Expanding Early Interventions Systems in CA

1. Expanding Early Interventions Systems in CA

2. First 5: California 0-5 System Building • In 1998, California voters passed Proposition 10, a 50 cent tax on cigarettes, to fund early childhood systems in every CA county. • First 5 statute calls for Commissions to focus on integrated systems for children 0-5 across health, early learning, and family strengthening • 2018 Policy Agenda • Comprehensive Health and Development • Resilient Families • Quality Early Learning • Sustainability and Scale

3. First 5’s Advocacy: Prevention and Early Intervention • Increase coordination across systems of care to connect young children to screening and early intervention, including through the expansion of Help Me Grow • Expand access to evidence-based family strengthening programs, including home visiting and parent education, to optimize child development and reduce the risk of abuse and neglect • Support parent engagement on child brain development • Ensure children are healthy and have the social-emotionaland cognitive skills to enter kindergarten ready to learn

4. First 5 and MHSA: A History of Partnership • Sacramento: Quality Child Care Collaborative • Provides behavioral health consultations and behavioral awareness training in preschools and early childcare learning environments to reduce preschool expulsion rates • Riverside: SET-4 School Initiative • Prevention focused: targets disruptive behavior disorders • Elevates quality of early learning experiences • Los Angeles: $50 M Home Visiting Expansion • County partnership to redirect PEI funds into a universal, integrated HV system • Focuses on trauma-informed PEI for at-risk communities • Augments and enhances linkages to mental health • Solano and Yolo: Help Me Grow PEI Investments

5. Early Identification and Intervention

6. Help Me Grow A comprehensive system that promotes universal early identification of behavioral and developmental delay and fosters linkage to intervention, ensuring all children achieve their greatest potential.

7. Supporting Success for ALL Children by with

8. Strengthening Families HMG- Linking to Early Child Mental Health HMGrecognizes that the foundation for mental health is set in early childhood and is critical to healthy development. We actively promote the need to screen children for social-emotional well-being, an area that is often overlooked in other settings. Example: HMG-QRIS partnership. As such, our system is designed to increase identification of ALLdevelopmental concerns in young children, including social-emotional and behavioral concerns.

9. Strengthening Families Promoting Resilient Families • Empowerment and non-judgmental engagement • Inclusive of Maternal and Paternal wellness • Impact of ACES, toxic stress, trauma • Recognition of the circular impact of poor mental health

10. Outreach To Diverse Families Identification of and outreach efforts to populations where social-emotional and behavioral concerns may go unidentified.

11. HMG Partnerships with Education and QRIS HMG Screening expertise and connections for resources and referrals Data collection and Analysis Care coordination QRIS Reach and relationship into early care and education ECE’s unique and paramount position in supporting child development and ensuring K-12 readiness Universal Early Identification, Intervention and Family Support

12. Scale and Spread ¾ of California counties are developing their HMG system or are actively planning their system.

13. MHSA Investment in HMG First 5 Solano’s HMG and First 5 Yolo’s HMG • 1) successfully expand and enhance existing prevention and early intervention work • 2) identify gaps to create new opportunities Looking Ahead: First 5 San Luis Obispo’s HMG MHSA Innovation Proposal: 3 by 3 Project

15. Heather Little Help Me Grow CA Director Health Policy and Program Manager First 5 Association of California www.first5association.org heather@first5association.org (510) 227-6967