12:00 Pacific / 1:00 Mountain / 2:00 Central / 3:00 Eastern (1 minute)Production Notes:Note when questions are asked so that questions can be sent to the correct presenter for response.Welcome everyone to the integrating home vising systems within early childhood comprehensive systems webinar.
I am Susan Stewart a distance learning consultant for the MIECHV TACC at Zero to Three.This webinar is hosted by the Maternal Infant and Early Childhood Home Visiting Technical Assistance Coordinating Center (TACC). TACC is funded by HRSA and operates from ZERO TO THREE and in partnership with Chapin Hall, AMCHP and WRMA. TACC is funded to provide many levels of technical assistancesupport to MIECHV grantees, including webinars like this one. Support from TACC can be accessed through your HRSA Regional Project Officers.
As a result of our time together today you will learn about….How the ECCS and MIECHV grants complement one another in building statewide early childhood systems of care.How outcomes for children and families can be strengthened with implementation plans of both systems are connected.Specific ways that states have endeavored to integrate the two systems.
12:01 Pacific / 1:01 Mountain / 2:01 Central / 3:01 Eastern (1 minute)Before I introduce our presenters and we receive a welcome from our funder, we need to put a few ducks in a row.
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Finally, you should have received the PowerPoint slides for today’s webinar via email if you registered for today’s webinar by this morning. If you registered a bit later you will receive the PowerPoint slides a bit later via email. We will also send out copies of the PowerPoint slides after the webinar to all webinar registrants and they will be posted to our website. Throughout the webinar contact information for the presenters and helpful links you may want to explore will be shared. All of these details are in the PowerPoint slides.
12:02 Pacific / 1:02 Mountain / 2:02 Central / 3:02 Eastern (3 minutes)And now I’d like to introduce you to our speakers. First we will hear from Debora Hansen and Dianna Frick who are representing the work being done in Montana. Debora Hansen has a Bachelors in Special Education and Elementary Education and a Masters of Education in Curriculum and Instruction. She worked in the early childhood profession since 1987 as a child care director. In May 2011, she started working for the state in the Early Childhood Services Bureau. She is the ECCS Coordinator and also the Best Beginnings Advisory Council Coordinator. Dianna Frick first became interested in the field of public health as a Peace Corps Volunteer in West Africa. After Peace Corps she earned her Master of Public Health from the University of North Carolina at Chapel Hill. In 2004, she moved to Montana as a Public Health Prevention Specialist with the Centers for Disease Control and Prevention. Since 2007, she has been the Lead Maternal and Child Health Epidemiologist at the Montana Department of Public Health and Human Services. Currently, she is also coordinating the Maternal, Infant, and Early Childhood Home Visiting Infrastructure Development Project.Our next speaker is from Maine. Sheryl Peavey is the Child Wellness Liaison for the Office of Health Equity at the Maine Department of Health and Human Services. She currently directs the state’s Early Childhood Comprehensive Systems project (ECCS), the state’s Maternal, Infant, and Early Childhood Home Visiting projects and administers its evidence based home visiting program, Maine Families. Ms. Peavey manages several federal grants; including the State Advisory Council funding for the Maine Children’s Growth Council, the Early Childhood Comprehensive Systems grant, and Project LAUNCH (Community Caring Collaborative). She also coordinates the state partnership with the Maine Child Abuse and Neglect Prevention Councils. Ms. Peavey’s career has been diverse but always focused on the well-being of children and their families. She has worked with national corporations, government and military agencies, and local coalitions to implement family-friendly business practices and quality child care benefits. Her work history includes high-quality, employer-sponsored child care partnerships, child and family research projects, policy development/analysis, community facilitation, and program evaluation. She is an elected member of her local town’s budget committee and volunteers time for her children’s afterschool and recreation programs.Finally, Eric Bellamy and Rosemary Wilson will speak to the collaborations that are happening in South Carolina.Eric Bellamy has worked with Children’s Trust of South Carolina for two years, after several years of human services, youth development, and health education experience. With a passion for children and adolescent health services, he has worked on such initiatives as adolescent pregnancy prevention, Hurricane Katrina/Rita Relief projects, and infrastructure building for children’s mental health and substance abuse services. He serves as the Maternal, Infant and Early Childhood (MIEC) Home Visiting Coordinator and oversees all