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R. Brandon Summary of Linkage Track, 3-11-05 Linkages: Across ECE programs [Breakout 1]

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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