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Community Health Nursing

We work to protect and improve the health of individuals, families, and communities by empowering individuals to achieve optimal health and assuring access to health care. We do this by assessing the needs of individuals across their life span, addressing their concerns, identifying their needs, developing health plans and interventions, and achieving their health goals.

We accept referrals from many sources throughout the community, including physicians, social workers, the general public and you.

Based off your needs, circumstance, or preference you will be assigned a public health nurse that will best support you. If you have any questions regarding eligibility or about the referral process, you may call 805-981-5115.

Community Health Nursing Programs

CALWORKS

Supports CalWORKs recipients in the Family Stabilization program with Public Health Nursing (PHN) services, such as health assessments, health education, and resource coordination.

FIELD NURSING

Provides community-wide Public Health Nursing services for all ages, with a special focus on maternal and child health.

NURSE-FAMILY PARTNERSHIP

Offers regular home visits to first-time moms starting early in pregnancy through their child’s second birthday. Public Health Nurses provide support, education, and guidance to promote a healthy pregnancy and strong start for baby and parent.

THRIVE

Public Health Nurses engage school-age youth involved with SARB, juvenile probation, or at risk of/experiencing CSEC to support their overall health and wellbeing.

BABY STEPS TO WELLNESS

Supports pregnant women and families with newborns who may be facing challenges like unstable housing, substance use, or health concerns such as syphilis. A PHN and CHW provide health assessment, support, education, and linkage to resources.

ROAD TO RESILIENCE

Support pregnant and parenting families with infants under the age of one. Families must be enrolled in with CFS Family Preservation Program. The goal is to help families stay safely together and improve health outcomes. PHNs and other staff work with parents in their homes to strengthen parenting, reduce stress, and connect them to resources.

If you need help with linking to health care services, have concerns about your child’s development or your pregnancy or have other health-related questions, please submit a referral to Community Health Nursing. Any questions regarding the referral can be sent to chnreferrals@ventura.org.

Note: If you need emergency services, please dial 911 or contact your medical care provider.

Public Health Nursing Referral

When To Initiate A Public Health Nursing Referral

Public Health Nurses (PHNs) will collaborate with you to improve your client’s quality of life and access to care by providing comprehensive nursing assessments, education and linkage to community resources.

Types of referrals that can be made to Public Health Nursing are:

  • Assistance with access to health care services
  • Individuals with multiple medical issues
  • Inconsistent, late-entry into or no prenatal care
  • At-risk for or currently using harmful substances during pregnancy
  • Maternal or postpartum mental health concerns
  • Premature births (under 37 weeks gestation)
  • Postpartum and breastfeeding support
  • Newborn or child prenatally exposed to harmful substances
  • Failure to thrive infant
  • Concerns regarding infant or child growth and/or development
  • First Time and/or complicated pregnancy
  • Grief Support

*If this referral is related to abuse and/or neglect please contact 805-654-3200 to report or call 911

SECTION I - Referring Source

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Family Stabilization: (For CalWorks Staff ONLY)
For Family Preservation (R2R Grant)

SECTION II - Client Information

Client Aware of Referral?(Required)
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Gender:

Address:(Required)
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SECTION III - Reason For Referral

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First Time Parent? < 28 wks gestation:
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    Satisfaction with Nursing Services Survey

    If you’ve received services from our nurses, please take a moment to complete our short nursing survey. Thanks!

    Contact Information:
    Veronica Martinez, MSN, RN, PHN
    Program Manager
    805-981-5380

    Anna Marie Aguilar, MSN, RN, PHN
    Program Manager, NFP & AFLP
    805-981-5106

    Carlotta Davis
    VC MAA & TCM Program Manager
    805-981-5139

    Veronica Escobedo MSN, RN, PHN
    Field Nursing and Road to Resilience Clinical Supervisor
    SIDS Coordinator
    805-509-5065

    Angela Fulmer, MSN/MPH, RN, PHN, PHNA-BC, PMH-C
    Nurse-Family Partnership Clinical Supervisor
    805-509-9506

    Layne Casillas, BSN, RN, PHN
    THRIVE, CalWORKs, and Baby Steps to Wellness Clinical Supervisor
    Perinatal Services Coordinator
    805-833-0964

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    Health Care Foundation for Ventura County is dedicated to strengthening the capacity of the Ventura County Health Care Agency to provide high quality health care for all.

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