2023 Goodwill NFP Annual Report

2023 ANNUAL REPORT

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WELCOME LETTER FROM THE SENIOR DIRECTOR OF NURSE-FAMILY PARTNERSHIP®, GOODWILL NURSE-FAMILY PARTNERSHIP First, I want to express how grateful and appreciative I am of Goodwill Nurse-Family Partnership nurses, staff, families, supporters and partners.

2023 was a year of welcome change and growth for Goodwill NFP. Thanks to funding from the Indiana Department of Health and the Lilly Endowment, we have been able to expand NFP into 61 Indiana counties. 39 new nurses were trained in our evidence-based model and strategically assigned to serve families in eight different regions. Altogether, we provided care for over 2,100 families in Indiana.

We could not have reached such a milestone in the program’s 12-year history without significant funding investment and your ever-present support.

Collaboration with our community and referral partners allowed us

to enroll new Hoosiers into the program and introduce them to the model. Goodwill NFP Nurses shared resources and delivered trusted information on the best practices in maternal health care, child health and development and mental health. Our nurses also assisted families with overcoming socioeconomic barriers, through securing employment and accessing stable food sources.

These are only a few of the achievements we want to celebrate with our supporters — but as always, there’s more work for us to accomplish in the future. In 2024, we are focused on improving pregnancy outcomes for expectant families, as well as their child’s growth and development milestones.

Not only do we want our families to have healthy pregnancies, births and early childhoods, but healthy and economically independent futures as well.

Our nurses will continue to work with families to achieve their education and employment goals, assisting with job searches and connecting them with opportunities to further their education such as The Excel Center®.

Most importantly, Goodwill NurseFamily Partnership is committed to lowering Indiana’s infant mortality rate, measured by children celebrating their first birthday.

Per the latest data available, the rate of Black infant mortality was nearly double that of the state. For Hispanic infants, the mortality rate jumped from six deaths per 1000 live births to eight deaths.

These statistics show us that the work that lies ahead is extensive but valuable for so many expectant families and communities in Indiana.

the tools they need for achieving a healthy pregnancy and longterm, economic self-sufficiency.

We will continue to provide them with the very best start for their children, during the earliest, most developmentally critical years.

Thank you for your interest and continued support of Goodwill Nurse-Family Partnership.

Lynn Baldwin, RN, MSN, WHNP-BC

In the coming year, we look forward to serving even more expectant families and ensuring we share 3

2023 BY THE NUMBERS 4

252

765

GRADUATES

1,909

2,133

BABIES BORN

FAMILIES SERVED

CUMULATIVE BABIES BORN*

FAMILIES EVER SERVED*

5,253

CUMULATIVE GRADUATES*

7,504

*NFP Inception to December 31, 2023

REFERRAL SOURCE

3,560 REFERRALS RECEIVED

Health care provider or clinic – 50% The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) – 9% Self – 5% School – 1% Other – 35% (My Healthy Baby, word of mouth, friend, family, community resource, etc.)

35% 50%

1%

9%

5%

INTAKE DEMOGRAPHICS Median age: 25 High School Diploma or Equivalent: 78% Married: 17% Ethnicity: 69% Non-Hispanic 21% Hispanic 10% Declined

RACE White 45% African American 32% Declined to self-identify 13% Multi-racial 7% Asian 2% American Indian <1% Hawaiian <1%

PRIMARY LANGUAGE

<1% 2% <1%

7%

13% 45% 32%

English 80% Spanish 13% Other 7% (French, Arabic, Haitian Creole, Tribal languages)

13% 7% 80%

2023 OUTCOMES On average, NFP parents began prenatal care at 8.6 weeks.

The American College of Obstetrics and Gynecology benchmark is 12 weeks.

86% of parents who selfreported tobacco use during pregnancy quit or reduced before their child’s birth.

85% of babies born at a healthy weight in 2023 (5.8 pounds or more).

87% of babies born at full term in 2023 (37 or more weeks gestation).

87% of babies born at a healthy weight since NFP implementation in 2011 (5.8 pounds or more).

89% of babies born at full term since NFP implementation in 2011 (37 or more weeks gestation).

88% of parents initiated breastfeeding.

88% of babies up-to-date with immunizations at six months.

44% of babies still breastfeeding at six months.

21% of babies still breastfeeding at 12 months.

