Core Partners Meeting Minutes - March 16, 2004

Participants:

Present: Debbie Beeler, Larry Humbert (Julia Brillhart), Cheryl Shearer (Suzanne Clifford), Patricia Cole, Lori Crossley, Nicole Anderson (Stephanie DeKemper). Dr. Judy Ganser, Wendy Gettlefinger, Pat Daniel (Lori Kaplan), Sheron Cochran (Robert Marra), Heather Todd (Donna Olsen), Dr. John Rau, Randall Koester (Evelyn Ridley Turner), Jenny Sarabia, Marsha Thompson, Angela Tomlin, Eric Vermeulen, Dianna Wallace

Absent: Kevin Brinegar, Janice Cassell, Michael Conn Powers, Steve DeMougin, Dr. Richard Feldman, William Glick, Dotti Marchione, Aida McCammon, Cheryl Miller, Dr. Carol Touloukian, Natalie Wolfe,

Staff: Andrea Wilkes, ISDH

Contract Staff: Maureen Greer, Darla Cohen

Welcome and Introductions

Dr. Ganser welcomed group and introductions were made. She summarized the charge to the group for the day as:

  • Establish a mission statement; and
  • Identify service standards-which may also be thought of as core values, and determine a charge for the five subcommittees.

In order to help with this and future ECCS project activities, participants were asked to identify significant events/initiatives over the past 20 years related to young children. The events were to be placed on the timeline so participants get a sense of the work already done.

Establishing Vision and Outcomes

Participants were asked to think about the ECCS initiative five years from now. The Indianapolis Star is writing a cover story regarding the initiative. What would the headline read and what would the content of the article describe about what had happened to young children and their families in Indiana as a result of ECCS.

Group One:
Headline: Indiana Identifies Its Youngest Citizens as Priority
Activities:
  • Every family with young children has access to comprehensive services (medical home, early care and education, mental health, family support and parent education)
  • Families have choices
  • Services are cost effective and community based
  • Parent training is available
  • Public and private sectors unite to provide equal access to resources

Group Two:
Headline: Hoosier Children Healthy and Well Adjusted, thanks to coordinated state and local efforts
Activities:
  • Services successfully coordinated;
  • Every child has a medical home;
  • Children are healthy, safe and ready to learn;
  • A unified informational system through one stop locations; and
  • System is parent/community driven

Group Three:
Headline: Indiana Leads the Nation in Supporting Young Children and Their Families
Activities:
  • Coordination of efforts;
  • Focus on the whole child and family;
  • Realignment of limited resources;
  • Increase value of young children through bi-partisan support for families and children;
  • Public discussion of needs of young children and families;
  • Prevention and early intervention;
  • Sustained and coordinated programs and services;
  • Adequate funding for services and programs; and
  • A shared vision of desired outcomes.

Group Four:
Headline: Indiana Voted Best State to Raise Children or Indiana Families Give a Thumbs Up to the ECCS
Activities:
  • Indiana closes five of ten juvenile centers;
  • Indiana child abuse and neglect rates decrease by 50%;
  • Over 95% of Indiana’s Children have a Primary Care Provider/Medical Home;
  • All infants/children have medical coverage including mental health; and
  • All parents receive parent educational supports.

Program Service Standard Words

Participants were asked to identify, prioritize and define key concepts or standards by which all activities related to ECCS would be held to:


Group One:
  • Family-driven, Child-Centered - Defined as: Family preferences are identified and implemented;
  • Universally Accessible - Defined as: Available to all children and families in state, infused across systems;
  • Culturally responsive - Defined as: Appreciate diversity of individual families;
  • Proactive - Defined as: Prevention focused; and
  • Sufficiently funded-Defined as: Attainable goals are financially supported.

Group Two:
  • Seamless - Defined as: Without barriers; crosscutting systems which provides ease of use to parents;
  • Outcome Focused - Defined as: Evaluation of system-wide efforts designed to ensure that goals and objectives are met;
  • Consumer Driven - Defined as: Creative mechanisms will be developed to ensure parent and family involvement;
  • Culturally Sensitive - Defined as: element that ensures recognition of Indiana’s cultures, diversity, language education level and geographic location; and
  • Responsive - Defined as: “responsive” to research changes, economic changes, any changes, as well as be fiscally responsible.

