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Bexar Agenda Children’s County

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Page 1: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Bexar

AgendaChildren’s

County

Page 2: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

THE VISION

Growing happy, healthy, ready children.

Bexar

AgendaChildren’s

County

Page 3: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

October 2016At the San Antonio Food Bank

Page 4: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home
Page 5: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home
Page 6: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Initial Indicators Wish ListSMART HEALTHY HAPPY

3rd grade reading level

3rd grade reading level

3rd grade reading scores

Access to healthy foods

% children w/ food insecurity

# of children w access to basic needs

Decr. child abuse/neglect cases

Reduction in # of child abuse cases

% kinder ready

Pre School readiness

# children insured

Decrease in ER visits/have medical home

%/# insured – parents and children

% children w/ health insurance

Decrease in toxic stress

Access to trauma-informed

services

Access to trauma informed care &

mental health resources

Low or no trauma exposure or

toxic stress

Enrollment in a Quality Program ( #

slots or quality?)

% 3 & 4 year olds in preschool

%/# of children in formal early

childhood education

% children in high quality

developmental/education programs

# children enrolled in PreK

% children enrolled in early

childhood programs

Consistent access to prenatal care

% mothers with prenatal care

Birthweight/premature births

Low/no prenatal care

% of women receiving early and consistent

prenatal care

Child MH hospitalizations

% children with access to mental

health

% children referred & access MH

services

% children on grade level ASQ’s completed during annual children’s

physical (PP)

Parental engagement

ECI referrals Reduction in # ER visits % of child mobility rates

Social Emotional Development Preventative well visits Increase in economic stability

Ages & Stages (PP) Access to trauma-informed care services Decrease in # of families living in poverty

Attendance rates Immunizations % children on target on ASQ-SE (PP?)

% children who show improved level of

functioning from year to year

Infant/child mortality rates Community violence/crime rate

# children graduating Safe neighborhoods Unemployment rate

# children dropping out of school Abuse and Neglect referral Decrease in # of juvenile delinquency

cases

Access to affordable & quality healthcare Safety and physical security

Social and emotional well being

Page 7: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Three Results

Happy Children Healthy Children Ready Children

Result 1

All children

grow up in

safe, stable,

and nurturing

environments

Result 2

All children are

healthy in

mind, body

and spirit

Result 3

All children are

curious

learners

progressing

towards their

full potential

Page 8: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Happy Children

Result 1.

All children grow up in safe, stable, and nurturing environments

Population Indicators

1.1. # of confirmed victims of child abuse or neglect per 1,000 children

1.2. % of children 0 to 17 experiencing food insecurity

1.3. % of families with children experiencing employment instability

Result & Indicators

Page 9: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Solutions

• Improve parental and community understanding about what constitutes child abuse and neglect

• Address negative stigma associated with the issue so that bringing it to light is easier

• Integrate mental health, substance abuse and domestic violence services with child abuse cases

• Engage faith-based networks and systems to increase outreach and awareness

• Develop a mobile phone app that increases access to information

• Home-based respite care

Page 10: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Solutions

• Expand “back pack” food drives during school breaks

• Increase the number of Mobile Mercados serving the area

• Expand food pantry hours and outlets

• Implement a policy change that helps offset the benefits cliff by gradually reducing benefits as families

increase financial security

• Expand income eligibility requirements for Lonestar card

• Encourage school districts to move to serving healthier school meals

• Provide education to families about healthy meal planning

Page 11: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Solutions

• Scale the AECF Dual Generation program model, which strengthens outcomes

for children ages 0 to 8 while promoting financial security for adults in the home

through education, training & employment

• Help families plan for increasing financial security & benefits cliff

• Scale dual credit model in high schools

• Offer extended hours for education, training, employment, and wrap around

services

Page 12: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Population Indicators

2.1. % of children 0 to 17 without health insurance

2.2. % of pregnancies receiving late or no prenatal care

2.3. % of Kindergartners assessed as “Vulnerable” in the emotional maturity EDI

Result & Indicators

Healthy Children

Result 2.

