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Provides family health services through various programs. Services provided: - Car Seat Program: Car seats are distributed to families who meet qualifying guidelines. A Child Passenger Safety Seat Technician is available to assist any families within the community with how to properly buckle up their children in car seats as well as how to install car seats correctly. - Child and Teen Checkup (CTC) Outreach: Offers health checkups to children ages birth - 12 years who are enrolled in Medical Assistance (MA). Services include physical examinations, immunizations, hearing checks, vision check, lab tests, child development and growth, and referrals to dentists and other health care services. - Family Home Visiting Program: Offers a home visiting program to pregnant women and families with young children to help families raise healthy children to succeed in school and life. A public health nurse will visit the family's home or another place of the family's choosing to offer support. - Follow Along Program: A program that follows children aged birth - 3 years by having parents fill out questionnaires about their child.

- Presentations on AIDS, STDs, etc. - Health and nurse counseling for industries - Hearing and vision checks for children and teens - Nurse consulting contracts - Daycares - Diabetic education Office visits include: - Hearing and vision screening - Pedicures - Blood pressure screening - Blood tests

Provides family health services including: - Breastfeeding services - Car seat needs - Child and Teen Check-Up - Connects families to resources and support - Family home visiting - Follow Along Program - Postpartum support - Prenatal support

Offers home care services to individuals with a disability or in need of medical support and assistance at home. Services include: Home health aides/homemaker services - Exercises - Laundry - Light homemaking duties - Meal planning and preparation - Nonsterile dressing changes - Personal care Home health care nurse services - Case management (evaluation and assessment of care plan) - Catheter care, dressing changes, injections - Home safety evaluation - Medication management - Ostomy care and education - Therapeutic activities Therapy - Physical therapy

Cholesterol/Blood Pressure Screening Clinics - Non-fasting and provide immediate results of an individuals total cholesterol and HDL cholesterol - Community Health Professional staff will provide on-site cholesterol screenings, education and referrals for groups, workplaces, health fairs or more - If interested call (218)283-7070 to schedule a site and a date - Cholesterol Screening Clinics are held every other month (odd month) on the 4th Tuesday from 1 pm - 4 pm at the Koochiching County Health Office - A small donation is requested for each individual screening Footcare Clinics: - Koochiching County Health Department 2nd Thursday - every month 9:00 am - 3:00 pm - Koochiching County Senior Center 4th Thursday - every month 9:00 am - 3:00 pm Outlying footcare clinics: - Julia O'Bert PHN 283-7070 for times and locations

Breastfeeding and Chestfeeding Resources - Public Health Nurses, WIC Lactation Consultants, and Peer Breastfeeding Counselors are available to answer questions or concerns regarding breast/chestfeeding Early Childhood Development Resources ?- Follow Along Program: Supports parents by assessing their young child's growth and development up to age 3. Parents receive a development questionnaire called an ASQ (Ages and Stages Questionnaire) in the mail every 4 months. Once filled out, the parent returns it to Public Health. The results of the questionnaire are mailed back to the parent with suggested activities to promote growth and development for the child's specific age range. A Public Health Nurse will call the parent if there are concerns. If needed, a nurse discusses further evaluation or tips on how to promote a baby's physical and emotional development. Emergency Preparedness - Trainings: Personal and Family Preparedness in All Seasons; Psychological First Aid - Weather-related information for excessive heat and extreme cold Health Screenings - Blood pressure screenings - Hearing screenings - Home assessment for asthma triggers - Tuberculin skin tests Immunizations and Flu Shots - Offers immunizations to individuals who are uninsured or underinsured through the Minnesota Vaccines for Children (MNVFC) and the Uninsured and Underinsured Adult Vaccines (UUAV) programs. Older Adult Health A Public Health Nurse may provide: - Assessment of health concerns - Connections to local resources - Support to community organizations to learn more about supporting aging residents Prenatal, Postpartum, and Parenting Resources A Public Health nurse is able to provide: - Assistance with health care questions; food concerns; counseling; child growth and development; parenting skills; asthma education and safe living conditions - Connections to local resources - Education and support for expectant mothers, new parents, and families - Infant Health Initiative: Provides resources and support to pregnant individuals and families with newborns, focusing on reducing infant mortality and preventing preterm births while promoting healthy family environments. - Maternal Early Childhood Sustained Home-Visiting (MECSH) Program: Public Health Nurses promote healthy pregnancy and childhood development with families through discussion, learning opportunities, developmental screening, and referrals to community resources as needed. A needs assessment is completed during pregnancy or the first 2 months after a newborn's discharge from the hospital. Families may be enrolled until the child turns 2 years old. Sexual and Reproductive Health - Public Health Nurses provide health counseling, education, and resource information to individuals and groups WIC Supplemental Nutrition Program - Provides nutrition education, breast/chestfeeding counseling and support, and food benefits for eligible people who are pregnant, have recently been pregnant, or have children up to age 5 years of age.

