Skip to main content

Oregon State Flag An official website of the State of Oregon »

Oregon Health Authority

Babies First! and CaCoon Manual (2024)

Babies First! and CaCoon Manual (2024)

Welcome to the Babies First! and CaCoon Home Visitor Manual. This online manual is you resource for program implementation. Each chapter, when clicked, opens to a table of contents. When you click on an area, it will open the chapter in a new tab, and will jump to the item you chose. Below the table of contents of each chapter, there is a link for a printable PDF of the chapter.*

If you are using a mobile device, the manual will reformat itself for mobile accessibility. 

*Please note, the PDF's are for printing purposes, so the hyperlinks in them will not work. They only work when using the online version of the manual. 

As you use this manual, you will be invited to offer feedback on each page by using this link. The link can be found in the table of contents on each page, and at the bottom of each page. Please let us know if you have suggestions, any links are broken, or if any information is outdated. Babies First! and CaCoon Manual Feedback Form

    F​oundations of Public Health Nurse Home Visiting

    1. Evidence-Based and Evidence-Informed Practices

      • ​Hopeful Outcomes from Positive Experiences (HOPE) 

    2. ​Family-Led and Family-Centered 

      • Family Engagement

      • Motivational Interviewing/Behavior-Change/Assessment of Readiness to Change

    3. ​​​Care Coordination

    4. Relationship-Based Care and Infant Mental Health

    5. Trauma-Informed 

    6. Equity and Inclusion

      • ​​Cultural Responsiveness and Creating Cultural Safety

    7. ​Reflective Practice

      • Facilitating Attuned Interactions (FAN)

      • Reflective Supervision​​​

    Babies First! and CaCoon Program Overview ​


    1. Logic Model 

    • Babies First!

    • CaCoon (coming soon)

    2. Program Objectives 

    • Babies First!

    • CaCoon

    3. Eligibility Criteria 

    • Babies First!

    • CaCoon

    4. Roles

    • Administrator 

    • Supervisor 

    • Nurse 

    • Community Health Worker 

    • Support/Clerical Staff ​

    5.  Program Administration

    ​     Meetings 

    • Case Conferencing 

    • Reflective Supervision 

    • Team Meetings

    6. Documentation 

      • Medical Record

      • THEO

      • TCM

    7. Policies
        State Program Reviews:

      • OHA – Triennial Review

        • Include Report

      • OCCYSHN – End of Year Report

    6. Recruitment and enrollment of clients

    7. Caseload Requirements/Recommendations 


    Chapter 5: Printable PDF​

    Services and Program Activities 

    ​​​

    1. Visit Schedule

    • Initial Home Visit

    • Routine Visits

    • Final Home Visit- Case Closure

    2. Routine Visit Structure

    • Pre-Meeting Check-in

    • Check-in Soft Opening

    3. Key Activities:

    • Assessments

    • Education

    • Advocacy

    • Family-Leading

    • Wrap Up​

    4. Activity Tables by Population

    • Prenatal 

    • Postpartum (up to one year post birth)

    • Newborn (under 1)

    • Young Child (1-5 years of age)

    • Child/Youth (5-21 years of age)

    • Caregiver 

    • Community

    5. Considerations for CaCoon or clients with disabilities and/or special health care needs

    • Home Visitor Knowledge/skills related to those with disabilities and/or special health care needs

    • Medical Home

    • Cross Systems Care Coordination 

    • Shared Care Planning  

    • Transition Planning/Support