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The P.I.L.L.A.R. Program

Preventing Instability through Linkage, Learning, Access, and Resilience

The PILLAR Program is a family-centered support initiative for caregivers of children from birth to age 5 living in select Philadelphia zip codes. Caregivers meet with a Caregiver Support Coach monthly, both virtually and in-person. Visits are focused on parenting development, family well-being, and connection to helpful resources.

 

Are you a provider, case manager, or community leader? You can refer families to the PILLAR Program using our agency referral form. We welcome partnerships with healthcare providers, early childhood educators, doulas, and more.

Who Can Apply

This program is open to:

  • Caregivers of children ages birth to 4 years

  • Families living in the following Philadelphia zip codes:
    19120, 19121, 19122, 19123, 19126, 19130, 19132, 19133, 19140, 19144, 19141, 19119, 19104, 19131, 19138, 19139, 19143, and 19151

  • Those who can complete one visit per month

    • The first visit will be in-person; the next month it will be virtual and continue to alternate. ​

  • As part of their participation, families receive a care bundle with diapers, wipes, and hygiene items at each in-person visit.

  • After 90 days of consistent participation, families becomes eligible for either a $50 grocery card or a pack n play through our Sleep Safe Response Incentive

Baby Diapers

SELF-REFERRAL form for the PILLAR Program

Caregiver Information

Caregiver Gender
Caregiver Date of birth
Month
Day
Year
Caregiver Ethnicity/Race (Select all that apply):

By providing your phone number, you agree to receive text messages from Linked Family Services.

Zip Code
Preferred Contact Method (Check all that apply)
Caregiver Relationship to the Child
Biological Mother
Biological Father
Adoptive Mother
Adoptive Father
Legal Guardian
Grandparent
Foster Parent
Kinship Caregiver (e.g., aunt, uncle, older sibling)
Stepparent
Other

Child Information

Are you currently parenting a child between 4 months and 4 years old?
Yes
No
Child Gender
Child's Date of Birth
Month
Day
Year
Child Ethnicity/Race (Select all that apply):
Current Diaper or Pullup Size
Do you have more than one child in this age group?   
Yes
No
Do you currently have any concerns about your child’s development?
Yes
No
Unsure
If yes, which areas are you concerned about? (Check all that apply)
Are you concerned about any other behaviors?

Program Participation

Are you willing to complete one virtual check-in and one in-person bundle pickup every 60 days?
Yes
No

Location: 1318 West Clearfield Street Philadelphia, PA 19132

As part of the PILLAR Program, all caregivers are asked to complete the following screenings within the first 60 days of enrollment:

  • Depression Screening

  • UNCOPE Substance Use Screening

These tools help us better understand your needs and ensure we connect you to the most helpful services and supports. Your responses are confidential and will only be used to guide referrals and resources.

Do you have access to a smartphone or device for virtual check-ins?
Yes
No

 Family Needs (Optional but encouraged)

What additional support would be helpful to your family? (Check all that apply)

Health Insurance Information

Do you currently have health insurance?
Yes
No
If yes, what type of insurance do you have? (Select all that apply)
Is your child currently covered by health insurance?
Yes
No
If yes, what type of insurance does your child have? (Select all that apply)
Would you like assistance with health insurance or understanding your benefits?
Yes, I would like help applying for or understanding health insurance options
No, I do not need help at this time
Not sure

Consent

I give permission for Linked Family Services to take and use photos of me and/or my child(ren) for program documentation, promotional materials, or social media.
Yes
No
PILLAR Self-Referral

The PILLAR Program – Agency Referral Form

 Referring Agency Information

Multi-line address

Caregiver Information

Zip Code
Relationship to the Child
Race/Ethnicity (Select all that apply)
Gender Identity

Child Information

Child's Date of Birth (Must be between 4 months and 4 years)
Month
Day
Year
Are there additional children under age 4 in the household?
Yes
No

Child Developmental Concerns (Optional)

Are there any known or observed developmental concerns?
Yes
No
If yes, check all that apply:

 Additional Family Needs (Optional)

Are there any immediate needs or supports this family may benefit from? (Check all that apply)

Health Insurance Information

Does the parent have health insurance?
Yes
No
Not Sure
If yes, what type of insurance does the parent currently have? (Select all that apply)
Is the child currently covered by health insurance?
Yes
No
Not Sure
If yes, what type of insurance does the child currently have? (Select all that apply)
If No to either, would you like assistance with health insurance or understanding your benefits?
Yes, I would like help applying for or understanding health insurance options
No, I do not need help at this time
Not sure

Consent & Acknowledgment

Has the caregiver consented to be referred to the The PILLAR Program?
Yes
No
PILLAR Agency Referral
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