CBCAP and ECCS

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A Fish Tale The story of Hawaiis early
childhood partners
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We all thought we were big fish . . .
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until another fish came around.
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And then we realized we were not so big . . .
So, what could we do?
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• We could keep swimming in our own fishbowls and
  forget our dreams of the ocean
• Or keep pretending that were the big fish (keep
  swimming around each other and hope we dont
  bump)
• Or go it alone . . . were too cool to school!

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We realized that if we didnt come together . . .
No!
. . . we wouldnt get very far.
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But by getting together and swimming in the same
direction . . .
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We could be the biggest fish of all.
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We all want to come together to be a true voice
for families.
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We all want to catch the elusive worm.
All of Hawaiis children will be safe,
healthy, and ready to succeed. (Hawaii State
Legislature, House Concurrent Resolution No. 38,
1998)
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So we have agreed to swim together.
Theres room in the pond for all of us and
together well have the strength to reach deeper
water
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What are you waiting for?
Lets go!
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The End Inspired by the story Swimmy
by Leo Lionni
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CBCAP and ECCS

• Hawaiis Approach to Improved Outcomes for
  Children

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

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DOH Organizational Chart
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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.

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CBCAP Structure
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ECCS Structure
COMMUNITY
Medical Home Healthy Child Care Hawaii

• 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

Inter Departmental Council (IDC) Governors
Cabinet
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
Childrens Trust Fund
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ECCS Family Support

• All of Hawaiis young Children will have a safe
  and supportive environment (from Hawaii ECCS
  plan).

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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

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1. Use of Protective Factors (SF)

• Hawaii Childrens 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)

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2. 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.

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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 Ways 211 staff,
  Family Court, community colleges).

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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

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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

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Further Work Needed

• Policy development
• Needs assessment
• Coordinating/Maximizing Resources
• Clear Consistent Messaging.

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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 Healths H-KISS (Hawaiis 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 Ways 211
  PATCH (the states resource and referral) Hawaii
  Families as Allies (Hawaii chapter of Federation
  of Families for Children's Mental Health) H-KISS.

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Needs Assessment

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

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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)

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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).

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Thank you!

• Loretta Deliana Fuddy, loretta.fuddy_at_doh.hawaii.
  gov
• Lynn Niitani, lynn.niitani_at_doh.hawaii.gov
• Keiko Nitta, keiko.nitta_at_doh.hawaii.gov