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WITHIN EARLY
                                          CHILDHOOD
                                          COMPREHENSIVE
                                          SYSTEMS

                                          TUESDAY AUGUST 21ST
                                          , 2012

The MIECHV TACC is funded under                       The State Maternal, Infant, and Early Childhood Home
contract #HHSH250201100023C, US
Department of Health and Human
                                                      Visiting Program is administered by HRSA, in
Services, Health Resources and Services               collaboration with the Administration for Children and
                                                      Families.
Maternal Infant & Early Childhood Home Visiting
                       (MIECHV)
      Technical Assistance Coordinating Center
2




    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 Goals
3




    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 Center
10




                        Dena Green
                        Senior Public Health Analyst
                        Maternal and Child Health Bureau
                        Division of Home Visiting and Early Childhood
                        Systems
THE EARLY CHILDHOOD
COMPREHENSIVE SYSTEMS
PROGRAM
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 Services
Health Resources and Services Administration, Maternal and Child Health
Bureau
What is Meant by an Early Childhood
System?
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..
An Early Childhood
                            System
                            Pediatric
           Family          Practitioner
          Resource              s             Child Care
           Centers                             Centers

      CHC’s                                            Home
                                                      VisitingP
  Economic
                         Families                     rograms
 Assistance
 (TANF, WIC,                                        Others
Foodstamps)
               Head                             CBO’s
               Start
                                           Early
                        Subsidized
                                          Interv.
                        Child Care
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 Elements
  Governance
  Financing
  Communications
  Family Leadership Development
  Provider/Practitioner Support
  Standards
  Monitoring/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 Green
             Senior 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
          Website: ECCS.HRSA.Gov
BEST BEGINNINGS AND
COMMUNITY COLLABORATION
IN MONTANA:
ECCS AND MIECHV
Debbie 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
                 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
   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 inTask Force on Early
                     •
                       Cabinet
                               2004 through the Children's

                                  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
                                                                     Children's
                   Family                                            Behavioral
                  Literacy                                             Health
                                                                      Services




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
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 Carolina
    ECCS and MIECHV
          spell
COLLABORATiON
 Eric Bellamy    Rosemary Wilson
http://mchb.hrsa.gov/programs/earlychildhood/comprehensivesystems/
Early
                         Childhood
                         Comprehensive
                         Systems


South 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 of
minds on our
  leadership
     team.
Everyone
  moved
   away
from their
   silos.
ECCS Leadership
                     ECCS Leadership
                               Team
                               Team Children’s Trust of SC
Dept. of Health and Environmental Control
Dept. of Social Services (Child Care)        State AAP Chapter
Dept. of Disabilities and Special Needs      Head Start Collaboration Office
Dept. of Mental Health                       State CCRR
Dept. of Health and Human Services           March of Dimes
Dept. of Alcohol, Drugs, and other           United Way
Services                                     Children’s Law Center
State Dept. of Education (early childhood)   Office of Research and Statistics
SC First Steps and Part C BabyNet            PASOS
Family Connection of SC                      USC – Early Childhood
Federation 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.
Partnership Matters
ECCS Strategies
 Early Care and Education
Established Early Care and Education Core Competencies, 3- 5 year old
Early Learning Standards, and Infant, Toddler Guidelines

Medical Homes
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.

Parentingand Family Support
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.
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, 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
                                       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=35


Alabama                                               Kentucky
California                                            Massachusetts
Alameda County, CA      Help Me Grow                  New York
Fresno County, CA                                     Oregon
Orange County, CA
                          Replication States          South Carolina
Connecticut                                           Utah
Delaware                                              Washington
Iowa                  M     I   E    C     H    V
CSEFEL Train the Trainer Cohorts
       2010                  2011                   2012
Child Care Technical   Regional Mental       Parenting&Home
Assistance/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 Visitation
Competencies                     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
Collaboration
is not always a…
The Mathematical
                    Add to each other's
     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
   wilsonr@dhec.sc.gov                 ebellamy@scchildren.org
       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 Goals
71