86% up-to-date with immunizations at 12 months.

85% up-to-date with immunizations at 24 months.

SELF-SUFFICIENCY OF 2023 GRADUATES 19% of graduates, age 18 and older, increased their employment.

21% of NFP graduates increased their education level during the program.

29% of graduates without a high school diploma earned it while in NFP. 17% also obtained post-secondary education or certification.

EMPLOYMENT SERVICES Goodwill and NFP support programs work with NFP families alongside the nurses on employment, resulting in wages ranging from $13/hr to $27/hr with an average wage of $18.45.

55% of placements were with health care organizations.

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GOODWILL NFP MOM PERSEVERES AND

PAYS IT FORWARD

When Lacee McCorkle connected to Goodwill NurseFamily Partnership (NFP) in 2019, she was at a turning point in her life. She had recently graduated from a recovery home after 15 years of drug use and a period of incarceration.

“I was homeless and hopeless prior to sobriety,” Lacee said. “I had no responsibilities and no drive to achieve a better life.”

After learning she was pregnant with twins, her probation officer encouraged her to enroll in Goodwill NFP for additional support.

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“I am nearly 5 years sober, a married, stay-at-home mother of two-year-old twins, and will graduate from Purdue University Global this summer,” Lacee said. “One of the greatest things I can attribute to my success is the Nurse-Family Partnership program.”

Empowered through her own hard-earned success, Lacee is eager to pay it forward in her community.

“When I was released, I realized there is a lack of rehabilitative services for women,” Lacee said.

She now leads a support group at the Shelby County Jail that prepares women for life once they’re released from incarceration. She also earned a Peer Recovery certification, which allows her to work with individuals struggling with addiction.

She couldn’t have imagined it at the time, but that turning point four years ago has exceeded her expectations.

“My kids not only changed my life — they saved my life,” Lacee said.

“” “ONE OF THE

GREATEST THINGS I CAN ATTRIBUTE TO MY SUCCESS IS THE NURSE-FAMILY PARTNERSHIP PROGRAM.” – LACEE McCORKLE

REFLECTING ON 12 YEARS OF GOODWILL NFP Since 2011, Goodwill Nurse-Family Partnership® (NFP) has paired first-time, expectant parents with a registered nurse for ongoing visits so they can provide the very best start for their children during the earliest, most developmentally critical years.

Over 12 years, Goodwill NFP has served over 7,500 families across central and southern Indiana.

Katherine Harkov, one of the program’s first nurse home visitors, witnessed and can recall NFP’s growth firsthand.

“In the beginning, there were four nurse home visitors,” said Katherine. “We didn't have any structure, policy or documentation — no one had been trained on the NFP model.”

The first nurses dedicated time to developing processes, understanding the model and reaching out to the community since Goodwill NFP was new to Indiana. As the foundation of the program settled, four nurses became 24 nurses and three different teams to cover Marion County. Thanks to continuous philanthropic donations and state investments, new portions

of Indiana could be covered by Goodwill NFP’s growing teams, such as Clark, Madison and Tippecanoe counties.

“Goodwill NFP kept getting bigger,” said Katherine. “We were adapting processes and creating new partnerships with healthcare systems.”

In 2022, the Indiana legislature invested in all NFP implementations around the state, allowing for the model to be available to first-time families in all 92 counties. This marked a pivotal moment in Goodwill NFP’s history, as the program is currently expanding into 61 Indiana counties to serve even more families.

Katherine has not only personally experienced Goodwill NFP’s growth — she has experienced professional growth as well. Now, Katherine is a nurse supervisor, focused on supporting the nurse home visitors on her team and the work they do with families in Marion County.

“I’m thinking on a new level,” said Katherine. “I can draw on a lot of the experience I had as a nurse home visitor.”

Katherine has also had children of her own throughout her tenure, giving her a new perspective on parenthood and her occupation as a nurse.

“When I first became a nurse, someone asked me what I did for a living,” said Katherine. “I told them I worked as a nurse. They asked me, ‘Do you work as a nurse or are you a nurse?’ I don’t think I was ready to claim it as a part of my identity.”

NFP Nurses not only assess the parent and child’s health, but also their development, well-being and environment. They evaluate barriers that may impact the family as they work toward their goals and build fundamental, heartfelt relationships with families — an aspect Katherine considers the epitome of nursing.

