R. Brandon Summary of Linkage Track, 3-11-05
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R. Brandon Summary of Linkage Track, 3-11-05 Linkages: Across ECE programs [Breakout 1] ECE to social, health (physical, mental) services [Breakout 2] ECE financing to quality [Breakouts 10, 11]

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  • R. Brandon Summary of Linkage Track, 3-11-05

  • Linkages:

  • Across ECE programs [Breakout 1]

  • ECE to social, health (physical, mental) services [Breakout 2]

  • ECE financing to quality [Breakouts 10, 11]

    Sessions reported: Innovative state actions, recent research findings, some burning issues

  • Linkages Across ECE Programs: Ohio example = “Agility”

  • [Schilder, Gottesman, Brandon]

  • Close collaboration of human service and ed depts

  • Evolving ECE-Head Start partnerships =>

  • Early Learning Initiative

  • Common standards for process quality =>

  • common input standards => Common:

    • assessment tools and methods

    • reimbursement rates

    • eligibility policies

  • Burning issues for linking across programs:

  • Assuring adequate funds for all services

  • Compensation and work conditions nec to recruit, retain qualified staff – full vs. part time work.

  • Balancing flexibility with accountability for funds while meeting needs of children

  • Moving from concepts and policies to operational linkages

  • Cultural competence within and across programs

  • Understand how low income families move among subsidy programs; view from perspectives of families and providers.

Linkages to social, health services:

Knitzer: High priority for mental health linkages:

- high prevalence

- children’s emotional as well as cognitive development

- problems more with provider than child

- avoid “rush to the clinical”

- links to Parts B, C of IDEA

- Research similar interventions in health, MH

MH Linkages:

CT: EC Consultation Partnership [Mary Ann Dayton-Fitzgerald]

Relationships among all significant adults for child

Community-based programs for CWD

Team approach for families, providers,, staff; multiple entry points

Assessment pre, post: statewide data base. Utilized with legislators and other policy makes

Beginning randomized intervention outcomes study.

  • VT: Children’s UPstream Services “CUPS” [Brenda Bean]

  • Focused on linking emotionally disturbed kids to ECE and reducing SED placement; strengthen behavioral health of families

  • Regional plans; Medicaid funds used to sustain

  • ECE vs. MH: different language, training, expectations

  • Consultation model to build MH expertise within ECE, cross- training => increased requests for help

  • Different models in KS, RI, MA

  • Burning issues [MH]:

  • Lack of trained child MH specialists; train-the-trainers.

  • Reliable assessment at early ages; physical-mental co- occurrence

  • Methods to serve but not ‘blame’ young children

  • Expand GS/GS to include social, emotional development

  • Emphasize communication between MH specialist, family; families more concerned with concrete survival issues; consider family stress, empowerment, substance use/depression, resources

  • Depression among ECE staff

  • Cultural relevance

Burning issues [MH] - 2:

  • Funding linked to diagnosis, not to more important risk factors; study long-term cost-effectiveness

  • Need cost analyses for MH programs for young children and families.

  • Need many more linkages: ed, CPS JJ, TNAF, employers, judicial, adult substance abuse and MY, special

  • Engage business and faith communities.

  • Need cross-discipline clearinghouse, cross-agency indicators.

ECEfinancing to quality – QRS/Tiers, Data Systems

[Carolyn Drugge, Facilitator] Examined 3 state QRS/Tier systems

KY [Kim Townley]: voluntary [participation = 25% centers, 10% FCH]]

TN [Deborah Neill], OK [Judy Collins]: mandatory [full participation]

Seeing drop in ratings: real or tougher enforcement?

QRS Requires entire support system: assessment, professional development, regulation, parent ed. Continual nurture.

Research based rating criteria; evaluation of impact to learn, sustain support.

Impact of publishing results, centers protect reputation

  • QRS/Tiers - 2

  • Costs: TN = 13% total CCDF $$; use all of quality and MOE. NB: OK has reduced costs. How?

  • Payments as bonuses, avoid raising rates – resistance to higher parent payments – some increased demand, rates.

  • Scholarships for staff improvement.

  • Varying degrees of automation, professional judgment in ratings.

  • Need cost studies, eg cost-effectiveness of different approaches to assessment, more/less frequent assessments.

  • Linking State Data Systems

  • [Rod Southwick, Facilitator]

  • SC [W. David Patterson]:

  • Agencies maintain full control of data, contribute $

  • Children = track since 1995, unique identifiers

  • Providers: developing integrated system

  • WISC: [Alan Sweet].

  • Capacity grant. Multi agency: licensing, accreditation, CACFP, MRS, staff registry, linking to NACCRAware

  • Developing public access work site for rating system;

  • Negotiate common identifier with agencies.

  • Challenge of linking different technologies

  • Privacy concerns

  • Chapin Hall [Maired Ready]:

  • Linking admin data for 30 years

    Studied ECE subsidy and employment issues

  • Collaboration with Census Bureau: re ILL, MD, TX - linking admin data with individual census data to analyze eligibility, participation, employment.

  • Data matching complicated. Never full reliability or compatibility; probabilistic record matching. Confidentiality always an issue; cooperative relationships essential