     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 Green
Senior 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 Adm
Dgreen@hrsa.gov |301-443-9768
Dianna Frick                                          Debora Hansen
MPH, Lead MCH Epidemiologist, MT                      M.Ed., Early Childhood Systems Coordinator, MT
dfrick@mt.gov | 406-444-6940                          deborahansen@mt.gov | 406-444-1400
Sheryl Peavey
Child Wellness Liaison, ME
Sheryl.peavey@maine.gov
                                                 Eric Bellamy
                                            Rosemary L. Wilson
                                LMSW, ECCS Coordinator SCDHEC – MCH – WCS, SC
                                                  SC-MIEC Home Visiting Coordinator,
                                                  Children’s Trust of South Carolina, SC
                                    wilsonr@dhec.sc.gov| 864-227-5903
                                                      ebellamy@scchildren.org| 803-744-4057
MIECHV TACC Website
     http://mchb.hrsa.gov/programs/homevisiting/ta/index.html
73




            Thank you for attending the webinar today!

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Integrating Home Visiting Systems within Early Childhood Comprehensive Systems

  • 1. WITHIN EARLY CHILDHOOD COMPREHENSIVE SYSTEMS TUESDAY AUGUST 21ST , 2012 The MIECHV TACC is funded under The State Maternal, Infant, and Early Childhood Home contract #HHSH250201100023C, US Department of Health and Human Visiting Program is administered by HRSA, in Services, Health Resources and Services collaboration with the Administration for Children and Families.
  • 2. Maternal Infant & Early Childhood Home Visiting (MIECHV) Technical Assistance Coordinating Center 2 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
  • 3. Webinar Goals 3 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.
  • 4.
  • 5. Telephones are muted… …telephones are better than computer speakers.
  • 6. Chat 1. Type your comment. 2. Check 3. Click recipients. “send”.
  • 7. Questions 1. Type your question. 2. Click “send”.
  • 8.
  • 9. 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
  • 10. Maternal Infant & Early Childhood Home Visiting (MIECHV) Technical Assistance Coordinating Center 10 Dena Green Senior Public Health Analyst Maternal and Child Health Bureau Division of Home Visiting and Early Childhood Systems
  • 11. THE EARLY CHILDHOOD COMPREHENSIVE SYSTEMS PROGRAM 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 Services Health Resources and Services Administration, Maternal and Child Health Bureau
  • 12. What is Meant by an Early Childhood System? 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..
  • 13. An Early Childhood System Pediatric Family Practitioner Resource s Child Care Centers Centers CHC’s Home VisitingP Economic Families rograms Assistance (TANF, WIC, Others Foodstamps) Head CBO’s Start Early Subsidized Interv. Child Care
  • 14. The Early Childhood Comprehensive Systems Plan To build a comprehensive early childhood system what needs to be addressed?
  • 15. ECCS Critical Components 5 Critical Components  Medical Homes/ Health Care  Early Care and Education  Social-Emotional Development/Mental Health  Family Support Services  Parent Education
  • 16. Seven Systems Elements  Governance  Financing  Communications  Family Leadership Development  Provider/Practitioner Support  Standards  Monitoring/Accountability Adapted from the work of the Early Childhood Systems Working Group
  • 17. The Early Childhood State Team
  • 19. Early Childhood Advisory Councils (ECAC)
  • 20. Contact: Dena Green Senior 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 Website: ECCS.HRSA.Gov
  • 21. BEST BEGINNINGS AND COMMUNITY COLLABORATION IN MONTANA: ECCS AND MIECHV Debbie Hansen Dianna Frick
  • 22. 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
  • 23. 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
  • 24. 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
  • 25. 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.
  • 26. 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
  • 27. COMMUNITY SUPPORT  Relationship building  Among state partners  State and communities  Among communities  Within communities  Collaboration expertise: Karen Ray  Full spectrum of coalition development  Flexibility
  • 28. CHALLENGES  Logistical… “How does this work in a practical way?”  Having difficult conversations/overcoming history  Community assessments  Roles  Grant requirements versus demonstrated collaboration
  • 31. SYSTEMS CHANGE Program Family System/ needs and Organiz- community High quality ations priorities intervention Service
  • 32. 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.
  • 33. 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
