Home Intervention Program (HIP)

Patient Referral Line: 949.263.4800

High-risk infant follow-up program

Goals

1. Prevent or minimize developmental disabilities or delays for high-risk infants and to promote the infant's optimal health and development by providing home support services to high-risk infants and caregivers.
2. Provide and coordinate a delivery care system for high-risk infants and their families to reduce the incidence of infant mortality and the potential impact of handicapping conditions by early identification and intervention.

Entry Criteria

Population Served

The purpose of the High-Risk Infant Follow-up Program is to serve infants at risk for delay due to multiple factors. The infant may be considered to be at significant risk based on the following criteria. No one single risk factor would necessarily qualify for services through HIP.

Biological Risk Factors

• Perinatal or early medical complications.
• Prematurity less than 37 weeks and/or birthweight less than 2500 grams.
• Small for gestational age/intrauterine growth retardation (SGA/IUGR) less than 3rd percentile.
• Required assisted ventilation for longer than 40 hours during first 28 days.
• Had sustained hypoxemia, acidemia, hypoglycemia, or repetitive apnea.
• Neonatal seizures or seizures beyond the neonatal period.
• Congenital anomalies with implications for developmental disabled life but with presumed potential for normal outcome.
• Neonatal drug and/or alcohol exposure.
• Evidence of intracranial hemorrhage.
• Failure to Thrive (FTT) and/or persistent feeding problems as determined by the medical/professional community.
• Discharge on Apnea monitor.
• Discharge on other special equipment.

Environmental Risk Factors

• Parent/caregiver's medical, developmental or mental condition of a natureto require professional support to fulfill parental responsibilities.
• Concerns regarding parent-infant interaction.
• Environmental chemical exposure.
• Past or present alcohol or drug abuse.
• Education level of mother below 10th grade.
• Adolescent mother.

Services Provided

• Program services assist families in meeting the needs of their high-risk infants and acknowledge the role of the parent as the primary caregiver.
• Intervention services focus on the infant in the context of the family. Services are provided in a flexible system that responds to the individual infant and family needs respecting their values, cultural diversity, beliefs and coping system.
• Eligible infants are identified in the Neonatal Intensive Care Units (NICU), referred by private physicians, or are referred through other community resources.
• HIP participates in interagency collaboration to plan for services within the community as well as for individual infants and their families.

Home Intervention/Support Services may include:

• Case management
• Individualized Family Service Plan
• Referral
• Crisis intervention
• Advocacy
• Emotional support
• Parent counseling/education
• Health assessment, monitoring and intervention
• Comprehensive developmental assessment, monitoring and intervention
• Parent support network
• Specialized therapeutic consultation and intervention

Program Staff

• Registered Nurses
• Physical Therapists
• Social Workers
• Occupational Therapists

• The State of California, Maternal and Child Health Grant
• Third-party reimbursement

Patient Referral Line: 949.263.4800
Main Line: 949. 263.4700