8th Annual Nancy Latimer Convening on Children & Youth

1. 8th Annual Nancy Latimer Convening on Children & Youth Nancy Latimer ConveningJune 17, 2014

2. WELCOME Lynn Haglin Vice President/ KIDS Plus Director Northland Foundation – Duluth Nancy Latimer ConveningJune 17, 2014

3. Early Learning Policy Update Frank Forsberg Senior Vice President Greater Twin Cities United Way Nancy Latimer ConveningJune 17, 2014

4. Achieving All Children Ready To Learn By 2020 Start Early Funders Coalition 2019 - 2020 Legislative Biennium 2010 2017 - 2018 Legislative Biennium 2011 - 2012 Legislative Biennium 2013 - 2014 Legislative Biennium 2015 - 2016 Legislative Biennium State Budget State Budget State Budget State Budget State Budget State Bonding State Bonding State Bonding State Bonding State Bonding State Bonding Office of Early Learning Melvin Carter Leadership Expand Quality Rating & Improvement System Federal Grant = $45M Accountability Needed Scholarships $150M = 20,000 kids Scholarship pilot $6M = 600 kids MinneMinds Scholarships $28M = 5,000 kids Funding

5. Steps forward for Early Learning $4.65 million for Pre-kindergarten Scholarships $4.65 million for Early Childhood Family Education Northside Achievement Zone and St. Paul Promise Neighborhood each received $350,000 Pre-natal to 3 advocates developing quality standards for home visiting Eligible programs: Parent Aware rated or on path to quality rating

6. “Let us all commit that by 2018, all three and four year olds in Minnesota will have access to quality, affordable early childhood education.” Governor Mark Dayton 2014 State of the State Address Eligible programs: Parent Aware rated or on path to quality rating

7. State of Minnesota: A Commitment to Early Learning Leadership Melvin Carter Director Minnesota Office of Early Learning Marcie Jefferys Director Minnesota Children’s Cabinet Nancy Latimer ConveningJune 17, 2014

8. Update: Early Learning in Minnesota Melvin W. Carter III MN Office of Early Learning

9. “In states that make it a priority to educate our youngest children… students grow up more likely to read and do math at grade level, graduate high school, hold a job, form more stable families of their own. We know this works. So let’s do what works and make sure none of our children start the race of life already behind.” President Barack Obama2013 State of the Union Address

10. “Let us all commit that by 2018, all 3 and 4 year olds in Minnesota will have access to quality, affordable early childhood education.” -Gov. Mark Dayton April 30, 2014

11. …meanwhile, in Vermont… 9:00 Do we need a little Minnesota in Burlington?

12. Minnesota’s Recent Investments • All-Day Kindergarten • Early Learning Scholarships • Parent Aware State-wide Quality Rating System • Child Care Quality Differential • Expanded Home Visiting Programs • Office of Early Learning

13. Availability of Early Learning Scholarships: Pathway I & II (combined) education.state.mn.us 13

14. Minnesota’s Investments NEW

15. Minnesota Office of Early Learning (OEL) An interagency office of the Minnesota Departments of Education, Health and Human Services. • MN Dept. of Education • ECFE/ ECSE; early childhood screening; Head Start; School Readiness; • MN Dept. of Health • Early childhood comprehensive systems grant; family home visiting; • Dept. of Human Services • Child care subsidies; QRIS; professional development; facilities; consumer education.

16. Minnesota Office of Early Learning (OEL) An interagency office of the Minnesota Departments of Education, Health and Human Services. Mission: Partner with families & communitiesacross the state, and align human & financial supports across agencies, to promote healthy child development from prenatal through grade 3.

17. OEL Vision Framework Parents/ Families effectively support child development & learning Local/ State supports are culturally & age appropriate, coordinated & accessible Children get the great start they need to succeed in school & life Providers/ Educators efficiently deliver high-quality services

18. Minnesota Office of Early Learning (OEL) An interagency office of the Minnesota Departments of Education, Health and Human Services. CHARGE: Build & implement a synergistic collective impact approach to support early child development across agencies. • Direct Functions: • Align/ Integrate State EC Systems • Develop Communities of Learning/ Action • Demographic/ Communities of Color • Place-Based Initiatives • Engage External Stakeholders

19. Update: Early Learning in Minnesota Melvin W. Carter III MN Office of Early Learning

20. Minnesota Children’s Cabinet Nancy Latimer Convening on Children & Youth June 17, 2014

21. Minnesota Children’s Cabinet Department of Education Commissioner Brenda Cassellius Department of Health Commissioner Ed Ehlinger Department of Human Services Commissioner Lucinda Jesson

22. Vision & Mission • All Minnesota children are healthy, safe, supported and prepared to achieve their full potential. • Collaborate across departments and communities to increase access to quality services, ensure efficiency and see improved outcomes for child and youth services in a holistic manner to maximize physical and mental health, economic security, growth and development, educational outcomes and to eliminate disparities.

