1. 1 Massachusetts Birth to School-Age Task Force Phase 1: Pre Birth to Age Three October 2009

2. Agenda for October Forums I. Panel Discussion (5:30-6:20) EEC Commissioner, Sherri Killins Introduction to the first phase of work of the Birth to School Age Task Force. Early Education and Care Providers Discuss their experiences/successes/challenges working with children and their families, pre-birth to three, in their programs/communities. II. Facilitated Q/A with Audience (6:20-7:00pm) In order to support the pre-birth to three year old children and their families: Are there specific evidence based, promising practices or programmatic strategies that we should be aware of? What are the top challenges in your community? How will we know we are successful? Is there specific data that we should consider? How can we support families and these entities to be family friendly and to strengthen their interactions with infants and their families: early educators pediatricians local resources (e.g. public libraries) 3

3. 44 Task Force Charge To put forth recommendations to the Department of Early Education and Care (EEC) and the Executive Office of Education (EOE) to strengthen supports and services to effectively meet the needs of children birth to school-age, their families, and other significant caregivers to ensure continuously improving development and learning outcomes for children in the earliest years. The work will be accomplished in two phases: 1. Phase I began in March 2009 and will focus on children pre- natal to three years. 2. Phase II will build on the work of Phase I and will focus on linkages across the broader age range of birth to school entry and beyond; the time period and membership will be determined as Phase I concludes.

4. 55 Task Force Charge Advise EEC in articulating a statewide vision & a framework for the positive development & early learning of children pre-natally to age three in MA; Serve in an advisory capacity to EEC & EOE on the development of short, mid- & long- term goals & strategies for achieving the vision & institutionalizing the framework; Gather, analyze, & report on current data/research & resources; Identify strengths of the current system & unaddressed needs & gaps in infrastructure, programs, & services; Identify & build on research-based practices, promising practices, & ‘what works’;

5. 6 Task Force Charge Provide a basis for continuous improvement by articulating desired outcomes for children prenatally to age 3 & their families, identifying indicators to track & measure progress & where possible, tools to measure the success & impact of strategies & interventions; Inform EEC of ready-now opportunities within the scope of the agency’s ongoing work & responsibilities; Provide expert feedback/ refinement on proposals developed in partnership by EEC & EOE; and Identify areas for interagency & inter-initiative collaboration. 6

6. 77 Task Force Values We value & respect all children, parents & families. Learning starts before birth. All children can succeed & adults have the responsibility to ensure they do. Parents are children’s 1st teachers. Nurturing interactions that build consistent responsive relationships for children with parents, families, & caregivers- as well as among these significant caregivers- are integral to children’s healthy development & learning & are of particular importance for children pre-birth to 3. Parents, families & caregivers are integral to the healthy development of children & must be engaged as equal partners. Family choice is honored & respected. Providing culturally appropriate services is critical to being effective in the lives of children, their parents & their families.

7. 88 Task Force Values Our system must provide services to meet the individual needs of children, their parents & their families. We support the continuum & continuity of every child’s education & care. Transitions between systems for children, parents, families & professionals should be smooth & seamless. Promotion, Prevention & Intervention are integral components of our service delivery system. Children & families live within communities & must be reached & supported in ways that maximize accessibility. Community disparities, including geographic, demographic, environmental, & access to services & outreach, should be recognized & addressed. We believe priority in access to & delivery of services should be given to children with the greatest educational & care needs & multiple risk factors.

8. 99 Task Force Values All practitioners who provide services to young children are the backbone of our system; we value & support their diversity, ongoing PD, & fair compensation. Systems should be adaptable & responsive to changing times. Accountability at all levels is important & we will work together to measure, recognize needs & develop the assets of the field. We are committed to promoting evidence-based programs, the use of evaluation & informed use of best practices. We are committed to working proactively across systems that service the pre-birth to 3 age group & their parents & families- including the pediatric community- in order to integrate & coordinate services & leverage opportunities. Sustainability is a key consideration for any program, service or initiative in which we feel it is worthwhile to invest. Our advocacy efforts & messages should be coherent & coordinated.

9. 10 Unified Task Force Vision All Massachusetts infants and toddlers will be emotionally and physically healthy and will have optimal opportunities to experience consistent, nurturing care-giving and learning in the context of strong families living in supportive communities with culturally competent systems that deliver high-quality, comprehensive services focused on promotion, prevention, intervention, and evaluation.

