SUPPORTING DUAL LANGUAGE LEARNERS THROUGH HOME VISITING: CHALLENGES & OPPORTUNITIES. Carol Brady, MA, Project Director, FL MIECHV

Size: px
Start display at page:

Download "SUPPORTING DUAL LANGUAGE LEARNERS THROUGH HOME VISITING: CHALLENGES & OPPORTUNITIES. Carol Brady, MA, Project Director, FL MIECHV"

Transcription

1 SUPPORTING DUAL LANGUAGE LEARNERS THROUGH HOME VISITING: CHALLENGES & OPPORTUNITIES Carol Brady, MA, Project Director, FL MIECHV

2 Maternal, Infant & Early Childhood Home Visiting Initiative (MIECHV) Goal: To support vulnerable families who seek help with their most important job raising healthy and safe children who enter school ready to learn. Authorized by Affordable Care Act (ACA). $1.5 billion in funding ( ) to support evidence-based home visiting programs, early childhood systems development Funding provided to states (formula, competitive) Reauthorized in April for two years ($800m) Primary focus: 0-3 Meet parents where they are.

3 Maternal, Infant & Early Childhood Home Visiting Initiative (MIECHV) Focus on impacting outcomes in six benchmark areas: Improved maternal and newborn health; Prevention of child injuries, child abuse, neglect, or maltreatment, and reduction of emergency department visits; Improvement in school readiness and achievement; Reduction in crime or domestic violence; Improvements in family economic selfsufficiency; and Improvements in the coordination and referrals for other community resources and supports.

4 Florida MIECHV Implemented through Florida Association of Healthy Start Coalitions, Inc. $6.2m annually 16 of 29 highneed areas served 900+ families, 10,000+ home visits (2014)

5 Hispanic & Latino families 59,000+ babies annually born to Hispanic & Latino families about 27% of all births (2013). Half to foreign-born mothers. 21% of FL MIECHV participants in the state (4 areas:40-50%) Spanish is primary language spoken in 12% of homes

6 Immigrant families Hispanic & Haitian immigrants served by MIECHV experience particular challenges due to: Language barriers, Legal status, Limited access to resources & Social isolation. Barriers addressed by: Hiring bilingual staff, Hiring skilled case managers familiar with resources available to immigrant families, Building strong trusting relationships with clients.

7 Survey of Home Visitors: Serving Dual Language Learners Home visitors serving families in programs located in areas with 40%+ Hispanic or Latino families (n=29) Includes all evidence-based models (NFP, PAT, HFF) Purpose: How well are they prepared? How useful are assessment tools, resources? Challenges??

8 Survey of Home Visitors: Serving Dual Language Learners: Adequacy of Training Very little training. N=29 The training would be helpful. N=29

9 Survey of Home Visitors: Serving Dual Language Learners: Screening tools N=29 (Greatest challenge is) Having the most up to date information and tools to help them on their decisions of teaching the languages to their kids.

10 Survey of Home Visitors: Serving Dual Language Learners: Personal knowledge I am both English and Spanish speaking, I have no problem. N=29 The only resources available are forms in Spanish. I have very limited knowledge on development of DLL.

11 Survey of Home Visitors: Serving Dual Language Learners: Challenges The translation of (model materials) from English to Spanish are not accurate at all and utilize words that are only used when referring to animals. I have to explain and apologize to clients about the mistakes before I give them the (materials) in order to prevent misunderstandings and/or hurt their feelings. Being able to answer questions parents have about their child's language development. Bilingual books for dual language learners. My greatest challenge is to empower my participants to use the access or benefits they have available for their children. Parents have the limit of the language because they do not speak English. The program is referring them to study English which is going to help them and their children.

12 What we learned Home visitors focus first on families immediate needs Culturally knowledgeable, bilingual staff support for DLLs Training! Core competencies! Better assessment tools, educational resources (even if translated) needed Resources even more limited for other language speakers (Creole, for example).

