger Families LA Database Variables No medical Provider Medical Providers Name Clinic Name Medical Providers Address Options on emergency and/or ongoing medical care given? Dental Insurance16 Dental Status17 Risk Factors Prenatal Care and Pregnancy Outcomes Approximate date mom began to receive prenatal care Mom smoked during this pregnancy? Pregnancy History18 Previous c-section Type of labor19 Delivery method20 Birth complications for this pregnancy Gestational Age Birth Weight Length 6 week postpartum check-up21 Family Planning Client’s current family planning methods and satisfaction22 Infant Health Care Child Insurance Coverage23 Insurance Care Received Infant Medical Provider24 Client has scheduled an appointment for the 3-5 day well-baby check up25 Client has scheduled an appointment for 2 month well-baby check up26 Client has scheduled an appointment for 4 month well-baby check up Client has scheduled an appointment for 6 month well-baby check up Client has scheduled an appointment for 9 month well-baby check up Client has scheduled an appointment for the baby check up Infant has received the recommended immunizations for their age Emergency Room Visits How many times has the client been to the hospital emergency room since the last All visits except NICU HV All visits except NICU HV All visits except NICU HV All visits except NICU HV All post-partum visits except RN Visits Prenatal Visits Prenatal Visits & Hospital Intake Hospital Intake Hospital Intake Prenatal Intake & Hospital Intake Hospital Intake Hospital Intake Hospital Intake Hospital Intake Hospital Intake Hospital Intake Hospital Intake RN Visit and postpartum HV RN Visit and postpartum HVs Hospital Intake and All Postpartum visits All postpartum visits Hospital Intake and All Postpartum Visits RN Visit, PP 2 wk HV, PP 2 month HV/phone call RN Visit, PP 2 wk HV, PP 2 month HV/phone call 3-4 month PP HV, 9 month PP HV 9 month PP HV RN NICU Visit All PP HVs RN NICU Visit; ALL PP HV Appendix F: Stronger Families LA Database Variables engagement point? How many times has the baby been to the hospital emergency room since the last engagement point? Breastfeeding Intent How does client plan to feed the baby?27 If client intends on breastfeeding, how long does client plan on breastfeeding? Breastfeeding education or support provided? Breastfeeding How is the client feeding the baby?28 Not interested in Breastfeeding If Breastfeeding, how long would client like to breastfeed?29 Was client helped and encouraged to hold newborn skin-to-skin after delivery and at other times? Has client roomed in with baby at any point in time? Infant feeding education or support provided? Breastfeeding assistance provided If yes, what type Needs further breastfeeding assistance/support after discharge If client stopped breastfeeding, what are the reasons why30 If stopped breastfeeding, how long did the client breastfeed? Home Safety No Home Safety assessment completed Home Saftefy Completed, No risk factors Tobacco Cockroaches, rodents or bed bugs Possible exposure to lead due to peeling or chipped paint Occupational exposure to toxins Unsafe objects/substances within infant’s reach No childproofing Weapons kept in home Drug paraphernalia Other Home Safety Education provided RN NICU Visit; ALL PP HV Prenatal HV Prenatal HV Prenatal HV All PP Engagement Points Hospital Intake Hospital Intake Hospital Intake Hospital Intake Hospital Intake & All PP Engagement Points Hospital Intake & All PP Engagement Points Hospital Intake & All PP Engagement Points Hospital Intake All PP Engagement Points All PP Engagement Points Prenatal HV & All PP HVs Prenatal HV & All PP HVs Prenatal HV & All PP HVs Prenatal HV & All PP HVs Prenatal HV & All PP HVs Prenatal HV & All PP HVs Prenatal HV & All PP HVs Prenatal HV & All PP HVs Prenatal HV & All PP HVs Prenatal HV & All PP HVs Prenatal HV & All PP HVs Prenatal HV & All PP HVs Appendix F: Stronger Families LA Database Variables Home Safety Items given Family made a home safety improvement and/or childproofed the home How does client put the baby down to sleep most of the time? How often does the baby sleep in the same bed with anyone else? What are the reasons the baby sleeps with another person Education provided on safe sleeping Parent Infant Interaction Positive mother/infant interaction observed Education provided on bonding and secure attachment Depression Depression screening PHQ-2 completed PHQ-9 score Life Skills Progression: Relationship with family & friends Mental Health & Substance Abuse Basic Essentials (housing, nutrition, transportation, insurance, income, child care) Child Development Pre-Literacy Activities Is family engaging in pre-literacy activities Child Development ASQ completed ASQ Not Completed MSC History of incarceration for mother, partner