Our HANDS Team
Leadership and Supervision
Patty received her Associate’s Degree in Nursing from Kentucky State University in 1994. The majority of her nursing career has been in public health with the Three Rivers District Health Department. Before becoming the HANDS Manager, she served as a HANDS Supervisor for ten years. During that time, she was awarded a national leadership award by Healthy Families America. Before working in HANDS, Patty worked as a nurse at the Owen County Health Center.
Patty is passionate about public health, HANDS, and helping others. She feels the highlights of her career are simply being able to work in the community she loves and the ability to link individuals to life-changing services and programs.
Call the District Office at 502-484-3412 to speak with Patty about HANDS or reach out by email at: PattyC.Green@ky.gov
Arielle earned her Bachelor’s degree in Social Work at Northern Kentucky University in 2020. She spent two years working for Child Protective Services here in Kentucky as an investigator before joining the TRDHD team. In July 2022, Arielle sought a career in HANDS after she fell in love with the program as a participant. The enriching activities and positive work were just what she had been looking for in a job.
Arielle enjoys going to the gym and camping with her husband and daughter. She is excited to visit and helped support you and your family as you learn and watch your child grow and develop.
Call the Gallatin County Health Center at 859-567-2844 to speak with Arielle about HANDS or reach out by email at ArielleC.Rosenbaum@ky.gov
April earned her Master of Social Work degree from Northern Kentucky University in 2019. She was raised in Pendleton County and held various positions there until finding her home with the HANDS program. April joined the HANDS team at Three Rivers in October 2021.
She enjoys learning about each family and how she can be of assistance and loves watching families grow and bond together. She especially enjoys seeing what children learn in HANDS and watching them utilize their empathetic skills with other people.
Call the Pendleton County Health Center at 859-654-6985 to speak with April about HANDS or reach out by email at April.DeFalco@ky.gov
Carroll County
Cynthia started working for Three Rivers in the HANDS program in September 2016. She had some experience in HANDS when she began, but has since then learned many new ways to help families and connect them with available resources in the communities we serve. Cynthia is fluent in English and Spanish and serves most of our Spanish-speaking families as well as helping in the health department as needed.
What Cynthia enjoys most about HANDS is the family diversity and how each can benefit from the program. She loves helping families understand their baby’s development and watching them fall in love with being a parent.
Call the Carroll County Health Center at 502-732-6641 to speak with Cynthia about HANDS or reach out by email at Cynthia.Hickey@ky.gov
Tonya has worked in public health for over twenty years serving in our health centers and performing administrative duties. In 2019, she joined the HANDS team where she found her love.
She reports: “I am amazed daily by the positive impact HANDS has on families. I watch first-time parents bond with their babies in ways that some never experienced themselves. It’s exciting watching existing parents use this program for new additions to their families and also employ the skills they learn with their older children. I am honored to help parents feel confident in growing smart, loving, beautiful children.”
Call the Carroll County Health Center at 502-732-6641 to speak with Tonya about HANDS or reach out by email at Tonya.Spaeth@ky.gov
Gallatin County
Owen County
My name is Kayla Miles and I am so happy to be your HANDS visitor! I was raised in Owen County and graduated from Campbellsville University in 2018 with a Bachelor’s Degree of Social Work. Working for HANDS in my hometown is special to me because I get to partner with parents who are raising the next generation of community members. You are the most important person in your baby’s life, and I am eager to support YOU in your parenting journey! I want you to feel confident and empowered in the decisions you make for your family. HANDS is a lot of fun and a great resource, you have made an AWESOME decision to enroll! I will leave you with this quote by Joyce Maynard-
“It’s not only children who grow. Parents do too. As much as we watch to see what our children do with their lives, they are watching us to see what we do with ours. I can’t tell my children to reach for the sun. All I can do is reach for it, myself.”
Susan received her Bachelor’s degree in Early Childhood Education from the University of Kentucky and her Masters’s Degree in Education from Georgetown College. She taught in public education for thirty years and fell in love with the HANDS program when both her daughter and daughter-in-law participated in the program.
Susan enjoys working with families as they experience pregnancy and become new parents. She also loves helping families find new resources that can benefit them.
Susan enjoys spending time with her grandbabies, and loves watching them grow and develop. She is a proud grandparent and also proud to say that she is a positive addition to the HANDS team!
Call the Owen County Health Center at 502-484-5736 to speak with Susan about HANDS or reach out by email at SusanC.Sutherland@ky.gov.
My name is Amber Tanner, and I am very excited to work with you as your HANDS support worker!
I graduated from the University of Kentucky with a Bachelor of Science in Nursing. I have three amazing
children of my own (Easton, Emma, and Everly) who keep me busy when I am at home. I have previous
nursing experience working with people of all ages and backgrounds. I have worked as an RN in the
Neonatal Intensive Care Unit (working with newborns), as a clinic nurse with Three Rivers District Health
Department, and as a RN at Addiction Recovery Care. I absolutely love working with families and hope to
use my experience to serve you and your loved ones to the best of my ability.
I am so excited you have decided to be involved in the HANDS program, and I look forward to supporting
you in your parenting journey!
Call the Owen County Health Center at 502-484-5736 to speak with Amber about HANDS or reach out by email at Amber.Tanner@ky.gov
Pendleton County
Hello, my name is Angela Scott, and I am so excited to be your HANDS home visitor for Pendleton County. I have worked in healthcare for twenty years, and have always had a passion to work with families and their little ones, and I am honored to be able to do so with the HANDS program.
I am a mom of four grown children and a MawMaw to four beautiful and amazing grandchildren, two boys and two girls. My family is everything to me and I am excited to work with families to help them grow in their relationships, and learn and achieve goals together.
Call the Pendleton County Health Center at 859-654-6985 to speak with Angela about HANDS or reach out by email at Angela.Scott@ky.gov
- Published: September 16, 2021
- Reviewed/Updated: September 23, 2025