All children are healthy in mind, body and spirit

Page 13: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Solutions

• Education about preventative health and care

• Engage more Community Health Workers as health education ambassadors to community-at-large

• Implement processes that remind individuals that health policies will soon expire

• Implement additional mobile health care clinic(s) in areas where less coverage exists

• Develop partnerships with employers and business sector that help set mandates for health care

• Encourage the State of Texas to accept federal funding that expands Medicaid services

Page 14: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Solutions

• Implement Mobile Health Clinics to increase access of services

• Connect importance of Prenatal care to expectant mothers through culturally competent outreach

• Provide sibling care in clinics during prenatal visits

• Provide prenatal visits on extended basis for women who work non-traditional hours

• Streamline current Medicaid application/re-application process to reduce burden

• Promote a policy of leniency amongst employers for women to attend prenatal visits

• Incorporate a gradually sophisticated curriculum, PK to 12th, about human development that aligns with

Texas Education Agency’s Texas Essential Knowledge and Skills

Page 15: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Solutions

• Because it addresses so many factors, including ability to identify delays, determine appropriate, and

connect families to resources, promote and encourage universal PK

• Expand Home Visiting programming, either through year-round models or other models

• Engage hospitals to offer parents developmental information during hospital stay following delivery

• Build capacity for mental health screenings across systems and increase public awareness of value

• Ensure that trauma-informed care is a core component in all systems serving children in the region

• Evaluate and enhance the referral and response process amongst systems serving children & families

Page 16: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Population Indicators

3.1. % of Kindergartners assessed as “Very Ready” in four or more EDI domains

3.2. % of licensed child care capacity with an accreditation

3.3. % of three and four year old children enrolled in school

Result & Indicators

Ready Children

Result 3.

All children are curious learners progressing towards their full potential

Page 17: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Solutions

• Engage Community Health Workers to inform families on benefits of early childhood education

• For children new to formal systems, initiate “Kinder Prep Academy” to help learn school norms

• Conduct assessments earlier to identify potential development delays before children start school

• Increase funding to conduct ECI screenings for more children ages 0 to 3

• Increase support for Home Visiting programs for children ages 0 to 5

• Family Resource Centers proposed in current SA Tomorrow Bond make ideal locations for parent

resource centers where early childhood information can be readily accessed

Page 18: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Solutions

• Have child care centers focus on children ages 0-2 that serve pipeline of public PK for 3 & 4 year olds

• Build a common level of quality and culture across Pre-K centers and institutions

• Highlight the cost gap/inequality between the cost of accreditation and rate of State reimbursement

• Determine widely-recognized title for accredited Early Childhood teachers to distinguish credentials

• Provide training for ECE Directors and teachers, and support and incentives for centers to accredit

• Implement CDA certification program at high school level

• Promote “Yelp” reviews of child care centers

• Create a Mayor’s Taskforce for Quality Childcare

Page 19: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Solutions

• Move to full-day PK within all school districts serving Bexar County

• Support reauthorization of Pre-K 4 SA

• Encourage all public and private early childhood education centers serving the region to adopt a

consistent, standardized enrollment process and period

• Help shift the public’s perception of – and value for – universal PK and Kindergarten

• Modify eligibility requirements so working poor continue to access PK as financial security improves

• Align enrollment/eligibility policies across city and all school districts serving children in region

• Strengthen data analysis around Early Childhood education issues

Page 20: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Happy Children Healthy Children Ready Children

Common Solutions Across All Indicators

• Unified Public Awareness/ Media Campaign

• Improve parental and community understanding about what constitutes child abuse

and neglect

• Address negative stigma associated with the issue so that bringing it to light is easier

• Develop a mobile phone app that increases access to information

• Help shift the public’s perception of – and value for – universal PK and Kindergarten

• Conduct assessments earlier to identify potential delays before children start school

• Work on policies to modify eligibility requirements to avoid the “benefits cliff”

• Strengthen data analysis around Early Childhood education issues

Page 21: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home
Page 22: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home
Page 23: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home
Page 24: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Organizations Participating in Working Group

• Any Baby Can, SA

• Autism Community Network

• AVANCE - San Antonio, Inc.

• Boys Town

• Brighton School of San Antonio/Brighton Center

• Catholic Charities

• CentroMed

• Child Protective Services

• Children's Shelter

• ChildSafe

• CI:Now

• City of San Antonio - City Manager's Office; SA2020 Commission on Education

• City of San Antonio -Child Care Services

• City of San Antonio – Dept. of Human Services - Head Start

• Clarity Child Guidance Center

• Communities in Schools

• Family Service Association of San Antonio, Inc.

• Family Violence Prevention Services, Inc.