- Home visits to provide antepartum, postpartum, breastfeeding, family planning, infant care, child growth and development assessments, education, promotion of parenting, family planning information, and prenatal and childbirth education - Provides services to children with special needs, including skilled nursing visits, waiver case management, personal care attendant assessment, and screening for Early Childhood Special Education services - Follow Along Program provides information regarding growth and development and screens for the need for referral to other services, including medical and Early Childhood Special Education - Family Service Aides provide limited homemaking, support, and education to pregnant women and new moms and infants, and parenting support to families - Education related to injury prevention, including home safety - Community resource information and referral - Nutrition education

Freeborn County promotes healthy families and safe, nurturing environments for children. The Family Health program supports families as they learn about: - Childhood safety and injury prevention - Family and community relationships - Health and nutrition - Healthy pregnancies - Infant and child growth and development - Positive parenting

Provides a variety of family home visiting services by registered nurses and family health specialists to support families, parents, caregivers, and children. - Home visits to pregnant women to instruct on healthy pregnancy behaviors and preparation for labor and delivery - Home visits to families with newborns and children; instruction on child growth, child care seat safety, development, nutrition, parenting, and child care, as well as connecting families to a wide variety of other community resources - Home visits to families experiencing stress or crisis related to parenting. Services are educational and supportive and are supervised by a Public Health Nurse; parents can self-refer ?- Home visits for children or youth with a disability or special health needs; provide health education, resources, and referrals to support families Family determines visit frequency, which can be as few as one or two visits to longer term visits up to three years. Visits can be in person or virtual to fit the family's needs.

Provides family home visiting programs and other health services from a public health nurse, including: - Breastfeeding services ?- Follow Along Program - Postpartum support - Prenatal support

Education programs dealing with tobacco prevention, alcohol, and other drug use, as well as health promotion and disease prevention. Prevent the spread of communicable diseases through education, immunization, and work with local healthcare providers.

Voluntary and confidential program for individuals who want to obtain information about reproductive health, including preventing or postponing pregnancy. Services include: - Counseling and information - Pregnancy testing - Sexually Transmitted Disease Testing and Treatment

Offers the following adult health services to support community members' well-being: - Case Management: Helps people access, coordinate, and monitor needed educational, medical, social, and vocational services based on assessed needs and preferences - Foot Care Clinics: Offers foot care services by appointment, including nail trimming, filing, blood pressure checks, education, and referrals, with no one denied for inability to pay. - Reproductive and Sexual Health: Provides free or low-cost reproductive and sexual health services to all, delivered by nurses and a physician assistant in a confidential setting.

Comprehensive health benefit for children and teens who are enrolled in Medical Assistance. Services include: - Growth and development assessment - Hearing and vision check - Immunizations - Information about mental and physical health - Lab tests - Physical exam - Referral to dentists

- Provides immunization clinics in Itasca County - 2 pm - 6 pm 1st Thursday of each month BY APPOINTMENT - For information on seasonal flu and other vaccines call 218-327-2941

The Public Health provides a broad range of services to residents to promote and protect the health of those who live and work in Kandiyohi County. Services under this Public Health includes: Asthma Home Based Services: - Includes up to three home visits - Learn about asthma triggers in the home and reduce triggers - Learn about community resources Prenatal Programs for Expectant Parents: - Child passenger safety seat program to conduct car seat checks - Expectant parenting classes offered four times a year by public health nurses and parent educators - Follow Along Program to track child's development to see if their child is playing, talking, growing, moving, and behaving like other children their age - Prenatal visits and family home visiting to have a home nurse visit them to offer education and support and post-partum until their baby reaches two years of age Public Immunization Clinics: - Annual seasonal flu clinics offering immunizations - Assessment of immunization levels in the community - Education related to vaccine preventable diseases and communicable diseases - Infectious disease investigations - Services and outreach to immigrants and refugees new to the community - Tuberculosis education and medication management