operations of the project’s initiatives. A native of Bridgeport, CT, Eric holds a Bachelor of Science Degree in Health Promotion from Coastal Carolina University.Rosemary Wilson is currently the Early Childhood Comprehensive Systems Grant Coordinator, working for the Maternal and Child Health Bureau, Women and Children’s Services division of the SC Department of Health and Environmental Control. (DHEC) Prior to starting this job in 2006, she held positions in the agency including Part C District System Manager, Community Outreach Coordination, Care Coordination Manager for Children with Special Health Care Needs, and as a Social Worker for Children’s Rehabilitative Services and Home Health. Rosemary has also worked as a hospital Social Worker in Washington state and Georgia. Her early career included working in a psychiatric hospital with children and adolescents and in an alternative school setting with the same population. Rosemary has a BS in Mental Health from Georgia State University and earned her MSW from the University of Georgia.At this time I’d like to turn the floor over to
12:05 Pacific / 1:05 Mountain / 2:05 Central / 3:05 Eastern (15 minutes)Production Notes: Give Dena Mouse/Keyboard ControlDena Green who is the Senior Public Health Analyst, for the Early Childhood Comprehensive Systems Program, in the Program Planning and Coordination Branch of the Division of Home Visiting and Early Childhood Systems which resides in the Maternal and Child Health Bureau of the Health Resources and Services Administration. Dena will set the stage for our presenters, emphasizing the importance of the collaboration and coordination between Home Visiting and Early Childhood Comprehensive Systems.
Thank you, Dena for providing foundational information about The Early Childhood Comprehensive Systems Program. If any of you have questions about the ECCS you can contact Dena via email or telephone. The contact information for all of the presenters will also be listed on a slide at the end of the webinar.
12:20 Pacific / 1:20 Mountain / 2:20 Central / 3:20 Eastern (15 minutes)Production Notes: Give Dianna Mouse/Keyboard ControlI’d like to turn the presentation over to Debbie Hansen and Dianna Frick who will describe the collaboration between the ECCS and MIECHV in Montana. Debora will begin sharing about their work. Production Notes: Remove Dena’s Mouse/Keyboard Control
How ECCS and Best Beginnings are related
Principles are shared between ECCS, Head Start Collaboration Office, and Best Beginnings/MIECHV ID.Refer to Best Beginnings table.
Community in a broader sense.
Roles: fiscal agents – who controls the money: governance structure – coordinator’s role, who supervises the coordinator, how does that work when they are responsive to the council; how does the state BBAC relate to local councils; can they impose requirements; how do the local councils ask for BBAC to work on issues
Stevenson and SonsDiscussion with FB
The system should change to support the interventions and meet the needs.
Thank you, Dianna and Debbie for sharing about the important front end work that must be done to ensure that the changes you make will be sustained over time.
12:35 Pacific / 1:35 Mountain / 2:35 Central / 3:35 Eastern (15 minutes)Production Notes: Give Sheryl Mouse/Keyboard ControlI will now turn the floor over to Sheryl Peavey who will speak to the work being done in Maine to integrate home visiting and ECCS. Sheryl, you have the floor.Production Notes: Remove Dianna’s Mouse/Keyboard Control
Began as a pilot, using national and homegrown modelsTask Force to Study Parents as Children’s First Teachers began in 1997 (which became the Task Force on Early Childhood….)Expanded with the tobacco settlement funds and included evaluation component
Professional Development Registry for Early Care and Education (MRTQ)Home Visiting Track (Family Education and Support Professional)Provides electronic record of training participation and post-secondary education documentationAligned with MF Standards of Practice
Thank you, Sheryl. You highlighted how the home visiting component added value to the other programs and the importance of having a mindset of looking for opportunities for intersection. These are fundamental to successful integration of systems.
12:50 Pacific / 1:50 Mountain / 2:50 Central / 3:50 Eastern (25 minutes)Production Notes: Give Rosemary Mouse/Keyboard ControlOur final presenters for today are Eric Bellamy and Rosemary Wilson. They will describe their South Carolinian collaboration. Rosemary, take it away.Production Notes: Remove Sheryl’s Mouse/Keyboard Control
ECCS grant started as planning grants. Does not mean that there were not already planning efforts and strategies implemented to improve EC. There were, and they were making progress, but typically it was within the silo of their EC domain. SC planning organized around a Leadership Planning Team, and 4 groups shaped by the ECCS key components. Like many states, SC combined the Parenting and Family Support components because of there strong overlap in services and mission,
What kind of group is helpful while looking at building a better system?
