Moderator: Barbara Gebhard, MA Assistant Director of Public Policy ZERO TO THREE Connecting Policy at the Federal, State and Community Levels Question ? Text us at 22333 or Pollev.com/ECCSCoIIN
ECCS CoIIN Driver Diagram Aim Statement Primary Driver Secondary Driver P1: Family partnership grounded By July 31, 2021 ECCS Impact in supportive, trusting Grantees and Place-Based relationships and mutual respect Communities will promote healthy development of children ages birth through age 3 to achieve: • 25 percent relative increase in children birth through age 3 that are achieving age appropriate P2: Universal Developmental developmental health in all five Promotion SD1: Understanding of policy developmental domains • 15 percent relative decrease in disparity among children birth through age 3 that are achieving age appropriate developmental SD2: Reciprocal relationship health in all five developmental between policy and practice domains (by age, gender, poverty P3: Social Determinants of Health or race) • 15 percent relative increase in the proportion of family members of SD3: Innovative payment models and children birth through age 3 that report they read, told stories financing and/or sang songs with their child daily P4: Coordinated systems for • 15 percent relative increase in the developmental promotion proportion of primary caregivers SD4: Child health policy reform and reporting improved social support service transformation • 10 percent relative increase in the proportion of families successfully connected to one or more services to address social determinants of P5: Policy health (SDoH) SD5: Social and economic supports Question ? Text us at 22333 or Pollev.com/ECCSCoIIN
Myra Jones-Taylor, PhD Chief Policy Officer ZERO TO THREE Amy Zapata, MPH Director, Bureau of Family Health Louisiana Department of Health – Office of Public Health Shannon Garrity, MEd Children’s Program Director Indiana State Department of Health Question ? Text us at 22333 or Pollev.com/ECCSCoIIN
Myra Jones-Taylor, PhD Chief Policy Officer, ZERO TO THREE Question ? Text us at 22333 or Pollev.com/ECCSCoIIN
Title V and Early Childhood Policy Change Initiatives: Lessons Learned Amy Zapata, MPH Director, LDH OPH Bureau of Family Health July 2018
Title V and Early Childhood Policy Change Initiatives: Lessons Learned (so far) Amy Zapata, MPH Director, LDH OPH Bureau of Family Health July 2018
The Context for Early Childhood Policy ● New federal investments in state-level early childhood system building ● Traction with science of early brain development and early experiences ● Shift in national Title V Maternal and Child Health (MCH) Block Grant ● Statutory requirement for interagency agreement Titles V/XIX
The Context for Early Childhood Policy ● New federal investments in state-level early childhood system building ● Traction with science of early brain development and early experiences ● Shift in national Title V Maternal and Child Health (MCH) Block Grant ● Statutory requirement for interagency agreement Titles V/XIX (technical)
The Context for Early Childhood Policy
Title V Medicaid IAA to be revised! It’s old dating back to 1990! 17
Opportunities Identified ● Analyze insurance coverage/benefits for MCH & CYSHCN; focus on Medicaid & health plans on federal marketplace ● Assess adequacy of provider networks to identify gaps in provider types & those who accept Medicaid ● Identify populations where continuity of care issues are most critical & develop systems to improve linkage to next level of care ● Revise Title V Medicaid Intra-Agency Agreement (IAA) ● Policy change opportunities (e.g. developmental screening, others) 18
Title V NPM 6: Developmental Screening • Title V Needs Assessment - identified gaps in practice, outdated guidance, payment structures not aligning with recommendations Identified Opportunities • Scanned for alignment with others’ priorities External Environment • Assessed internal capacity to address (expertise, availability, other work) Internal • Created capacity (new positions; consultants) Environment • Convened cross-agency team to identify key domains and tools • Developed “best practice” Louisiana Developmental Screening Researched Guidelines
Title V NPM 6: Developmental Screening Approach • Developed multi-level strategy (provider, policy, Policy) • Medicaid leadership and committees • LaAAP and other professional associations Engaged • Developed guidelines, tools, briefs Tools • Circled back to stakeholders Buy-in
DS Policy Brief ● Identified specific changes and recommendations ● Provided supporting rationale ● References
DS Policy Brief Identified specific changes ● and recommendations ● Provided supporting rationale References ● First time with formal √ proposal to sister agency Became useful “talking √ piece” for multiple audiences and stakeholders √ Common document across agencies doing similar work Concrete √
Title V / Title XIX Interagency Agreement
Title V / Title XIX Interagency Agreement 1990
Title V / Title XIX Interagency Agreement 1990 1 + years to craft!
“Power” External PH role (or difference demands value) unclear/ (Medicaid undefined expansion, etc.) Why? Different stakeholder expectations Different languages Different timeframes for accountability
What matters to Medicaid?? ● Key areas of decision-making ● Values and concepts informing decisions and priorities ● Current pressures and opportunities for that system
Lessons Learned Know values, language, priorities, and influencers of your audience ● Consider: Are you ready to work together? Who are you to them? ● Consider: Do you have organizational readiness (skills, process, relevant ● information) Systematic policy development process might have identified some key ● considerations earlier Do you know how many changes you are actually making? ● ○ The policy change itself? How many changes are in that change? ○ Your personal or agency positioning or relationship? Your own capacity to “do” policy? ○ What is your value? ● Relationships matter ●
Shannon Garrity, MEd Children’s Program Director, Indiana State Department of Health Question ? Text us at 22333 or Pollev.com/ECCSCoIIN
PARENT CAFÉ Created and developed in 2007 by Strengthening Families • Illinois • Intended to educate parents on the five research based Strengthening Families™ Protective Factors that keep children safe and families strong. Based on the principles of adult learning and family support • PURPOSE • Build protective factors and teach parents about Social Connections, Parental Resilience, Knowledge of Parenting and Child Development, Concrete Support in Times of Need, and Social and Emotional Competence of Children) through individual deep self-reflection and peer-to-peer learning.
The cafe provides a….. Gateway to providing parent leadership • opportunities • Safe space for parents and caregivers to explore their strengths • Network for parents and caregivers to examine how they can strengthen their own families in relation to the protective factors as well as other themes — Opportunity for parents to look at their lives, and • evaluate for themselves, the areas that need to be strengthened
Parent Cafés are… highly sustainable with training • reinforcement, • institutional support, and a commitment to an overall approach to • parent engagement that affirms parents’ leadership role in their families and their communities
Indiana Parent Café Collaboration Indiana State Department of Health, Division of Mental Health Addiction, One Community One Family 2014 2015 2016 2017 2018 Project Trainings DMHA Expansion ECCS LAUNCH One OCOF Leverages In 8 Parent Café Community engages TANF counties, training in One Family dollars to Parent, Dad, Marion multiple partner with providers to expand Café Grandparent County Be Strong educate trainings Cafes led by continues Families to about the throughout parents. through our bring the Café model. the state. work in Additional Café model ECCS OCOF 34 counties to Indiana begins to that provide 0 host Cafes Cafés. 3 7 July 10, 2018
Parent Café and Family Supports TANF Block Grant Sites Ireland Home Based Services Hamilton Center Adult & Child HUNTI NGTON Collaborative Change MHA of Northeast IN Family Centered Services
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