Health Education and Promotion Programs attempt to maintain and improve the health of our county's residents through many types of programs such as: Group Programs about health concerns such as: - Nutrition - Healthy lifestyles - Hypertension - Smoking - AIDS, etc - Health Related Programs for schools and youth organizations - Assistance and direction with the formation of needed support groups - Diabetes Education is provided by one of our staff nurses who is a certified diabetes educator - Blood Pressure and Cholesterol Screening, education and referral for on-site groups and work places - AIDS information and support, call the AIDS Hotline at (800)248- AIDS - For local education and/or promotion, call County Health at (218)283-7070 - Up to date health information and audiovisual materials are available free of charge to individuals, community groups, schools - Public Awareness of Health Resources throughout the county through publicity, programs and health information - What's Up? Family, Health and Community radio broadcast provides important information concerning our community Health. Listen to KGHS Radio Wednesday afternoons & Saturday mornings - Labor and Delivery class training is provided through the Rainy Lake Medical Center Hospital Campus - The Maternal and Child Health Special Project seeks to reduce infant mortality and disability and to improve the health of the mothers and babies. Home visits are made to pregnant women and mothers and infants by a skilled maternal and child health nurse. Education and support services to reduce maternal risk-taking behaviors and improve parenting skills are provided through individual counseling, group education, prepared childbirth classes, special classes for students on healthy lifestyles, and the distribution of printed materials and newsletters - Family Planning Services are available at Koochiching Family Planning Clinic

Provides information on community resources for a variety of health services including: - Immunizations - Mental health - Naloxone Access Points (NAP) - Radon testing - Reproductive health - Substance use disorders - Syringe exchange programs

Partners with families to promote healthy lifestyles and nurturing environments. Child and Family Health Services support families with the following services: - Breastfeeding classes and resources: breastfeeding support services are available in home, at the Horizon Public Health Office Alexandria main site, and via telephone. - Child and Teen Checkups (C&TC): complete head-to-toe health and development checkups for persons under 21 years old. - Child passenger safety: specialists can answer questions regarding child safety seats and check your car seats. - Family Home Visiting: registered nurses provide a variety of home visiting programs including prenatal, postpartum and ongoing parenting support services. - Follow Along Program: for parents of children ages birth - 5 at no cost to learn if your child is talking, moving, playing and developing on track for his/her age.

- Free car seat education; car seats available to those who qualify - Child care consultation services with contracted child care centers - Education related to injury prevention including home safety - Family home visits to provide antepartum, postpartum, breast feeding, family planning, infant care, child growth, and development assessments, education, promotion of parenting - Follow Along Program to provide information regarding growth, development, and screen for need for referral to other services, including medical and early childhood special education - Provide services to children with special needs, including waiver case management, personal care attendant assessment - Support to schools including assistance with early childhood screenings

