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LSP –Life Skills Progression documents progress to federal MIECHV Benchmarks

The Affordable Care Act funds the Maternal, Infant, and Early Childhood Home Visiting Program.
One quarter of federal funding goes to promising programs that have not yet developed evidence
of effectiveness; 75% is reserved for “evidence-based” programs that meet certain benchmarks. 

The Federal Department of Health and Human Services released The Evidence-Based Model Crosswalk
to Benchmarks on 6/1/2011. The document shows how each of the approved home visitation models
proposes to demonstrate outcomes for these benchmarks. Parents As Teachers- National recommends
using the LSP for most of the benchmarks.

In conjunction with family observation and conversations, programs using the LSP frequently also use
screening instruments such as the ASQ# & ASQ-SE# for child development, the Edinburgh*, Becks** or
CESD*** for depression and the HOME for parenting skills. The following table lists the federal benchmarks
that programs must meet to qualify for funding and shows the LSP scales that document outcomes related
to each benchmark.

MIECHV Benchmarks                      
Life Skills Progression Measures
Benchmark 2: Child injuries,Child abuse,
Maltreatment,Neglect,Reduction in ER Visits
LSP item: 8 Safety 
LSP item: 6 Discipline
LSP item: 21 Child Sick Care
LSP item: 8 Safety, 21 Child Sick Care
Benchmark 3: School Readiness & Achievement
LSP Items: 36-40 Communication, Gross & Fine Motor, Problem Solving, Personal-Social, and Social-Emotional.
(w ASQ3 & ASQ-SE)
Benchmark 4: Crime or Domestic Violence
LSP Items: 1 Relation w Family, 2. Relation w FOB, 3. Friends/Peers (gangs), 24 Substance Use/Abuse
Benchmark 5: Family Economic Self-sufficiency
LSP Items: 12-16 Language, <12 grade Education, Education, Employment, Immigration; 30-35 Housing, Food/nutrition, Transportation, Insurance, Income, Child
Benchmark 6: Coordination-referrals for other community resources and supports
LSP items: 10 & 11 Use of Information and Use of Resources (Note: these items measure the parent’s ability to use resources, not the referral outputs of home visitors.)   

In addition to demonstrating benchmark outcomes for a program’s service population, the LSP is
used by home visitors to see strengths, needs, progress & regression, and to see when a parent has
achieved adequate to optimal skill in a particular area. This reflective practice component appears
to enhance the visitor’s ability to support families in building life skills for themselves and their
children.  A one-day training is required for reliable use of the LSP. Beginnings Guides Life Skills Development
Curriculum promotes the life skills measured by the LSP and supports teaching and learning to achieve each
of the benchmarks.

Notes & References: 

#Ages & Stages Questionnaire and Ages & Stages Questionnaire-Social Emotional http://agesandstages.com/

*Edinburgh Postnatal Depression Scale Cox, JL; Holden JM & Sagovsky R. (1987) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry 150: 782-786  

**Becks - Beck Depression Inventory--Second Edition (BDI-II) Manual for the Beck Depression Inventory-II"; Aaron Beck, Robert Steer and Gregory Brown; The Psychological Corporation; 1996.  

***Center for Epidemiological Studies Depression Scale (CES-D) "Applied Psychological Measurement"; The CED-D Scale: A Self-Report Depression Scale for Research in the General Population; Lenore Radloff; June 1977.  

+HOME  Home Infant Toddler Inventory Home Observation for the Measurement of the Environment Caldwell, B. & Bradley, R. (1984). Home Observation for the Measurement of the Environment. Little Rock: University of Arkansas at Little Rock.

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