Mission:- Our mission is to promote and support quality early childhood services (birth to age 8) for all families in the Early Childhood Connections service area.
Vision: - Our vision is to have
every child be a happy, confident, and successful individual.
Parents Interacting With Infants (PIWI) is an evidenced based set of practices based on beliefs (a “philosophy”) about families, children, and helping relationships. The objectives of PIWI are to increase confidence, competence and positive relationships for parents and children ages 0-2. It does so by keeping the parent-child relationship at the center and by supporting responsive, respectful parent-child interactions.
Circle of Security-Parenting (COS-P) is a relationship based early intervention program designed to enhance attachment security between parents and children. It is intended to help caregivers increase their awareness of their children’s needs and assess whether their own responses meet those needs. COS-P is based extensively upon attachment theory and current affective neuroscience. It is also a basic protocol that can be used in a variety of settings, from group sessions (8 weeks) to family therapy to home visitation.
Parent-Child Interaction Therapy (PCIT) is an empirically-supported treatment for children ages 2 to 7 that places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns. One primary use is to treat clinically significant disruptive behaviors. In PCIT, parents are taught specific skills to establish a nurturing and secure relationship with their child while increasing their child’s prosocial behavior and decreasing negative behavior.
Rooted in
Relationships (RiR) is an initiative that partners with communities to
implement evidence-based practices that enhance the social-emotional
development of children, birth through age 8. RiR supports many initiatives in
our community.
The Communities for Kids (C4K) initiative was created in
response to community requests for assistance with shortages of high-quality
early care and education programs — shortages that both impact children’s
optimal development and pose a challenge for communities hoping to attract
and retain the viable workforce they need to thrive.
The C4K initiative aims to partner
with communities’ public and private entities to support and coordinate
planning for access to high-quality early care and education for all children
birth through age five. These partnerships will be customized to address each
community’s unique assets and needs—so each community can grow and prosper well
into the future.
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Dakota County Community Response 115 E 28th Street S Sioux City, NE 68776 712-389-4401 |
CLIENT RELEASE OF INFORMATION
I, _________________________________, authorize the release of my information to Dakota County Community Response and their affiliated partner agencies & Coaches.
The below list is not all inclusive. Based on client needs, Dakota County Community Response and its agents/coaches may determine that information may need to be released to other organizations for the purpose of completing tasks or activities that the client may have requested or initiated with their application for assistance.
Partner Agencies: Center for Siouxland, City of South Sioux City, Equus Workforce Solutions, Heartland Counseling Services, Immigrant Legal Center, Nebraska DHHS, Nebraska Legal Aid, NENCAP, Siouxland Community Health Center, South Sioux City Housing Agency, South Sioux City Schools, Unity in Action
UNIVERSAL/TWO-WAY RELEASE
I, _____________________________________ hereby authorize the reciprocal release of information contained in these records between Dakota County Community Response and its partnering agencies.
The purpose for such disclosure is: Assessment, services, and case management for connections to community resources.
WAIVER & RISK AGREEMENT
I, _________________________________, do hereby affirm and acknowledge that I am responsible to be aware of the risks associated with accessing available programs/trainings/financial support provided by Dakota County Community Response, including damage to property belonging to me or to others, injury, illness, or other unforeseen circumstances to myself or others, whether caused by me or by others or by conditions/circumstances within or outside of my control or the control of others. I understand an exhaustive description of potential hazards and risks associated with such activity(ies) is not possible and that unknown or unanticipated hazards or risks may result in injury, illness, or death. If equipment is involved in such activity (ies), I agree to inspect all such equipment before use, ask questions if I do not fully understand how to us and/or operate the equipment, accept all equipment “as is”, and to return all equipment before use that is believed to be damaged or defective.
In consideration of my being provided the opportunity to participate in such activity (ies), I fully and completely assume all hazards and risks associated with such activity (ies) and by signing this Waiver and Risk Agreement, do hereby forever waive any responsibility or liability on the part of and completely release Dakota County Community Response, and its officers, directors, members, employees and agents from any and all claims or liability or damage, known and unknown, now and hereafter existing in connection with my participation in any form whatsoever in such activity (ies).
I have read the foregoing Waiver and Risk Agreement. I fully understand the terms and that I may have given up legal rights by signing this document. I sign it freely and voluntarily with the intent to be bound to the terms of this document. My agreement is binding on me and my heirs, estate, and any other parties who may be able to assert a claim by or through me.
HIPAA DISCLOSURE & RELEASE
I, _______________________________, authorize and understand that I have been made aware of Dakota County Community Response HIPAA privacy practices. As Dakota County Community Response operates in the state of Nebraska, the Department of Health & Human Services (DHHS) monitors HIPAA disclosure for the purpose of rendering & engaging in services. My signature on this form grants access and disclosure to my own personal or children’s PHI (Protected Health Information) for the purpose of completing or rendering services via Dakota County Community Response.
Dakota County Community Response, and its officers, directors, members, employees and agents will be allowed to access my or my children’s PHI at any time after signature of this Release for the purpose of completing my request/application and services based on the application that I submit.
My HIPAA authorization can be revoked at any time by notifying Dakota County Community Response in writing at the above listed address. If I revoke my authorization before services have concluded, Dakota County Community Response may terminate my services due to lack of information or ability to disclose PHI to its officers, directors, members, employees, and agents.
CLIENT DISCLOSURE
By signing below, I understand that I must complete the Community Response Exit Survey. If I do not complete the survey, I may not be able to receive any further assistance from Dakota County Community Response funding. The Community Response Exit Survey will be provided to you at the anticipated last coaching visit and/or within 30‐90 days of enrollment into Community Response.
I have read the foregoing Waiver and Risk Agreement, Client Release of Information & HIPAA Disclosure & Release. I fully understand the terms and that I may have given up legal rights by signing this document. I sign it freely and voluntarily with the intent to be bound to the terms of this document. My agreement is binding on me and my heirs, estate, and any other parties who may be able to assert a claim by or through me.
| ________________________________________ | __________________________________ | _____________ |
| Signature of Adult Participant | Name of Adult Participant (printed) | Date |
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