  • 34. Integrating Home Visiting with Early Childhood Comprehensive Systems in Maine
  • 35. Early Childhood Comprehensive Systems in Maine Began inTask Force on Early • Cabinet 2004 through the Children's 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
  • 36. 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 Children's Family Behavioral Literacy Health Services Array of Home Visiting and Home Based Services in Maine
  • 37. 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
  • 38. 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
  • 39. 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
  • 40. 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
  • 41. 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)
  • 42. 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
  • 43.
  • 44. 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
  • 45. 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
  • 46. In South Carolina ECCS and MIECHV spell COLLABORATiON Eric Bellamy Rosemary Wilson
  • 48. Early Childhood Comprehensive Systems South Carolina Putting the pieces together
  • 49. Do you want a collection of brilliant minds or a brilliant collection of minds? R. Meredith Belbin
  • 50. SC ECCS has a brilliant collection of minds on our leadership team.
  • 51. Everyone moved away from their silos.
  • 52. ECCS Leadership ECCS Leadership Team Team Children’s Trust of SC Dept. of Health and Environmental Control Dept. of Social Services (Child Care) State AAP Chapter Dept. of Disabilities and Special Needs Head Start Collaboration Office Dept. of Mental Health State CCRR Dept. of Health and Human Services March of Dimes Dept. of Alcohol, Drugs, and other United Way Services Children’s Law Center State Dept. of Education (early childhood) Office of Research and Statistics SC First Steps and Part C BabyNet PASOS Family Connection of SC USC – Early Childhood Federation of Families
  • 53. Partners appreciate a neutral setting to explore ideas, share information, make connections, and grapple with issues. And always remember…
  • 54. Collaboration is no small feat.
  • 56. ECCS Strategies Early Care and Education Established Early Care and Education Core Competencies, 3- 5 year old Early Learning Standards, and Infant, Toddler Guidelines Medical Homes 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. Parentingand Family Support 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. Social Emotional Development
  • 57. 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
  • 58. M I E C H V
  • 59. 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
  • 60. 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
  • 61. http://www.helpmegrownational.org/ pages/resources.php?ResId=35 Alabama Kentucky California Massachusetts Alameda County, CA Help Me Grow New York Fresno County, CA Oregon Orange County, CA Replication States South Carolina Connecticut Utah Delaware Washington Iowa M I E C H V
  • 62. CSEFEL Train the Trainer Cohorts 2010 2011 2012 Child Care Technical Regional Mental Parenting&Home Assistance/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.
  • 63. Where are we now? M I E C H V
  • 64. Core Home Visitation Competencies Models Healthy Steps ? ? Parents as Teachers ? ? ? ? M I E C H V ?
  • 65. Eric & Rosemary are excited that Zero To Three TACC is now our Partner!! Webinar - August Site Visit - September
  • 67. The Mathematical Add to each other's Equation knowledge; of Collaboration Subtract major differences; Divide the compliments; Multiply major benefits to our children. -Florence Poyadue
  • 68. Rosemary L. Wilson, LMSW Eric L. Bellamy ECCS Coordinator SC-MIEC Home Visiting Coordinator SCDHEC - MCH - WCS Children’s Trust of South Carolina wilsonr@dhec.sc.gov ebellamy@scchildren.org 864-227-5903 803-744-4057 M I E C H V
  • 69. 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
  • 70. Potential Next Steps Secure Intentionally Demonstrate leadership buy- build personal the “what’s in it in and support relationships. for us” factor. for integration.
  • 71. Webinar Goals 71 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.
  • 72. Presenter Contact Information Dena Green Senior 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 Adm Dgreen@hrsa.gov |301-443-9768 Dianna Frick Debora Hansen MPH, Lead MCH Epidemiologist, MT M.Ed., Early Childhood Systems Coordinator, MT dfrick@mt.gov | 406-444-6940 deborahansen@mt.gov | 406-444-1400 Sheryl Peavey Child Wellness Liaison, ME Sheryl.peavey@maine.gov Eric Bellamy Rosemary L. Wilson LMSW, ECCS Coordinator SCDHEC – MCH – WCS, SC SC-MIEC Home Visiting Coordinator, Children’s Trust of South Carolina, SC wilsonr@dhec.sc.gov| 864-227-5903 ebellamy@scchildren.org| 803-744-4057
  • 73. MIECHV TACC Website http://mchb.hrsa.gov/programs/homevisiting/ta/index.html 73 Thank you for attending the webinar today!