10. Infants and Toddlers in MA The National Center for Children in Poverty reported that: Massachusetts is home to approximately 230,000 infants and toddlers (2009) In 2007: 26% of Massachusetts children under 6 experienced 1 or 2 demographic risk factors for poor educational and health outcomes (e.g. living in poverty, linguistically isolated, parents have less than a high school education, parents have no paid employment etc.) 7% experienced at least 3 11

11. 12 Setting the Stage: Review of the Science Center of the Developing Child http://developingchild.harvard.edu/library/briefs/inbrief_series/

12. 13 Birth to School Age Task Force, Phase I: Pre Birth to Age Three 5 TASKFORCE SUBCOMMITTEES

13. 14 Good Health Subcommittee Physical Health Including adequate health care coverage Mental Health (Social and Emotional) Parental Health/Mental Health Developmental Screening Premature infants Early intervention for abused and neglected children Environmental (including facilities) 14

14. 15 Strong Families/Communities Subcommittee Basic Needs Income Security Home Visiting/ Family Access Child Welfare Preventing child abuse and neglect Ensuring safety and permanency Infant-toddler court teams Paid Family Leave Parent Education Child Care Healthy and safe environments Access to quality options Nurturing responsive providers and caregivers Parents, providers and caregivers linked to community resources Safe and Nurturing Families Economic and parenting support 15

15. 16 Positive Early Learning Experiences Subcommittee Child Care Access to quality Birth to Three (e.g. Early Head Start) Expand access Early Intervention/ Special Needs Early identification, assessment, and appropriate services for children with special health care needs, disabilities, or developmental delays Safe and Nurturing Environments Family and Community 16

16. 17 Strong Systems Subcommittee Governance/ Leadership Set the policy direction for comprehensive system Quality Improvement Standards that reflect effective practices, programs, and practitioners and are aligned across the system Accountability and Evaluation Monitoring and tracking program performance and results based on standards Financing Sufficient to ensure comprehensive quality services based on standards Public Engagement and Political Will Building Communication to inform and engage families, providers, and the public Regulations and Standards 17

17. 18 Diversity Subcommittee Responsiveness to issues of diversity, including: Cultural and ethnic Geographic Diverse learning needs Works across the other 4 subcommittees, with representation from each, to inform the recommendations of the other subcommittees Mapping of settlement patterns across the State. 18

18. 19 Birth to School Age Task Force, Phase I: Pre Birth to Age Three PRELIMINARY OUTCOMES DEVELOPED BY TASKFORCE

19. 20 PRELIMINARY OUTCOMES FOR CHILDREN

20. 21 Summary of Outcomes Developed by the Taskforce - Children Basic Needs Infants and toddlers are safe in their home, care, and community setting. Infants and toddlers are receiving adequate nutrition. Health and Well-Being Infants and toddlers are physically and mentally healthy. Infants and toddlers have quality primary care. Infants and toddlers have access to quality health and dental care coverage. Development and Learning Infants and toddlers are on track for their optimal development. Infants and Toddlers are entering school “ready to learn” and are performing well by the third grade. Infant and Toddlers have access to high- quality, affordable Early Education and Care Infants and toddlers have high-quality learning experiences with their families/ primary caregivers. Relationships Infants and toddlers have consistent, stable, responsive, and nurturing relationships in their out of home care settings that are culturally responsive. Infants and toddlers have consistent, stable, responsive, and nurturing relationships in their family settings.

21. 22 PRELIMINARY OUTCOMES FOR PARENTS / FAMILIES

22. 23 Basic Needs Parents/Families have adequate, stable and affordable housing options. Infants and toddler have adequate and stable housing. Parents/Families of Infants and Toddlers are economically secure. All parents/families of infants and toddlers have stable work that generates a livable wage to provide for their infants and toddlers. All parents/caregivers of infants and toddlers receive sufficient paid leave to care for sick children. / All parents/caregivers receive adequate paid family leave to care for newborn or adopted infants and toddlers. Health and Well-Being Families have access to & are informed consumers of health care & receive consistent, coordinated health, dental & mental health services. Pregnant women, receive comprehensive pre and postnatal health care and support. Pregnant women are physically and mentally healthy during and after pregnancy. Development and Learning Parents/Families are competent in their role as their infant and toddler’s first teacher. Parents/families of infants and toddlers have the knowledge and resources (or capacity?) to support the optimal development of their infants and toddlers. Parents/families have meaningful choices in services for infants and toddlers and are supported in accessing services and supports. Relationships All families of infants and toddlers have informal and formal support networks. Summary of Outcomes Developed by the Taskforce - Parents/Families

