8th annual nancy latimer convening on children & youth nancy latimer convening june 17, 2014

8th Annual Nancy Latimer Convening on Children & Youth

Nancy Latimer ConveningJune 17, 2014

WELCOME

Lynn HaglinVice President/ KIDS Plus DirectorNorthland Foundation – Duluth


Early Learning Policy Update

Frank ForsbergSenior Vice PresidentGreater Twin Cities United Way


2010

MinneMindsScholarships

$28M = 5,000 kids

MinneMindsScholarships

$28M = 5,000 kids

Achieving All Children Ready To Learn By 2020Start Early Funders Coalition

State Bonding

State Bonding

State Bonding

State Bonding

State Bonding

State Bonding

Scholarship pilot$6M = 600 kids

Scholarship pilot$6M = 600 kids

2011 - 2012 Legislative Biennium




Needed Scholarships$150M = 20,000 kidsNeeded Scholarships$150M = 20,000 kids

State Budget

State Budget

State Budget

State Budget

State Budget


Office of Early LearningMelvin Carter

Office of Early LearningMelvin Carter

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Expand Quality Rating & Improvement SystemFederal Grant = $45M

Eligible programs: Parent Aware rated or on path to quality rating

$4.65 million for Pre-kindergarten Scholarships

$4.65 million for Early Childhood Family Education

Northside Achievement Zone and St. Paul Promise Neighborhood each received $350,000

Pre-natal to 3 advocates developing quality standards for home visiting

Steps forward for Early Learning

Eligible programs: Parent Aware rated or on path to quality rating

“Let us all commit that by 2018, all three and four year olds in Minnesota will have access to quality, affordable early childhood education.”

Governor Mark Dayton2014 State of the State Address

State of Minnesota: A Commitment to Early Learning Leadership

Melvin Carter

Director

Minnesota Office of Early Learning

Marcie Jefferys

Director

Minnesota Children’s Cabinet


Melvin W. Carter IIIMN Office of Early Learning

Update: Early Learning in Minnesota

“In states that make it a priority to educate our youngest children… students grow up more likely to read and do math at grade level, graduate high school, hold a job, form more stable families of their own.

We know this works. So let’s do what works and make sure none of our children start the race of life already behind.”

President Barack Obama2013 State of the Union Address

“Let us all commit that by 2018, all 3 and 4 year olds in Minnesota will have access to quality, affordable early childhood education.”

-Gov. Mark DaytonApril 30, 2014

…meanwhile, in Vermont…

9:00 Do we need a little Minnesota in Burlington?

Minnesota’s Recent Investments

• All-Day Kindergarten

• Early Learning Scholarships

• Parent Aware State-wide Quality Rating System

• Child Care Quality Differential

• Expanded Home Visiting Programs

• Office of Early Learning

education.state.mn.us 13

Availability of Early Learning Scholarships:Pathway I & II(combined)

Minnesota’s InvestmentsNEW

Minnesota Office of Early Learning (OEL)

An interagency office of the Minnesota Departments of Education, Health and Human Services.

MN Dept. of Education•ECFE/ ECSE; early childhood screening; Head Start; School Readiness;

MN Dept. of Health •Early childhood comprehensive systems grant; family home visiting;

Dept. of Human Services •Child care subsidies; QRIS; professional development; facilities; consumer education.



Mission:

Partner with families & communities

across the state, and align human

& financial supports across

agencies, to promote healthy child

development from prenatal

through grade 3.

Parents/ Families effectively support child development & learning

Local/ State supports are culturally & age

appropriate, coordinated &

accessible

OEL Vision Framework

Providers/ Educators efficiently deliver

high-quality services



Direct Functions:•Align/ Integrate State EC Systems

•Develop Communities of Learning/ Action• Demographic/ Communities of Color

• Place-Based Initiatives

•Engage External Stakeholders

CHARGE: Build & implement a synergistic collective impact approach to support early child development across agencies.

Melvin W. Carter IIIMN Office of Early Learning

Update: Early Learning in Minnesota


Nancy Latimer Convening on Children & Youth

June 17, 2014


• Department of Education Commissioner Brenda Cassellius

• Department of Health Commissioner Ed Ehlinger

• Department of Human Services Commissioner Lucinda Jesson

Vision & Mission

• All Minnesota children are healthy, safe, supported and prepared to achieve their full potential.

• Collaborate across departments and communities to increase access to quality services, ensure efficiency and see improved outcomes for child and youth services in a holistic manner to maximize physical and mental health, economic security, growth and development, educational outcomes and to eliminate disparities.