Notas del editor

  1. 12:00 Pacific / 1:00 Mountain / 2:00 Central / 3:00 Eastern (1 minute)Production Notes:Note when questions are asked so that questions can be sent to the correct presenter for response.Welcome everyone to the integrating home vising systems within early childhood comprehensive systems webinar.
  2. I am Susan Stewart a distance learning consultant for the MIECHV TACC at Zero to Three.This webinar is hosted by the Maternal Infant and Early Childhood Home Visiting Technical Assistance Coordinating Center (TACC). TACC is funded by HRSA and operates from ZERO TO THREE and in partnership with Chapin Hall, AMCHP and WRMA. TACC is funded to provide many levels of technical assistancesupport to MIECHV grantees, including webinars like this one. Support from TACC can be accessed through your HRSA Regional Project Officers.
  3. As a result of our time together today you will learn about….How the ECCS and MIECHV grants complement one another in building statewide early childhood systems of care.How outcomes for children and families can be strengthened with implementation plans of both systems are connected.Specific ways that states have endeavored to integrate the two systems.
  4. 12:01 Pacific / 1:01 Mountain / 2:01 Central / 3:01 Eastern (1 minute)Before I introduce our presenters and we receive a welcome from our funder, we need to put a few ducks in a row.
  5. Your phone lines will stay muted throughout the duration of the webinar. For optimal sound quality, we encourage you to call in via the phone line versus listening in on your computer speakers.
  6. Throughout the webinar you may want to comment on, validate, or applaud what the presenters are sharing. Please post these thoughts in chat. To post your comments in the chat box, you will type your post into the text field at the bottom of the chat area. Verify the recipients of your message in the box below where you typed and if necessary you can select different recipients from the pull down menu that is activated by clicking on the down arrow to the right of the recipient box. Be sure to click send or hit the return/enter button on your keyboard to ensure that your desired recipients can see your post.
  7. Since we have a very full webinar we will hold your questions until the Question and Answer time in the last portion of the call. To help us track your questions, we ask that you enter your questions into the Questions box. Be sure to click the send button or hit the return/enter button on your keyboard so that everyone can see your question.
  8. Finally, you should have received the PowerPoint slides for today’s webinar via email if you registered for today’s webinar by this morning. If you registered a bit later you will receive the PowerPoint slides a bit later via email. We will also send out copies of the PowerPoint slides after the webinar to all webinar registrants and they will be posted to our website. Throughout the webinar contact information for the presenters and helpful links you may want to explore will be shared. All of these details are in the PowerPoint slides.
  9. 12:02 Pacific / 1:02 Mountain / 2:02 Central / 3:02 Eastern (3 minutes)And now I’d like to introduce you to our speakers. First we will hear from Debora Hansen and Dianna Frick who are representing the work being done in Montana. Debora Hansen has a Bachelors in Special Education and Elementary Education and a Masters of Education in Curriculum and Instruction.  She worked in the early childhood profession since 1987 as a child care director.   In May 2011, she started working for the state in the Early Childhood Services Bureau. She is the ECCS Coordinator and also the Best Beginnings Advisory Council Coordinator. Dianna Frick first became interested in the field of public health as a Peace Corps Volunteer in West Africa.  After Peace Corps she earned her Master of Public Health from the University of North Carolina at Chapel Hill.  In 2004, she moved to Montana as a Public Health Prevention Specialist with the Centers for Disease Control and Prevention.  Since 2007, she has been the Lead Maternal and Child Health Epidemiologist at the Montana Department of Public Health and Human Services.  Currently, she is also coordinating the Maternal, Infant, and Early Childhood Home Visiting Infrastructure Development Project.Our next speaker is from Maine. Sheryl Peavey is the Child Wellness Liaison for the Office of Health Equity at the Maine Department of Health and Human Services. She currently directs the state’s Early Childhood Comprehensive Systems project (ECCS), the state’s Maternal, Infant, and Early Childhood Home Visiting projects and administers its evidence based home visiting program, Maine Families. Ms. Peavey manages several federal grants; including the State Advisory Council funding for the Maine Children’s Growth Council, the Early Childhood Comprehensive Systems grant, and Project LAUNCH (Community Caring Collaborative). She