13 What we need Best practices for supporting parents of DLLs 0-3 Appropriate assessment tools Well-translated educational and support material for parents of DLLs Increased collaboration with Head Start & other early childhood education programs

14 Thank you! Carol Brady Project Director

Great Start Georgia/ MIECHV Overview

Great Start Georgia/ MIECHV Overview Governor s Office for Children and Families Great Start Georgia/ MIECHV Overview Framework, Services and Programs 9/18/12 Leadership The Governor s Office for Children and Families in collaboration with

More information

New Jersey Home Visiting Initiative

New Jersey Home Visiting Initiative National Health Policy Forum Promoting Evidence-Based Interventions: Maternal, Infant & Early Childhood Home Visiting (MIECHV) A State Perspective on Home Visiting New Jersey Home Visiting Initiative Contact

More information

How Parents as Teachers Outcomes Align with Federal Home Visiting Initiative Benchmarks

How Parents as Teachers Outcomes Align with Federal Home Visiting Initiative Benchmarks How Parents as Teachers Outcomes Align with Federal Home Visiting Initiative Benchmarks The table below highlights how Parents as Teachers outcomes, as outlined in the 2011 Parents as Teachers Logic Model,

More information

Massachusetts Evidence-Based Home Visiting Program: Needs Assessment Narrative

Massachusetts Evidence-Based Home Visiting Program: Needs Assessment Narrative Narrative Appendix C: Data Indicator Definitions and Sources Used in Community Risk Ranking Outcome #1 Maternal & Infant Health 1 Premature births -Percent: # live births before 37 weeks/total # live births

More information

Health Care Access to Vulnerable Populations

Health Care Access to Vulnerable Populations Health Care Access to Vulnerable Populations Closing the Gap: Reducing Racial and Ethnic Disparities in Florida Rosebud L. Foster, ED.D. Access to Health Care The timely use of personal health services

More information

Report of Results and Analysis of Parent Survey Data Collected in Southern West Virginia

Report of Results and Analysis of Parent Survey Data Collected in Southern West Virginia Partners in Community Outreach Education Begins at Home Partners in Community Outreach In-Home Family Education Programs Report of Results and Analysis of Parent Survey Data Collected in Southern West

More information

Helping Hands: A Review of Home Visiting Programs in California

Helping Hands: A Review of Home Visiting Programs in California Helping Hands: A Review of Home Visiting Programs in California Sarah Crow and Hong Van Pham July 2014 Table of Contents Preface 3 Executive Summary 4 I. Introduction 5 II. Federal Investments in Home

More information

Md. Human Services Code Ann. 8-101

Md. Human Services Code Ann. 8-101 Md. Human Services Code Ann. 8-101 Annotated Code of Maryland Copyright 2015 by Matthew Bender and Company, Inc., a member of the LexisNexis Group All rights reserved. * Statutes current through 2014 legislation

More information

Strengthening Professional Development in Home Visiting Programs

Strengthening Professional Development in Home Visiting Programs Strengthening Professional Development in Home Visiting Programs March 6, 2012 www.partnershipforsuccess.org www.pewcenteronthestates.com Pew Home Visiting Campaign Advancing smart state and federal policies

More information

Creating a Collaborative Network of Home Visiting Programs to Reduce Child Maltreatment

Creating a Collaborative Network of Home Visiting Programs to Reduce Child Maltreatment Creating a Collaborative Network of Home Visiting Programs to Reduce Child Maltreatment Mary Moffatt, MD Division of Child Abuse and Neglect Team for Home Visiting: Jim Anderst, Monica Nielsen-Parker,

More information

The Family Nurse Partnership Programme

The Family Nurse Partnership Programme The Family Nurse Partnership Programme Information leaflet DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM & T Management Provider Development Finance Planning

More information

BIRTH THROUGH AGE EIGHT STATE POLICY FRAMEWORK

BIRTH THROUGH AGE EIGHT STATE POLICY FRAMEWORK BIRTH THROUGH AGE EIGHT STATE POLICY FRAMEWORK The Birth Through Eight State Policy Framework is a tool, or roadmap, that anyone can use to guide policy in ways that will improve the health, learning,

More information

Chapter 3: Healthy Start Risk Screening

Chapter 3: Healthy Start Risk Screening Introduction Healthy Start legislation requires that all pregnant women and infants be offered screening for risk factors that may affect their pregnancy, health, or development. The prenatal and infant

