1. Patty Hayes, Director of Public Health – Seattle & King County BLUE RIBBON COMMISSION A PUBLIC HEALTH PERSPECTIVE

2. “I WAS 17 WHEN I HAD MY DAUGHTER, I HAD NO CONFIDENCE IN MYSELF. I HAD NO PLAN FOR THE FUTURE. I WAS A HIGH SCHOOL DROP OUT.” – CLIENT OF NURSE FAMILY PARTNERSHIP

3. HOW HER LIFE LOOKS TODAY

4. WORKING UPSTREAM LEADS TO BETTER OUTCOMES

5.  Focus on all children while paying close attention to populations with health inequities GETTING TO OUTCOMES

6. 6 DATA CAN HELP FOCUS SHARED EFFORTS Diabetes Poor Housing Conditions Frequent Mental Distress Adverse Childhood Experiences

7. WHAT CONTRIBUTES TO HEALTHY CHILDREN AND FAMILIES

8. 8 Adapted from Center for the Study of Social Policy Reduce Risk Factors Psychological stressors Unhealthy birth outcomes Social isolation Multigenerational adverse childhood experiences Unsafe, unstable, inequitable environments Increase Protective Factors  Parental resilience  Social connections  Knowledge of parenting and child development  Concrete support in times of need  Social and emotional competence of children HEALTHY DEVELOPMENT & WELL-BEING FOR CHILDREN AND FAMILIES Optimal child development Strong, supportive families Reduced likelihood of child abuse and neglect FRAMEWORK FOR HEALTHY DEVELOPMENT

9. EXAMPLES OF PROGRAMS TO ENHANCE PROTECTIVE FACTORS

10. GROWING EVIDENCE ON THE EARLY YEARS

11. CATALYZE IMPACT BY SETTING A BOLD AGENDA

12. OPPORTUNITY FOR CONNECTION DEPARTMENT OF SOCIAL AND HEALTH SERVICES DEPARTMENT OF EARLY LEARNING DEPARTMENT OF HEALTH HEALTH CARE AUTHORITY CHILDREN AND FAMILIES

13. SYSTEMS INTEGRATION EXAMPLE: HELP ME GROW BEFORE

14. SYSTEMS INTEGRATION EXAMPLE: HELP ME GROW AFTER

15. OPPORTUNITY FOR DATA AND POLICY Connecting data and filling gaps

16. A public health perspective  Prevention  Protective Factors  Data–informed approach THE BOTTOM LINE