The SC ECCS Leadership team is a great connecting point – like the center of the ECCS flower – for thinking, planning, learning, sharing around the aspects of our early childhood system.
Representatives come from these areas – core as well as open to others to come and go – depending on the structure of each meeting. Children’s Trust (MIECHV) has been a long standing member and hosted the planning group for Parenting and Familiy Support for over two years. These planning meetings started our discussions around forming a cross sector early childhood professional development system.
Many ideas are crafted for multiple years of discussion and experimentation. With the MIECHV grant came the funding that could support the infrastructure building. Will turn this over to Eric
1:15 Pacific / 2:15 Mountain / 3:15 Central / 4:15 Eastern (10 minutes)Many thanks to all of our presenters. Your experiences are illuminating and help put wheels on the integration of home visiting systems with early childhood comprehensive systems.Throughout the webinar questions have been posted to chat and the Question and Answer box. We have a little time to address some of those questions and perhaps some new questions you’d like to post now. If we are unable to get to some of the questions, we will follow up with you…or you may follow-up with any of the presenters. Contact information for each of the presenters will be on the final slide.
1:25 Pacific / 2:25 Mountain / 3:25 Central / 4:25 Eastern (5 minutes)Before we end, we’d like to leave you with some examples of concrete steps state leaders can take to facilitate the integration of these systems…on behalf and in support of our children and their families.As our colleagues Eric and Rosemary, from South Carolina, demonstrated that it is important to be intentional about building and cultivating personal relationships with collaborators and prospective collaborators. Our colleague Sheryl, from Maine, emphasized the need to find and show how the home visiting program actually contributes to the whole system of early care and education in several concrete ways. And our colleagues from Montana suggest that a critical step is to seek out leadership in related arenas and garner their understanding and commitment to the integration of home visiting systems with early childhood comprehensive systems.
Take a moment to scan these goals and note to yourself how each of them have been met by the webinar. You may also want to jot down where you need to follow-up to enhance your learning from today.
Our presenters who have generously given of their time to share their stories with us are also making themselves available to us as we continue to work on integrating these systems. We’d like to thank each of you Dianna, Debora, Sheryl, Rosemary and Eric for sharing your experiences with us, and Dena for representing HRSA and sharing background on this topic. As a reminder, participants will be sent a copy of the PowerPoint slides in the near future via email.
For an archived copy of this webinar please visit the MIECHV TACC website. The archived copies of this webinar will be available as soon as all materials have been processed to meet 508 compliance quality assurance standards.Thanks for attending and have a great day!
Integrating Home Visiting Systems within Early Childhood Comprehensive Systems
WITHIN EARLY CHILDHOOD COMPREHENSIVE SYSTEMS TUESDAY AUGUST 21ST , 2012The MIECHV TACC is funded under The State Maternal, Infant, and Early Childhood Homecontract #HHSH250201100023C, USDepartment of Health and Human Visiting Program is administered by HRSA, inServices, Health Resources and Services collaboration with the Administration for Children and Families.
Maternal Infant & Early Childhood Home Visiting (MIECHV) Technical Assistance Coordinating Center2 The Technical Assistance Coordinating Center (TACC) is funded by HRSA ZERO TO THREE and subcontracted partners Chapin Hall, Association of Maternal & Child Health Programs (AMCHP) and Walter R. McDonald & Associates, Inc. (WRMA) TACC Provides different levels of support to MIECHV grantees using ZERO TO THREE and partner staff, along with numerous expert consultants and in coordination with other TA providers Susan Stewart Distance Learning Consultant MIECHV TACC at Zero to Three
Webinar Goals3 Participants will: • Become familiar with the complementary roles of ECCS and MIECHV grants in building state early childhood systems of care. • Be able to articulate how ECCS and MIECHV implementation plans can strengthen outcomes for children and families when efforts are connected. • Be able to discuss some of the conditions that support coordination of early childhood systems work. • Be able to describe several specific strategies states have employed to integrate home visiting systems within early childhood comprehensive systems.
