July 2017
Completing the Healthy Start screening form is valuable for all mothers regardless of age, race or economic status. 

Prenatal Screening Rates* (July 2016 - June 2017)
Coalition Prenatal Screening Rate Goal: 70%  
Citrus County
914/1,022 = 89%
Hernando County
900/1,569 = 57% 
Lake County
2,705/3,271 = 83% 
Sumter County
373/472 = 79% 
Coalition Total
4,892/6,334 = 77%
State Total
164,198/222,448 = 74%
* Prenatal Screening Rate = Total Consenting to Screen / Estimated Number of Pregnant Women

Infant Screening Rates** (July 2016 - June 2017)
Coalition Infant Screening Rate Goal: 85%
Citrus Memorial Health System
413/415 = 99%
Seven Rivers Regional (Crystal River) 239/296 = 81%
Bayfront Health (Spring Hill) 661/801 = 83%
Oak Hill Hospital 179/554 = 32%
Florida Hospital Waterman 491/491 = 100%
Leesburg Regional Medical Center 1,132/1,131 = 100%
South Lake Hospital (Clermont) 595/595 = 100%
Coalition Total 5,647/6,334 = 89%
State Total
207,978/222,448 = 94%
** Infant Screening Rate = Total Screened/Total Infants
Progesterone Treatment (17P) to Help Prevent Premature Birth

Premature birth is birth that happens before 37 weeks of pregnancy.  Premature babies may need to stay in the hospital longer or may have more health problems than babies born full term.  Full term means you baby is born between 39 weeks and 40 weeks, 6 days of pregnancy.
Progesterone shots may help prevent premature birth for some women.  Pregnant women with a previous preterm birth are encouraged to talk with their provider to see if progesterone shots are right for them.
What is Progesterone?
Progesterone is a hormone.  Hormones are chemicals made by the body.
Progesterone plays a key role during pregnancy.  In early pregnancy, it helps a woman's uterus (womb) grow and keeps it from having contractions.  Contractions early on in pregnancy may lead to a miscarriage.  A miscarriage is the death of a baby in the womb before 20 weeks of pregnancy.  In later pregnancy, progesterone helps a woman's breasts get ready to make breast milk.  It also helps the woman's lungs to work harder to give oxygen to the growing baby inside their womb.
There are two types of progesterone treatment:
  • Vaginal progesterone which may help reduce the risk for premature birth if a woman has a short cervix and is pregnant with just one baby
  • Progesterone shots may help reduce the risk of premature birth if the woman has had a premature birth in the past and is pregnancy with just one baby
Women receiving the progesterone treatment, start getting the hormone between 16 and 24 weeks of pregnancy every week until they are 37 weeks.
Did you know? 
Taking 17P increases a woman's chances of having a full-term baby in their subsequent pregnancy by about 33%.  Women who are pregnant or want to become pregnant should talk with their provider to see if progesterone treatment is right for them!
Mothers and Babies Course
Many of you have heard us speak about the Mothers and Babies course that our Healthy Start Service Providers are in the process of receiving training in.  The following is a description of the program and you will see that this empowers our Healthy Start Service Providers to help mom in changing her thoughts and behaviors to help with her mood.

The Mothers and Babies (MB) Course is a postpartum depression prevention intervention.  The MB Course is based on principles of cognitive-behavior therapy (CBT) and attachment theory.  A basic way of defining CBT is that it attempts to change a person's cognitions (thoughts) and behaviors to improve their mood.  A basic way of defining attachment theory is that the quality of relationship a child forms with his/her primary caregiver (usually the mother) during infancy has sustained effect on that child's behavior.  The three main components of CBT are as follows:
  1. Pleasant Activities
  2. Thoughts
  3. Contact with Others

The MB Course is, therefore, divided into three sections - one on each of these CBT components.  In each of the sections, participants are first taught to understand how the component influences her mood.  This teaching of the relationships between CBT components and mood is referred to as psychoeducation.  In addition to psychoeducation, participants also receive concrete skills in each of the three sections (pleasant activities, thoughts, and contact with others).  These skills are intended to provide participants with a "toolkit" of approaches they can use to improve their mood.

