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2012-13 Annual Evaluation Report
October 23, 2013
2
OverviewOverall Well-Being of Children in Santa Cruz County A profile of Santa Cruz County’s youngest children
County trends in indicators of child and family well-being
Profile of First 5 Participants
Highlights of 2012-13 Results Healthy Children
Strong Families
Children Learning and Ready for School
Questions and Discussion
Overall Well-Being of Children in
Santa Cruz County
4
Profile of Santa Cruz County’s Youngest ChildrenSanta Cruz County has a growing and diverse population of young children.
55.3%
36.7%
2.4%0.8%
4.8%
HispanicWhiteAsian/ Pacific Is-landerOtherMultirace
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%53.1%
45.7%
1.2%
Column1
Ethnicity of County Children 0-5 (2013)
English Language Proficiency of County Kindergarteners (2012-13)
2010 2011 2012 201310,000
14,000
18,000
22,000
18,046 18,327 18,633 18,753
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Countywide Trends: Employment
INDICATOR COUNTY POPULATION CURRENT DATA
CHANGE OVER TIME
1 YEAR 5 YEARS
EMPLOYMENT
Unemployment Rate
Santa Cruz County 9.9% -1.3% +2.6%
Watsonville 20.9% -2.3% +4.9%
Aptos 3.9% -0.5% +1.1%
Unemployment remains high, although rates have decreased slightly since last year.
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Countywide Trends: Public Assistance
INDICATOR COUNTY POPULATION
CURRENT DATA
CHANGE OVER TIME1 YEAR 5 YEARS
PUBLIC ASSISTANCE
CalWORKS enrollmentGeneral population(Enrollment as of July of each year)
4,798* -0.5% +4.6%
CalFresh enrollment (Food Stamps)
General population(Average monthly enrollment)
22,581 +8.0% +80.5%
National School Lunch Program enrollment
Student population(Annual enrollment) 20,290* +2.2% +23.0%
Enrollment in public assistance programs remained steady or increased.
* 2012 data
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Countywide Trends: Public Health Insurance
INDICATOR COUNTY POPULATION CURRENT DATA
CHANGE OVER TIME
1 YEAR 5 YEARS
PUBLIC HEALTH INSURANCE
Medi-Cal enrollmentGeneral population(Enrollment as of July of each year)
45,019 +5.6% +14.3%
Healthy Families enrollment
Children 0-18(Enrollment as of June of each year)
1,686 -75.5% -71.2%
Healthy Kids enrollment
Children 0-18(Enrollment as of June of each year)
1,415 -18.3% -35.4%(4 year trend)
Children 0-5(Enrollment as of June of each year)
134 -18.8% -49.4%(4 year trend)
Enrollment in Medi-Cal increased while enrollment in Healthy Families and Healthy Kids decreased.
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Countywide Trends: Prenatal Care & MediCal Births
INDICATOR COUNTY POPULATION CURRENT DATA
CHANGE OVER TIME
1 YEAR 5 YEARS
PRENATAL CARE IN THE FIRST TRIMESTER
Prenatal Care in the First Trimester
Mothers (ages 24 and under 70.1%* +2.1%
-0.6%(3 year trend)
Prenatal Care in the First Trimester
Private insurance 92.3%* -0.3% +1.3%
Medi-Cal insurance 73.8%* -1.2% +2.8%
BIRTHS PAID BY MEDI-CAL
Births Paid by Medi-Cal Mothers (ages 24 and under) 81.5%* +1.8%
+2.7%(3 year trend)
Not enough young mothers received early prenatal care. Most of the births to young mothers were paid for by MediCal.
* 2012 data
Profile of First 5 Participants
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Profile: Children Ages 0-5 Served
First 5-supported programs are wide-reaching• 7,966 unique children served in FY 2012-13
2010-11 2011-12 2012-130%
10%
20%
30%
40%
50%
60%
70%
80%
62%
54%59%
44%39%
42%
Percent of County's Latino Children 0-5 Served by First 5
Percent of County's Children 0-5 Served by First 5
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First 5’s funded programs consistently reach children who are Latino, live in Spanish-speaking households and live in South County
Profile: Ethnicity, Language & Geography
Spanish as Household Language
South County Latino0%
10%20%30%40%50%60%70%80%90%
64%
72%
79%
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Profile: Risk Indicators vs Areas Served
Distribution of Children Who Received Services (2012-13), by ZIP Code
First 5 serves children in the highest risk zones of the county
Healthy Children
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Healthy Children: Insurance Coverage
11,410 children ages 0-5 have gained access to public health insurance via the Health Care Outreach Coalition since 2004
2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-130
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
2,200
580519
620
1,312
1,741
2,185
1,871
53 42 67
901
1,226
1,6811,609
352 359395
315
445 429
205175 118
15896 70 75
57
Total
Medi-Cal
Healthy Families
Healthy Kids
Newly Enrolled Children in Publicly-Funded Health Insurance Programs
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Healthy Children: Newborn Enrollments
Baby Gateway is connecting Santa Cruz County’s newborns to medical care
Newborn MediCal Enrollments
MediCal Births
Total Newborn Visits
Total Births
0200
400600
8001,000
1,2001,400
1,600
143
246
388
942
326
358
712
869
981
1,144
1,203
1,344
Watsonville Community HospitalDominican HospitalSutter Maternity & Surgery Center
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Healthy Children: Medical & Dental HomesChildren (ages 2-6) enrolled in Healthy Kids have access to a Primary Care Practitioner
Children (ages 3-6) enrolled in Healthy Kids are getting well-child checkups
2006 2007 2008 2009 2010 2011 201250%
60%
70%
80%
90%
100%89.9% 90.1%
93.8%89.4%
95.1% 94.0% 97.2%
2006 2007 2008 2009 2010 2011 201250%
60%
70%
80%
90%
100%
78.1% 81.6% 76.8% 79.6%82.9%
87.2% 84.5%
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Healthy Children: Medical & Dental HomesThe majority of children ages 0-5 in the county have access to dental care
County Children (0-5) With Dental Insurance (2011)“How many of your children have insurance?”
