the politics of prevention and early (y ears) intervention ... · finland’s maternity package...
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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
“Head Start” “Sure Start” “Better Start”“Early Start” “Equal Start” “Good Start”
………Where to start?
“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
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.
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
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
Productivity Commission Report on Childcareand Early Learning
‘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
Centre forCommunityChild Health:
Collaboratefor Children
Centre forCommunityChild Health:
Collaboratefor Children
2. Integration – contradictions andopportunities
Feeding Families at Forbes Children’ sCentre SA
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
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%)
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
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
Multi-generational approach
Early InterventionFoundation UK
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
“A focus on supporting parents reinforces …..that early intervention and prevention is aboutempowering parents, not State interference infamily life”.
UK Early Intervention Foundation 2015
3 Domains of Parental Wellbeing
Executive functionMental healthEconomic security
3 Domains of Parental Wellbeing
Executive functionMental healthEconomic security
Shonkoff and Fisher 2013
Infant mortality 20131.8 per 1000 births
Baby Basket:Cape York 2014
$874 per person
Baby Basket:Cape York 2014
$874 per person
Finland’s Maternity Package 2014
3. Building a system with children atthe centre
“Improvingchildren’slater lifeoutcomes”
UCL Instituteof Health Equity
2013
“Improvingchildren’slater lifeoutcomes”
UCL Instituteof Health Equity
2013
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.
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
[email protected] @AnneHollonds
DV video
Talking Families Qld 45 sec ad
Toosmalltofail.com
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+
Murdoch Children’s Research Institute
The enduring legacy of the EarlyYears
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
Benefits of prevention and early intervention
benevolent.org.au
•
The enduring legacy of the EarlyYears
http://www.youtube.com/watch?v=lANkrXcEjMc&feature=em-
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http://www.youtube.com/watch?v=lANkrXcEjMc&feature=em-
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Perinatal deaths 1975–2012Source: THL, Nordic perinatal statistics
Maternal mortality
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?