Collaborative Partners:

1. Collaborative Partners: Community Based Child Abuse Prevention and Early Childhood Comprehensive Systems

2. Community Based Child Abuse Prevention and Family Preservation Resources – Nebraska Children and Families Foundation (NCFF) Jennifer Skala Early Childhood Comprehensive Systems – Together for Kids and Families (TFKF), Nebraska Department of Health and Human Services Lynne Brehm Collaborative Partners:

3. Partnership: The Nebraska Dance A person associated with another or others in some activity of common interest; implies a relationship in which each has equal status and a certain independence but also implicit or formal obligations to the other or others. For example, either of the two persons dancing together. (The American Heritage Dictionary, 2nd College Ed.) *Arrows depicting connections do not adequately represent a functioning system.

4. Government Administrative and Funding Groups State Legislature U.S. Dept. of Health and Human Services Governor U.S. Dept. of Education State statutes & budget Policy Development and Regulation Groups Health & Human Services System Policy Cabinet [appointed] State Board of Education [elected], Commissioner & Deputy Other State Agencies Professional and Research Organizations ADVISORY Early Childhood Interagency Coordinating Council (ECICC) Gaps & Barriers Standing Committee ADVISORY Special Issue Task Forces Special Education Advisory Council (SEAC) Established by state and federal statute, members appointed by the Governor Good Start, Grow Smart Initiative Essential Education Recommendations Established by federal regs, appointed by State Brd. of Ed. Program/Project Leadership, Implementation, Oversight & Support Groups Early Childhood Policy Study Individuals with Disabilities Education Act (IDEA) Nebraska Health & Human Services System (HHSS): Nebraska Department of Education (NDE): Early Childhood Programs and Initiatives • Office of Early Childhood Early Childhood Training Center • Special Education No Child Left Behind (NCLB)  • Health and Human Services • Regulation & Licensure Child Care Development Fund Maternal and Child Health Grant Child Care Subsidy • Resource to inform best practice. • Meets mandatory requirement of state plan for Child Care Development Funding. Early Learning Guidelines Strategic planning grant to inform policy Head Start/Early Head Start Together for Kids and Families Head Start State Collaboration Office (HSSCO) Co-Leads (IDEA-Part C) • Builds early childhood systems. • Creates partnerships between HS and state agencies/programs. • Facilitates involvement of HS in state policies. • State system to serve children with disabilities, Part C (Birth-3): • Identification • Monitoring- Services coordination - Implementation • Funding Early Development Network (EDN—Early Intervention) Community Services, Implementation and Training Groups Center and Family-based Child Care and Education Programs; School District Programs (ages 3-8) Planning Region Teams (PRT) Regional Training Coalitions (RTC) Educational Service Units (ESU)

5. Comparison of the state of Nebraska and the New England States

6. Nebraska and its Population • Covers 76,872 square miles, or an area about 20% greater than New England. • It is a 10 hour drive from SE corner to NW corner. • Total population 1,711,263 (2000 Census) • Average population density 22.3 persons per square mile. • 32 of 93 counties are designated as Frontier, Which means 6 or fewer persons per square mile.

7. Nebraska and its Population • 39% of the population lives in the two metropolitan population centers, Omaha and Lincoln. This means that there are significant urban and rural differences that need to be respected. • 72% of total population live in communities which have a population of 1,000 people or less.

8. Nebraska and its Population • Four federally-recognized Native American Tribes, three with a land base and one without. • U.S. Strategic Command - 2500 military and civilian personnel. • The State’s minority population grew: • 23% from 1980 - 1990. • 83.5% from 1990 - 2000.

9. Additional Considerations • 34% of Nebraska’s counties are considered Primary Health Care Professional Shortage areas. • 78% of Nebraska’s counties are Medically under served areas. • Shortage of health specialists • 50% of practicing dentists plan to retire by 2013. • 20% of Nebraska’s Counties have NO Dentists. • 32% of Nebraska’s Counties have only 1 or 2 Dentists. • (Source: Nebraska Dental Association Workforce Study, 2001)

10. Additional Considerations • 14% of children age 5 and under live in poverty (2000 Census) • 30% of Nebraska’s minority children live in poverty (2000 Census) • 73% of the working mothers in Nebraska have children under the age of six. (Kids Count 2007) • Nebraska ranks third in the nation with 67% of women in the labor force. (Status of women in Nebraska)

11. TFKF Work Group Organization Data Data Data Data Data Data Data

12. Partnership Overview • Early Childhood Family Support Initiatives • home visitation, respite, parent education, Positive Behavioral Interventions and Support (PBiS) • Indicator Development –refined list of priority indicators for collaborative actions • Call to Action (ages 0-21) - NCFF • TFKF Indicators (ages 0-8) • TFKF Access Work Group and the NCFF Learning Collaborative • to identify best practices and help communities overcome barriers to access