2012-2014 Strategic Plan Action Areas

• Teen parents and their children• Babies and toddlers in poverty• School children with unaddressed

mental health needs

2014 Focus: Implementation

Teen Parents and Their Children

Collaborating to improve outcomes•High school graduation rates

•School readiness

2011 Teen Families MN (MDH)

• 7,100 Adolescent Mothers• 1,900 Adolescent Fathers• 8,300 Children of Teen Parents

Teen mothers by age at first birth 2011 (MDH)

2011 teen birth rates and 2007-2011 % change (MDH) American

IndianAsian African

AmericanLatino White Total

U.S. Rate

36 10 47 50 22 31

MN Rate 74 30 42 49 13 19

MN Number

264 307 595 533 1,826 3,464

American Indian

Asian African American

Latino White Total

% Change

-38% -44% -49% -55% -28% -35%

Many teen mothers are in multiple public systems in addition to school

• Medical Assistance• Income support--MFIP & CCAP• Public health --WIC & Home visiting• Child welfare• First contact at age four (Hennepin Co.

study: MFIP Teen Parents)

Age of fathers with teen mothers 2011 (MDH)

Children of teen parents

Program Number served

WIC 2012 4,300 0-5 year old childrenCheck-ups 3,300 < 1year oldsMFIP 4,400 0-5 year oldsECFE 230 mothersSchool Readiness 600 mothersCCAP 1,700 mothers

Research & state data: Teen families experience greater challenges

• Children: Risks start at birth, greater behavioral and academic problems in school, and poverty and chronic health problems in adulthood.

• Teen mothers: More likely to experience multiple stressors during pregnancy, less likely to finish education, more likely to be in poverty. – (Women’s Law Center, 2007; MN PRAMS).

Some teen families are at especially high risk

• Former foster care adolescents are more than twice as likely to given birth. (DHS)

• Nearly 1/3 of homeless youth (<22 years) are parents. (Wilder)

• 75% of the teen mothers on MFIP were on MFIP as children themselves; 50% of MFIP cases started when the mother was a teen. (DHS)

Beyond teen births

• There are many more factors affecting teen parents’ outcomes and their children’s wellbeing than just the fact of the adolescent birth alone.

• When social and economic factors are controlled for many of the poor outcomes for children ‘’diminish or go away.” (Maynard, 2008)

Conversations with teen parents about what is important to them

• Supportive relationships• Family—mother, baby’s father• Professionals who help and care for them

• Concrete help• WIC, diapers, medical care, food stamps

• Future • Motivation that parenting presents• Value finishing their schooling and getting a job

Challenges teen parents identify

• Getting through the day• Problems in their relationships with

their family and their babies’ father• Paperwork and program requirements

that do not make sense/hard to figure out; systems that don’t follow through

Challenges (continued)

• Transportation problems getting to school, appointments and child care

• Schoolwork—inflexible expectations• Lack of knowledge about ways or

resources to help their children succeed

Additional challenges identified by providers and educators

• Mental health issues related to trauma.• Chaotic family relationships.• Housing instability.• Fragmented services/lack of

communication across systems and providers.

(Providers & educators observe many strengths in the teens they serve as well.)

Main areas identified for cross-cutting responses

• Address logistical, information and administrative barriers to school and program participation

• Expand supports for healthy relationships and to help teen parent families care for their children

• Reduce stressors associated with low income, race and public systems

Going forward: Promoting shared responsibility

• Continue gathering information from the community to ensure ‘whole’ child is respected within his or her culture, and reduce risk of unintended consequences.

• Learn more about issues in Greater MN.• Share effective practices.• Ensure data will provide information about

outcomes and impact of changes.

Minnesota’s foundation

• Pilots, programs, & laws already in place.• Committed and caring professionals.• Teens & others who can speak to these

issues.• State leadership committed to

collaboration– Children’s Cabinet– Office of Early Learning– Interagency Council on Homelessness.

For more information:

Marcie JefferysDirector, Children’s [email protected]

mailto:[email protected]

Special Recognition Awards

Ellis Bullock

Executive Director

Grotto Foundation


Cindy Toppin

Vice President

Lifetrack Resources

Presented by Denise MayotteThe Sheltering Arms Foundation

Honoring the Spirit of Nancy Latimer


Pioneer

Advocate

Mentor

Colleague

Leader

Remarks:George Latimer

2014 “Nancy Award”

Honoree: Mary KosakProgram OfficerBlandin Foundation – Grand Rapids

Presented by Frank ForsbergGreater Twin Cities United Way


Keynote Address

The Early Years – Setting the Pathway for a Lifetime of Opportunity

Pamela Gigi Chawla, MDSenior Medical Director, Primary Care

Children’s Clinics and Hospitals of Minnesota

Michael Troy, Ph.D Medical Director, Behavioral Health ServicesChildren’s Clinics and Hospitals of Minnesota


