A Fish Tale A Fish Tale

The story of Hawaii’s early The story of Hawaii’s early childhood partnerschildhood partners

We all thought we were We all thought we were big fish . . .big fish . . .

… … until another fish came until another fish came around.around.

And then we realized we were And then we realized we were not so big . . .not so big . . .

So, what could we do?So, what could we do?

We could keep swimming in our own We could keep swimming in our own fishbowls and forget our dreams of the fishbowls and forget our dreams of the ocean…ocean…

Or keep pretending that we’re the big fish Or keep pretending that we’re the big fish (keep swimming around each other and (keep swimming around each other and hope we don’t bump)…hope we don’t bump)…

Or go it alone . . . we’re too cool to school!Or go it alone . . . we’re too cool to school!

No! We realized that if we No! We realized that if we didn’t come together . . .didn’t come together . . .

. . . we wouldn’t get very far.. . . we wouldn’t get very far.

But by getting together and But by getting together and swimming in the same swimming in the same

direction . . .direction . . .

We could be We could be the biggest fish of all.the biggest fish of all.

We all want We all want to come together to to come together to be a true voice for families.be a true voice for families.

We all want We all want to catch the elusive to catch the elusive *worm.*worm.

All of Hawaii’s children will be safe, All of Hawaii’s children will be safe, healthy, and ready to succeed.healthy, and ready to succeed.

(Hawaii State Legislature, House Concurrent Resolution No. 38, (Hawaii State Legislature, House Concurrent Resolution No. 38, 1998)1998)

So we have agreed to So we have agreed to swim together.swim together.

There’s room in the pond for all of usThere’s room in the pond for all of us

and together we’ll have the strength to reach and together we’ll have the strength to reach deeper waterdeeper water

What are you waiting for?What are you waiting for?

Let’s go!Let’s go!

The EndThe End

Inspired by the story Inspired by the story SwimmySwimmy

by Leo Lionni by Leo Lionni

CBCAP and ECCSCBCAP and ECCS

Hawaii’s Approach to Improved Hawaii’s Approach to Improved Outcomes for ChildrenOutcomes for Children

Hawaii State VisionHawaii State VisionState Legislature, House Concurrent Resolution No. 38, 1998

All of Hawai`i's children will be safe, healthy, and ready to succeed.All of Hawai`i's children will be safe, healthy, and ready to succeed.

Who we AreWho we Are

Deliana Fuddy, Title V Director, Family Deliana Fuddy, Title V Director, Family Health Services Division Chief, ECCS Health Services Division Chief, ECCS Principal Investigator, HCTF Advisory Principal Investigator, HCTF Advisory Board Chair-Elect;Board Chair-Elect;

Lynn Niitani – Parenting Support, a.k.a. Lynn Niitani – Parenting Support, a.k.a. Jennifer Murphy, CBCAP/HCTF Jennifer Murphy, CBCAP/HCTF coordinatorcoordinator

Keiko Nitta, ECCS coordinatorKeiko Nitta, ECCS coordinator

DOH Organizational ChartDOH Organizational ChartDIRECTOR OF HEALTH

Chiyome Leinaala Fukino, M.D.

DEPUTY DIRECTOR OF HEALTH

PUBLIC INFORMATION OFFICE

ENVIRONMENTAL HEALTH

ADMINISTRATION

BEHAVIORAL HEALTH ADMINSTRATION

HEALTH RESOURCES ADMINISTRATION

Community Health Division

Communicable DiseaseDivision

Development DisabilitiesDivision

Family Health Services Division(Deliana Fuddy, Chief)

Supplemental Nutrition Program for Women, Infants, and Children—WIC Services

Branch

Children with Special Health Needs Branch

Maternal and Child Health Branch

Dental Health Division

ECCS Coordinator(Keiko Nitta)

Alcohol and Drug Abuse Division

Child and Adolescent Mental Health Division

Family and Community Support Section

Parenting Support(Lynn Niitani)

CBCAP Coordinator(Jennifer Murphy)

CBCAP/ECCS: Why we work so CBCAP/ECCS: Why we work so well togetherwell together

Child Safety and Well-Being (DOH is lead for Child Safety and Well-Being (DOH is lead for Prevention of Child Abuse/Neglect);Prevention of Child Abuse/Neglect);

Child Abuse and neglect prevention education is Child Abuse and neglect prevention education is part of healthy child development;part of healthy child development;

Changes in early childhood practice could Changes in early childhood practice could produce results in preventing child abuse and produce results in preventing child abuse and neglect for the youngest and most vulnerable neglect for the youngest and most vulnerable children.children.