County Children (0-5) With a Dental Visit in the Past Year
No child (0-5) has in-surance
At least one child (0-5) has insurance
0%
20%
40%
60%
80%
100%
15.9%
84.1%
2009 2011-120%
20%
40%
60%
80%
100%
75.2%82.5%
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Healthy Children: Use of Preventive ServicesMore children ages 0-5 are receiving preventive medical and dental care, reducing their visits to the Emergency Department
2005 2007 2009 2011-120%
10%
20%
30%
40%
50%
16.1%
31.7%
25.6%
15.7%
Percentage of Children (Ages 0-5) in the County Who Visited the Emergency Department in the Past Year
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Healthy Children: Developmental Milestones
The Dominican Interdisciplinary Child Development Program is providing coordinated, comprehensive care to meet the developmental and social/emotional needs of young children in foster care.
Mental health assessment Developmental & behavioral testing Clinical consultations Case management & coordination 12.3%
27.4%
13.7%13.7%
15.8%
17.1%
< 1 year old
1 year old
2 years old
3 years old
4 years old
5 years old
146 children served (2011-2013)• 54% Latino / 40% Caucasian
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Healthy Children: Developmental Milestones
Young children in foster care are receiving early intervention, increasing the likelihood they will meet developmental milestones.
0%
5%
10%
15%
20%
25%
30%
35%
12.8%
1.4%4.8%
2.1% 2.0%
17.7%
4.3%4.8% 3.2% 2.7%
30.5%
5.7% 4.8% 4.8%3.2% 2.7% 2.1% 2.0%
TOTAL 0-5
Ages 3-5
Ages 0-2
Percentage of Children in DICDP (Ages 0-5) With These Diagnoses and Services, at Intake (2011-2013)
Strong Families
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Strong Families: Child Abuse & Neglect
* Although very few families had a “low risk” score at baseline, these families were omitted from these analyses so that only those who could demonstrate reduced risk on the tool remained in the analysis.
Families Together participants are reducing their level of risk for child abuse and neglect
Baseline* (N=388) 1st Reassessment (N=304) 2nd Reassessment (N=130)0%
10%
20%
30%
40%
50%
60%
70%
39.1%
49.7% 51.8%46.1%
17.9%
8.6%
14.7%
2.0% 3.6%
30.4%36.0%
Low Risk Moderate Risk
High Risk Very High Risk
Change in Families Together Participants’ Risk Levels Over Time (2007-13)
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Strong Families: Parenting Practices
Families throughout Santa Cruz County are using the Triple P – Positive Parenting Program to strengthen parent-child relationships
THIS FUNDING CYCLE2012-2013
CUMULATIVE TOTALS2010-2013
Parents/Guardians 1,666 4,324Children (all ages) 2,927 7,714
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Strong Families: Parenting Practices
Families receiving in-depth parenting assistance are making significant improvements in multiple domains.
