Number of Participants per Session

1
The National Training Institute forChild Care
Health Consultants
Building Comprehensive Systems for Early
Childhood Conference How National Partners Can
Support Child Care Health Consultation
Networks September 20, 2005 Sandra Cianciolo
2
NTI Partnerships

• The University of North Carolina at Chapel Hill
• Departments of Maternal and Child Health and
  Nutrition
• Frank Porter Graham Child Development Institute
• Maternal and Child Health Bureau/HRSA/US DHHS
• Grant U46MC00003

3
Acknowledgements

• Tobie Barton, MA
• Curriculum Planner
• Jonathan Kotch, MD, MPH, FAAP
• Project Director
• Tom Leggett, BA
• FPG Child Development Institute
• Camille Smith, MSW
• NTI Graduate Research Assistant
• Rebecca Young-Marquardt, DrPH
• Training Consultant

4
Objectives

• To briefly describe NTI and report on
  accomplishments
• To present NTIs plan for the next five years
• To share information about state child care
  health consultation networks

5
NTI is

• a cooperative agreement between UNC-CH and
  MCHB to implement a state of the art program that
  trains child health and child development
  professionals to serve as Child Care Health
  Consultant (CCHC) trainers.
• NTIs goal is to improve the health and safety
  of children in out-of-home child care settings by
  helping create a nationwide system of child care
  health consultants.

6
NTIs History

• First funded October 1997-March 2000
• First national training March 1999
• First competitive renewal
• April 2000-March 2005
• Second competitive renewal
• April 2005-March 2010

7
Graduate DemographicsBased on 25 Training
Cohorts to February 2005

• Overall Numbers
• Total Graduates 333
• Jurisdictions 50 States Washington DC
• Puerto Rico US Virgin Islands Bahamas
• US Army (Europe)

8
Graduate DemographicsBased on 25 Training
Cohorts To February 2005

• Professional discipline ()
• Child Health 64
• Education 23
• Administration 8
• Other 5

9
NTI Training Modules

• Building Your Skills as a Trainer
• Quality in Child Care How to Measure It
  ITERS-R and ECERS-R
• Building Consultation Skills Part A
• Caring for Children with Special Needs
• Building Consultation Skills Part B
• Caring for Children Who Are Ill or Temporarily
  Disabled
• Caring for Childrens Oral Health
• Injury Prevention in Child Care
• Promoting Mental Health in the Child Care
  Setting
• Infectious Disease in Child Care Settings
• Nutrition and Physical Activity in Child Care
• Caring for Children Who are Maltreated
• Environmental Health in Child Care
• Caring for the Health and Safety of Child Care
  Staff
• Developing Your Curriculum

10
State Level Training Activities

• As of 6/04, cumulative since data collection
  began
• 43 states and territories
• 144 training sessions
• 144 NTI grads
• 3,239 trained CCHCs

11
Evaluation of Training

• Cumulative mean test scores for Parts I and II
  combined
• Pretest 65
• Post-test 74

12
Activities(April, 2005 - March 2006)

• Conduct experimental training
• Transfer from WebCT to Blackboard
• Pilot new curriculum tools
• Refine training schedule/format
• Market concept of CCHC
• Collaborate with resource partners and promote
  SECCS objectives
• Conduct outreach to broader range of health and
  early education professionals

13
Plans for Years 2-5 Activities

• Continue training of trainers
• Explore options for sustaining project activities
• Research how to offer curriculum as a graduate
  credit course
• Research methods for accrediting the training and
  certifying trainers
• Support efforts to draft a CCHC
• Scope of Practice

14
Experimental Training April 2005-July 2005

• Total course length 13 ½ weeks
• Began with distance learning (regular interaction
  with NTI staff and content experts) on 9 modules
  using
• Threaded discussion forum
• Chat room
• Conference calls

15
(Experiment contd.)

• 4-days at UNC-Chapel Hill
• Building Your Training Skills and Developing Your
  Curriculum (contd)
• Building Consultation Skills Parts A and B
  including
• Advocacy and Policy Development
• Quality, ITERS training and Practicum
• Playground Safety Visit
• Caring for Children Who are Maltreated
• Building State CCHC Training Systems

16
Mixed Results

• Difficult for group to connect with each other
  and with NTI staff
• Too much work in too little time!
• Technical issues and time constraints
• Feedback on each assignment great
• Information and materials extremely valuable

17
Whats Next for NTI?

• Evaluate results of experiment
• Conduct national needs assessment
• Develop a training format and schedule
• Create a course web site
• Roll-out new NTI training in April 2006

18
Pilot New-Curriculum Unit

• Module
• Toolkit
• Overview of Materials
• Trainers Guide
• PowerPoint Presentation
• Participants Packet
• Fact Sheet
• Downloadable spine and cover

19
New-Healthy Smiles

• Oral Health in Child Care
• 3-year MCHB grant-funded project (2004-2007)
• Interactive CD-ROM course for CCHCs
• Need Trainer/CCHC Pilot Participants
• February 2006
• Contact NTI at nticchc_at_unc.edu

20
Creating and Sustaining Networks

• Contacted 41 State/Territories re training
  activity
• 15 have had CCHC training since Sept 2004
• 11 not responded, 7 no trainings, 8 forthcoming
• Surveyed listserv re formal CCHC associations
• 5 of 24 responders have official/unofficial
• NRC surveyed re CCHC list and regulation for
  CCHC
• 20 states (as of 3/04) maintain some list
• 21 states (as of 12/04) have some form of
  regulation on CCHC
• States using other forms of CCHC (mental heath,
  nutrition,
• infant toddler)
• MI, CT, OH and 20 other states

21
Technical Assistance is Needed

• The Early Childhood Health Council, of which NTI,
  NRC, and CCHP are part, working together with the
  National Healthy Child Care America Training and
  Technical Assistance Support Center (NSC), can
  support efforts to build CCHC networks