Pregnant and postpartum women and infants up to one year of age residing in a qualified EI catchment area that meet the criteria below are eligible for EIPP services.
EIPP Participant must have at least one of the following:
- Maternal age ≤20 with at least 2 children including current pregnancy or infant
- Maternal age ≤22 with at least 3 children including current pregnancy or infant
- Violence in the home
- Substance abuse in the home
- Pregnant women with previous poor birth outcome (stillbirth, neonatal death, baby <1500 grams)
- Pregnant women who are beginning their prenatal care in 3rd trimester
- Postpartum women who had inadequate or no prenatal
- Hepatitis B positive
Or at least two of the following:
- Homelessness or housing instability (doubled up, rent more than 50% of income)
- Inadequate food or clothing
- Tobacco use
- History of depression including postpartum depression
- High level of stress
- Current High Risk Pregnancy (i.e. maternal obesity, gestational diabetes, preeclampsia, etc.)
- Less than a 10th grade education
- Cognitive impairment
- Residing in the United States for less than one year
All EIPP participants enter the program either pregnant, or within three months of giving birth, and are able to remain in the program until their infant reaches one year of age.
Pregnant and postpartum women and their infants may be referred to EIPP through a variety of mechanisms including obstetric, pediatric and other health care providers, birth hospitals, WIC, EI, community health centers, shelters, substance abuse service agencies, human services agencies, family, friends, and self-referrals.
EIPP Services Components
Every EIPP participant receives at least one home visit where a Comprehensive Health Assessment (CHA) is conducted by either the nurse or the social worker. A CHA is a health assessment in the broadest sense of the term encompassing the social, emotional and physical well-being of the pregnant woman/mother and infant in the context of their family. CHAs include at a minimum:
- Clinical assessment with family health history, screening for current or potential factors that impact optimal health, and physical examination as indicated;
- Breastfeeding and infant feeding status;
- Nutritional status and physical activity;
- Screening for alcohol, tobacco and other drug use, mental health including postpartum depression, intimate partner violence, and safe environments; and
- Parent-Infant Attachment.
Based on the CHA and appropriate to family needs, health education, counseling, brief interventions and referrals are provided. Families are assured assistance with accessing health care services, WIC, economic support, help with basic needs, education and job training, recreational opportunities, and specialized programs as needed such as treatment for substance abuse, domestic violence and mental health services.
Additional CHAs are conducted at key developmental stages along with an infant assessment at 2, 4, 6, 8, 10, and 12 months postpartum using the Ages and Stages Questionnaire (ASQ-3) to assess for infant developmental delays and EI eligibility.