Maryland’s Early Childhood Comprehensive Systems (ECCS) Grant Program

1. Maryland’s Early Childhood Comprehensive Systems (ECCS) Grant Program Yvette McEachernand Dona Jo Ponn Maryland Department of Health & Mental Hygiene Prevention and Health Promotion Administration, Maternal and Child Health Bureau Office of Family Planning and Home Visiting Maryland Early Childhood Advisory Council Meeting March 27, 2014

2. MISSION AND VISION: PHPA MISSION • The mission of the Prevention and Health Promotion Administration is to protect, promote and improve the health and well-being of all Marylanders and their families through provision of public health leadership and through community-based public health efforts in partnership with local health departments, providers, community based organizations, and public and private sector agencies, giving special attention to at-risk and vulnerable populations. VISION • The Prevention and Health Promotion Administration envisions a future in which all Marylanders and their families enjoy optimal health and well-being.

3. DHMH Maternal and Child Health Bureau • Women, Infant and Children’s Program (WIC) • Title V Program Offices: • Office of Genetics and People with Special Health Care Needs • Office of Surveillance and Quality Initiatives • Office of Family Planning and Home Visiting

4. Office of Family Planning and Home Visiting • Title X Family Planning Program • Reproductive Health • Teen Pregnancy Prevention • MIECHV Home Visiting Program • Title V Child and Adolescent Health Programs (prevention programs) • Early Childhood Coordination (ECCS) • Adolescent Health Coordination (Abstinence Education) • Title V Planning, Coordination and Administration • Project LAUNCH- Title V Co- Lead

5. The Early Childhood Comprehensive Systems Grant (ECCS)

6. Early Childhood Comprehensive Systems Grant • MD’s Title V Agency is the grant recipient • ECCS is a Title V SPRANS grant • It is a systems grant focused on building infrastructure services, no direct services • Key focus on integration activities and use of collective impact strategies • Targets birth to age three • Goal has been to increase health and developmental trajectories for children; to use the latest scientific findings on early experiences and brain development to improve health and developmental outcomes

7. ECCS in Maryland, 2003-2004 • Maryland has had an ECCS grant since 2003 • Initial focus on planning • In 2003-2004, Maryland’s ECCS program collaborated with other child serving agencies and programs statewide to develop a strategic plan for improving Maryland’s early childhood health system • The original ECCS state plan is now blended into Maryland’s ECAC plan for school readiness

8. ECCS in Maryland, 2005-2012 • From 2005-2012, ECCS focused on implementation • Major accomplishments included: • Support of early childhood activities including: SEFEL training, Health Consultation Training, Home Visiting Conference Keynote, focus groups with pediatricians and pediatric dentists, asthma and oral health activities in child care and various medical home/AAP projects. • Ready at Five “Young African American Male Initiative”

9. ECCS in Maryland, 2013-2015 New three year project period Builds on four broad ECCS goals: Improve physical, social and emotional health of infants and toddlers Eliminate disparities Increase access to early childhood services through systems development Improve the quality and availability of early childhood services- State and local levels

10. ECCS in Maryland,2013-2015 • New systems building directives: • Enhance efforts of MIECHV • Build statewide longitudinal early childhood data across early childhood investments and MIECHV • Sustainability planning and CQI

11. ECCS in Maryland2013-2015 • $140,000 annually • It supports: • a full-time ECCS Coordinator • a part-time Project LAUNCH Young Child Wellness Partner • small grants to selected vendors • Annual funding cycle: August 1st to July 31st

12. ECCS in Maryland, 2013-2015REQUIREMENTS • Select a focus area • Align ECCS plans and activities with MIECHV, LAUNCH, Title V and the State Advisory Council • Report on statewide data that aligns with MIECHV benchmarks • Partner with an Early Childhood State Team (Linkage with AAP is key)

13. Early Childhood State TeamSuggested Representation • Health: • Title V • Local health • FQHCs • Medicaid • ACOG • AAP • Women’s Health • Infant Mortality • Mental & Beh. Health: • LAUNCH • Children’s Mental Health • Substance abuse prevention • Pediatric/infant mental health providers

14. Early Childhood State Team • Education & Early Care: • Race to the Top • IDEA • SAC • Child Care • Head Start • Healthy Child Care • Child Care Resource Agencies • Family Support & Home Visiting: • MIECHV • Strengthening Families • Child abuse prevention • Child welfare • Domestic violence • ABCD

15. ECCS in Maryland: Current Plan and Activities

16. Mitigation of toxic stress and trauma Developmental screening activities Improvements of State Quality Ratings and Improvement System Priority Focus Area:Three Options

17. Maryland’s Focus2013-2015 Mitigation of Toxic Stress and Trauma in Infancy and Early Childhood

18. Focus Area Requirements • Educate EC providers, families/ caregivers about early brain development, ACEs and mitigation of toxic stress (pilot community) • Enhance existing state/local early childhood systems (LAUNCH, Futures without Violence, MIECHV, etc.) • Convene or work with an existing early childhood trauma mitigation team • Implement strategy across two or more early childhood systems (e.g., child care, home visiting)

19. Strategy Requirements (Continued) • Identify a target/pilot area for year one implementation • Dorchester County • Develop/implement screening projects for young children/families at risk (TBD) • Promote supportive and treatment services for families with trauma or at risk (TBD)

20. The Work Plan To educate a broad range of early childhood providers, families/caregiver, communities and stakeholders: One page fact sheets/brochures Presentations Website Partner, partner, partner Summit (TBD) Starting with pilot community- Dorchester

21. The Work Plan To enhance state and local early childhood systems, including MIECHV and Project LAUNCH Mothers and Babies Project – addresses maternal depression; ECCS supports training for MIECHV home visitors Key Partners: Center for Infant Study; Dr. Darius Tandon Support for LAUNCH Young Child Wellness Partner

22. The Work Plan To convene or work with an existing early childhood trauma mitigation team Working with Early Childhood Mental Health Steering Committee ECCS leadership team within DHMH

23. Mothers and Babies Project Led by Dr. Darius Tandon Continuation of research on a trial in 4 Baltimore city home visiting programs. Training intervention staff on Mother’s and Babies course and overseeing project implementation One on one format. 24~15 minute segments that could be integrated into a home visit or done as supplemental visit. Implementation in Baltimore County and Eastern Shore including Dorchester County Conduct pre-post assessments with participating families.

24. Center for Infant Study Led by Kay Connors To support training with home visitors on self-care and reflective supervision Coaching supervisors on how to supervise and sustain trauma and attachment informed practice in home visiting

25. The Work Plan • Finally we hope to: • Meet the requirement to strengthen our ability to aggregate, align and report on statewide early childhood data • Work with partners to identify early childhood health investments in MD • Further examine early childhood health needs through the 2015 Title V needs assessment

26. The Final Ask Can ECAC continue to serve as the ECCS Early Childhood State Team?

28. Thanks for Listening! Questions?

29. Contact Information Dona Jo Ponn, MS., Ed Early Childhood Coordinator dona.ponn@maryland.gov 410-767-6715 Yvette McEachern, MA Chief, Title V MCH Program Yvette.McEachern@maryland.gov 410-767-5824

30. Prevention and Health Promotion Administration Prevention and Health Promotion Administration [Date] 30