More information

Chapter 3 Maternal Child Health Subchapter 4. Home Visiting Rule

Chapter 3 Maternal Child Health Subchapter 4. Home Visiting Rule Chapter 3 Maternal Child Health Subchapter 4 Home Visiting Rule 1.0 Authority This rule is adopted pursuant to Act No. 66 of the Acts of the 2013 Sess. (2013) (An act relating to home visiting standards.),

More information

How To Help A Pregnant Woman In Texas

How To Help A Pregnant Woman In Texas Public Health Nurse Home Visiting Programs Presented by Meredith Krugel, RN, LCSW Douglas County Public Health Nurse Home Visiting Oregon currently has four different nurse home visiting programs: Maternity

More information

Demystifying Data Collection ANA WEBINAR SERIES-MAY 21, 2015

Demystifying Data Collection ANA WEBINAR SERIES-MAY 21, 2015 Demystifying Data Collection ANA WEBINAR SERIES-MAY 21, 2015 acf.hhs.gov/ana HelpDesk (877) 922-9262 Eastern Region Training & Technical Assistance Center www.anaeastern.org 1 (888) 221-9686 A Resource

More information

BabyFirst Solano Perinatal Substance Abuse Project

BabyFirst Solano Perinatal Substance Abuse Project BabyFirst Solano Perinatal Substance Abuse Project MCH PHLI Leadership May 2011 Maternal, Child & Adolescent Health Bureau 1 The Perinatal Substance Abuse Project is designed to help babies be born substance

More information

EXECUTIVE COMMITTEE MEETING AGENDA January 23 rd ; 3:00 p.m. Conference Call. I. Welcome and Introductions Adrian Alfonso

EXECUTIVE COMMITTEE MEETING AGENDA January 23 rd ; 3:00 p.m. Conference Call. I. Welcome and Introductions Adrian Alfonso 1 EXECUTIVE COMMITTEE MEETING AGENDA January 23 rd ; 3:00 p.m. Conference Call I. Welcome and Introductions Adrian Alfonso II. Resolution Evelio C. Torres III. Legislative Priorities Evelio C. Torres IV.

More information

Working Together to Ensure Healthier Families. Nurse-Family Partnership Overview

Working Together to Ensure Healthier Families. Nurse-Family Partnership Overview Working Together to Ensure Healthier Families Nurse-Family Partnership Overview 2 "There is a magic window during pregnancy it s a time when the desire to be a good mother and raise a healthy, happy child

More information

DEPARTMENT OF HUMAN RESOURCES SOCIAL SERVICES ADMINISTRATION 311 W. SARATOGA STREET BALTIMORE, MARYLAND 21201

DEPARTMENT OF HUMAN RESOURCES SOCIAL SERVICES ADMINISTRATION 311 W. SARATOGA STREET BALTIMORE, MARYLAND 21201 Page 1 of 5 DEPARTMENT OF HUMAN RESOURCES SOCIAL SERVICES ADMINISTRATION 311 W. SARATOGA STREET BALTIMORE, MARYLAND 21201 DATE: June 2009 CIRCULAR LETTER: SSA# 09-21 TO: FROM: RE: PROGRAMS AFFECTED: ORIGINATING

More information

Goals/Objectives FY 2010-2011

Goals/Objectives FY 2010-2011 Through Fiscal Year Ending September 30, 2011 Goals/Objectives SERVICE GOALS 1. Agency Capacity Desired Outcome: The service delivery network must have the capacity and ability to provide a high quality,

More information

David Olds, PhD. Professor of Pediatrics, Psychiatry, and Preventive Medicine. University of Colorado Health Sciences Center.

David Olds, PhD. Professor of Pediatrics, Psychiatry, and Preventive Medicine. University of Colorado Health Sciences Center. David Olds, PhD Professor of Pediatrics, Psychiatry, and Preventive Medicine University of Colorado Health Sciences Center November 21, 2005 Centre of Excellence for Early Childhood Development Montreal,

More information

New Domestic Violence Policies: Implications for Social Work Practice

New Domestic Violence Policies: Implications for Social Work Practice New Domestic Violence Policies: Implications for Social Work Practice P R E S E N T E R S : T RICIA BENT-GOODLEY, PH.D., LICSW, M SW P R O F E S S O R, H O W A R D U N I V E R S I T Y C H A I R, N A S

