Integrating Home Visiting Systems within Early Childhood Comprehensive SystemsPresentation Transcript
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.
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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
The Early Childhood State Team
ECCS Collaborations andPartnerships
Early Childhood Advisory Councils (ECAC)
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
ADDRESSING THE TANGLES
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 email@example.com, 406-444-6940 Debora Hansen M.Ed., Early Childhood Systems Coordinator, MT firstname.lastname@example.org, 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.email@example.com
In South Carolina ECCS and MIECHV spellCOLLABORATiON Eric Bellamy Rosemary Wilson
Early Childhood Comprehensive SystemsSouth Carolina Putting the pieces together
Do you want a collection of brilliant minds or a brilliant collection of minds? R. Meredith Belbin
SC ECCS has a brilliant collection ofminds on our leadership team.
Everyone moved awayfrom their silos.
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…
Collaboration is no small feat.
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
M I E C H V
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.
Where are we now? M I E C H V
Core Home VisitationCompetencies Models Healthy Steps ? ? Parents as Teachers ? ?? ? M I E C H V ?
Eric & Rosemary are excited that Zero To Three TACC is now our Partner!! Webinar - August Site Visit - September
Collaborationis not always a…
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 firstname.lastname@example.org email@example.com 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 firstname.lastname@example.org | 406-444-1400Sheryl PeaveyChild Wellness Liaison, MESheryl.email@example.com Eric Bellamy Rosemary L. Wilson LMSW, ECCS Coordinator SCDHEC – MCH – WCS, SC SC-MIEC Home Visiting Coordinator, Children’s Trust of South Carolina, SC firstname.lastname@example.org| 864-227-5903 email@example.com| 803-744-4057
MIECHV TACC Website http://mchb.hrsa.gov/programs/homevisiting/ta/index.html73 Thank you for attending the webinar today!