Telephones are muted……telephones are better than computer speakers.
Chat 1. Type your comment. 2. Check 3. Click recipients. “send”.
Questions 1. Type your question. 2. Click “send”.
Webinar Presenters Debora Hansen – Dianna Frick - Sheryl Peavey - Eric Bellamy - South Montana Best Montana Lead Child Wellness Carolina MIEC Home Beginnings Systems Maternal and Child Liaison for the Office Visiting Coordinator & Coordinator Health Epidemiologist of Health Equity at the Rosemary L. Wilson - Maine Department of Early Childhood Health and Human Comprehensive Services Systems Initiative DHEC - MCH - WCS
Maternal Infant & Early Childhood Home Visiting (MIECHV) Technical Assistance Coordinating Center10 Dena Green Senior Public Health Analyst Maternal and Child Health Bureau Division of Home Visiting and Early Childhood Systems
THE EARLY CHILDHOODCOMPREHENSIVE SYSTEMSPROGRAMAuthority: Title V, Section 501(a)(3) of the Social Security Actas amended, (42 USC 701(a)U.S. Department of Health and Human ServicesHealth Resources and Services Administration, Maternal and Child HealthBureau
What is Meant by an Early ChildhoodSystem?The agencies, services, and persons involved inproviding resources, care, and information tofamilies with children ages 0-5 and theinteractions among the agencies, services, andpersons involved..
An Early Childhood System Pediatric Family Practitioner Resource s Child Care Centers Centers CHC’s Home VisitingP Economic Families rograms Assistance (TANF, WIC, OthersFoodstamps) Head CBO’s Start Early Subsidized Interv. Child Care
The Early Childhood Comprehensive Systems PlanTo build a comprehensive early childhood system what needs to be addressed?
ECCS Critical Components 5 Critical Components Medical Homes/ Health Care Early Care and Education Social-Emotional Development/Mental Health Family Support Services Parent Education
Seven Systems Elements Governance Financing Communications Family Leadership Development Provider/Practitioner Support Standards Monitoring/AccountabilityAdapted from the work of the Early Childhood Systems Working Group
Contact: Dena Green Senior Public Health Analyst, Early Childhood Comprehensive Systems Program Program Planning and Coordination BranchDivision of Home Visiting and Early Childhood Systems Maternal and Child Health Bureau, Health Resources and Services Administration Dgreen@hrsa.gov. 301-443-9768 Website: ECCS.HRSA.Gov
BEST BEGINNINGS ANDCOMMUNITY COLLABORATIONIN MONTANA:ECCS AND MIECHVDebbie HansenDianna Frick
MISSION AND INTENT: BEST BEGINNINGS A philosophy about connecting and supporting comprehensive early childhood systems Supported by the governor Mission: to improve long-term school readiness outcomes for all children and families in Montana Intent: comprehensive, coordinated early childhood systems
MOTIVATION: MIECHVINFRASTRUCTURE DEVELOPMENT Potential changes to state-funded Public Health Home Visiting Program Interest in evidence-based home visiting Response to MIECHV Service Delivery RFP Communities already developing partnerships and community councils Partnership with Early Childhood Services Bureau
INTENT: MIECHV INFRASTRUCTUREDEVELOPMENT Broad, community-based support for evidence-based home visiting as part of a larger system of early childhood services and programs Support and expand the number of Best Beginnings Community Councils Short-term funding; long-term community infrastructure Connections, conversations
SHARED PRINCIPLES Children have access to high quality Early Childhood Programs. Families with young children are supported in their community. Children have access to a medical/dental home and insurance. Social, emotional, and mental health needs of young children and families are supported.
BEST BEGINNINGS AND MIECHV ID Best Beginnings is philosophy, MIECHV ID is funding source Similar applications Similar requirements Community coalition Community coordinator Community assessment Governance structure Plan
COMMUNITY SUPPORT Relationship building Among state partners State and communities Among communities Within communities Collaboration expertise: Karen Ray Full spectrum of coalition development Flexibility
CHALLENGES Logistical… “How does this work in a practical way?” Having difficult conversations/overcoming history Community assessments Roles Grant requirements versus demonstrated collaboration
SYSTEMS CHANGE Program Family System/ needs and Organiz- community High quality ations priorities intervention Service
SYSTEMS CHANGE System Early childhood organizations/systems Family needs that support high and quality programs that community priorities meet the needs of children and families.
