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Maryland’s Early Childhood Maryland’s Early Childhood Comprehensive Systems Comprehensive Systems (ECCS) Grant Program (ECCS) Grant Program

Yvette McEachern and Dona Jo Ponn Yvette McEachern and Dona Jo Ponn

Maryland Department of Health & Mental Hygiene

Prevention and Health Promotion Administration, Maternal and Child Health BureauMaternal and Child Health Bureau

Office of Family Planning and Home VisitingOffice of Family Planning and Home Visiting

Maryland Early Childhood Advisory Council Meeting

March 27, 2014

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MISSION AND VISION: MISSION AND VISION: PHPAPHPA

MISSION The mission of the Prevention and Health Promotion Administration is

to protect, promote and improve the health and well-being of all Marylanders and their families through provision of public health leadership and through community-based public health efforts in partnership with local health departments, providers, community based organizations, and public and private sector agencies, giving special attention to at-risk and vulnerable populations.

 

VISION The Prevention and Health Promotion Administration envisions a future in

which all Marylanders and their families enjoy optimal health and well-being.

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DHMH Maternal and Child DHMH Maternal and Child Health BureauHealth Bureau

Women, Infant and Children’s Program (WIC)

Title V Program Offices: Office of Genetics and People with Special

Health Care Needs Office of Surveillance and Quality Initiatives Office of Family Planning and Home

Visiting

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Office of Family Planning Office of Family Planning and Home Visitingand Home Visiting

Title X Family Planning Program Reproductive Health Teen Pregnancy Prevention

MIECHV Home Visiting Program

Title V Child and Adolescent Health Programs (prevention programs)

Early Childhood Coordination (ECCS) Adolescent Health Coordination (Abstinence Education) Title V Planning, Coordination and Administration Project LAUNCH- Title V Co- Lead

The Early Childhood Comprehensive Systems Grant (ECCS)

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MD’s Title V Agency is the grant recipient ECCS is a Title V SPRANS grant

It is a systems grant focused on building infrastructure services, no direct services

Key focus on integration activities and use of collective impact strategies

Targets birth to age three Goal has been to increase health and developmental

trajectories for children; to use the latest scientific findings on early experiences and brain development to improve health and developmental outcomes

Early Childhood Comprehensive Early Childhood Comprehensive Systems Grant Systems Grant

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ECCS in Maryland, ECCS in Maryland, 2003-20042003-2004

Maryland has had an ECCS grant since 2003 Initial focus on planning

In 2003-2004, Maryland’s ECCS program collaborated with other child serving agencies and programs statewide to develop a strategic plan for improving Maryland’s early childhood health system

The original ECCS state plan is now blended into Maryland’s ECAC plan for school readiness

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ECCS in Maryland, ECCS in Maryland, 2005-20122005-2012

From 2005-2012, ECCS focused on implementation

Major accomplishments included: Support of early childhood activities including: SEFEL

training, Health Consultation Training, Home Visiting Conference Keynote, focus groups with pediatricians and pediatric dentists, asthma and oral health activities in child care and various medical home/AAP projects.

Ready at Five “Young African American Male Initiative”

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ECCS in Maryland, 2013-2015

New three year project period Builds on four broad ECCS goals:

Improve physical, social and emotional health of infants and toddlers

Eliminate disparities Increase access to early childhood services

through systems development Improve the quality and availability of early

childhood services- State and local levels

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ECCS in Maryland,ECCS in Maryland,2013-20152013-2015

New systems building directives: Enhance efforts of MIECHV Build statewide longitudinal early childhood

data across early childhood investments and MIECHV

Sustainability planning and CQI

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ECCS in MarylandECCS in Maryland2013-20152013-2015

$140,000 annually It supports:

a full-time ECCS Coordinator a part-time Project LAUNCH Young Child

Wellness Partner small grants to selected vendors

Annual funding cycle: August 1st to July 31st

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ECCS in Maryland, 2013-2015ECCS in Maryland, 2013-2015

