Prevention and Health Promotion Administration [March 27,2014] 1 Maryland’s Early Childhood Comprehensive Systems (ECCS) Grant Program Yvette McEachern and Dona Jo Ponn Maryland Department of Health & Mental Hygiene Maternal and Child Health Bureau Prevention and Health Promotion Administration, Maternal and Child Health Bureau Office of Family Planning and Home Visiting Maryland Early Childhood Advisory Council Meeting March 27, 2014

Prevention and Health Promotion Administration [March 27,2014] 2 MISSION AND VISION: PHPA 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.

Prevention and Health Promotion Administration [March 27,2014] 3 DHMH Maternal and Child Health 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

Prevention and Health Promotion Administration [March 27,2014] 4 Office of Family Planning and 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)

Prevention and Health Promotion Administration [March 27,2014] 6 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 Systems Grant

Prevention and Health Promotion Administration [March 27,2014] 7 ECCS in Maryland, Maryland has had an ECCS grant since 2003 Initial focus on planning In , 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

Prevention and Health Promotion Administration [March 27,2014] 8 ECCS in Maryland, From , 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”

Prevention and Health Promotion Administration [March 27,2014] 9 ECCS in Maryland, 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

Prevention and Health Promotion Administration [March 27,2014] 10 ECCS in Maryland, New systems building directives: Enhance efforts of MIECHV Build statewide longitudinal early childhood data across early childhood investments and MIECHV Sustainability planning and CQI

Prevention and Health Promotion Administration [March 27,2014] 11 ECCS in Maryland $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 1 st to July 31st

Prevention and Health Promotion Administration [March 27,2014] 12 ECCS in Maryland, REQUIREMENTS 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 Team Suggested 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 ACTIVITIES ECCS in Maryland:

Prevention and Health Promotion Administration [March 27,2014] 16 Mitigation of toxic stress and trauma Developmental screening activities Improvements of State Quality Ratings and Improvement System Priority Focus Area: Three Options

Prevention and Health Promotion Administration [March 27,2014] 17 Maryland’s Focus Mitigation of Toxic Stress and Trauma in Infancy and Early Childhood

Prevention and Health Promotion Administration [March 27,2014] 18 Focus 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)

Prevention and Health Promotion Administration [March 27,2014] 19 Strategy Requirements (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)

Prevention and Health Promotion Administration [March 27,2014] 20 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

Prevention and Health Promotion Administration [March 27,2014] 21 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

Prevention and Health Promotion Administration [March 27,2014] 22 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

Prevention and Health Promotion Administration [March 27,2014] 23 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.

Prevention and Health Promotion Administration [March 27,2014] 24 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

Prevention and Health Promotion Administration [March 27,2014] 25 The 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

Prevention and Health Promotion Administration [March 27,2014] 26 The Final Ask Can ECAC continue to serve as the ECCS Early Childhood State Team?

Prevention and Health Promotion Administration [March 27,2014] 27

QUESTIONS? Thanks for Listening!

Prevention and Health Promotion Administration [March 27,2014] 29 Contact Information Dona Jo Ponn, MS., Ed Early Childhood Coordinator Yvette McEachern, MA Chief, Title V MCH Program

Prevention and Health Promotion Administration [Date] 30