CONTACT INFORMATION Dianna Frick MPH, Lead MCH Epidemiologist, MT firstname.lastname@example.org, 406-444-6940 Debora Hansen M.Ed., Early Childhood Systems Coordinator, MT email@example.com, 406-444-1400
Integrating Home Visiting with Early ChildhoodComprehensive Systems in Maine
Early Childhood Comprehensive Systems in Maine Began inTask Force on Early • Cabinet 2004 through the Childrens Childhood • ECCS State plan, Invest Early in Maine, followed HRSA’s recommended components and included specific activities to promote home visiting • In 2008, the Task Force on Early Childhood became the legislatively authorized early childhood advisory body, the Maine Children’s Growth Council with committees/accountability teams focused on implementing the objectives of Invest Early in Maine
Localized programs (Project LAUNCH, P Maine assages) Child Families Protective Home Public Services Visiting Health/ Community Health Home Nursing Child Based Early Developme Head Start nt Services Childrens Family Behavioral Literacy Health ServicesArray of Home Visiting and Home Based Services inMaine
Maine Families Home Visiting• Current Statewide home visiting program• State-funded professional development – In-state Touchpoints Training Team• Standards of Practice as part of contract• Ongoing quality assurance and evaluation• Funded at one time by tobacco settlement monies; now includes state and federal funds
Maine Families Home Visiting • Network in all 16 counties • Primarily rural geography • Unique partnerships with other community providers • Core public health home visiting delivery system
Convergence of the Programs• DHHS Re-alignment/Re-structuring• Continuity of Personnel: institutional knowledge and background in home visiting program evaluation• Natural extension of the Council work
Supporting Home Visiting Supports the Whole System• Professional Development and Training• Model for Data Collection and Analysis to drive best practice• Coordination among several federal and local initiatives to support replication• Improved coordination among service delivery sectors
Accountability and Evaluation• Ongoing Maine Families Evaluation – State and National Public Health Benchmarks (child and family outcomes) – Standards of Practice/PAT Fidelity (process outcomes for quality assurance)• Use of MCH epidemiologists• Public Hearing on Needs Assessment findings through the Maine Children’s Growth Council (MCGC)
Challenged by perceptions• Prevention wasn’t a priority of the administration• Maine Families Home Visiting was a pet project of MCGC staff• Maine Families duplicated other home-based services• Evidence base for the program was questioned
Responding with reality• Maine Children’s Growth Council messaging increased awareness of value of prevention programming• Hired outside staffing support• Each program serves different populations; collaboration coaches support redefining roles/functions• PAT recognized as Evidence based program
Links of Interest• Maine Children’s Growth Council – www.mainecgc.org or Facebook• Maine Families Home Visiting – www.mainefamilies.org• Maine MIECHV Efforts – http://mainecgc.org/miechv.htm• Sheryl Peavey, State Administrator – Sheryl.firstname.lastname@example.org
In South Carolina ECCS and MIECHV spellCOLLABORATiON Eric Bellamy Rosemary Wilson
ECCS Leadership ECCS Leadership Team Team Children’s Trust of SCDept. of Health and Environmental ControlDept. of Social Services (Child Care) State AAP ChapterDept. of Disabilities and Special Needs Head Start Collaboration OfficeDept. of Mental Health State CCRRDept. of Health and Human Services March of DimesDept. of Alcohol, Drugs, and other United WayServices Children’s Law CenterState Dept. of Education (early childhood) Office of Research and StatisticsSC First Steps and Part C BabyNet PASOSFamily Connection of SC USC – Early ChildhoodFederation of Families
Partners appreciate a neutral setting to explore ideas, share information, make connections, and grapple with issues. And always remember…
