Implementing Following Baby Back Home (FBBH)

Model implementation summary last updated: 2020

The information in this implementation report reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the manuscripts reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness. Please see the Effectiveness button on the left for more information about any research on the effectiveness of the model, including any version(s) of the model with effectiveness research. Versions of the model that are described in the Adaptations and enhancements section of this implementation report may include (1) versions that were identified by the model’s developer and (2) versions that have been implemented by researchers and have manuscripts that HomVEE rated high or moderate, but that are not supported by the model’s developer.

Model overview

Theoretical approach

Following Baby Back Home (FBBH) serves families of medically complex, high-risk infants as they transition home from the neonatal intensive care unit (NICU). FBBH aims to foster developmentally appropriate parenting and promote child health. The home visitor works with the family to set goals based on the family’s strengths and challenges. The goal development process incorporates family resilience, family stress and adaptation, attachment, and adult learning theories.

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Implementation support

FBBH is a home visiting model implemented in Arkansas that is administered by the Department of Pediatrics at the University of Arkansas for Medical Sciences and the Arkansas Home Visiting Network. The Arkansas Home Visiting Network offers training to FBBH staff.

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Intended population

The model serves families residing in Arkansas with medically complex, high-risk infants discharged from the NICU. Families are enrolled immediately following the infant’s discharge from the NICU.

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Targeted outcomes

FBBH aims to reduce morbidity and mortality rates among medically complex, high-risk infants by reducing preventable infant rehospitalizations, improving adherence to infants’ medical appointments and immunizations, and increasing families’ skills and self-efficacy in caring for their high-risk infants.

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Model services

The model consists of home visits with a registered nurse and a licensed social worker. The home visiting team provides care coordination, helps families identify local resources to meet the service needs of the infant, and provides referrals to support families’ social functioning and overall well-being. The team also follows up with families by phone between visits.

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Model intensity and length

FBBH offers services immediately following discharge from the NICU until the child’s third birthday. The FBBH intervention includes two home visits per month for the first two months after enrollment, one home visit per month until the child is one year old, and one visit every other month until the child's third birthday. Home visits typically last 60 minutes.

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The model is implemented in 57 of the 75 counties in Arkansas.

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Adaptations and enhancements

FBBH allows local programs to adapt the curriculum or model to meet their program’s and families’ needs; however, it recommends that all programs adhere to the core elements of basic infant and toddler care.

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Implementation notes

The information contained on this page was last updated in May 2020. Recommended further reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by Following Baby Back Home in April 2020. HomVEE reserves the right to edit the profile for clarity and consistency.

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