Healthy Child Care

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• Healthy Child Care
• New York
• To
• Healthy Children
• New York
• Day Care/ NYSACHO/HCNY 2006

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Todays Presentation

• Where we have been?
• What happened?
• Where are we going?

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NYSDOH Initiatives
1996 Grant from USDHHS to participate in Healthy
Child Care America Purpose was to develop a
common vision in states for healthy and safe
child care environments
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Early Step

• Articulate importance of child care setting

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Primary Child Care Arrangements of Children Age
Five and Younger in NYS (1997 and 1999
percentages)
30
29
27
25
24
24
12
12
12
Percentage of Children
4.7
Source Child Trends calculations from the 1997
and 1999 National Survey of Americas Families
Primary Child Care Arrangements of Employed
Parents Finding from the 1999 National Survey
of Americas Families http//www.urban.org/conten
t/Research/NewFederalism/Publications/Publications
byTopic/Income/ChildCare.htm
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Hours Spent in Non-parental Care for Children Age
Five and Younger in NYS (1997 and 1999)
44
36
27
23
19
20
Percentage of Children
17
15
Source 1997 and 1999 National Survey of
Americas Families The Hours that Children Under
Five Spend in Child Care Variations Across
State http//www.urban.org/content/Research/NewFe
deralism/Publications/PublicationsbyTopic/Income/C
hildCare.htm
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• Child Serving
• Organizations
• The Pathway to Health

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Resources to Assist CountyHealth Departments

• Replicate NTI Training Program for Child Care
  Health Consultants
• Objectives
• To develop a network of child care health
  consultants in county health departments among
  nurses and public health educators
• To develop a team of interested partners of
  child care and child development professionals at
  the local level as participants

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Collaboration with Community Partners

• Office of Children and Family Services
• Child Care Resource and Referral Agencies

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Health Topics 6-Day Training Program

• All curriculum units from NTI
• And topics key to public health in New York State
• Environmental Health, especially Lead Poisoning
  Prevention
• SIDS
• Asthma

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Expectations for Participants

• Serve as FOCAL POINT for child care health and
  safety information within the county health
  departments
• Provide health and safety information to
  providers within your jurisdiction

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Numbers Trained

• As of August 2006, 105 staff from county health
  departments, primarily nurses and public health
  educators
• And 105 others, such as licensors and regulators,
  staff of Early Head Start, and regulators of Head
  Start

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2001-2002 Evaluate

• Do Child Care Health
• Consultants Make a Difference?

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One-year study

• Two Counties
• Albany and Onondaga
• 14 child care centers
• Data from baseline, six months, one year

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Are there improvements?

• Policy
• Practice
• Health Outcomes for Children

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Conclusions

• Child Care Health Consultants (CCHCs) appear to
  be having positive effects on health policies and
  practices, immunizations and childrens access to
  health care
• CCHCs perform valuable public health functions

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Next Steps 2004-2005

• Transition
• Healthy Child Care New York
• To
• Healthy Children New York

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Whats Different?

• New Names
• Healthy Children New York
• Child Health Promotion Specialists (CHPSs)
• New Customer Base
• CHPSs expand their customer base from child care
  only to other populations where children are in
  aggregate settings

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Examples of Potential Customers

• Babysitting Classes
• Child Care Community
• Infant and Toddler Resource Specialists
• Family Resource Centers
• Parent Support Groups
• Healthy Start Programs
• Home Visiting Programs

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Post Federal Funding

• 2004 2005 150,000
• 2005 2006 150,000
• Maternal and Child Health Services Block Grant
• 2006-2007
• Immunization 73,000
• ECCS Grant 30,000

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Post-Federal FundingMOU with School of Public
Healthfunded at 150,000 through MCHSBG

• Current Activities
• Continue annual 6-day training
• Develop Advisory Council
• Develop Logic Model
• Collect data

• Conduct annual on-site update
• Conduct quarterly audio bridges
• ID partnering possibilities
• (e.g., obesity, asthma)

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Monthly Log of Program Developmentand Other
In-office Activities

• Records
• Telephone and email consultations
• Faxes
• Mailings of items to individual agencies
• Time spent on program development activities
• Sent out at the end of each month
• Tracks time spent in office
• Only need to click on link in e-mail

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Record of Each Major Encounter

• Submits one completed form for each of the
  following types of encounters they have with an
  external agency
• Site Visit
• Training
• Mass Mailing
• Meeting with other agency
• Other encounters typically lasting an hour or
  more
• Filled out for EACH encounter
• Can access website at anytime to enter data
• Has a validate button to ensure correct data
  entry

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Training Evaluation Compilation Sheet

• Summarizes the evaluation information
• Counties asked to send sheet on one training
  workshop a month

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Results

• Needs Assessment allows us to track training
  needs across the state
• Anecdotes provides CHPS with an opportunity to
  include an anecdote. Highlighting their success
  and bringing a face to their work

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Reports Generated

• Monthly reports to NYSDOH with state totals
• Quarterly reports to counties which have reported
  with local and statewide data

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State Reports
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County Report
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Sustainability for Counties

• Funds supported travel and lodging expenses of
  county health department staff to attend training
• Counties use state funds for public health to
  support CHPSs

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Opportunities for Funding at Local Level

• Federal government and private foundations have
  contributed more than 150,000 to Broome County
  to support work of CHPSs as part of early
  childhood coalition

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Opportunity for Demonstration Program Obesity
Prevention

• 9 CHPSs from 7 counties participating in NAPSACC,
  Nutrition and Physical Activity Self-Assessment
  for Child Care to test feasibility of going
  statewide

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Challenges

• Staff rollover
• Sustainability

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Next Steps

• Continue to enhance the impact of existing public
  health programs and address childrens needs by
  delivering population-based services in natural
  community settings, including child care and
  other child serving organizations

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Contact

• Mary Huber
• NYSDOH
• Corning Tower, Room 208
• ESP
• Albany, NY 12237
• 1 [phone]
• mxh03_at_health.state.ny.us