integrating home visiting systems within early childhood comprehensive systems

INTEGRATING HOME VISITING SYSTEMS WITHIN EARLY CHILDHOOD COMPREHENSIVE SYSTEMS

TUESDAY AUGUST 21ST , 2012

The MIECHV TACC is funded under contract #HHSH250201100023C, US Department of Health and Human Services, Health Resources and Services Administration.

The State Maternal, Infant, and Early Childhood Home Visiting Program is administered by HRSA, in collaboration with the Administration for Children and Families.

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Maternal Infant & Early Childhood Home Visiting (MIECHV)

Technical Assistance Coordinating Center

Susan StewartDistance Learning ConsultantMIECHV TACC at Zero to Three

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Webinar Goals

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Webinar Presenters

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Maternal Infant & Early Childhood Home Visiting (MIECHV)Technical Assistance Coordinating Center

Dena Green

Senior Public Health AnalystMaternal and Child Health BureauDivision of Home Visiting and Early Childhood Systems

Authority: Title V, Section 501(a)(3) of the Social Security Act as amended, (42 USC 701(a)U.S. Department of Health and Human ServicesHealth Resources and Services Administration, Maternal and Child Health Bureau

THE EARLY CHILDHOOD COMPREHENSIVE SYSTEMS PROGRAM

The agencies, services, and persons involved in providing resources, care, and information to families with children ages 0-5 and the interactions among the agencies, services, and persons involved..

What is Meant by an Early Childhood System?

Pediatric Practition

ers

CHC’s

Economic Assistance (TANF, WIC,

Foodstamps)

Child Care

Centers

Head Start

Family Resource Centers

Others

CBO’s

An Early Childhood System

FamiliesHome

Visiting

Programs

Subsidized Child Care

Early Inter

v.

The Early Childhood Comprehensive Systems Plan

To 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 ElementsGovernanceFinancingCommunicationsFamily Leadership DevelopmentProvider/Practitioner SupportStandardsMonitoring/Accountability

Adapted from the work of the Early Childhood Systems Working Group

The Early Childhood State Team

ECCS Collaborations and Partnerships

Early Childhood Advisory Councils (ECAC)

Contact: Dena 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 Administration Dgreen@hrsa.gov.

301-443-9768Website: ECCS.HRSA.Gov

BEST BEGINNINGS AND COMMUNITY COLLABORATIONIN MONTANA:ECCS AND MIECHVDebbie Hansen

Dianna 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: MIECHV INFRASTRUCTURE 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 INFRASTRUCTURE DEVELOPMENT 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

STRONG FOUNDATION

ADDRESSING THE TANGLES

SYSTEMS CHANGE

Family needs and

community

priorities

High quality

intervention

Program

Service

System/ Organiz-ations

SYSTEMS CHANGEEarly childhood

organizations/systems that support high

quality programs that meet the needs

of children and families.

Family needs and community priorities

System

CONTACT INFORMATION

Dianna Frick MPH, Lead MCH Epidemiologist, MT dfrick@mt.gov, 406-444-6940

Debora Hansen M.Ed., Early Childhood Systems Coordinator, MT deborahansen@mt.gov, 406-444-1400

Integrating Home Visiting with Early Childhood Comprehensive

Systems in Maine

Early Childhood Comprehensive Systems in Maine• Began in 2004 through the

Children's Cabinet Task Force on Early 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

Array of Home Visiting and Home Based Services in Maine

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

Changing perceptions

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.peavey@maine.gov

In South CarolinaECCS and MIECHV

spell

COLLABORATiONEric Bellamy Rosemary Wilson

http://mchb.hrsa.gov/programs/earlychildhood/comprehensivesystems/

EarlyChildhoodComprehensiveSystems

South CarolinaPutting 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 of minds on our leadership

team.

Everyone

moved away from theirsilos.

ECCS Leadership Team

ECCS Leadership Team

Dept. of Health and Environmental Control

Dept. of Social Services (Child Care)

Dept. of Disabilities and Special Needs

Dept. of Mental Health

Dept. of Health and Human Services

Dept. of Alcohol, Drugs, and other Services

State Dept. of Education (early childhood)

SC First Steps and Part C BabyNet

Family Connection of SC

Federation of Families

Children’s Trust of SC

State AAP Chapter

Head Start Collaboration Office

State CCRR

March of Dimes

United Way

Children’s Law Center

Office of Research and Statistics

PASOS

USC – Early Childhood

Partners appreciate a neutral setting to explore ideas,

share information, make connections,

and grapple with issues.

