The MECSH model is implemented by a team of nurses, a nurse coordinator, supervisors, managers, and administrative staff. A program site must be supported by health and human services professionals, including social workers, perinatal psychiatrists, dieticians, and drug and alcohol counselors.
Home visits are provided by registered nurses with a bachelor’s degree (or equivalent) and experience with and postgraduate training in child and family health nursing (or equivalent). Supervisors must be formally trained and/or have extensive experience with reflective clinical practice, a process of contemplating experiences while they are happening and retrospectively.
The developer requires that nurse home visitors receive monthly team supervision and recommends monthly individual supervision to support reflection on clinical practices that the nurses deliver in the home. Clinical supervisors should oversee the home visitors and managers should provide supervision related to program management.
The model requires home visitors and supervisors to participate in pre-service training. Before the in-person training, nurse home visitors, supervisors, and other program staff must complete two of six online courses on the MECSH model. Nurse home visitors and supervisors then receive in-person training in the MECSH Foundation Course. They must also receive training in working in partnership with families. The total length of the in-person training varies from two to five days depending on the prior experience and training of the nurse home visitors. Supervisors participate in a one-day, in-person training focused on the model’s clinical practice supervision techniques. Please contact the model developer for additional information about the pre-service training requirement.
Within six months of starting to deliver the model, nurse home visitors and supervisors are required to have completed all six courses of the MECSH online courses. Please contact the model developer for additional information about the ongoing professional development requirement.