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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
Telephones are muted…
…telephones are better than computer speakers.
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“send”.
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2. Click “send”.
Webinar Presenters
10
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 [email protected].
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 [email protected], 406-444-6940
Debora Hansen M.Ed., Early Childhood Systems Coordinator, MT [email protected], 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– [email protected]
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 - [email protected]
864-227-5903
Eric L. BellamySC-MIEC Home Visiting
Coordinator Children’s Trust of South Carolina
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 [email protected] |301-443-9768
Dianna FrickMPH, Lead MCH Epidemiologist, [email protected] | 406-444-6940
Sheryl PeaveyChild Wellness Liaison, [email protected]
Rosemary L. Wilson LMSW, ECCS Coordinator SCDHEC – MCH – WCS, SC
[email protected] | 864-227-5903
Debora HansenM.Ed., Early Childhood Systems Coordinator, [email protected] | 406-444-1400
Eric BellamySC-MIEC Home Visiting Coordinator, Children’s Trust of South Carolina, [email protected] | 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!