Awareness of the dramatic impact of the social determinants of health on health care costs and outcomes has grown in recent years. With that has come approaches and interventions that seek to change community conditions and improve the well-being of persons in order to reduce utilization of high-cost health care services.

This spark presentation will first discuss a cost-effective and underutilized idea: Using home visitation technology and methodology to positively impact high utilizing medical patients.

This strategy is still in its infancy, and over-reliance on medical model thinking has limited the true impact that human services providers can have on reducing health care costs. However, there is a body of knowledge and expertise that human services organizations that deliver home visitation services (e.g. Healthy Families, Parents as Teachers, Nurse-Family Partnerships, Early Intervention) possess that can be readily translated to a population of medically fragile/high-cost conditions. While home visitation approaches currently are used to promote healthy parenting/child development and reductions in child maltreatment, it is the specialized way that relationships are built with caregivers that is the key. The body of this session will explore the viability of this approach and inspire next steps to bring into the field.

Learning Objectives

  • Understand the impact and cost effectiveness of home visitation as a prevention and early intervention strategy in child welfare and behavioral health
  • Explore the value of extending home visitation methodology to high utilizing patients and key disease classes
  • Collectively develop strategies and ideas to bridge the gap
  • Identify barriers and solutions to penetrate and impact health care systems that have over-relied on traditional medical model interventions

Presenters: Julie Rosen, vice president of family and community services, and Eric E. Schindler, president/CEO, Child & Family Resources

Eric E. Schindler
Child & Family Resources

Since 2005, Eric Schindler has been the president and CEO of Child & Family Resources (CFR), a statewide nonprofit organization based in Tucson, Arizona. Across 11 cities, CFR works in communities to promote strong, healthy families and ensure high-quality early childhood education so children can reach their full potential. CFR also partners with teens to prevent pregnancy, school dropouts, drug use, and suicide.

Schindler received his doctorate in clinical psychology from the University of Arizona in 1982. After postdoctoral studies in child and family psychology at U.C. Davis and pediatric psychology in Chicago, he has spent the last 30 years working in Tucson community settings as an administrator, director, teacher, and practitioner. A licensed psychologist since 1984, he was also adjunct instructor in Family Studies at the University of Arizona for many years.

Julie Rosen
Vice President Family and Community Services
Child & Family Resources

Julie Rosen has an extensive background in overseeing community home visitation programs and has worked for nonprofit organizations in the Phoenix area for over 25 years. A native of Cuba, she grew up in the Miami area.