ANNUAL REPORT 2021
WELCOME LETTER FROM THE REGIONAL DIRECTOR OF NURSE-FAMILY PARTNERSHIP®, GOODWILL OF CENTRAL & SOUTHERN INDIANA I would like to start off this welcome letter by expressing how incredibly grateful and proud I am of Goodwill’s NurseFamily Partnership nurses, staff and families. For many, 2021 held many challenges as we continued to navigate the pandemic and more that defined a new reality for all of us. This past year also brought us much to celebrate. Goodwill NFP celebrated its 10th Anniversary, serving a total of over 5,800 families and nearly 4,000 babies born since our inception in 2011. Our NFP Nurses continued using a hybrid of telehealth technology and other digital tools to ensure high quality service to clients, in addition to maintaining the health and safety of parents and their babies. The support of our community and referral partners allowed us to continue to enroll new Hoosier families into the program, providing education and support on best practices in maternal health care as well as assistance with challenges like loss of employment, access to child care and mental health care for almost 3,000 new families across central and southern Indiana. Thanks to funding from the Indiana State Department of Health, nine new nurses were trained in our evidencebased model and strategically assigned to one of our four regional offices, serving 29 Indiana counties.
We could not have reached this milestone without this significant funding investment and strong support from the state and partners like you. Goodwill’s Nurse-Family Partnership remains committed to lowering Indiana’s infant mortality rate for newborns, measured by children celebrating their first birthday. Though we saw improvements in the mortality rate for white and Hispanic infants, we saw an increase in the mortality rate for Black infants, raising Indiana’s infant mortality rate to 6.6 per 1,000 live births in 2020. Though the state’s rate is the second lowest on record, we know we must reduce the health disparities between white and Black infants to ensure successful futures for all Hoosier families. In addition to focusing on reducing health disparities across central and southern Indiana, our goal is to continue ensuring graduating parents and their families are equipped with the right tools that will support their longterm economic self-sufficiency. Thank you for your interest and continued support of Goodwill’s Nurse-Family Partnership.
Lynn Baldwin
2021 BY THE NUMBERS 387
518
GRADUATES
1,337
BABIES BORN
WOMEN SERVED
CUMULATIVE BABIES BORN*
WOMEN EVER SERVED*
3,989
CUMULATIVE GRADUATES*
1,944
5,841
*NFP Inception to December 31, 2021
REFERRAL SOURCE Health care provider 35 or clinic - 988 82 The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) - 690 Self - 82 School - 35 Other - 987 (word of mouth, friend, family, community resource, etc.)
2,782 REFERRALS RECEIVED
INTAKE DEMOGRAPHICS
987 690
Median age: 24
Married: 16%
High School Diploma or Equivalent: 66%
Ethnicity: 16% Hispanic
RACE
5%
PRIMARY LANGUAGE
1% 2% <1%
White 47% 5% African American 34% 6% Declined to self-identify 6% Multi-racial 5% Unknown 5% 34% Asian 2% American Indian 1% Hawaiian <1%
988
47%
English 80% Spanish 9% Other 11% (French, Arabic, Haitian Creole, Tribal languages)
9% 11% 80%
2021 OUTCOMES On average, NFP moms began prenatal care at 9 weeks. The American College of Obstetrics and Gynecology benchmark is 12 weeks.
85% of babies born at a healthy weight in 2021 (5.5 pounds or more).
91% of moms who self-reported tobacco use during pregnancy quit or reduced before their child’s birth.
86% of moms initiated breastfeeding.
88% 88% of babies born at a healthy weight since NFP implementation in 2011 (5.5 pounds or more).
38% of babies still breastfeeding at six months.
88% of babies born at full term in 2021 (37 or more weeks gestation).
90% of babies up-to-date with immunizations at six months.
88% of babies born at full term since NFP implementation in 2011 (37 or more weeks gestation).
90% up-to-date at 12 months.
28% at 12 months.
92% up-to-date at 24 months.
SELF-SUFFICIENCY OF 2021 GRADUATES 24% of moms, age 18 and older, increased their employment.
19% of graduates increased their education level during the program.
15% of moms without a high school diploma earned it while in NFP.
16% also obtained post-secondary education or certification.