ECCS Strategies Early Care and EducationEstablished Early Care and Education Core Competencies, 3- 5 year oldEarly Learning Standards, and Infant, Toddler GuidelinesMedical HomesEstablished a grant funded learning collaborative of 18 pediatric practicesfocused on quality improvement in medical homes. Interconnectedness withcommunity resources is a key component of medical homes.Parentingand Family SupportBuild a cross-sector Professional Development system, aligning HomeVisitation, Early Care and Education, and Part C. Utilize early care existing web-based system to catalog training for home visitors.Social Emotional Development
Look at a stone cutter hammering away at his rock, perhaps a hundred times without as much as a crack showing in it.Yet at the hundred-and-first blow it will split in two, and I know it was not the last blow that did it, but all that had gone before. ~Jacob A. Riis
Partnering builds the reach, understandingand support for the ECCS and MIECHVefforts.Each one lifts up the work of other. M I E C H V
HV Coalition Those Mandated in legislation plus… Several Key State-Level Partners: • SC Gov’s Office • PASOs (Latino Advocacy/Outreach) • Family Connection (Families w/ Children w/ Disabilities) • Dept of Education • March of Dimes • SC Campaign to Prevent Teen Pregnancy ECCS Evaluation Supported HV Team Team Funded Sites Infrastructure &Data Collection and CQI 7 sites; 12 Counties; Implementation 5 models All HV models plus Chaired by USC Rural Health Research Center Chaired by ECCS Coordinator
http://www.helpmegrownational.org/ pages/resources.php?ResId=35Alabama KentuckyCalifornia MassachusettsAlameda County, CA Help Me Grow New YorkFresno County, CA OregonOrange County, CA Replication States South CarolinaConnecticut UtahDelaware WashingtonIowa M I E C H V
CSEFEL Train the Trainer Cohorts 2010 2011 2012Child Care Technical Regional Mental Parenting&HomeAssistance/Coaches Health Providers Visitation Providers CCBG ECCS • Split funded by ECCS and MIECHV • Same Trainer • Utilized electronic documentation of trainees within the SC Center for Child Care Career Development system.
The Mathematical Add to each others Equation knowledge; of Collaboration Subtract major differences; Divide the compliments; Multiply major benefits to our children. -Florence Poyadue
Rosemary L. Wilson, LMSW Eric L. Bellamy ECCS Coordinator SC-MIEC Home Visiting Coordinator SCDHEC - MCH - WCS Children’s Trust of South Carolina email@example.com firstname.lastname@example.org 864-227-5903 803-744-4057 M I E C H V
Questions & Answers Eric Bellamy - South Sheryl Peavey - Child Carolina MIEC Home Wellness Liaison for the Visiting Coordinator & Office of Health Equity Rosemary L. Wilson - at the Maine Early Childhood Department of Health Comprehensive and Human Services Systems Initiative DHEC - MCH - WCS Dianna Frick - Montana Lead Maternal and Child Health Epidemiologist Debora Hansen – Montana Best Beginnings Systems Coordinator
Potential Next Steps Secure Intentionally Demonstrate leadership buy- build personal the “what’s in it in and support relationships. for us” factor. for integration.
Webinar Goals71 Participants will: • Become familiar with the complementary roles of ECCS and MIECHV grants in building state early childhood systems of care. • Be able to articulate how ECCS and MIECHV implementation plans can strengthen outcomes for children and families when efforts are connected. • Be able to discuss some of the conditions that support coordination of early childhood systems work. • Be able to describe several specific strategies states have employed to integrate home visiting systems within early childhood comprehensive systems.
Presenter Contact InformationDena GreenSenior Public Health Analyst, Early Childhood Comprehensive Systems Program, Program Planning and Coordination Branch,Division of Home Visiting and Early Childhood Systems, Maternal and Child Health Bureau, Health Resources and Services AdmDgreen@hrsa.gov |301-443-9768Dianna Frick Debora HansenMPH, Lead MCH Epidemiologist, MT M.Ed., Early Childhood Systems Coordinator, MTdfrick@mt.gov | 406-444-6940 email@example.com | 406-444-1400Sheryl PeaveyChild Wellness Liaison, MESheryl.firstname.lastname@example.org Eric Bellamy Rosemary L. Wilson LMSW, ECCS Coordinator SCDHEC – MCH – WCS, SC SC-MIEC Home Visiting Coordinator, Children’s Trust of South Carolina, SC email@example.com| 864-227-5903 firstname.lastname@example.org| 803-744-4057
MIECHV TACC Website http://mchb.hrsa.gov/programs/homevisiting/ta/index.html73 Thank you for attending the webinar today!
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