We share many of the same community We share many of the same community partners.partners.

CBCAP StructureCBCAP Structure

ECCS StructureECCS Structure

StrategicStrategicManagementManagementTeam (SMT)Team (SMT)

Child Adolescent Mental HealthChildren w/Special Health NeedsDepartment of EducationDepartment of Human ServicesDOH Family Health Services Healthy Child Care HawaiiGood Beginnings AllianceHAEYCHawaii Housing AuthorityHead Start State Collaboration Housing & Urban DevelopmentInjury PreventionKamehameha SchoolsMaternal and Child Health Parent RepresentativePATCHUH Center on Family

Social Emotional HealthSocial Emotional HealthSocial Emotional WorkgroupSocial Emotional WorkgroupCSEFEL Leadership CSEFEL Leadership Team

Family SupportFamily SupportChild Safety CollaborativeChild Safety Collaborative

Hawaii Children’s Trust FundHawaii Children’s Trust Fund

Medical HomeMedical HomeHealthy Child Care HawaiiHealthy Child Care Hawaii

ParentingParentingAloha United Way PartnersAloha United Way Partners

(Born Learning)(Born Learning)

COMMUNITYCOMMUNITY

InterInterDepartmentalDepartmentalCouncil (IDC)Council (IDC)Governor’s Governor’s

CabinetCabinet

Early Care & EducationEarly Care & EducationEarly Early Childhood Task Force Task Force

Expected OutcomesExpected Outcomes IndicatorsIndicatorsChildren are safe from unintentional Children are safe from unintentional injuries in their homes and injuries in their homes and communitiescommunities

Number and rate of child death due Number and rate of child death due to unintentional injuries (Child Death to unintentional injuries (Child Death Review—funded by PSSF/CAPTA)Review—funded by PSSF/CAPTA)

Children are safe from intentional Children are safe from intentional injuries and child abuse or injuries and child abuse or neglect in their homes and neglect in their homes and communitiescommunities

Child abuse and neglect Child abuse and neglect incidence rate incidence rate

11.8 (HI)11.8 (HI)

12.3 (US)12.3 (US)

Families are self-sufficientFamilies are self-sufficient Number and percentage of Number and percentage of children under age 6 living in children under age 6 living in low-income working families low-income working families (below 200% poverty threshold) (below 200% poverty threshold) (Child Care Bureau)(Child Care Bureau)

ECCS: Family SupportECCS: Family Support All of Hawaii’s young Children will have a safe and All of Hawaii’s young Children will have a safe and

supportive environment (from Hawaii ECCS plan).supportive environment (from Hawaii ECCS plan).

Where the Two Work TogetherWhere the Two Work Together

1.1. Protective Factors (Strengthening Protective Factors (Strengthening Families)Families)

2.2. Child Safety Collaborative (systems & Child Safety Collaborative (systems & public awareness)public awareness)

3.3. Zero to Three State Partnerships Zero to Three State Partnerships (training and bridging two communities)(training and bridging two communities)

4.4. Parenting SupportParenting Support

5.5. Collaborative Community WorkCollaborative Community Work

1. Use of Protective Factors (SF)1. Use of Protective Factors (SF)

Hawaii Children’s Trust Funds Grants had Protective Factors as criteria for Hawaii Children’s Trust Funds Grants had Protective Factors as criteria for selection; on-going grantees receiving technical assistance on protective selection; on-going grantees receiving technical assistance on protective factors; working towards identifying outcomes and indicators based on factors; working towards identifying outcomes and indicators based on protective factors.protective factors.

Department of Health, Requests for Proposals (RFP) now using protective Department of Health, Requests for Proposals (RFP) now using protective factors to define scope of work.factors to define scope of work.

Early Childhood Comprehensive Systems core components wrap around Early Childhood Comprehensive Systems core components wrap around Protective Factors;Protective Factors;

Social Emotional Development/Nurturing and AttachmentSocial Emotional Development/Nurturing and Attachment Parenting/Parental ResilienceParenting/Parental Resilience Medical Home/Knowledge of parenting and child developmentMedical Home/Knowledge of parenting and child development Early Care and Education/Social ConnectionsEarly Care and Education/Social Connections Family Support/Concrete Support in times of NeedFamily Support/Concrete Support in times of Need

Bridging understanding between the two communities and developing Bridging understanding between the two communities and developing common understanding of the protective factors (CBCAP – Nurturing and common understanding of the protective factors (CBCAP – Nurturing and Attachment vs. ECCS – Social Emotional Development)Attachment vs. ECCS – Social Emotional Development)

2.2. Child Safety CollaborativeChild 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.GOAL 1. To create an informed and To create an informed and educated consuming public including educated consuming public including policy makers and funders around policy makers and funders around prevention issues.prevention issues.

