Fostering Healthy Families Program for Children and Youth in Custody in Vermont

Parents and two young childrenThis project was built on the existing successes of Vermont’s participation in a national collaborative focused on improving the health care of children in foster care. Specifically, a collaborative project team including VCHIP, the Vermont Department of Health (VDH), and the Department of Children and Families (DCF) formed to facilitate training and support systematic changes to include the HIQ documentation and follow-up health care for youth entering custody in Vermont.

The project also provides training to physicians and nurses in improving service delivery to children in custody and arranges for physicians to share successful strategies with their colleagues through this collaborative model. Project participants include 12 VDH and DCF District offices throughout the State.


Implementation of the Health Intake Questionnaire (HIQ) to ensure that all children and youth entering State custody receive health care in their primary care medical and dental homes, and substance abuse or mental health treatment, if indicated.


  • The Medical Home model of care allows children in custody, families and their support services to access a community of physicians and other health care providers who already know the young person and their health care needs.
  • HIQ’s are being completed for youth entering custody in all twelve Health Department districts in the State.
  • HIQ training will continue in the remaining seven Health Department districts. This work will address the Agency of Human Service State Team Outcome #6 (Youth Choose Healthy Behaviors), and Outcome #5 (Children Live in Stable and Supported Families).
  • All districts are currently using online HIQ's

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