Group Three:
  • Child-Centered Family Focused Strength Based - Defined as: Attentive to child development and family resources; individualized options that are developmentally sensitive; families are partners in decision making;
  • Respectful-Defined as: Families and partners are treated class neutral and in a non-judgmental way;
  • Community based - Defined as: Services are provided at the local level;
  • Culturally and Socially Sensitive - Defined as: Services and programs are mindful of social, ethnic, and racial customs, needs, and priorities; and
  • Cost effective and evidence based - Defined as: Evidenced based practices.

Group Four:
  • Family Focused (Culturally Sensitive) - Defined as: Families involved at every level of training and service delivery system;
  • Universally Accessible - Defined as: All children have access to all needed service regardless of ability to say and where family resides;
  • Comprehensive - Defined as: Full range of all needed services;
  • Non Partisan Support - Defined as: Advocacy to establish a favorable environment for implementation; and
  • Evidenced Based - Defined as: Using research for establishing goals and objectives.

Needs Assessment

Participants completed a series of questions related to systems issues that are part of the ECCS overall needs assessments. This information will be compiled and serve as an attachment to the minutes.

Program Service Standard Words

Participants were asked to list key issues in priority order that currently serve as barriers to achieving the vision for a comprehensive service delivery system for children birth to five.


Group One:
  • Financial constraints: Scarce resources often fail to reach children, Children don’t vote
  • System inertia: Difficulty in changing behavior and practices
  • Lack of marketing effort-awareness-interest in doing program: Informing all members of society as to importance, critical, of early childhood intervention
  • Lack of adequate training of system participants: All participants of a system change require training and a minimum educational achievement. Provision of training for all providers
  • Poor awareness of Early Childhood program efficacy: Informing all members of society as to importance, critical, of early childhood intervention

Group Two:
  • Lack of system wide perspective
  • Ownership issues among policy-makers, among agency/organization leaders other party branding (?)
  • Too few alternatives
  • Ownership issues among policy-makers, among agency/organization leaders other party branding (?)
  • Need to encourage/protect risk taking in the search for good ideas

Group Three:
  • Lack of articulated vision that engages public leadership: Multiple state-level initiatives focused on establishing a vision/direction without coordination and implementation leads to continual fragmentation
  • Competing demands on time, resources and personnel
  • Lack of parent training and support programs universally available
  • Lack of public awareness of importance of EC development: Explain the system and its achievements to tax payers and voters
  • Need to incorporate changing demographics into planning

Group Four:
  • Fragmented funding and systems-need a group or change of leaders to communicate
  • Loss of identity by organizations (turf issue): Programs designed to fit available funding rather than family needs
  • Lack of consensus, agreement, focus about problems therefore lack of agreement, focus about solutions: Multiple state-level initiatives focused on establishing a vision/direction without coordination and implementation leads to continual fragmentation
  • Confusion with Medicaid (kids inappropriately taken off)
  • State legislature is not child friendly (we question how much they really value Indiana’s children)

Parent Participation

Andrea Wilkes discussed the importance of parent participation on the subcommittees. She distributed a flyer to participants that talked about the parent recruitment process and encouraged them to distribute the flyer and nominate parents themselves.


The meeting was adjourned at 3:50 pm. The next meeting will be held in June. Date and location will be determined by the end of March to accommodate everyone’s busy calendars.


Time Line


1980-1985
  • 1988 - Medicaid Expansion: SOBRA

1985-1990
  • 1991- Step Ahead
  • 1994- Federal Government set aside a portion of Head Start funding and designated pregnant women, infants and toddlers be served, thus Early Head Start was born.

1990-1995
  • 1991- Indiana passes law implementing special education services children with disabilities three to five years of age.

1995-2000
  • 1996 - Healthy Child Care Indiana Initiative
  • 1997 - IDEA reauthorization and Amendments to IDEA strengthening language in both parts (B and C) re: natural environments
  • 1998 - Building Bright Beginnings
    2000 - Indiana Association for Infant and Toddler Mental Health formed
  • Department of Corrections/Indiana Women’s Prison develops Family Preservation Center

2000-2004
  • 2000 - Indiana five star child care program
  • 2001 - Systems of care enacted: Dawn Project replication
  • 2002 - No Child Left Behind Act passed
  • 2002 - Foundations for Young Children to the Indiana Academic Standards finalized in September
  • 2003 - Child Care Health Consultant Program ? Department of Corrections transitions state juvenile system to comprehensive case management model

 

Meeting Minutes History

Project Director:
Project Manager: Andrea L Wilkes
Grantee: Indiana State Department of Health
Address: 2 North Meridian St., 7E
Indianapolis, IN 46204
Phone: 317/233-1246
Fax: 317/233-7001
E-mail Address: sunnystart@isdh.in.gov