GOAL 2GOAL 2. To have child safety systems . To have child safety systems that are coordinated, effective and well that are coordinated, effective and well funded.funded.

3. Zero to Three State 3. Zero to Three State Partnerships for PreventionPartnerships for Prevention

Partnership from federal level helps to Partnership from federal level helps to guide relationships at local level.guide relationships at local level.

Infrastructure for training (continued Infrastructure for training (continued training from those trained).training from those trained). Establishing relationships between two Establishing relationships between two

communities;communities; Supporting on-going training (targeted training Supporting on-going training (targeted training

to contract providers, United Way’s 211 staff, to contract providers, United Way’s 211 staff, Family Court, community colleges).Family Court, community colleges).

4. Parenting Support4. Parenting Support

Link between CBCAP (strengthening Link between CBCAP (strengthening families) and ECCS (parenting)families) and ECCS (parenting)

Programs:Programs: The Parent Line, warm line for parents.The Parent Line, warm line for parents. Mobile OutreachMobile Outreach Children Exposed to ViolenceChildren Exposed to Violence RespiteRespite Community-Based Parent Support GroupsCommunity-Based Parent Support Groups

5. Collaborative Community Work5. Collaborative Community Work

Cross-Community SharingCross-Community Sharing Winds of Change, Pinwheels for Prevention Winds of Change, Pinwheels for Prevention

20072007 Strengthening Families Day, 2008Strengthening Families Day, 2008

Community Based CoalitionsCommunity Based Coalitions Act 259 Early Childhood Task ForceAct 259 Early Childhood Task Force Child Abuse Prevention Planning CouncilChild Abuse Prevention Planning Council Fetal Alcohol Spectrum Disorder Task ForceFetal Alcohol Spectrum Disorder Task Force Blueprint for Change Policy CouncilBlueprint for Change Policy Council

Further Work NeededFurther Work Needed

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

Policy Development 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 Health’s H-KISS (Hawaii’s 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 Way’s 211; PATCH (the state’s resource and referral); Hawaii Families as Allies (Hawaii chapter of Federation of Families for Children's Mental Health); H-KISS.

Needs AssessmentNeeds Assessment

ECCS Needs Assessment, 2004ECCS Needs Assessment, 2004 CBCAP Needs Assessment, 2008CBCAP Needs Assessment, 2008

Community needs assessment;Community needs assessment; Data sharing.Data sharing.

Coordinating/Maximizing Coordinating/Maximizing ResourcesResources

Financial ResourcesFinancial Resources Sharing resourcesSharing resources

Human ResourcesHuman Resources Cross-Training OpportunitiesCross-Training Opportunities

• Dr. Stephen Bavolek, Nurturing Parents ProgramDr. Stephen Bavolek, Nurturing Parents Program• Promoting Social Emotional Competence (Center for Social Promoting Social Emotional Competence (Center for Social

Emotional Foundations for Early Learning)Emotional Foundations for Early Learning)• Zero to ThreeZero to Three

Technical AssistanceTechnical Assistance• FRIENDSFRIENDS• Theory of ChangeTheory of Change• Communications ExchangeCommunications Exchange

Data Resources Data Resources Data Book (List of Population-Based Indicators)Data Book (List of Population-Based Indicators)

Clear Consistent MessagingClear Consistent Messaging

Community CaféCommunity Café CSC reframed message, “CSC reframed message, “Safety, support, Safety, support,

and love are the blocks children use to and love are the blocks children use to build their dreamsbuild their dreams.” .”

Talking Points and Communication Talking Points and Communication (responding to current events).(responding to current events).

Thank you!Thank you!

Loretta “Deliana” Fuddy, Loretta “Deliana” Fuddy, loretta.fuddy@doh.hawaii.govloretta.fuddy@doh.hawaii.gov

Lynn Niitani, Lynn Niitani, lynn.niitani@doh.hawaii.govlynn.niitani@doh.hawaii.gov

Keiko Nitta, Keiko Nitta, keiko.nitta@doh.hawaii.govkeiko.nitta@doh.hawaii.gov