• Good Samaritan Community Services

• Harlandale Independent School District

• H-E-B Read 3

• Linton Elementary, NISD

• Methodist Healthcare Ministries

• Military Child Education Coalition

• P16Plus Council of Greater Bexar County

• Parent/Child Incorporated

• Pre-K 4 SA

• Region 20

• San Antonio College - Early Childhood Center

• San Antonio Housing Authority

• San Antonio Metropolitan Health District

• Senator Carlos Uresti, District 19

• The Center for Health Care Services

• United Way of San Antonio

• United Way of San Antonio - ReadyKidSA Coalition

• United Way of San Antonio - Eastside Promise Neighborhood

• United Way of San Antonio - Children's Issue Council

• United Way of San Antonio - Dual Generation Initiative

• Voices for Children

• WorkSource Solutions Alamo

• YMCA

• YWCA

Page 25: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

• The New ReadyKidSA.org Website, powered by SWEB

www.ReadyKidSA.org

Page 26: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Bexar

AgendaChildren’s

County

Happy Children Healthy Children Ready Children

Page 27: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Healthy Outcomes through Prevention & Early Support (HOPES) III Grant

• United Way of San Antonio & Bexar County awarded the Healthy Outcomes through Prevention & Early Support (HOPES) III Grant from Texas Department of Family and Protective Services (DFPS), Prevention & Early Intervention Division (PEI) for Bexar County

• $1.8 M for 5 years

Page 28: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Healthy Outcomes through Prevention & Early Support (HOPES) III Grant

• HOPES is a collaborative, sustainable and innovative continuum of care to support families with children 0-5 years of age residing in Bexar County

• The focus is to strive for healthy and safe homes for Texas children, to reduce the risk of child abuse, neglect, and other negative outcomes.

• Research has shown that five protective factors are closely linked to a decreased likelihood of child abuse and neglect: (1) Family functioning/resiliency; (2) Social support; (3) Knowledge of parenting/child development; (4) Concrete support; and (5) Nurturing and attachment.

• The Bexar County HOPES project will increase these protective factors and reduce the risk of child abuse and/or neglect by stitching together the vast resources available across multiple sectors so that families can easily access the holistic array of resources they might need.

• Eligible Participants: The eligible client population is families that include a primary caregiver who is expecting a child OR has at least one child age 0 - 5 and are who are at risk of family violence or abuse and neglect , and reside in Bexar County

Page 29: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Healthy Outcomes through Prevention & Early Support (HOPES) III Grant

Services Available through Partner Agencies include:

• Any Baby Can: Case Management for families with children with Special Needs• Boys Town: In-Home Family Services; • Catholic Charities: Parents as Teachers; • Center for Healthcare Services: Aggression Replacement Techniques - Skills

Training; Specialized Training for Partner Agencies; Ancillary Services including Counseling and Connection to Basic Needs Support,

• The Children’s Shelter: Systemic Training for Effective Parenting; Period of Purple Crying Messaging/Training; Specialized Training for Partner Agencies; and Ancillary Services including Counseling and Connection to Basic Needs Support

• Family Service Association: Workforce Development Coaching and Financial Empowerment services;

• KLRN: Play and Learn Series, Next Gen Opt-In Text Messaging and community events;

• Martinez Street Women’s Center: Positive Parenting Program (Triple P); • Respite Care of SA: Drop-In and Emergency Respite for families with Children with

Special Needs;

Page 30: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Message from Commissioner Henry “Hank” Whitman,

Texas Department of Family and Protective Services.

• “The HOPES grants are one of the agency’s most promising initiatives for helping families with young children before the family reaches crisis stage. “The program combines local leadership and ingenuity with the latest science on preventing child maltreatment and promoting healthy families. The United Way of Bexar County’s HOPES grant represents a strong community coming together to take care of its families through innovation, collaboration and evidence-based programming.”

Page 31: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Healthy Outcomes through Prevention & Early Support (HOPES) III Grant

QUESTIONS??

Page 32: Children’s Agenda - ReadyKidSAproviders.readykidsa.com/.../Bx-Co-Childrens-Agenda...% kinder ready Pre School readiness # children insured Decrease in ER visits/have medical home

Healthy Outcomes through Prevention & Early Support (HOPES) III Grant

For more information, please contact

• Jeniffer M. Richardson, Director of Community Engagement at (210) 352-7089 or via email at [email protected]