And always remember…

Collaboration is no small feat.

Partnership Matters

Social Emotional Development

Parenting and Family Support

Early Care and

Education

Medical Homes

Social Emotional Development

Parenting and Family Support

Early Care and Education

Medical Homes

Established Early Care and Education Core Competencies, 3- 5 year old Early Learning Standards, and Infant, Toddler Guidelines

Established a grant funded learning collaborative of 18 pediatric practices focused on quality improvement in medical homes. Interconnectedness with community resources is a key component of medical homes.

ECCS Strategies

Build a cross-sector Professional Development system, aligning Home Visitation, Early Care and Education, and Part C. Utilize early care existing web-based system to catalog training for home visitors.

  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

Look at a stone cutter

hammering away at his

rock, perhaps a hundred times

without as much as a crack

showing in it.

M I E C H V

Partnering builds the reach, understanding and support for the ECCS and MIECHV efforts. Each one lifts up the work of other.

M I E C H V

HV Coalition

EvaluationTeam

Data Collection and CQI

HV TeamInfrastructure & Implementation

All HV models plusChaired by ECCS Coordinator

ECCS

• 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

Supported Funded Sites

7 sites; 12 Counties; 5

modelsChaired by USC Rural Health

Research Center

Those Mandated in legislation plus…Several Key State-Level Partners:

http://www.helpmegrownational.org/pages/resources.php?ResId=35

AlabamaCaliforniaAlameda County, CAFresno County, CAOrange County, CAConnecticutDelawareIowa

KentuckyMassachusettsNew YorkOregonSouth CarolinaUtahWashington

Help Me Grow

Replication StatesM I E C H V

2010Child Care Technical Assistance/Coaches

CCBG

2011Regional Mental Health Providers

ECCS

2012Parenting & Home Visitation Providers

CSEFEL Train the Trainer Cohorts

• 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 Competencies

Health

and

Safety

Guidance and Nurturing

Child and Lifespan Development

Family

Diversity

Dynamics of

Family Relationships

Family, School, Community

RelationshipsParents as Teachers

Healthy FamiliesNurse

Family

Partnershi

p

Early Steps to Child Success

Parent Child

Home

Healthy Steps

Home Visitation Models

?

?

?

?

?

?

Family Check-up

?

M I E C H V

Eric & Rosemary are excited that Zero To Three TACC is now our Partner!! Webinar - August

Site Visit - September

Collaboration

is not always a…

The Mathematical Equation

of Collaboration

Add to each other's knowledge;

Subtract major differences;

Divide the compliments;

Multiply major benefits to our

children.

-Florence Poyadue

Rosemary L. Wilson, LMSW ECCS Coordinator

SCDHEC - MCH - WCSwilsonr@dhec.sc.gov

864-227-5903

Eric L. BellamySC-MIEC Home Visiting

Coordinator  Children’s Trust of South Carolina

ebellamy@scchildren.org803-744-4057   

M I E C H V

Questions & Answers

Potential Next Steps

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Webinar Goals

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 Information

Dena 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 Administration Dgreen@hrsa.gov |301-443-9768

Dianna FrickMPH, Lead MCH Epidemiologist, MTdfrick@mt.gov | 406-444-6940

Sheryl PeaveyChild Wellness Liaison, MESheryl.peavey@maine.gov

Rosemary L. Wilson LMSW, ECCS Coordinator SCDHEC – MCH – WCS, SC

wilsonr@dhec.sc.gov | 864-227-5903

Debora HansenM.Ed., Early Childhood Systems Coordinator, MTdeborahansen@mt.gov | 406-444-1400

Eric BellamySC-MIEC Home Visiting Coordinator, Children’s Trust of South Carolina, SCebellamy@scchildren.org | 803-744-4057   

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MIECHV TACC Websitehttp://mchb.hrsa.gov/programs/homevisiting/ta/index.html

Thank you for attending the webinar today!