“This job makes me proud of the work NFP Nurses do,” said Katherine. “I’ve been adapting this role into my identity and claiming it.”

There’s more work to come for Goodwill NFP in the future. For now, Katherine admires the program’s impact and celebrates its many accomplishments.

“It's cool to think about the scale of so many nurses working with so many parents — the impact that has, “Katherine said.

“I don't think I ever could've anticipated this. It feels like a dream come true.”

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NURSE-FAMILY PARTNERSHIP®

ST. JOSEPH

PORTER

NOBLE

LAKE STARKE

NEWTON

N O E

HU

NT I

JAY

RE

BOONE

TIPTON

A W A

CLINTON

PARKE

RD O KF

C LA

HAMILTON

D EL

EC A TI PP

FOUNTAIN VERMILLION

ADAMS

B

RANDOLPH

HENRY

WAYNE

HANCOCK

HENDRICKS

MARION

MORGAN

N SO N H JO

RUSH

PUTNAM

West Region

E

TT

YE FA

SHELBY

FRANKLIN

Goodwill Industries of Michiana NFP@goodwill-ni.org | 833.879.BABY (2229) nfp.goodwill-ni.org

RIPLEY

BA

MONROE SULLIVAN

GREENE

JENNINGS

OHIO

JACKSON KNOX

ORANGE PIKE

Healthier Moms and Babies jfraizer@hmbindiana.org | 260.469.4076

JEFFERSON W A SH IN G TO N

MARTIN

IU Health Community Health csherwood@iuhealth.org | 812.353.3200

SWITZERLAND

LAWRENCE DAVIESS

DEARBORN

OWEN

DECATUR

RT H O LO M

CLAY

EW

BROWN

VIGO

Goodwill Industries of Michiana and Healthier Moms and Babies

WELLS

GRANT

HOWARD

M O N TG O M ER Y

East Region

Southwest Region

MIAMI WABASH

CARROLL

WARREN

South Region

ALLEN

WHITLEY NG TO N

BENTON

Southeast Region

FULTON

CASS

WHITE

Central Region

KOSCIUSKO

PULASKI

JASPER

Northwest Region Northeast Region

MARSHALL

MADISON

Goodwill of Central & Southern Indiana NFP@goodwillindy.org 317.524.3999

DEKALB

UNION

Indiana Agencies

STEUBEN

LAGRANGE

ELKHART

LAPORTE

SCOTT CLARK

DUBOIS GIBSON

CRAWFORD

WARRICK POSEY

VANDER.

SPENCER

PERRY

FLOYD

HARRISON

Updated October 2023

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GOODWILL NFP SHARES INSIGHTS ON BREASTFEEDING World Breastfeeding Week (August 1 — August 7) is an annual, global campaign to raise awareness and inspire action on issues affecting breastfeeding. Goodwill NurseFamily Partnership, recognizes this week as a great opportunity to share information on a commonly misunderstood topic.

“Breastmilk is the most nutritional substance you can give your baby,” said Morgan Lyle, a registered nurse at Goodwill NFP. “Your body tailors all the nutrients your baby needs.

Breastfeeding is also a beautiful way to bond with your child.”

Health centers, such as the Centers for Disease Control and Prevention (CDC), stress the importance of breastfeeding, especially during the first six months of a child’s life. However, there are physical and societal barriers people must navigate to breastfeed consistently, such as their own anatomy and inflexible work environments.

There are also breastfeeding disparities among women of different races. According to the CDC, only 74.1% of Black women initiate breastfeeding compared to

the national average. Black women often receive less lactation support after birth and have to return to work sooner, making it difficult to find opportunities to nurse.

Those who choose to breastfeed and experience physical barriers can turn to professionals for help.

Certified lactation consultants try to ensure that parents have the best breastfeeding experiences possible. Morgan is in the process of becoming an International Board Certified Lactation Consultant (IBCLC).

“An IBCLC gives nurses more knowledge and methods to provide one-on-one care to a parent in a specific area of breastfeeding, such as supplementation,” said Morgan.

“We can also assist them with producing milk if they have trauma or ailments to their breasts.”

Due to barriers, parents often supplement meals with formula, designed as a substitute for human milk to meet the nutritional needs of babies less than a year old.