23. 2012-2014 Strategic Plan Action Areas • Teen parents and their children • Babies and toddlers in poverty • School children with unaddressed mental health needs 2014 Focus: Implementation

24. Teen Parents and Their Children Collaborating to improve outcomes High school graduation rates School readiness

25. 2011 Teen Families MN (MDH) 7,100 Adolescent Mothers 1,900 Adolescent Fathers 8,300 Children of Teen Parents

26. Teen mothers by age at first birth 2011 (MDH)

27. 2011 teen birth rates and 2007-2011 % change (MDH)

28. Many teen mothers are in multiple public systems in addition to school • Medical Assistance • Income support--MFIP & CCAP • Public health --WIC & Home visiting • Child welfare • First contact at age four (Hennepin Co. study: MFIP Teen Parents)

29. Age of fathers with teen mothers 2011 (MDH)

30. Children of teen parents

31. Research & state data: Teen families experience greater challenges • Children: Risks start at birth, greater behavioral and academic problems in school, and poverty and chronic health problems in adulthood. • Teen mothers: More likely to experience multiple stressors during pregnancy, less likely to finish education, more likely to be in poverty. • (Women’s Law Center, 2007; MN PRAMS).

32. Some teen families are at especially high risk • Former foster care adolescents are more than twice as likely to given birth. (DHS) • Nearly 1/3 of homeless youth (<22 years) are parents. (Wilder) • 75% of the teen mothers on MFIP were on MFIP as children themselves; 50% of MFIP cases started when the mother was a teen. (DHS)

33. Beyond teen births There are many more factors affecting teen parents’ outcomes and their children’s wellbeing than just the fact of the adolescent birth alone. When social and economic factors are controlled for many of the poor outcomes for children ‘’diminish or go away.” (Maynard, 2008)

34. Conversations with teen parents about what is important to them • Supportive relationships • Family—mother, baby’s father • Professionals who help and care for them • Concrete help • WIC, diapers, medical care, food stamps • Future • Motivation that parenting presents • Value finishing their schooling and getting a job

35. Challenges teen parents identify Getting through the day Problems in their relationships with their family and their babies’ father Paperwork and program requirements that do not make sense/hard to figure out; systems that don’t follow through

36. Challenges (continued) • Transportation problems getting to school, appointments and child care • Schoolwork—inflexible expectations • Lack of knowledge about ways or resources to help their children succeed

37. Additional challenges identified by providers and educators • Mental health issues related to trauma. • Chaotic family relationships. • Housing instability. • Fragmented services/lack of communication across systems and providers. (Providers & educators observe many strengths in the teens they serve as well.)

38. Main areas identified for cross-cutting responses • Address logistical, information and administrative barriers to school and program participation • Expand supports for healthy relationships and to help teen parent families care for their children • Reduce stressors associated with low income, race and public systems

39. Going forward: Promoting shared responsibility Continue gathering information from the community to ensure ‘whole’ child is respected within his or her culture, and reduce risk of unintended consequences. Learn more about issues in Greater MN. Share effective practices. Ensure data will provide information about outcomes and impact of changes.

40. Minnesota’s foundation • Pilots, programs, & laws already in place. • Committed and caring professionals. • Teens & others who can speak to these issues. • State leadership committed to collaboration • Children’s Cabinet • Office of Early Learning • Interagency Council on Homelessness.

41. For more information:Marcie JefferysDirector, Children’s Cabinetmarcie.jefferys@state.mn.us651-201-3622

42. Special Recognition Awards Ellis Bullock Executive Director Grotto Foundation Cindy Toppin Vice President Lifetrack Resources Presented by Denise Mayotte The Sheltering Arms Foundation Nancy Latimer ConveningJune 17, 2014

43. Honoring the Spirit of Nancy Latimer Pioneer Advocate Mentor Colleague Leader Remarks: George Latimer Nancy Latimer ConveningJune 17, 2014

44. 2014 “Nancy Award” Honoree: Mary Kosak Program Officer Blandin Foundation – Grand Rapids Presented by Frank Forsberg Greater Twin Cities United Way Nancy Latimer ConveningJune 17, 2014

45. Keynote Address The Early Years – Setting the Pathway for a Lifetime of Opportunity Pamela Gigi Chawla, MD Senior Medical Director, Primary Care Children’s Clinics and Hospitals of Minnesota Michael Troy, Ph.D Medical Director, Behavioral Health Services Children’s Clinics and Hospitals of Minnesota Nancy Latimer ConveningJune 17, 2014

46. The Early Years – Setting the Pathway for a Lifetime of Opportunity Pamela Gigi Chawla, MD Mike Troy, Ph.D June 17, 2014

47. Children’s: Who we are Every family’s essential partner in raising healthier children We champion the special health needs of children and their families

48. Children’s: Where we are • 2 pediatric hospitals • 3 ambulatory surgery centers • 4 pediatric outpatient rehabilitation clinics • 10 offsite affiliated primary care clinics

49. Children’s: Who we see 125,066 individual patients 60 % under 5 years of age 378,887 outpatient visits Wide socioeconomic status 72,000 interpreted appts/64 languages Medicaid coverage to privately insured Varying medical/healthcare experiences Internet to convenience store users Cultural therapy to naturopathic therapy

50. Pediatrician’s role