![Page 1: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/1.jpg)
The Politics of Preventionand Early (Years) Intervention:
Why is acting early so hard?
[email protected]: @AnneHollonds
The Politics of Preventionand Early (Years) Intervention:
Why is acting early so hard?
[email protected]: @AnneHollonds
![Page 2: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/2.jpg)
“Head Start” “Sure Start” “Better Start”“Early Start” “Equal Start” “Good Start”
………Where to start?
![Page 3: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/3.jpg)
“prevention is about preventing aproblem before it occurs
early intervention is aboutresponding to the first signs of aproblem”
“prevention is about preventing aproblem before it occurs
early intervention is aboutresponding to the first signs of aproblem”
ARACY
![Page 4: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/4.jpg)
1. Where to start? The politics and the policies
2. Integration – contradictions andopportunities
3. Building a system with childrenat the centre.
1. Where to start? The politics and the policies
2. Integration – contradictions andopportunities
3. Building a system with childrenat the centre.
![Page 5: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/5.jpg)
What Hockey is going on about…
25
30
35
40
25
30
35
40millionmillion
Working age population (15-64)
Child population (0-14)
Aged population (65 and over)
Total Population
Employed Persons
Age Pensioners
Projection
0
5
10
15
20
0
5
10
15
20
1978-79 1988-89 1998-99 2008-09 2018-19 2028-29 2038-39 2048-49
Source: 2010 Intergenerational report
![Page 6: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/6.jpg)
2012-13
• $3.2b on child protection
• $664m on prevention or early intervention
• 7.5% pa increase in child protection costssince 2007
The Forrest Review 2014
• $3.2b on child protection
• $664m on prevention or early intervention
• 7.5% pa increase in child protection costssince 2007
The Forrest Review 2014
![Page 7: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/7.jpg)
Productivity Commission Report on Childcareand Early Learning
![Page 8: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/8.jpg)
![Page 9: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/9.jpg)
![Page 10: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/10.jpg)
![Page 11: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/11.jpg)
![Page 12: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/12.jpg)
![Page 13: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/13.jpg)
![Page 14: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/14.jpg)
![Page 15: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/15.jpg)
![Page 16: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/16.jpg)
![Page 17: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/17.jpg)
![Page 18: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/18.jpg)
‘Sensitive periods’ in earlybrain development
Binocular vision
High
Habitual ways of respondingLanguage
Emotional controlSymbol
Peer social skillsRelative quantity
Central auditory system
0 1 2 3 7654Low
Years
![Page 19: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/19.jpg)
![Page 20: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/20.jpg)
Centre forCommunityChild Health:
Collaboratefor Children
Centre forCommunityChild Health:
Collaboratefor Children
![Page 21: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/21.jpg)
2. Integration – contradictions andopportunities
![Page 22: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/22.jpg)
Feeding Families at Forbes Children’ sCentre SA
![Page 23: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/23.jpg)
Figure 4: A child-centred approach for social system support of the Five by Five.Adapted from the UCL Institute of Health Equity report “An Equal Start: improving outcomes in Children’s
Centres”. BetterStart 2014
![Page 24: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/24.jpg)
School Readiness
Australian Early Development Census (AEDC)
• Physical health and wellbeing• Social competence• Emotional maturity• Language and cognitive skills• Communication skills and general knowledge
2012: 22% vulnerable in one or more domains / Indigenouschildren 43%)
• Physical health and wellbeing• Social competence• Emotional maturity• Language and cognitive skills• Communication skills and general knowledge
2012: 22% vulnerable in one or more domains / Indigenouschildren 43%)
![Page 25: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/25.jpg)
400
600
800
1000N
umer
acy
NAP
LAN
scor
e
Vulnerable student
Non-vulnerablestudent
Telethon Kids Institute 2015
0
200
Year 3 Year 5 Year 7 Year 9
Num
erac
y N
APLA
N sc
ore
Non-vulnerablestudent
![Page 26: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/26.jpg)
Indigenous Affairs priorities of theAustralian Government:
• Getting children to school• Getting adults to work• Building safer Indigenous communities
• Getting children to school• Getting adults to work• Building safer Indigenous communities
![Page 27: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/27.jpg)
Multi-generational approach
![Page 28: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/28.jpg)
Early InterventionFoundation UK
2015
![Page 29: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/29.jpg)
“A focus on supporting parents reinforces …..that early intervention and prevention is aboutempowering parents, not State interference infamily life”.
UK Early Intervention Foundation 2015
“A focus on supporting parents reinforces …..that early intervention and prevention is aboutempowering parents, not State interference infamily life”.