More information

Getting from Good to Great in Home Visiting: Systems Coordination

Getting from Good to Great in Home Visiting: Systems Coordination Getting from Good to Great in Home Visiting: Systems Coordination PEW HOME VISITING CAMPAIGN WEBINAR SERIES A series of five webinars highlighting promising practices in administering state home visiting

More information

Early Childhood Indicators Report

Early Childhood Indicators Report 2015 Early Childhood Indicators Report Carol Prentice, Prentice Consulting, 2012 Updated by Alaska Department of Health & Social Services, September 2013 Updated by Prentice Consulting, July 2015 Early

More information

First 5 Commission of San Diego

First 5 Commission of San Diego First 5 Commission of San Diego February 9, 2015 Staff Report Item 4-1 Updates Since Last Report Health Healthy Development Services (HDS) o As a recipient of the prestigious designation as a Bright Idea

More information

Family Home Visiting (FHV) Evaluation Data collection forms

Family Home Visiting (FHV) Evaluation Data collection forms Family Home Visiting (FHV) Evaluation Data collection forms Standard packet January 2015 Update Version 3.0 Family Home Visiting Unit Maternal & Child Health Section Community & Family Health Division

More information

MAINE MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING EXPANSION PROJECT ABSTRACT

MAINE MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING EXPANSION PROJECT ABSTRACT MAINE MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING EXPANSION PROJECT ABSTRACT Applicant Name: Sheryl Peavey, Director, Early Childhood Initiative, Maine DHHS Address: Office of Child & Family Services,

More information

Public Health Nurse Home Visiting Frequently Asked Questions When did nurse home visiting begin?

Public Health Nurse Home Visiting Frequently Asked Questions When did nurse home visiting begin? Public Health Nurse Home Visiting Frequently Asked Questions When did nurse home visiting begin? Home visiting became a national public health strategy to improve the health status of women and children

More information

HRSA Award No. X02MC19433. Pennsylvania s Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting Updated State Plan

HRSA Award No. X02MC19433. Pennsylvania s Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting Updated State Plan HRSA Award No. X02MC19433 Pennsylvania s Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting Updated State Plan June 8, 2011 Revised July 5, 2011 Table of Contents TABLE OF CONTENTS...

More information

State Data Collection and Reporting Requirements in the Affordable Care Act

State Data Collection and Reporting Requirements in the Affordable Care Act State Data Collection and Reporting Requirements in the Affordable Care Act The Affordable Care Act (ACA) and its amendments, including the Health Care and Education Reconciliation Act, set up multiple

More information

Arkansas Strategic Plan for Early Childhood Mental Health

Arkansas Strategic Plan for Early Childhood Mental Health Summary of Arkansas Strategic Plan for Early Childhood Mental Health Arkansas Early Childhood Comprehensive Systems Social-Emotional Workgroup 2014-2015 Early Childhood Mental Health Early childhood professionals

More information

Indiana s Maternal, Infant, and Early Childhood Home Visiting Program Updated State Plan

Indiana s Maternal, Infant, and Early Childhood Home Visiting Program Updated State Plan Indiana s Maternal, Infant, and Early Childhood Home Visiting Program Updated State Plan Indiana State Department of Health Indiana Department of Child Services FY 2011 Healthy Families Indiana Nurse-Family

More information

Health Resources and Services Administration (HRSA) FY2016 Budget Request and Funding History: Fact Sheet

Health Resources and Services Administration (HRSA) FY2016 Budget Request and Funding History: Fact Sheet Health Resources and Services Administration (HRSA) FY Budget Request and Funding History: Fact Sheet Elayne J. Heisler Specialist in Health Services May 26, 2015 Congressional Research Service 7-5700

More information

Logic Model for SECCS Grant Program: Florida Early Childhood Comprehensive Systems (ECCS) Statewide Plan INTERVENTION

Logic Model for SECCS Grant Program: Florida Early Childhood Comprehensive Systems (ECCS) Statewide Plan INTERVENTION TOTAL FUNDS REQUESTED (for GRANTEE/ PROJECT CHARACTERISTICS (i.e., the first year of the project): goals and description of the project, $155,496 Infant Mental Health Association Updated Florida's statewide

More information

Resource Toolkit for Programs Serving Infants, Toddlers and Their Families: Implementing a Research-Based Program Model

