Step 1 of 7 – Healthy Futures Intake
Program Description Healthy Futures is a home visiting program for families and children, prenatal through 5 years of age serving Middlesex County. Healthy Futures follows the Parents as Teachers (PAT) curriculum, an evidenced based model to promote optimal early development, learning and health of children by supporting and engaging parents and caregivers. Healthy Futures provides personal visits in the home to facilitate parent-child interaction, group connections to support family interaction and provide a community support network, child screenings to monitor child development and resource connections to assist families in accessing resources to meet their needs. Healthy Futures works in collaboration with Connecticut Doulas to provide physical and emotional services for expectant families during pregnancy, childbirth and the postpartum period. The Office of Early Childhood home visiting program is free of charge to families. It is the parents’ choice to receive home visiting services. The home visiting program offers parent education, support and information on community services.
Family Rights and Responsibilities The program staff know that the decisions families make are important to the lives of their children. Your feedback and participation are important to the Healthy Futures Program. Knowing your rights about being part of this program is also important. To protect your rights, the home visiting program would like you to know that: 1. You have the right to choose yes to receive home visiting services, which includes planning activities around your needs. 2. You have the right to choose no and refuse home visiting, or end home visiting services at any time. 3. You have the right to transfer to another home visiting program. Your current program will help you make the change. 4. You have the right to your privacy. Your information and records will remain confidential in both electronic and hard copy. 5. You have the right for your electronic information to be password protected. Your name will not be directly identified in that form (de-identified). 6. You have the right to your privacy, any information that is shared publicly will not include your name, your child’s name, your address or any other personal information, (aggregate form). 7. You have the right to look at your home visiting record. 8. You have the right to ask for a copy of your personal home visiting record. 9. You have the right to report any issues with the home visiting program to the home visiting program manager, Erin Tascher (860-910-9890 or [email protected]) or the Office of Early Childhood. All complaints will be carefully reviewed. 10. If you agree to home visiting services, your name may be connected with receiving OEC home visiting services. This information may be available to others, including staff at the OEC and other state agencies, and additional home visiting programs. No additional information other than your participation in the program will be shared.
The Agency’s focus is on the client’s mental health and well-being; therefore, we do not get involved in custody disputes or provide written recommendations relating to custody. The only exception to this policy is the Reunification and Therapeutic Family Time (RTFT), as this program does make recommendations to DCF for placements in their Readiness Assessment component. If the Agency receives a Subpoena from the court, the Agency must follow state law. Staff does not appear in court unless subpoenaed to do so. If subpoenaed, the Agency may charge a minimum of $1500.00 (for the first three hours) per staff member for each court appearance.
My signature below indicates that I have read the Healthy Futures Program Consent for Home Visiting and Participation Family Rights, Responsibilities and Confidentiality Policy and the Healthy Futures Program Court Policy.
By signing below, I understand and acknowledge the following:
Telehealth allows CFA clinicians/practitioners to diagnose/evaluate, consult, treat, educate, and manage my care using interactive audio, video or data communication. I hereby consent to participating in psychotherapy, psychiatric evaluation and medication management via telephone or the internet (hereinafter referred to as Telehealth) with my CFA providers:
PLEASE REVIEW THIS NOTICE CAREFULLY. IT DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED, DISCLOSED, AND ACCESSED BY YOU.
Click here to review the Agency’s Privacy Practices
The HIE system network provides participating practitioners access to past and present medical and behavioral health information to make better decisions and better coordinate care across your care teams.
The HIE system takes your privacy and security very seriously. The HIE system does not store any of your health/clinical data and uses end-to-end encryption to help ensure your data is secure when sending data. Only those involved in your care can look at your information.
Videotaping and supervisory observations of sessions have been proven across many therapeutic settings to be an effective method to provide specific and efficient training and case support improving the outcomes for the families served. As a result, many of our programs require videotaping to aid in service delivery. We have adopted this “best practice” across the majority of our programs.