Just past its one-year mark, HCA Healthcare’s United for Healthy Starts grant began last March when HCA Healthcare awarded $1.84 million to a collaboration between four major United Way markets around the country — Denver, Miami, Dallas and Nashville. The grant’s aim: to stabilize, strengthen and empower families during the earliest years of their children’s lives.
“The data tells us this is working,” Jordan says. In the first year, across four markets, 1,600 caregivers increased their knowledge of child development. More than 1,500 parents received parenting help, and 1,171 demonstrated measurable improvement.
Earlier this year, partners from these four markets met in person for the first time at the United for ALICE Summit, a national gathering that addresses financial hardship among households with limited assets and constrained income. ALICE stands for Asset Limited, Income Constrained, Employed. The organization represents working families who earn above poverty level but cannot afford basic necessities, such as housing, childcare, food and transportation.
“One consistent need surfaced across every market,” says Jordan. “Families do not always know where to turn when they hit instability.”
For parents just starting out, instability can take many forms. “Often, when a family welcomes a new child it disrupts their finances,” Jordan explains. “It might mean a parent can’t work the hours they used to, or they have to take a different job so they can be a caregiver at home.”
Other families struggle with knowing which foods are best for their babies or how to help their children learn to sleep in a crib. “There’s no manual that teaches you how to start raising a family,” says Jordan.
And sometimes, you don’t know what you don’t know. That’s when weekly, monthly and annual in-home visitation from social workers can help fill the gaps.
As people like Dulce meet in person with new families, they build trust and camaraderie. “You could call a new parent on the phone and ask if they are co-sleeping with their child, but that’s different from being able to walk into a room and assess the crib scenario,” Jordan explains. “It’s about building relationships so families don’t feel like they’re being judged, but they have a level of comfort being vulnerable with an individual who shares their lived experience and who can connect them with trusted resources.”