A Fish Tale

1. A Fish Tale The story of Hawaii’s early childhood partners

2. We all thought we were big fish . . .

3. … until another fish came around.

4. And then we realized we were not so big . . . So, what could we do?

5. We could keep swimming in our own fishbowls and forget our dreams of the ocean… • Or keep pretending that we’re the big fish (keep swimming around each other and hope we don’t bump)… • Or go it alone . . . we’re too cool to school!

6. No! We realized that if we didn’t come together . . . . . . we wouldn’t get very far.

7. But by getting together and swimming in the same direction . . .

8. We could be the biggest fish of all.

9. We all want to come together to be a true voice for families.

10. We all want to catch the elusive *worm. All of Hawaii’s children will be safe, healthy, and ready to succeed. (Hawaii State Legislature, House Concurrent Resolution No. 38, 1998)

11. So we have agreed to swim together. There’s room in the pond for all of us and together we’ll have the strength to reach deeper water

12. What are you waiting for? Let’s go!

13. The EndInspired by the story Swimmyby Leo Lionni

14. CBCAP and ECCS Hawaii’s Approach to Improved Outcomes for Children

15. State Legislature, House Concurrent Resolution No. 38, 1998 All of Hawai`i's children will be safe, healthy, and ready to succeed. Hawaii State Vision

16. Who we Are • Deliana Fuddy, Title V Director, Family Health Services Division Chief, ECCS Principal Investigator, HCTF Advisory Board Chair-Elect; • Lynn Niitani – Parenting Support, a.k.a. Jennifer Murphy, CBCAP/HCTF coordinator • Keiko Nitta, ECCS coordinator

17. DOH Organizational Chart DIRECTOR OF HEALTH Chiyome Leinaala Fukino, M.D. DEPUTY DIRECTOR OF HEALTH PUBLIC INFORMATION OFFICE BEHAVIORAL HEALTH ADMINSTRATION ENVIRONMENTAL HEALTH ADMINISTRATION Alcohol and Drug Abuse Division Child and Adolescent Mental Health Division HEALTH RESOURCES ADMINISTRATION Dental Health Division Family Health Services Division (Deliana Fuddy, Chief) ECCS Coordinator (Keiko Nitta) Community Health Division Maternal and Child Health Branch Family and Community Support Section Development Disabilities Division Children with Special Health Needs Branch Parenting Support (Lynn Niitani) Communicable Disease Division Supplemental Nutrition Program for Women, Infants, and Children—WIC Services Branch CBCAP Coordinator (Jennifer Murphy)

18. CBCAP/ECCS: Why we work so well together • Child Safety and Well-Being (DOH is lead for Prevention of Child Abuse/Neglect); • Child Abuse and neglect prevention education is part of healthy child development; • Changes in early childhood practice could produce results in preventing child abuse and neglect for the youngest and most vulnerable children. • We share many of the same community partners.

19. CBCAP Structure

20. COMMUNITY Medical Home Healthy Child Care Hawaii Inter Departmental Council (IDC) Governor’s Cabinet Strategic Management Team (SMT) Child Adolescent Mental Health Children w/Special Health Needs Department of Education Department of Human Services DOH Family Health Services Healthy Child Care Hawaii Good Beginnings Alliance HAEYC Hawaii Housing Authority Head Start State Collaboration Housing & Urban Development Injury Prevention Kamehameha Schools Maternal and Child Health Parent Representative PATCH UH Center on Family Parenting Aloha United Way Partners (Born Learning) Social Emotional Health Social Emotional Workgroup CSEFEL Leadership Team Early Care & Education Early Childhood Task Force Family Support Child Safety Collaborative Hawaii Children’s Trust Fund ECCS Structure

21. ECCS: Family Support All of Hawaii’s young Children will have a safe and supportive environment (from Hawaii ECCS plan).