This is particularly true for parents experiencing the highest levels of distress
Perception of child's behavior
Overall parenting style
Depression Anxiety Stress0%
20%
40%
60%
80%
100%
64.0%76.4%
54.1% 51.5%60.9%
88.0%81.8% 84.2% 84.9% 89.6%
All Parents Clinical Range at Pre-test
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All Parents** (N=417)
Clinical Range at PreTest**
(N=200)
Male** (N=117) Female** (N=300)
Latino** (N=242)
Caucasian** (N=132)
Spanish** (N=164)
English** (N=239)
Child Welfare Involved* (N=111)
0
6
12
18
24
30
36
14.5
22.7
11.515.7
15.7 12.8 16.6
12.99.5
7.9
11.9
6.68.4 8.4
7.7
9.3
6.9 6.6
Number of Child Behaviors Perceived to Be a Problem (2010-2013)
Pre Post
Strong Families: Child Behaviors
Triple P participants experience improvements in their children’s behaviors
All behaviors were a problem
No behaviors were a problem
Clinical Cut-off:
>=15
Children Learning and Ready for
School
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Children Learning and Ready for School: Quality Early Learning Initiative
Race to the Top (RTT) Child Signature Program (CSP) Established the Santa Cruz County Quality
Early Learning Initiative (QELI) Consortium Ensured early educators in CSP classrooms
participated in required trainings Adopted the framework for our local
Quality Rating and Improvement System Conducted Readiness Assessments with 19
participating classrooms Began conducting baseline quality ratings
using the “Hybrid Matrix” Began developing classroom-specific
Quality Improvement Plans Provided stipends to early educators to
participate in “The Teaching Pyramid” trainings and coaching
Began providing technical assistance to assist classrooms with achieving quality improvement goals
Provided trainings on Ages & Stages and CLASS assessments
Leveraged local resources through regional partnerships
28
Children Learning and Ready for School: 3rd Grade Reading Scores
Santa Cruz County’s 3rd grade reading scores remain lower than statewide scoresFreedom Elementary has made tremendous improvements
2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-130%
10%
20%
30%
40%
50%
60%
37% 38%
44% 44% 46% 48%46%
34% 34%
40%
37%40% 39%
36%
21% 20%
25% 24%
28%25%
24%
12% 12%16%
24%
28%24%
28%
California
Santa Cruz County
PVUSD
Freedom Elementary
Percentage of 3rd Grade Students in the County At / Above Grade Level In English/Language Arts
29
Children Learning and Ready for School: SEEDS-Trained Educators
First 5 has trained over 500 Early Childhood Educators and Reading Corps Tutors in SEEDS
THIS FUNDING
CYCLE2012-2013
CUMULATIVE TOTALS2007-2013
EARLY CHILDHOOD EDUCATORSNumber of SEEDS Quality Coaches 14 52
Number of early childhood educators attending SEEDS of Early Literacy workshops
28 383
Number of early childhood educators attending the SEEDS Plus program
15 41
Number of Family, Friend or Neighbor (FFN) informal child care providers attending SEEDS of Early Literacy workshops
0 155*
Number of Reading Corps tutors who received SEEDS training 12 12
TOTAL (unduplicated) 69 559
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Children Learning and Ready for School: Quality in Classrooms
The quality of support for language and literacy increases when early childhood educators are trained in SEEDS
Pre Post Pre Post Pre Post Pre Post0%
20%
40%
60%
80%
100%
9.0% 15.6% 19.6% 21.8%
35.6%
5.3%
50.9%
10.8%
49.1%
10.5%
39.9%
10.6%
55.3%
94.7%
33.5%
88.1%
31.3%
89.1%
38.3%
88.8%
Low-Quality Support Basic Support High-Quality Support
Opportunities for Child Choice &
Initiative
Approaches to Book Reading
Support for Chil-dren’s Writing
Approaches to Curriculum
Preschool Classrooms of SEEDS-Trained Early Childhood Educators: Key Language and Literacy Supports (2007-2013)
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Children Learning and Ready for School:Pre-Literacy Skills
Children in SEEDS-Plus trained classrooms increase their skills in key predictors of later reading success
Picture Naming
Rhyming Alliteration Picture Naming
Rhyming Alliteration Picture Naming
Rhyming Alliteration0%
20%
40%
60%
80%
100%
9.8%2.7% 5.0% 1.8%
12.6% 12.7%
2.5% 2.5% 3.9%
32.5%
17.1% 14.6%18.6%
30.1%40.0%
7.8% 11.8%
22.3%
43.3%34.9%
39.6%31.1%
45.9%
69.7%
17.3%
32.3%41.6%
1st Benchmark 2nd Benchmark 3rd Benchmark
Primarily English-Speaking Chil-dren
Primarily Spanish-Speaking Children
Spanish Assessment English Assessment
Percentage of Children At/Above Targets for Later Reading Success (2012-13)
32
Picture
Naming
Rhyming
Allitera
tion
Letter N
aming
Letter S
ounds
Picture
Naming
Rhyming
Allitera
tion
Letter N
aming
Letter S
ounds0%
20%
40%
60%
80%
100%
5.6%1.3% 2.2% 2.2%
15.8% 13.3%18.8%
7.1% 1.8%8.0%
16.5% 17.9% 17.2%
36.8%
6.7%
38.5%
20.0%26.7%
14.2%
25.6% 22.6%
38.0% 39.1%
1st Benchmark (Oct.) 2nd Benchmark (Feb.) 3rd Benchmark (May)
Primarily Spanish-Speaking Children
Children Learning and Ready for School: Santa Cruz Reading Corps
Children in Reading Corps classrooms increase their pre-literacy skills when they receive tailored support
Percentage of “Tutored” Children At or Above Targets for Later Reading Success – English Assessments (2012-2013)
Primarily English-Speaking Children
Questions?