46 | © 2014

The Early Years – Setting the Pathway for a Lifetime of Opportunity Pamela Gigi Chawla, MD Mike Troy, Ph.DJune 17, 2014

47 | © 2014

Children’s: Who we are

Every family’s essential partner in raising healthier children

We champion the special health needs of children and their families

48 | © 2014

Children’s: Where we are

• 2 pediatric hospitals

• 3 ambulatory surgery centers

• 4 pediatric outpatient rehabilitation clinics

• 10 offsite affiliated primary care clinics

49 | © 2014

Children’s: Who we see

• 125,066 individual patients− 60 % under 5 years of age

• 378,887 outpatient visits

• Wide socioeconomic status− 72,000 interpreted appts/64 languages

− Medicaid coverage to privately insured

• Varying medical/healthcare experiences− Internet to convenience store users

− Cultural therapy to naturopathic therapy

50 | © 2014

Pediatrician’s role

51 | © 2014

Pediatrician’s role: day in, day out

• Current industry standard limits extent of interaction

• Snapshot in time

• Preventative visits: well child check ups

• Numerous issues to cover in well-child visit−Physical growth

−Development growth

−Parent interaction

52 | © 2014

• Other Key Barriers:

−Variety of developmental screening tools

−Formal screen opportunities dependent on child having primary care clinician

−Parents limited by challenging environment

Pediatrician’s role: day in, day out

53 | © 2014

• How do we expect to make an impact?−School teachers are our role-models−Trusting, personal relationships with patient and

families−Ideally: use our medical expertise to

complement other services/support systems

Pediatrician’s role: opportunity

54 | © 2014

Real-life experience 1: Donny

• 44 year-old Caucasian mother

• Newborn−Minimal prenatal care,

breast/bottle

−Social structure: no support, plan

• Well child check ups through age 18 months−Difficulty feeding, asthma

−Parenting challenges

55 | © 2014

• Well child check ups through age 18 months−Unstable housing led to inconsistent home

visiting follow-up−Blame and disappointment by mother about

developmental progress• “When is he going to outgrow all of these things?”

• “Be a man”


56 | © 2014

• Qualitative change and transformation

• Development is directional, cumulative, and coherent

• Developmental TrajectorySalienceDomains

Newborn

18 Mo.

5 YO

8 YO

General development principles

58 | © 2014

Developmental tasks and issues

Ages 0-3:

• Physiological regulation

• Trust / Mistrust

• Attachment relationship

• Internalize controls

• Secure base able to explore

62 | © 2014

Environment, genes and generations

Study to document epigenetic inheritance in humans

Elevated levels of stress

hormones at 3 months

Depressed mood during 3rd trimester

Epigenetic changes to GR receptor gene

63 | © 2014

• Well child check ups 5-8 years−Chaotic visits

• ER transfer

• Code pink

−Mom won’t accept therapist referrals

−Numerous school disruptions and suspensions

−Mom pregnant at 5 year well child check, “discovered” when 7 months along


65 | © 2014

Developmental tasks and issues

• School Years (ages 5 – 10)−Peers increasingly

salient

−School important social context

−Self-concept and self- esteem are key developmental issues

66 | © 2014

Real-life experience 2: Maria• 14 year old Hispanic mother

• Newborn−Made all prenatal visits, pre-

term, breastfed

−Social structure: extended family, comprehensive plan

• Well child check ups through age 18 months−Village present

−Development priority

−Serious cardiac arrhythmia

−Pride

67 | © 2014

Resilience and protective factors • Resilience – adaptation

despite adversity

• Protective factors individual, family, social characteristics associated with positive adaptation

• Community of care giving

69 | © 2014

Read our position paper on early childhood development, “Foundation for Life: The Significance of Birth to Three” at:

www.childrensmn.org/earlychildhood

For more information

70 | © 2014

For additional questions or comments contact:

Pamela “Gigi” ChawlaEmail: [email protected]

Mike Troy, Ph.D. Email: [email protected]

Thank you



Closing Remarks

Denise Mayotte Executive DirectorThe Sheltering Arms Foundation


THANK YOU


www.StartEarlyFundersMN.org

8th Annual Nancy Latimer Convening on Children & Youth


8th annual nancy latimer convening on children & youth nancy latimer convening june 17, 2014

Documents

annual nancy latimer

legislative biennium2017

quality standards

legislative biennium2015

legislative biennium2013

quality ratinglet

human financial supports

parent aware rated