EMPLOYMENT SERVICES Goodwill’s TalentSource™ worked with Nurse-Family Partnership families during 2021, resulting in 10 employment placements. Placements ranged from $12/hr to $26/hr with an average wage of $15.94. 80% of placements were with health care organizations.
GOODWILL NURSE-FAMILY PARTNERSHIP
SUPPORTS MOMS AND BABIES
“” MY NURSE WAS When Tenera Lloyd enrolled in the Nurse-Family Partnership program, she was in an abusive relationship and struggling with posttraumatic stress disorder. A pregnant mom with limited outside support, she felt hopelessly stuck in her situation but knew she wanted better for her daughter. After going into labor three weeks early due to a domestic situation, she knew it was time to take action.
“I was emotionally and physically exhausted, but my nurse was very supportive, and it changed my life,” Tenera said. “She gave me the tools I needed to get away.”
VERY SUPPORTIVE, AND IT CHANGED MY LIFE.
First, she made sure that her
- TENERA LLOYD
daughter, Trinity, had access to quality health and child care. She also sought out mental health services to learn how to cope
“Some days are still a struggle,
with past trauma. She excelled in
but I push through because there
her employment and eventually
is a little person looking up to
received a promotion to leadership.
me,” Tenera said. “I want her to
She also got her own apartment
have a better life and to know
and is currently pursuing a
that she’ll always have
credential in medical assisting.
my support.”
EBRATING CEL
YEARS
GOODWILL’S NURSE-FAMILY PARTNERSHIP CELEBRATES 10TH ANNIVERSARY IN 2021 Goodwill of Central & Southern Indiana’s Nurse-Family Partnership, a program that pairs first-time mothers with a registered nurse, celebrated its 10th anniversary in October 2021. Goodwill’s NFP supports the Indiana Department of Health’s campaign to reduce infant death, provide prenatal care and teach
parents about smoking cessation, breastfeeding and safe sleep. Since its implementation in 2011, Goodwill’s NFP has served nearly 6,000 at-risk families in central and southern Indiana. At the onset of the pandemic, NFP Nurses began using telehealth technology and other digital tools to continue providing high-quality services to clients while ensuring the health and safety of moms and their babies. “Research indicates that in efforts to address problems like poverty, low education levels, and more, the greatest long-term benefits will come from providing the very best start for children,” said president and CEO of Goodwill of Central and Southern Indiana, Kent A. Kramer.
“Goodwill's Nurse-Family Partnership is working to break those cycles and reduce the infant mortality rate in our state by supporting mothers and families across central and southern Indiana.” Some of the highlights of Goodwill’s Nurse-Family Partnership success include: • The service of 29 counties in central and southern Indiana. • 90% of NFP-enrolled Indiana babies are born full-term. • To date, the program has ensured the best start for almost 4,000 babies. To refer someone to Goodwill’s Nurse-Family Partnership, contact nfp@goodwillindy.org or call 317.524.3999.
GOODWILL’S NURSE-FAMILY PARTNERSHIP
EXPANDS MENTAL HEALTH TEAM TO BETTER SERVE NFP MOMS Goodwill’s Nurse-Family Partnership recognizes good mental health is as important as good physical health. In 2021, Goodwill’s NFP expanded the NFP Mental Health team and added additional services, including mental health counseling for NFP Moms. Mental health conditions are common during the perinatal period, affecting 1-5 pregnant/ postpartum people. While most people are familiar with the term Postpartum Depression, pregnant/postpartum people can actually experience a myriad of mental health conditions, including generalized anxiety disorder, panic disorder, obsessive-compulsive disorder,
post-traumatic stress disorder, bipolar disorder and, in rare cases, psychosis. The NFP Mental Health team consists of three full time mental health clinicians and has received 135 client referrals by the end of 2021. 75% of NFP moms who were referred by their NFP Nurse have had at least one counseling session with an NFP Mental Health Team member, compared to only a 30% visit rate for those referred to a clinician outside of Goodwill’s NFP. Sara Pollard leads the Goodwill Nurse-Family Partnership® Mental Health Team and is a psychiatric mental health nurse practitioner.