Resource Toolkit for Programs Serving Infants, Toddlers and Their Families: Implementing a Research-Based Program Model Resource Toolkit for Programs Serving Infants, Toddlers and Their Families: Implementing a Research-Based Program Model Updated March, 2011 The Toolkit was produced with the generous support from the McCormick

More information

Kansas Home Visiting Program Identification of High Risk Communities: Methodology and Findings

Kansas Home Visiting Program Identification of High Risk Communities: Methodology and Findings Kansas Home Visiting Program Identification of High Risk Communities: Methodology and Findings Sharon Homan, PhD and Cheng-Chung Huang, MPH Kansas Health Institute Jamie Kim and Garry Kelley, Epidemiologists

More information

THE MIAMI COALITION 2014 RESOURCE NEEDS ASSESSMENT BRIEF ENVIRONMENTAL SCAN OF PREVENTION FUNDING IN MIAMI-DADE COUNTY

THE MIAMI COALITION 2014 RESOURCE NEEDS ASSESSMENT BRIEF ENVIRONMENTAL SCAN OF PREVENTION FUNDING IN MIAMI-DADE COUNTY INTRODUCTION: There is a robust array of public and private funding resources that impact child wellbeing and positive outcomes for children in Miami-Dade County. Together these resources represent a complex

More information

Breastfeeding. Nursing Education

Breastfeeding. Nursing Education Breastfeeding AWHONN supports breastfeeding as the optimal method of infant nutrition. AWHONN believes that women should be encouraged to breastfeed and receive instruction and support from the entire

More information

Child Care Facility Training Requirements

Child Care Facility Training Requirements Building a Professional Development System through Collaborative Efforts NARA 2015 Annual Seminar Child Care Facility Training Requirements Part I (30 Hours) Child Care Facility Rules and Regulations Health,

More information

Seeking Protection from Domestic Violence in New York s. Information for Immigrant Victims with Limited English Proficiency

Seeking Protection from Domestic Violence in New York s. Information for Immigrant Victims with Limited English Proficiency Seeking Protection from Domestic Violence in New York s Family Court: Information for Immigrant Victims with Limited English Proficiency What is domestic violence? If your current or former intimate partner

More information

Children s Health and Nursing:

Children s Health and Nursing: Children s Health and Nursing: A Summary of the Issues What s the issue? The foundation for healthy growth and development in later years is established to a large degree in the first six years of life.

More information

Maternal and Child Health Service. Program Standards

Maternal and Child Health Service. Program Standards Maternal and Child Health Service Maternal and Child Health Service Program Standards Contents Terms and definitions 3 1 Introduction 6 1.1 Maternal and Child Health Service: Vision, mission, goals and

More information

3.5 Guidelines, Monitoring and Surveillance of At Risk Groups

3.5 Guidelines, Monitoring and Surveillance of At Risk Groups 3.5 Guidelines, Monitoring and Surveillance of At Risk Groups 3.5.6 Children of Parents who are Affected by Drug and Alcohol Misuse Background There is overwhelming evidence that the misuse of drugs and

More information

AFFORDABLE CARE ACT FAQ

AFFORDABLE CARE ACT FAQ AFFORDABLE CARE ACT FAQ What is the Healthcare Insurance Marketplace? The Marketplace is a new way to find quality health coverage. It can help if you don t have coverage now or if you have it but want

More information

On behalf of the Association of Maternal and Child Health Programs (AMCHP), I am

On behalf of the Association of Maternal and Child Health Programs (AMCHP), I am Christopher Kus, M.D., M.P.H. Association of Maternal and Child Health Programs, Public Witness Testimony House Labor, Health and Human Services and Education Appropriations Subcommittee March 13, 2013

More information

Report. The. Surrey Parent-Infant Mental Health Service

Report. The. Surrey Parent-Infant Mental Health Service Report On The Surrey Parent-Infant Mental Health Service Lynda Dawson Health visitor Specialist Cathy Madley-Dowd Health Visitor Specialist Introduction The Parent-Infant Mental Health (PIMH) service is

More information

The Vision for Early Childhood Home Visiting Services in Arizona. A Plan of Action 2010-2015. Early Childhood Home Visiting Task Force - June 2010

The Vision for Early Childhood Home Visiting Services in Arizona. A Plan of Action 2010-2015. Early Childhood Home Visiting Task Force - June 2010 The Vision for Early Childhood Home Visiting Services in Arizona A Plan of Action 2010-2015 Early Childhood Home Visiting Task Force - June 2010 Confi dent, supported families raising healthy children,

More information

Call DO YOU KNOW A CHILD WHO NEEDS FREE OR LOW-COST HEALTH CARE? free phone call from all islands. Please tell your friends and neighbors!