also coordinates the state partnership with the Maine Child Abuse and Neglect Prevention Councils. Ms. Peavey’s career has been diverse but always focused on the well-being of children and their families. She has worked with national corporations, government and military agencies, and local coalitions to implement family-friendly business practices and quality child care benefits. Her work history includes high-quality, employer-sponsored child care partnerships, child and family research projects, policy development/analysis, community facilitation, and program evaluation. She is an elected member of her local town’s budget committee and volunteers time for her children’s afterschool and recreation programs.Finally, Eric Bellamy and Rosemary Wilson will speak to the collaborations that are happening in South Carolina.Eric Bellamy has worked with Children’s Trust of South Carolina for two years, after several years of human services, youth development, and health education experience. With a passion for children and adolescent health services, he has worked on such initiatives as adolescent pregnancy prevention, Hurricane Katrina/Rita Relief projects, and infrastructure building for children’s mental health and substance abuse services. He serves as the Maternal, Infant and Early Childhood (MIEC) Home Visiting Coordinator and oversees all operations of the project’s initiatives. A native of Bridgeport, CT, Eric holds a Bachelor of Science Degree in Health Promotion from Coastal Carolina University.Rosemary Wilson is currently the Early Childhood Comprehensive Systems Grant Coordinator, working for the Maternal and Child Health Bureau, Women and Children’s Services division of the SC Department of Health and Environmental Control. (DHEC) Prior to starting this job in 2006, she held positions in the agency including Part C District System Manager, Community Outreach Coordination, Care Coordination Manager for Children with Special Health Care Needs, and as a Social Worker for Children’s Rehabilitative Services and Home Health. Rosemary has also worked as a hospital Social Worker in Washington state and Georgia. Her early career included working in a psychiatric hospital with children and adolescents and in an alternative school setting with the same population. Rosemary has a BS in Mental Health from Georgia State University and earned her MSW from the University of Georgia.At this time I’d like to turn the floor over to
  10. 12:05 Pacific / 1:05 Mountain / 2:05 Central / 3:05 Eastern (15 minutes)Production Notes: Give Dena Mouse/Keyboard ControlDena Green who is the Senior Public Health Analyst, for the Early Childhood Comprehensive Systems Program, in the Program Planning and Coordination Branch of the Division of Home Visiting and Early Childhood Systems which resides in the Maternal and Child Health Bureau of the Health Resources and Services Administration. Dena will set the stage for our presenters, emphasizing the importance of the collaboration and coordination between Home Visiting and Early Childhood Comprehensive Systems.
  11. Thank you, Dena for providing foundational information about The Early Childhood Comprehensive Systems Program. If any of you have questions about the ECCS you can contact Dena via email or telephone. The contact information for all of the presenters will also be listed on a slide at the end of the webinar.
  12. 12:20 Pacific / 1:20 Mountain / 2:20 Central / 3:20 Eastern (15 minutes)Production Notes: Give Dianna Mouse/Keyboard ControlI’d like to turn the presentation over to Debbie Hansen and Dianna Frick who will describe the collaboration between the ECCS and MIECHV in Montana. Debora will begin sharing about their work. Production Notes: Remove Dena’s Mouse/Keyboard Control
  13. How ECCS and Best Beginnings are related
  14. Principles are shared between ECCS, Head Start Collaboration Office, and Best Beginnings/MIECHV ID.Refer to Best Beginnings table.
  15. Community in a broader sense.
  16. Roles: fiscal agents – who controls the money: governance structure – coordinator’s role, who supervises the coordinator, how does that work when they are responsive to the council; how does the state BBAC relate to local councils; can they impose requirements; how do the local councils ask for BBAC to work on issues
  17. Stevenson and SonsDiscussion with FB
  18. The system should change to support the interventions and meet the needs.
  19. Thank you, Dianna and Debbie for sharing about the important front end work that must be done to ensure that the changes you make will be sustained over time.
  20. 12:35 Pacific / 1:35 Mountain / 2:35 Central / 3:35 Eastern (15 minutes)Production Notes: Give Sheryl Mouse/Keyboard ControlI will now turn the floor over to Sheryl Peavey who will speak to the work being done in Maine to integrate home visiting and ECCS. Sheryl, you have the floor.Production Notes: Remove Dianna’s Mouse/Keyboard Control