or by people who will impact infant’s wellbeing Hospital Referrals Bedside Services 2 month non-BS HV & 3-4 month and 9 month HV 2 month non-BS HV & 3-4 month and 9 month HV All PP HVs All PP HVs All PP HVs All PP HVs Hospital Intake & All PP HVs Hospital Intake & All PP HVs All engagement points All engagement points Prenatal HVs, 2 month PP call, 9 month HV 2 month/3-4 month/9 month PP engagement points 3-4 month & 9 month PP HV 3-4 month & 9 month PP HV Hospital Intake Hospital Intake Reasons include: Don’t feel a need for the services; not in best start community; client could not be reached; not comfortable with home visits; does not have time; negative prior experiences; spouse/partner against it; moving to a new location; declined to state; other 2 Client’s home; medical office; home visiting office; other 3 Newborn; mother client; secondary caregiver/father; grandparent; siblings; supervisor observed; supervisor training; supervisor staff support; other 1 In hospital; removed from home by DCFS; temporarily cared for by someone else; infant death; permanently in the care of someone else other than foster care; other 5 Single; married; separated; divorced; widowed; live together/common law; other 4 Appendix F: Stronger Families LA Database Variables English; Spanish; Cantonese; mandarin; Vietnamese; Korean; hmong; tagalog; khmer; unknown; other 7 Alaska Native/American Indian; Black/African American; White; Middle Eastern; Hispanic/Latino (Mexican, Puerto Rican, Cuban, Central American, Other Hispanic); Asian (Asian indian; Cambodian; Chinese; Filipino; Japanese; Korean; Vietnamese; other Asian); Pacific Islander (Native Hawaiian; Guamanian; Samoan; Other); unknown; decline to state; other 8 No formal schooling; 8th grade or less; 9th-12th grade or vocational school; high school diploma/GED; post high school vocational/technical training program/some college, no degree; College graduate; some graduate school; graduate school 9 Post-high school vocational certification, technical training; college; adult school; high school; middle school or lower; not enrolled in any program 10 Employed full time; employed part time(20-35 hrs); employed part time (less than 20 hrs); not employed; leave of absence/disability 11 Less than $10,000; $10,000-$14,999; $15,000-$19,999; $20,000-$24,999; $25,000-$29,999; $30,000$39,999; $40,000-$49,999; $50,000-$74,999;$75,000-$99,999; $100,000 or more; Do not know; Decline to answer 12 CalWORKS; Food Stamps; homeless assistance; WIC; SSI/SDI; General Relief; Other; None; Decline to State 13 Biological parent; step-parent/parent’s partner; grandparent; adoptive parent; relative caregiver; guardian; other 14 Alaska Native/American Indian; Black/African American; White; Middle Eastern; Hispanic/Latino (Mexican, Puerto Rican, Cuban, Central American, Other Hispanic); Asian (Asian indian; Cambodian; Chinese; Filipino; Japanese; Korean; Vietnamese; other Asian); Pacific Islander (Native Hawaiian; Guamanian; Samoan; Other); unknown; decline to state; other 15 Medi-Cal Presumptive Eligibility; Restricted Medi-Cal; Medi-Cal Managed Care; Full-scope MediCal; AIM; No health insurance; Private health insurance; other 16 Denti-Cal; Private Dental Coverage; Other Dental Insurance; No Dental Insurance 17 Client received an exam in last 12 months; client has scheduled an appointment for a dental exam; dental referral made by WB; client received a referral from elsewhere; client opts out of dental services 18 Parity (# of births); Gravidity (# pregnancies); number of living children mother gave birth to 19 None (scheduled c-section); spontaneous; augmented; induced 20 Vaginal; forceps; vacuum; c-section 21 Scheduled; not scheduled or attended; attended 22 Family planning not discussed; family planning methods currently not used; family planning methods used, but not satisfied; family planning methods used and satisfied; education provided on child spacing; education provided on contraception 23 Medi-Cal; Health Kids; No health insurance; Private insurance; other 24 No medical provider; medical providers name; clinic name; medical providers address; medical provider phone number 25 Scheduled; attended; N/A in NICU; neither scheduled nor attended 26 Scheduled; attended; N/A in NICU; neither scheduled nor attended 27 Breast only; Breast and formula; Formula only 28 Breast only; mostly breast, with some formula; mostly formula, with some breast; formula; other 29 About 1 month or less; 5-6 months; about 6 weeks-2 months; 3-4 months; 7-9 months; 10-12 months; 12+ months; N/A 30 Low milk supply; latch-on difficulties; sore, cracked nipples; pain; latch-on difficulties; medical reason; return to work; medication; lack of support from partner; lack of support from family; other 6
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