Call DO YOU KNOW A CHILD WHO NEEDS FREE OR LOW-COST HEALTH CARE? free phone call from all islands. Please tell your friends and neighbors! DO YOU KNOW A CHILD WHO NEEDS FREE OR LOW-COST HEALTH CARE? QUEST and Medicaid cover children and youth up to age 19 and include: Call regular check-ups emergency care immunizations prescription medicines

More information

UF Health Jacksonville CHNA Implementation Strategy

UF Health Jacksonville CHNA Implementation Strategy UF Health Jacksonville CHA Implementation Strategy Adopted by the UF Health Jacksonville Governing Board on: December 7, 2015 This document describes how UF Health Jacksonville (the hospital) plans to

More information

The Effects of Abuse and Neglect on Child Development

The Effects of Abuse and Neglect on Child Development The Effects of Abuse and Neglect on Child Development Trainer Guide March, 2011 Table of Contents To the Trainer... iii-iv The Effects of Abuse and Neglect on Child Development... 1 Case Studies... 2-6

More information

Dismantle the Cradle to Prison Pipeline

Dismantle the Cradle to Prison Pipeline A Message to the 81 st Texas Legislature Dismantle the Cradle to Prison Pipeline There is a growing epidemic that threatens the health and prosperity of all Texans. Because of the Cradle to Prison Pipeline

More information

OUTCOME: Provide general counseling and local resource information for prenatal care, adoption and pregnancy termination options.

OUTCOME: Provide general counseling and local resource information for prenatal care, adoption and pregnancy termination options. REVISED: (ORIGINAL: 1/04) Non-Directive Counseling Guidelines for Clinics I. PURPOSE: County Health Department (CHD) clinic staff are to offer pregnant women the opportunity to be provided with non-directive

More information

Maternal/Child Health Report Card Update

Maternal/Child Health Report Card Update Maternal/Child Health Report Card Update Executive Summary February 2011 Prepared by the Monroe County Department of Public Health on behalf of HEALTH ACTION For more information contact the Community

More information

Logic Model for SECCS Grant Program: The New Jersey State Maternal and Child Health Early Childhood Systems (SECCS) Grant Program

Logic Model for SECCS Grant Program: The New Jersey State Maternal and Child Health Early Childhood Systems (SECCS) Grant Program GRANTEE/ PROJECT CHARACTERISTICS (i.e., TOTAL FUNDS REQUESTED: $140,000 goals and description of the project, (for the first year of the project) environment, description of population/case TOTAL PROJECT

More information

Alcoholic Support Groups

Alcoholic Support Groups Support Groups Alcoholic Support Groups Adult Children of Alcoholics Phone: (813) 253-0506 Hours: Call Fees: None Eligibility Requirements: General Public Services Offered: Provides a 12 step support group

More information

Nurse Family Partnership. MIHP Coordinator s Meetings

Nurse Family Partnership. MIHP Coordinator s Meetings Nurse Family Partnership MIHP Coordinator s Meetings Nurse Family Partnership History Founded by Dr. David Olds, a professor of pediatrics, psychiatry, and preventive medicine at the University of Colorado,

More information

Quality Assurance Guidelines MManualMaManual

Quality Assurance Guidelines MManualMaManual Quality Assurance Guidelines MManualMaManual March 2015 PAT Quality Assurance Guidelines Page 1 Table of Contents Introduction The PAT model 3 Stages of implementation 4 The Quality Assurance Guidelines

More information

Selected Human Needs Programs: Shrinking Funding Since 2010

Selected Human Needs Programs: Shrinking Funding Since 2010 Selected Human Needs Programs: Shrinking Funding Since 2010 September, 2014 Even before the across-the-board sequestration took effect in FY 2013, human needs programs funded by annual appropriations were

More information