REQUIREMENTSREQUIREMENTS

Select a focus area Align ECCS plans and activities with

MIECHV, LAUNCH, Title V and the State Advisory Council

Report on statewide data that aligns with MIECHV benchmarks

Partner with an Early Childhood State Team (Linkage with AAP is key)

Early Childhood State TeamSuggested Representation

Health: Title V Local health FQHCs Medicaid ACOG AAP Women’s Health Infant Mortality

Mental & Beh. Health: LAUNCH Children’s Mental

Health Substance abuse

prevention Pediatric/infant

mental health providers

Early Childhood State Team

Education & Early Care: Race to the Top IDEA SAC Child Care Head Start Healthy Child Care Child Care Resource

Agencies

Family Support & Home Visiting: MIECHV Strengthening

Families Child abuse

prevention Child welfare Domestic violence ABCD

CURRENT PLAN AND CURRENT PLAN AND ACTIVITIESACTIVITIES

ECCS in Maryland:

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Mitigation of toxic stress and trauma

Developmental screening activities

Improvements of State Quality Ratings and Improvement System

Priority Focus Area:Priority Focus Area:Three OptionsThree Options

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Maryland’s Focus2013-2015

Mitigation of Toxic Stress and Trauma in Infancy and Early Childhood

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Focus Area RequirementsFocus Area Requirements

Educate EC providers, families/ caregivers about early brain development, ACEs and mitigation of toxic stress (pilot community)

Enhance existing state/local early childhood systems (LAUNCH, Futures without Violence, MIECHV, etc.)

Convene or work with an existing early childhood trauma mitigation team

Implement strategy across two or more early childhood systems (e.g., child care, home visiting)

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Strategy Requirements Strategy Requirements (Continued)(Continued)

Identify a target/pilot area for year one implementation

Dorchester County

Develop/implement screening projects for young children/families at risk (TBD)

Promote supportive and treatment services for families with trauma or at risk (TBD)

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The Work Plan

To educate a broad range of early childhood providers, families/caregiver, communities and stakeholders: One page fact sheets/brochures Presentations Website Partner, partner, partner Summit (TBD) Starting with pilot community- Dorchester

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The Work Plan

To enhance state and local early childhood systems, including MIECHV and Project LAUNCH Mothers and Babies Project – addresses maternal

depression; ECCS supports training for MIECHV home visitors

Key Partners: Center for Infant Study; Dr. Darius Tandon

Support for LAUNCH Young Child Wellness Partner

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The Work Plan

To convene or work with an existing early childhood trauma mitigation team Working with Early Childhood Mental

Health Steering Committee ECCS leadership team within DHMH

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Mothers and Babies Project

Led by Dr. Darius Tandon

Continuation of research on a trial in 4 Baltimore city home visiting programs.

Training intervention staff on Mother’s and Babies course and overseeing project implementation

One on one format. 24~15 minute segments that could be integrated into a home visit or done as supplemental visit.

Implementation in Baltimore County and Eastern Shore including Dorchester County

Conduct pre-post assessments with participating families.

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Center for Infant Study

Led by Kay Connors

To support training with home visitors on self-care and reflective supervision

Coaching supervisors on how to supervise and sustain trauma and attachment informed practice in home visiting

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The Work PlanThe Work Plan

Finally we hope to: Meet the requirement to strengthen our

ability to aggregate, align and report on statewide early childhood data

Work with partners to identify early childhood health investments in MD

Further examine early childhood health needs through the 2015 Title V needs assessment

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The Final Ask

Can ECAC continue to serve as the ECCS Early Childhood State Team?

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QUESTIONS?QUESTIONS?Thanks for Listening!

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Contact Information

Dona Jo Ponn, MS., Ed

Early Childhood Coordinator

dona.ponn@maryland.gov

410-767-6715

Yvette McEachern, MA

Chief, Title V MCH Program

Yvette.McEachern@maryland.gov

410-767-5824

http://phpa.dhmh.maryland.gov

Prevention and Prevention and Health Promotion Health Promotion

AdministrationAdministration

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