Despite the necessity, there’s a stigma around formula use.

“”AT GOODWILL NFP, ALL OF OUR FAMILIES ARE GIVEN THE EDUCATION AND THE RESOURCES TO MAKE INFORMED DECISIONS.

– MORGAN LYLE “People don’t realize that you can breastfeed and use formula,” Morgan said. “That’s a completely viable option. It will never hurt your baby.”

However, in 2022, a formula shortage devastated families across the United States. For Goodwill NFP families in Indiana, this heavily influenced their decision to breastfeed.

“A lot of NFP parents chose to breastfeed because of the shortage,” said Morgan. “Families who chose formula had to specially order it and ship it in from other states. Because of availability, they had to switch

formula types, and this would affect the baby’s health.”

However, Goodwill NFP Nurses were ready to face these challenges headon with families. Under their care, they ensured parents knew where to access available formula, and how to prepare and store formula safely.

“At Goodwill NFP, all of our families are given the education and the resources to make informed decisions,” said Morgan. “All of our nurses are lactation specialists and counselors. Proper education can change a lot of parents’ hearts.”

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THANK YOU TO ALL MEMBERS OF OUR GOODWILL NURSE-FAMILY PARTNERSHIP COMMUNITY ADVISORY BOARDS. Dr. Jayme Allen, Chair IU School of Medicine

Donna Burks Eskenazi Health

Alisha Jessup Eskenazi Health

Rhonda Alstott Our Place Drug & Alcohol Services

Denise Chittum NFP Client Representative

Erik Anderson Columbus Regional Health

Cyndi Cook Eli Lilly and Company

Kent Kramer Goodwill of Central & Southern Indiana

Shelley Ashley Goodwill of Central & Southern Indiana

Shaenee Cunnighaw New Hope Services

Alex Astotts FC Head Start Toni Avery Hope Care Clinic New Hope Services Lynn Baldwin Goodwill of Central & Southern Indiana Emily Banet Baptist Health Hospital Marilynn Berry-Stamm Former Goodwill NFP Nurse Home Visitor

Dawn Sanders Covering Kids & Families of Scott County Julie Schnieders Ascension Indiana

Joanne Martin IU School of Nursing

Brandy D. Smith Evansville Goodwill Industries, Inc.

Mary Jane McGarvey New Hope Services

Alex Stotts Floyd County Head Start

Chris Mueller CareSource

Alicia Swank Family Health Centers

Rebecca Didelot Baptist Health Hospital

Christine Mueller Caresource

Andrea Tanner Floyd County Schools

Laura Doggett Indiana Department of Health

Mary Munford Choices Life Resource Center

Wanda Thruston IU School of Nursing

Robin Eggers Community Volunteer

**Dr. Nina Mutone Urology of Indiana Community Health Network and Ascension St. Vincent Indianapolis

Brittany Waggoner Indiana Hospital Association

Betsy Delgado Goodwill of Central & Southern Indiana

Maranda Elswick River Valley Resources, Inc. Kevin Enders Indiana Youth Institute

Emily Patton New Hope Services

Maureen Weber Early Learning Indiana Ashley Wiles New Hope Services

Carol Flispart Caresource

Karen Porter Goodwill of Central & Southern Indiana

Brittany Blau Brittany Blau Law

Melissa Gettlefinger Baptist Health Floyd – Mother Connections

Connie Ralph Evansville Goodwill Industries, Inc.

Dr. Eric Yazel Clark County Health Department

Sarah Broady All for Emily/NYAP/Emily's Story

TJ Gettlefinger Blue River Services, Inc.

Calvin Roberson IU Simon Comprehensive Cancer Center

**denotes honorary member

Rebecca Budgwid Centerstone

Dr. Rosalind Jessie Indiana University Southeast

Amanda Roberts Floyd County Head Start

Brandy Blank Covering Kids & Families of Scott County

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Amy Wire Community Health Network

THANK YOU 2023 SUPPORTERS!

We are grateful for supporters and community partners as we have navigated our 61-county expansion to provide the very best start for families across Indiana. In 2023, we were able to meet the ever-increasing needs of our clients, which would not have been possible without your support.

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Implemented by Goodwill of Central & Southern Indiana

1635 W. Michigan Street | Indianapolis, IN 46222 317.524.3999 | goodwillnfp.org 12