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Family Services

The Family Services Department aims to improve maternal, child, and family health and well-being through targeted case management, home visiting, parenting education, and community-based patient navigation services that connect individuals and families with the health care and social services that best meet their needs.

Home Visiting Services

Technology Assisted Children’s Home Program (TACHP)

 

Since September 2016, TACHP has served as a liaison in developing healthy communication among medical providers, MCOs/insurance companies, home health professionals, school nurses, and families. The comprehensive services for families include home-visiting and family-led intervention plans that include transition to adult medical care support, navigation of complex social/health systems, patient linkages to medical homes, linkages to social determinants of health related  resources and in-home care advocacy for their child. Our program serves and supports families with technology-assisted children through advocacy, education, coaching and referrals to enable their families to continue to provide in-home care for their child. TACHP is a free, voluntary program the empowers families to become resilient advocates. 

Counties serves: Adams, Bedford, Berks, Bucks, Blair, Carbon, Chester, Cumberland, Dauphin, Delaware, Franklin, Fulton, Juniata, Huntingdon, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Mifflin, Monroe, Montgomery, Northampton, Perry, Philadelphia, Pike, Schuylkill, Susquehanna, Wayne, Wyoming, York.

Current criteria: CYSHCN birth - 22 who are technology assisted or at-risk for medical complexities.

Learn more about TACHP at https://tachp.phmc.org/

Medical Home Community Team (MHCT)

The Medical Home Community Team provides intensive, "home-grown" and high-quality home-visiting services to especially vulnerable and marginalized black and brown Philadelphia children and their families, centered on social determinants of health (SDOH) risks. MHCT offers assistance to Philadelphia County parents and their children, with and without special healthcare needs, ages 0-21 years old. The team works collaboratively with MHCT families to address the impacts of racial/health inequities.

Services include: comprehensive needs assessment, individualized health education, referrals and linkages to behavioral health, transition to adult medical care support, community organizations and service coordination in conjunction with partnered medical homes.

HPC's MHCT model has been accepted by the Association of Maternal and Childe Health Program's (AMCHP) Innovation Station as an evidence-based Promising Practice Program! The team participated in a lengthy application process. The model will now be able to be replicated. The article can be found here: https://www.amchpinnovation.org/database-entry/medical-home-community-team-mhct/ 

 

Community to Home (C2H) 

The Community to Home (C2H) program improves the health of children and youth with special healthcare needs (CYSHCN) by helping them and their families access the services and supports required to thrive in the community and develop to their full potential. C2H assists CYSHCN and their families navigate systems and identify resources in order to receive services while empowering them to become strong and self-reliant advocates.

To be eligible for the C2H Program, an individual must meet the following requirements:  

  • The family must reside in a rural county of PA.
  • Child with or at risk of special healthcare needs.
  • The household income must be equal to or less than 300% of the federal poverty level.
  • The child must be 21 years of age or younger.

Counties served: Adams, Blair, Franklin, Fulton, Huntingdon, Juniata, Mifflin, Perry

To learn more about the program or to make a referral for the C2H program, contact the Special Kids Network helpline at 1-800-986-4550. The helpline is available 8:30 a.m. to 4:00 p.m., Monday through Friday.