Provides family and health education including child-rearing in early infancy, child development, parenting, family health, and environmental safety. Programs include: - Child Passenger Safety Program: One-hour class for parents on use of their child safety seat including information on the correct seat for the child, safely securing the child in the seat, and correct installation of the seat in the vehicle. Car seats are available for purchase on sliding fee basis at training. - Child and Teen Checkups: Provide outreach and assistance to enable well-child checkups for children and teens ages 21 and under who are on Medical Assistance. There are several locations, can assist in making dental and medical appointments, and arrange transportation to and from appointments. ?- Dental Health Services: Offers dental care through Children's Dental Services (CDS), a traveling dental clinic. Specialize in children's dental care and provides dental services to children from infancy to age 26 years, pregnant women, and people of all ages, regardless of income. Routine dental services include cleanings, fluoride, sealants, oral health education, exams, x-rays, fillings, crowns, and extractions. Visit website for a list of dental providers. - Early Intervention Services: Provides assistance to families with infants and preschoolers who are living with a developmental delay. A multidisciplinary team is available to identify and treatment children with developmental delays. - Early Hearing Detection and Intervention: Assistance offered to parents with follow-up appointments and information on free services if their child has a potential hearing problem - Family Planning: A voluntary and confidential program for individuals to obtain information about pregnancy prevention. Family planning involves preventing, spacing, and achieving pregnancies. This service provides referral and education. Pregnancy testing and treatment for chlamydia and gonorrhea is provided at no cost. - Follow Along Program: Monitors children ages birth to three. Questionnaires are sent to parents every four months to evaluate their child's development. - Family Home Visiting: For families with children birth to five years old. Home visiting supports families as they learn about healthy pregnancies, positive parenting, infant and child growth and development, health and nutrition, breastfeeding support, childhood safety and injury prevention, strengthening family relationships, and community resources. - Help Me Connect: An online navigation resource for pregnant and parenting families with young children to find local resources and information to support healthy child development and well-being - New Baby Visits: New parents are contacted by a Public Health Nurse to answer questions, provide education, information, and support including lactation consultation - Project Harmony: Provides home visits to mothers with chemical dependency issues offering education, counseling, and recovery coaching - Parent Support Outreach Program (PSOP): A voluntary program that provides short-term help to parents to access resources and provide education about housing, transportation, parent education, child development, activities, childcare, safety planning, and other services. - Postpartum Home Visits: Provides home visits to new mothers and infants to educate and counsel about nutrition, child growth and development, and resources available for families. Visits can be requested through a physician or hospital. - Sudden Infant Death Syndrome (SIDS): Consultation and home visit, grief support, and referral service for families who have experienced loss of a child

Provides a range of public health functions that protect and promote the health of residents. Services include: - Collaborative Wellness Initiatives: Works with community partners, schools, workplaces, and organizations to create policies and programs that support healthy lifestyles and prevent chronic diseases (e.g., tobacco-free living, active living). - Community Health Assessment and Planning: Leads or contributes to regular assessments of community health needs and develops improvement plans to address priority issues in the service area. - Contagious disease/life-threatening illness investigation - Contracts with school districts to provide pre-school screenings, hearing and vision screenings, scoliosis screenings, school health services, and health education - CPR Training and Certification are available for a fee - Environmental Public Health Assessments: Partners with regional teams to identify and address environmental health hazards in homes and communities (e.g., healthy homes approaches). - Investigation and follow-up regarding reports of public health nuisance in which the health of the public is at risk or in danger

Maternal Child Health (MCH) Individualized prenatal and postpartum home visits by a public health nurse to meet the needs of the client. Services include: - Assessment - Car seat safety education - Child & growth development - Childhood injury prevention - Development of family/personal goals and infant and child safety - Health mentoring - Parenting - Support and referrals to appropriate community resources - Teaching Parenting Program - Develops parenting skills and knowledge - Increases Parent-child bond - Provides home visits for prenatal moms or parents with children up to age 3 Uses the evidence-based curriculum - Growing Great Kids (GGK) Follow-Along-Program - An early childhood intervention system for children up to 3 years of age. - Periodic questionnaires are sent to the parents of children at certain ages to gauge health and development. Questionnaires are reviewed and if there are concerns, a nurse contacts the parents. Prenatal and postpartum support and education Home visiting services also available for children from birth to age 21 who have a physical disability, chronic illness or emotional limitations.

Car Seat Program: Medica and UCare have a car seat program for children up to 8 years of age. Education and installation of the car seat are offered to any resident of Becker County. Child and Teen Checkups (C&TC): Child and Teen Checkups are offered to any Waseca County resident under the age of 21. Checkups include: hearing and vision screening, developmental screening, physical exam, lead screening, immunizations, and referrals to other health care providers as necessary. Follow Along Program: Consists of a series of developmental questionnaires the parent completes and returns to Waseca County Community Health. The questionnaire is scored and a letter is sent to the parent with the results. This program is free to all children in Waseca County under the age of 36 months. Home Visiting Program: Home visits are offered to pregnant women, infants, and children to provide ongoing support. Maternal Child Health Services: All Waseca County families with a newborn are contacted by a Community Health Nurse. A home visit will be offered to provide new parents with information on feeding choices, newborn cares and additional support.

Offers families a wide range of services and information to help families with a healthy start for their children to become self-sufficient. A public health nurse provides home visits to families needing additional education and/or support for parenting, child development, child safety, medical follow-up, community referrals, and community resource coordination.