23. 24 PRELIMINARY OUTCOMES FOR COMMUNITIES / PROGRAMS

24. 25 Summary of Outcomes Developed by the Taskforce – Communities/Programs Basic Needs Infant/toddler caregivers/ educators receive respect, support, and adequate compensation for their work. Relationships Parents/families of infants and toddlers are actively involved in leadership, advocacy and governance. Programs work to foster consistent, stable, responsive, and nurturing relationships in the families they serve and in their care-giving settings. Infant and toddler caregivers/ educators see and treat parents as the children’s primary teachers and partner with them in their children’s care and learning Families of infants/ toddlers at risk for out of home placement have: 1) access to strength-based family support services that work together to prevent disruption, provide permanency if needed, 2) access to pre & post-permanency supports & 3) access to a coordinated system for visits b/w children, placement, & families as often as possible. Development and Learning Programs ensure that Infant/Toddler educators are competent, knowledgeable, and confident in supporting the optimal development of children in their care and have a commitment to ongoing high quality professional development opportunities. All communities have the capacity to strengthen families and support the healthy growth and development of its infant/ toddlers All communities have a coordinated network of high-quality, accessible services and resources.

25. 26 PRELIMINARY OUTCOMES FOR STRONG SYSTEMS

26. Systems Outcomes fall into the following categories (see handout for full list of Outcomes): Governance and Leadership Quality Family Support and Leadership Regulations and Standards Accountability and Evaluation Financing Public Engagement and Political Will Building Workforce 27 Summary of Outcomes Developed by the Taskforce – Strong Systems

27. 28 Example of a Strategy and Potential Next Action Step to Achieve an Outcome POSITIVE LEARNING EXPERIENCES SUBCOMMITTEE OUTCOMES: a.Infant and Toddlers have access to high- quality, affordable Early Education and Care b.Programs ensure that infant/toddler educators are competent, knowledgeable, and confident in supporting the optimal development of children in their care and have a commitment to ongoing high quality professional development Strategy Establish Learning Guidelines for Infants and Toddlers (that guide professional development activities) Potential Next Action Step(s): develop guidelines that includes balanced representation from all settings, including mixed-age family child care homes and EI; expedite work by drawing upon guidelines developed by other states

28. 29 Example of a Strategy and Potential Next Action Step to Achieve an Outcome GOOD HEALTH OUTCOME: Infants and toddlers have quality primary care. Strategy Build awareness around health care where parents are (e.g. pediatric visits, child care etc.) Potential Next Action Step(s): ECE to promote awareness re: health promotion and family’s relationships with health care provider o Ensure strong emphasis on preventive care o Promote healthy nutrition and obesity prevention o Encourage programs to use child care health consultants to support health education of families

29. 30 Birth to School Age Task Force, Phase I: Pre Birth to Age Three OUTLINE OF THE FINAL REPORT

30. 31 Preliminary Outline of Final Report – Alignment with Ready for Lifelong Success Report Ready for Lifelong Success A Call for Collaborative Action On Behalf of Massachusetts’ Children and Youth Submitted to Governor Deval Patrick and the Patrick Administration Readiness Cabinet by The Massachusetts Action Planning Team June 29, 2009 The end product/report of the Taskforce will align as a companion document with the report below, Ready for Lifelong Success: A Call for Collaborative Action On Behalf of Massachusetts’ Children and Youth, which focuses on defining desired outcomes for all children, youth and families, was submitted to Governor Patrick and the Patrick Administration Readiness Cabinet by The Massachusetts Action Planning Team on June 29, 2009.

31. 32 Task Force Timeline 32 TimelineActivities May 2009Task Force Convened May- October 2009Task Force Subcommittees Convened to Work on Outcomes, Indicators, Strategies and Action Steps October/November 2009 Community Meetings Held to Gather Stakeholder Feedback. November 2009 - January 2010Report Will Be Written (with stakeholder input) January 2010Final Report Available

32. Questions for Feedback Facilitated by United Way In order to support the pre-birth to three year old children and their families: Are there specific evidence based, promising practices or programmatic strategies that we should be aware of? What are the top challenges in your community? How will we know we are successful? Is there specific data that we should consider? How can we support families and these entities to be family friendly and to strengthen their interactions with infants and their families: early educators pediatricians local resources (e.g. public libraries) 33

33. If you have additional questions or feedback, please send to: Nicole Lessard nicole.lessard@state.ma.us 617-988-7822 34