  21. Began as a pilot, using national and homegrown modelsTask Force to Study Parents as Children’s First Teachers began in 1997 (which became the Task Force on Early Childhood….)Expanded with the tobacco settlement funds and included evaluation component
  22. Professional Development Registry for Early Care and Education (MRTQ)Home Visiting Track (Family Education and Support Professional)Provides electronic record of training participation and post-secondary education documentationAligned with MF Standards of Practice
  23. Thank you, Sheryl. You highlighted how the home visiting component added value to the other programs and the importance of having a mindset of looking for opportunities for intersection. These are fundamental to successful integration of systems.
  24. 12:50 Pacific / 1:50 Mountain / 2:50 Central / 3:50 Eastern (25 minutes)Production Notes: Give Rosemary Mouse/Keyboard ControlOur final presenters for today are Eric Bellamy and Rosemary Wilson. They will describe their South Carolinian collaboration. Rosemary, take it away.Production Notes: Remove Sheryl’s Mouse/Keyboard Control
  25. ECCS grant started as planning grants. Does not mean that there were not already planning efforts and strategies implemented to improve EC. There were, and they were making progress, but typically it was within the silo of their EC domain. SC planning organized around a Leadership Planning Team, and 4 groups shaped by the ECCS key components. Like many states, SC combined the Parenting and Family Support components because of there strong overlap in services and mission,
  26. What kind of group is helpful while looking at building a better system?
  27. The SC ECCS Leadership team is a great connecting point – like the center of the ECCS flower – for thinking, planning, learning, sharing around the aspects of our early childhood system.
  28. Representatives come from these areas – core as well as open to others to come and go – depending on the structure of each meeting. Children’s Trust (MIECHV) has been a long standing member and hosted the planning group for Parenting and Familiy Support for over two years. These planning meetings started our discussions around forming a cross sector early childhood professional development system.
  29. Many ideas are crafted for multiple years of discussion and experimentation. With the MIECHV grant came the funding that could support the infrastructure building. Will turn this over to Eric
  30. 1:15 Pacific / 2:15 Mountain / 3:15 Central / 4:15 Eastern (10 minutes)Many thanks to all of our presenters. Your experiences are illuminating and help put wheels on the integration of home visiting systems with early childhood comprehensive systems.Throughout the webinar questions have been posted to chat and the Question and Answer box. We have a little time to address some of those questions and perhaps some new questions you’d like to post now. If we are unable to get to some of the questions, we will follow up with you…or you may follow-up with any of the presenters. Contact information for each of the presenters will be on the final slide.
  31. 1:25 Pacific / 2:25 Mountain / 3:25 Central / 4:25 Eastern (5 minutes)Before we end, we’d like to leave you with some examples of concrete steps state leaders can take to facilitate the integration of these systems…on behalf and in support of our children and their families.As our colleagues Eric and Rosemary, from South Carolina, demonstrated that it is important to be intentional about building and cultivating personal relationships with collaborators and prospective collaborators. Our colleague Sheryl, from Maine, emphasized the need to find and show how the home visiting program actually contributes to the whole system of early care and education in several concrete ways. And our colleagues from Montana suggest that a critical step is to seek out leadership in related arenas and garner their understanding and commitment to the integration of home visiting systems with early childhood comprehensive systems.
  32. Take a moment to scan these goals and note to yourself how each of them have been met by the webinar. You may also want to jot down where you need to follow-up to enhance your learning from today.
  33. Our presenters who have generously given of their time to share their stories with us are also making themselves available to us as we continue to work on integrating these systems. We’d like to thank each of you Dianna, Debora, Sheryl, Rosemary and Eric for sharing your experiences with us, and Dena for representing HRSA and sharing background on this topic. As a reminder, participants will be sent a copy of the PowerPoint slides in the near future via email.
  34. For an archived copy of this webinar please visit the MIECHV TACC website. The archived copies of this webinar will be available as soon as all materials have been processed to meet 508 compliance quality assurance standards.Thanks for attending and have a great day!