13. Early Childhood Family Support Initiatives:Home Visitation, Respite, Parent Education, Positive Behavioral Interventions and Support (PBiS) • TFKF Family Support Work Group (Chaired by NCFF Early Childhood Policy Director) • Home Visitation • Respite • Multiple Funding Sources Include: • CBCAP • Head Start/Early Head Start • Even Start • Head Start-State Collaboration Office • Family Preservation • Medicaid • Child Welfare • 0-3 Endowment

14. Early Childhood Family Support Initiatives:Home Visitation, Respite, Parent Education, Positive Behavioral Interventions and Support (PBiS) • TFKF Parent Education Work Group (Chaired by NCFF, Associate Vice President of Communications • Learning from Day One Public Awareness Campaign • Multiple Funding Sources Include: • CCDF – Child Care Development Fund • Head Start-State Collaboration Office • Together for Kids and Families • CBCAP • Family Preservation • 0-3 Endowment

15. Early Childhood Family Support Initiatives:Home Visitation, Respite, Parent Education, Positive Behavioral Interventions and Support (PBiS) • TFKF Mental Health Work Group • Positive Behavioral Interventions and Support (PBiS) • NCFF representation on PBiS Leadership Team • Multiple Funding Sources Include: • CBCAP • CCDF – Child Care Development Fund • Nebraska Department of Education (NDE) • Early Childhood Training Center (ECTC) • Head Start-State Collaboration Office • Together for Kids and Families • State Infrastructure Grant (SAMHSA) • Family Preservation • 0-3 Endowment • Training and Technical Assistance – Center for Social Emotional Foundations for Early Learning (CSEFEL)

16. Indicator Development: Call to Action (ages 0-21) - NCFF TFKF Indicators (ages 0-8) Call to Action Goals • Partner with existing data/indicator initiatives including TFKF • Educate and provide information to a wide array of stakeholders on cutting-edge science related to Priority Indicators • To identify priority indicators (through a selection process) that are agreed upon by stakeholders • Develop actions based on data that will improve child (and family) well-being in Nebraska • Based on data and evidence-based practices, a group of decision makers will develop an action plan designed to impact policies in Nebraska that affect child and family well-being. This stakeholder meeting is scheduled for May 15, 2008.

17. Indicators for Collaborative Action Level 1A Indicators- Indicators for which data is available and we are ready to engage partners to take action. • Breastfeeding- Percent of mothers who breastfeed exclusively at 6 months, supplementation up to 1 year (AAP) • Rate of Abuse/Neglect (Safe Children) in Children • Percent of low birth weight babies born Level 2 Indicators-Indicators for which we currently either do not have data, or a clearly defined indicator, but are important and areas for future exploration • Percent of Children with Medical Home Percent of children enrolled in an early childhood program • Percent of children “ready for school” • Children’s Mental health or Maternal Depression

18. Police EMS Corrections MCOs Health Department Philanthropist Churches Community Centers Nursing Homes Home Health Parks Doctors Schools Elected Officials Hospitals Mass Transit Environmental Health Civic Groups CHCs Fire Tribal Health Employers Laboratory Facilities Economic Development Drug Treatment Mental Health Community and State Organizing

19. TFKF Access Work Group and the NCFF Learning Collaborative: • To Identify Best Practices and develop collaborations within communities and between state and local entities to overcome obstacles and breakdown silos • Underinsured and Uninsured • Medical Home • Transportation • Multiple Funding Sources Include: • CBCAP • Head Start-State Collaboration Office • Together for Kids and Families • Family Preservation

20. NCFF Learning Collaborative • To develop functional sustainable collaborations in Nebraska • Vision: We see Greater Nebraska Communities transformed and sustained through collaborative leadership • Mission: We will increase leadership capacity to create healthy communities for children and families

21. NCFF Learning Collaborative • Sites: Hall County-Grand Island, Keith County-Ogallala and Cherry County-Valentine • Funded Activities • Facilitator • Service Array Assessment in 28 Counties • Learning Collaborative Meetings • Peer Review Process- Assessments and Site Visits • Best Practice Development

22. Thank you! For more information contact: Jennifer Skala, Director of Programs and Evaluation Nebraska Children and Families Foundation (402) 817-2001 jskala@nebraskachildren.org http://www.nebraskachildren.org Lynne Brehm, TFKF Program Coordinator Nebraska Department of Health and Human Services (402) 471-1384 lynne.brehm@dhhs.ne.gov http://www.hhs.state.ne.us/hew/fah/Together-Kids-Families.htm