Elements of attachment theory are also integrated into the MB Course.  Throughout the curriculum there is an emphasis on highlighting how parents can develop and strengthen a positive and affectionate bond with their baby.  The curriculum does this by making connections between the CBT components and the development of positive and affectionate bonding between mother and infant.

 Source: MB 1-on-1 Field Guide, Summer 2015 



Coalition Updates
Board Membership
Please contact Heather Hollingsworth if you have someone interested in becoming a Board Director.  We are currently looking for representation from the advocacy and consumer categories.
Enterprise Foundation Grant
Central Healthy Start, Inc., was recently awarded a $1,500 Enterprise Foundation Grant to purchase car seats for participants in need.  This grant is a great way for the rental car company and the Healthy Start program to collaborate together to keep our smallest passengers safe while riding in a motor vehicle.  Thank you Enterprise for your support and willingness to collaborate with us on this very important cause.
CHS is on AmazonSmile
Did you know that you can donate to Central Healthy Start just by shopping on Amazon?  Want to know how?  Just use the following link and continue to shop as you normally would.  For every purchase made using this link, Amazon will donate a percentage to the Coalition at no additional cost to you.  How cool is that?
Approved 2017-2018 Meeting Schedule
Please click here to print a copy of our meeting schedule.
2017-2018 Slate of Officers
Congratulations to our newly elected officers for the 2017-2018 contract year!

Past President - Lesha Buchbinder
President - Joelle Aboytes
Vice President - Terri Mathis
Secretary - Dana Selfridge
Treasurer - Jaclyn Citarella

Luncheon for Citrus County Healthy Start
In April, the Citrus County Healthy Start team was recognized by the County Health Department's Health Education Program Manager, Carmen Hernandez, for their hard work in providing quality services to the local residents of Citrus County with a great annual quality assurance review from the Coalition.  They were treated to a special lunch as a token of the CHD's appreciation.  Congratulations to the Citrus County Healthy Start team!



The Healthy Start Team

Past President
Lesha Buchbinder
Early Learning Coalition of Lake County
Joelle Aboytes
Department of Children and Families - Circuit 5
Vice President
Terri Mathis
LifeStream Behavioral Health Center
Jaclyn Citarella
Mid Florida Community Services
Dana Selfridge
Healthy Families Pasco-Hernando

Esmeralda Batiz
Community Health Centers

Maria Granado
Lake County Community Health Worker Program

Dee Dixon
Healthy Families Citrus County

Ingrid Ellis
Early Learning Coalition of the Nature Coast

Coalition Staff


Issue: 8
Coalition Screening Rates  
17P Treatment Prevention
Mothers and Babies
Coalition Updates
The Healthy Start Team
From the Director

That's a wrap!  Our 2016-2017 contract year has come to a close and now we embark on the 2017-2018 contract year.
In this new year, we will be working on the development and implementation of the new Healthy Start system of Care. A major focus will be the creation of a Coordinated Intake and Referral (CI&R) System. The purpose of CI&R is to maximize intake and improve linkages of services for pregnant women and infants to participate in home visiting programs. We will see collaboration at its best as we work together to develop algorithms and decision trees to determine what program best fits each participants' needs.

It's going to be a great year and I look forward to working with each of you!  Enjoy the rest of your summer and we'll see you in September!

Thank you,
Julie Moderie, MPH
Program Director
Executive Committee - CANCELLED
Thurs., August 3rd,2017
@ 1:00 PM
Kids Central, Inc.
Service Provider Advisory Council
Thurs., September 7th, 2017 @ 1:00 PM
Kids Central, Inc.
Board of Directors Meeting Thurs., September 7th, 2017 @ 1:00 PM
Kids Central, Inc.



Central Healthy Start
1785 NW 80th Blvd., Gainesville, FL 32606
P: 352-313-6500 | F: 352-313-6515 | www.CentralHealthyStart.org