Colorado Child Maltreatment Prevention Framework for Action
S ession Obj ect ives Partners are aware of the draft framework in development and feel confident sharing information with partners and colleagues Partners provide input on and contribute to the development of a roadmap to support families in Colorado through this framework Opportunities for partners to discuss future use and areas of alignment are identified
The Challenge: “Framing” a Complex Problem
The Core Team • Chapin Hall, University of Chicago • Colorado Office of Early Childhood • University of Denver • South Carolina Children’s Trust • National Child Abuse and Neglect Technical Assistance and Strategic Dissemination Center • Ben and Lucy Ana Walton Family Fund of the Walton Family Foundation
Early Childhood Colorado Framework
Colorado Prevention Landscape Core Violence and Inj ury Prevention Colorado Opportunities Proj ect Keeping Kids S afe and Families Healthy Plan
Work to Date • Interviews with leadership at the Colorado Office of Early Childhood and other key state stakeholders to identify key concerns. • S urvey of professionals of current prevention landscape. • Review prior/ current related planning efforts and their impacts. • Conduct a web-based parent survey and focus groups with key parent subgroups. • Compile a literature review of promising prevention efforts. • Clarify core outcomes, related indicators and priority interventions. • Create an approach to guide community planning teams and develop a toolkit of resources.
Initial Learnings
Parent and Community Asset Survey Survey open to adult caregivers with at least one child under 18 Survey accessed via SurveyMonkey Total Responses - In Colorado: 543 responses from 39 counties
Survey Content Community Quality and Community Resources Parental Capacity Mutual Self-Help Demographic Characteristics
Parent S urvey Findings • More likely to provide assistance to others than to ask for help themselves Need to create a prevention message that encourages both o help seeking, as well as help giving behaviors • Public libraries and health care settings are accessed by most caregivers and are trusted messengers • Creating viable economic opportunities and ensuring access to high quality child care is as important for strengthening parental capacity as more traditional forms of parent support • Parents think that their children misbehave to upset them and desire information on which behaviors are developmentally appropriate for children • Variety of responses based on local community. Communities need to invest in strategies most relevant to their residents.
Impetus for Focus Groups 1. Target some populations that were not strongly represented in the surveys: • Parents of color; • Low-income parents; and • Spanish speaking parents. 2. Provide insight into the patterns observed in the survey and expand on the findings.
Focus Group Participants Colorado (n = 63) • 7 focus groups total • Majority rural or mixed rural (6 of 7) o Alamosa o Colorado Springs - All male and All Caucasian o Craig – All Caucasian o Denver – All African American o Durango – Some Spanish o Ft. Collins – All Spanish and All Latino o Wray
Focus Group Content Possible Community Community Informal Mutual Self-Help Core Values Formal Support Support Innovations
Parent Focus Group Findings • Libraries offer a promising, well-regarded place in which to provide services and supports for a broad variety of parents • Efforts to implement and sustain strong informal networks within a community should be crafted with unique community challenges in mind • Parents were concerned about passing j udgment on others and being j udged themselves\ • Parents like having their opinions solicited • There was overall interest in meeting with other parents in a parent cafes format
Framework Components 1. Identify foundational elements– agree on elements you want reflected in all of your interventions and policies. 2. Establish a core set of outcomes and related indicators – agree on a common way to assess progress at the individual and population levels . 3. Identify high priority strategies – assist communities in selecting their most promising “ best bets” . 4. Develop tools to support community planning -
DRAFT Key Foundational Principles Implementation Science – study how things work and what contributes or inhibits successful implementation. Work Force Development – strengthen provider knowledge and skills. Data Integration – share information on populations and services within and across agencies. Continuous Quality Improvement – raise the performance bar and use timely data to adjust practice. Participant Voice – engage those you seek to help. Policy Integration – never act alone if you can find a partner.
DRAFT Core Outcome Domains Child well-being and achievement Maximize developmental potential of all children Parent/caregiver well-being and achievement Provide parents the support they need to succeed Consistent, high quality caregiving Insure all caregivers foster positive child development Safe, stable and supportive neighborhoods Create a context of collective responsibility for children
Moving Beyond Individualized Services Replicating evidence-based programs with quality remains an important investment strategy. Maximizing impacts ALSO requires: • Changing organizational culture and practice. • Fostering collaboration and community efficacy. • Influencing policy and legislative change.
Child Well‐ Car e giver Consistent High Safe Quality Being & Well‐Being & Supportive Caregiving Neighborhoods Achievement Achievement Collaboration & Organization & Community Individualized Policy Practice Change Capacity Services Reform Foundational Principles Program Build Continuous Fostering Data Participant Policy Monitoring Workforce Quality Integration Voice Integration and Integrity Capacity Improvement
Impact Measurement Considerations • Capture both child and parent outcomes • Monitor population level indicators • Establish data collection needs for program level indicators • Looking at using the same questions from the Colorado Child Health S urvey and the National S urvey on Children’ s Health at both the population and the program level
Identifying and Promoting Promising Innovations
Priorities for Strategy Selection
DRAFT Strategies Individualized Services Organizational and Practice Change Home Visiting Evidence-Based Practice Parent Education Implementation S cience Mobility Mentoring and Financial Literacy Work Force Development – training, coaching, Family Development & Goal certifications, core S etting competencies, quality Respite and Crisis Care standards S ubstance Abuse Treatment & Performance Monitoring S upport Intimate Partner Violence Treatment & S upport
DRAFT Strategies Agency Collaboration & Policy Reforms Community Capacity Policy Agenda S etting Building Family Friendly Integrated Care Employment Utilizing Technology Innovating Federal and S tate Community Effects on Child Healthcare Funding Maltreatment and Transforming existing S trategies at the legislation to better meet Community-Level the needs of families Early Learning Communities (CCCAP Reform) Community Norms Change
Replicating the Process in Local Communities
Contact Information Kendra Dunn Child Maltreatment Prevention Director Office of Early Childhood Colorado Department of Human Services (303) 866-5769 kendra.dunn@ state.co.us
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