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The Life Skills Progression (LSP)

The Life Skills Progression (LSP)
Outcome measure, intervention-planning instrument for families

The LSP is an outcome measure that shows what home visitors do and how
families change as a result. It captures individual family strengths, needs and
progress over time. And it measures cohort outcomes in six-month increments
from intake to closure.

The LSP has become popular among home visiting programs because it is quick
and easy-to-use, and it produces rich data that funders want to see. It takes a
visitor 5-10 minutes to complete the instrument once every six months –that’s a
total of about 15 minutes a year! Parametric testing shows the LSP has sound
content validity and strong inter-rater reliability for all types of home visitors.

Developed with the support of ZERO TO THREE, the LSP
has been in use across the country since 2000. It was published by Brookes in 2006.
Now sites using the LSP include programs in all the 0-3 home visitation models, including
MIECHV*-approved models like PAT*, EHS*, HFA* & NFP*, and others like HRSA*-
funded National Healthy Starts and independent local programs.

The Evidence-Based Model Crosswalk to Benchmarks published by U.S. Dept of Health
& Human Services June 1, 2011 illustrates how the LSP is being used to document program
effectiveness. The LSP covers all the Healthy People 2020 Leading Health Indicators.

The 43 LSP items show progress toward optimal functioning related to:
·Relationships & Parenting
·Education & Employment
·Health, Medical Care
·Health Literacy
·Mental Health & Substance Use
·Basic Essentials (housing, food, transportation, insurance, income & child care)
·Child development to 60 months

LSP Data Management
Affordable data management systems and technical support are available for PC, Server & Web.
The LSP database program collects and sorts results, finds duplicates, compares sequential
measures to show progress/regression, produces reminders and reports. It takes a clerk about
5 minutes to enter complete LSP data for a family into the database. Data transfer easily to
leading analytic software programs for more sophisticated analysis and research.

LSP is suitable for research AHRQ/NIH*-funded research using the LSP has demonstrated that
home visitors in six programs using reflective practices significantly improved health literacy
among parents (N=2572) regardless of reading level (Smith 2009). Another study funded by
National Library of Medicine showed that depressed parents in the same programs also achieved
significant improvements in health literacy. Depressed parents started at a significant disadvantage
and made greater improvements than their not-depressed counterparts. Further, depression rates
decreased moderately, and significantly (Smith, 2011 in press).The richness of the LSP data and
its ability to guide practice is demonstrated by additional findings that predictors of depression
change over time in home visiting (not yet published).

Paperwork staff will love
Feedback from the field: We love the LSP! It shows what we do and how our families change”.
Imagine staff loving more paperwork to complete!This is because the LSP gives a visitor immediate
feedback on a parent’s strengths and needs, progress and regression in ways that she can use to
focus reflective interventions. We hear “I am surprised by how many strengths she has!” “Look at
the progress she’s made in just six months!” “I can see what I want to focus on next!”
Visit the new LSP website.

Alphabet Soup:
AHRQ:  Agency for Healthcare Research and Quality, HRSA. Funds studies to discover what in health
            care works for whom under what circumstances. Federal agency in charge of health literacy
EHS:     Early Head Start. School readiness for 0-3 year-olds.
HFA:    Healthy Families America, violence and neglect prevention
HRSA:  Health Resources and Services Administration
NFP:    Nurse Family Partnership. Nurses-only, first-time-mothers-only home visitation model
PAT:     Parents as Teachers, school readiness model
MIECHV: Maternal Infant Early Care and education Home Visitation program of the  Affordable Care Act.

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