“Not every pregnant or postpartum person develops a mood or anxiety disorder, but we diligently screen for and educate about these conditions,” Sara said. “There are numerous risk factors including a personal or family history of any mental health condition, lack of social support, and a history of trauma. We also know teens, single moms, and women living in poverty are at higher risk. Individuals of color and under-served individuals are disproportionately affected.” For more information about the Goodwill Nurse-Family Partnership® Mental Health Team, email spollard@goodwillindy.org.
GOODWILL NFP SERVICE AREA To date, the Goodwill Nurse-Family Partnership program has served more than 5,000 families and provides nurse home visitors throughout central and southern Indiana. Goodwill of Central & Southern Indiana territory Goodwill Industries of Michiana IU Health Community Health Healthier Moms and Babies
THANK YOU TO ALL OF GOODWILL OF CENTRAL AND SOUTHERN INDIANA NURSE-FAMILY PARTNERSHIP’S COMMUNITY ADVISORY BOARD MEMBERS. CENTRAL REGION Dr. Jayme Allen, Chair IU School of Medicine Lynn Baldwin Goodwill of Central & Southern Indiana Stephanie Berry IU Health Terri Bruksch Barnes and Thornburg, LLP Donna Burks Eskenazi Health Nicole Cerman Director of Community Health-IU Health Denise Chittum NFP Client Representative Betsy Delgado Goodwill of Central & Southern Indiana
Central Region Community Advisory Board Members also serve our Central Northeast and Central Northwest Regions.
Robin Eggers Community Volunteer/ Leader Kevin Enders Director of Statewide Engagement-Indiana Youth Institute Dawn Fortney Eli Lilly and Company Juanita Fitzgerald Community Health Improvement ManagerFranciscan Alliance Crystal Fowler My Healthy Baby Coordinator-Indiana Department of Health L. Annette Handy Indiana Hospital Association
Alisha Jessup Eskenazi Health
Betsy Tener CareSource
Joanne Martin Goodwill of Central & Southern Indiana
Wanda Thruston IU School of Nursing
Paula Means Community Volunteer Patty Pigman Bartholomew County Healthy Communities Infant Mortality Prevention Action Team Kristin Popovic UBS Financial Services Karen Porter KLPorter Strategic Solutions, LLC NFP Healthcare Integration Georgiana Reynal St. Vincent Health
Brittany Waggoner Maternal and Infant Quality Improvement Advisor Indiana Hospital Association Maureen Weber Early Learning Indiana Amy Wire Community Health Network **Nina Mutone Urology of Indiana Community Health Network St. Vincent Hospital Indianapolis **denotes honorary member
SOUTH REGION Brande Abbott Salem Parks & Recreation
Jamie Corwin MHNP/former NHV
Tonie Avery Hope Care Clinic New Hope Services
Lori Croasdell Scott County CEASE
Emily Banet Baptist Health Floyd Brandy Black Covering Kids & Families/ Scott County Partnership Brittany Blau Attorney at Law Sarah Broady NYAP/All For Emily Becky Bujwid Centerstone Michelle Cissell The Children’s Learning Center by Goodwill
Rebecca Didelot Baptist Health Floyd Carol Flispart CareSource TJ Gettlefinger Blue River Services Tiffany Hanaver Blue River Services, Inc. Luvia Hesser Indiana Health Center Angie Kinser The Children’s Learning Center by Goodwill
Erin Lawrence River Valley Resources, Inc.
Dawn Sanders Covering Kids & Families/ Scott County Partnership
Corenn Lorenzini Goodwill Excel Center
Missy Smith Healthy Families New Hope Services
Mary Jane McGarvey WIC New Hope Services Tara Meachum Early Head Start Sonya Mitchell Purdue Extension Washington County Mary Munford Choices Life Resource Center Beth Petty Centerstone-Healthy Start
Alicia Swank Family Health Centers Andrea Tanner Chris Wass Goodwill of Central & Southern Indiana Rosalind Scott Williams Indiana University Southeast Eric Yazel Clark County Health Department
THANK YOU 2021 SUPPORTERS! We are especially grateful for our supporters and community partners as we continued to navigate through the pandemic. In 2021, we were able to continue to meet the increased needs of our clients which would not have been possible without your support.
Implemented by Goodwill of Central & Southern Indiana
1635 W. Michigan Street | Indianapolis, IN 46222 317.524.3999 | goodwillindy.org/health