UK Early Intervention Foundation 2015
![Page 30: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/30.jpg)
3 Domains of Parental Wellbeing
Executive functionMental healthEconomic security
3 Domains of Parental Wellbeing
Executive functionMental healthEconomic security
Shonkoff and Fisher 2013
![Page 31: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/31.jpg)
Infant mortality 20131.8 per 1000 births
![Page 32: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/32.jpg)
Baby Basket:Cape York 2014
$874 per person
Baby Basket:Cape York 2014
$874 per person
![Page 33: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/33.jpg)
Finland’s Maternity Package 2014
![Page 34: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/34.jpg)
3. Building a system with children atthe centre
![Page 35: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/35.jpg)
“Improvingchildren’slater lifeoutcomes”
UCL Instituteof Health Equity
2013
“Improvingchildren’slater lifeoutcomes”
UCL Instituteof Health Equity
2013
![Page 36: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/36.jpg)
![Page 37: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/37.jpg)
System Elements
• National Outcomes Framework• Integrated evidence-informed policy• Inter-professional practice and progressive
universalism platforms• Enablers: Implementation support, outcomes
measurement, data linkage• Evidence-informed interventions: children,
parents, family relationships.
• National Outcomes Framework• Integrated evidence-informed policy• Inter-professional practice and progressive
universalism platforms• Enablers: Implementation support, outcomes
measurement, data linkage• Evidence-informed interventions: children,
parents, family relationships.
![Page 38: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/38.jpg)
We need…..
• Longer term planning – 10 and 20 year plans
• Investment in prevention and early yearsintervention
• Transition plans from late reactionexpenditure to investment much earlier
• Longer term planning – 10 and 20 year plans
• Investment in prevention and early yearsintervention
• Transition plans from late reactionexpenditure to investment much earlier
![Page 39: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/39.jpg)
[email protected] @AnneHollonds
![Page 40: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/40.jpg)
DV video
![Page 41: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/41.jpg)
Talking Families Qld 45 sec ad
![Page 42: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/42.jpg)
Toosmalltofail.com
![Page 43: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/43.jpg)
NET Important
88
91
89
88
88
Support for Investment in Early Action
57%
59%
58%
60%
58%
32%
32%
31%
28%
90%
7%
6%
7%
4%
8%
2%
2%
2%
7%
2%
3%
2%
2%
1%
2%
Total
Blue Collar
White Collar
<$20K
$20K- $39K
Very Important Quite Important Not Very Important Not at all Important Not sure
88
89
90
91
91
Q1. Overall, how important do you feel it is for Governments to invest more in acting early to support familieswith young children as a way to help prevent problems and save money in the long term?Base: All respondents (n=1000)The Benevolent Society 2013 43
58%
89%
60%
58%
53%
90%
30%
30%
33%
38%
8%
9%
7%
8%
2%
2%
2%
1%
1%
3%
2%
1%
2%
5%
0% 20% 40% 60% 80% 100%
$20K- $39K
$40K- $59K
$60K- $99K
$100K- $149K
$150K+
![Page 44: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/44.jpg)
Murdoch Children’s Research Institute
![Page 45: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/45.jpg)
The enduring legacy of the EarlyYears
![Page 46: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/46.jpg)
BetterStart 5x5
5 dimensions of healthy development:1. Physical2. Language3. Attachment4. Social emotional5. Cognitive
5 stages of healthy development:1. Pregnancy2. Post-natal3. Infancy4. Toddlerhood5. Early childhood
5 dimensions of healthy development:1. Physical2. Language3. Attachment4. Social emotional5. Cognitive
5 stages of healthy development:1. Pregnancy2. Post-natal3. Infancy4. Toddlerhood5. Early childhood
![Page 47: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/47.jpg)
Benefits of prevention and early intervention
benevolent.org.au
![Page 48: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/48.jpg)
•
![Page 49: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/49.jpg)
The enduring legacy of the EarlyYears
![Page 50: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/50.jpg)
http://www.youtube.com/watch?v=lANkrXcEjMc&feature=em-
share_video_user
http://www.youtube.com/watch?v=lANkrXcEjMc&feature=em-
share_video_user
![Page 51: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/51.jpg)
Perinatal deaths 1975–2012Source: THL, Nordic perinatal statistics
![Page 52: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/52.jpg)
Maternal mortality
![Page 53: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/53.jpg)
![Page 54: The Politics of Prevention and Early (Y ears) Intervention ... · Finland’s Maternity Package 2014. 3. Building a system with children at the centre “Improving children’s later](https://reader034.vdocument.in/reader034/viewer/2022050516/5fa00a14bc6c4c5c875b93bb/html5/thumbnails/54.jpg)
1. Where to start? The politics and thepolicies
What do we know?What do we have?What can we do with what we have?
1. Where to start? The politics and thepolicies
What do we know?What do we have?What can we do with what we have?