22. Where the Two Work Together • Protective Factors (Strengthening Families) • Child Safety Collaborative (systems & public awareness) • Zero to Three State Partnerships (training and bridging two communities) • Parenting Support • Collaborative Community Work

23. 1. Use of Protective Factors (SF) • Hawaii Children’s Trust Funds Grants had Protective Factors as criteria for selection; on-going grantees receiving technical assistance on protective factors; working towards identifying outcomes and indicators based on protective factors. • Department of Health, Requests for Proposals (RFP) now using protective factors to define scope of work. • Early Childhood Comprehensive Systems core components wrap around Protective Factors; • Social Emotional Development/Nurturing and Attachment • Parenting/Parental Resilience • Medical Home/Knowledge of parenting and child development • Early Care and Education/Social Connections • Family Support/Concrete Support in times of Need • Bridging understanding between the two communities and developing common understanding of the protective factors (CBCAP – Nurturing and Attachment vs. ECCS – Social Emotional Development)

24. Child Safety Collaborative • Mission: • To promote a safe and nurturing environment for children and youth. • ‘Safe’ was defined for the purposes of this group to mean: Free from environmental, physical or emotional harm. The focus is on programs whose primary goal is safety rather than health, school readiness or education. • GOAL 1. To create an informed and educated consuming public including policy makers and funders around prevention issues. • GOAL 2. To have child safety systems that are coordinated, effective and well funded.

25. 3. Zero to Three State Partnerships for Prevention • Partnership from federal level helps to guide relationships at local level. • Infrastructure for training (continued training from those trained). • Establishing relationships between two communities; • Supporting on-going training (targeted training to contract providers, United Way’s 211 staff, Family Court, community colleges).

26. 4. Parenting Support • Link between CBCAP (strengthening families) and ECCS (parenting) • Programs: • The Parent Line, warm line for parents. • Mobile Outreach • Children Exposed to Violence • Respite • Community-Based Parent Support Groups

27. 5. Collaborative Community Work • Cross-Community Sharing • Winds of Change, Pinwheels for Prevention 2007 • Strengthening Families Day, 2008 • Community Based Coalitions • Act 259 Early Childhood Task Force • Child Abuse Prevention Planning Council • Fetal Alcohol Spectrum Disorder Task Force • Blueprint for Change Policy Council

28. Further Work Needed • Policy development; • Needs assessment; • Coordinating/Maximizing Resources; • Clear Consistent Messaging.

29. Policy Development • CAPTA requirement to refer all children birth to three with substantiated cases of child abuse and neglect to Part C implemented statewide. • Child Welfare Services refers all children 0-3 with substantiated child abuse and neglect to Department of Health’s H-KISS (Hawaii’s Keiki Information Services System). H-KISS then refers children to appropriate Part C services. • Use state “warm-lines” and “hot-lines” to provide extended parent resource and referral. • The Parent Line connects with United Way’s 211; PATCH (the state’s resource and referral); Hawaii Families as Allies (Hawaii chapter of Federation of Families for Children's Mental Health); H-KISS.

30. Needs Assessment • ECCS Needs Assessment, 2004 • CBCAP Needs Assessment, 2008 • Community needs assessment; • Data sharing.

31. Coordinating/Maximizing Resources • Financial Resources • Sharing resources • Human Resources • Cross-Training Opportunities • Dr. Stephen Bavolek, Nurturing Parents Program • Promoting Social Emotional Competence (Center for Social Emotional Foundations for Early Learning) • Zero to Three • Technical Assistance • FRIENDS • Theory of Change • Communications Exchange • Data Resources • Data Book (List of Population-Based Indicators)

32. Clear Consistent Messaging • Community Café • CSC reframed message, “Safety, support, and love are the blocks children use to build their dreams.” • Talking Points and Communication (responding to current events).

33. Thank you! • Loretta “Deliana” Fuddy, loretta.fuddy@doh.hawaii.gov • Lynn Niitani, lynn.niitani@doh.hawaii.gov • Keiko Nitta, keiko.nitta@doh.hawaii.gov