state plan for prevention, intervention, and treatment ... · the purpose of this state planis to...

STATE PLAN FOR PREVENTION, INTERVENTION, ANDTREATMENT SERVICES FOR CHILDREN AND YOUTH

State of Colorado Fiscal Years 2010–2013

STATE PLAN FOR PREVENTION, INTERVENTION, AND TREATMENT SERVICES

FOR CHILDREN AND YOUTH

State of Colorado Fiscal Years 2010–2013

Colorado Department of Education

Colorado Department of Health Care Policy and Financing

Colorado Department of Human Services

Colorado Department of Law

Colorado Department of Public Health and Environment

Colorado Department of Public Safety

Colorado Department of Revenue

Colorado Department of Transportation

Colorado Department of Military and Veterans Affairs

Colorado Judicial Department

January 2010

State Plan for Prevention, Intervention and Treatment Services for Children and Youth: Fiscal Years 2010–2013 i

■ TABLE OF CONTENTS

ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii

COLORADO PREVENTION LEADERSHIP COUNCIL MEMBERS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii

PURPOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

STATE PROGRAMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

VISION, MISSION, AND VALUES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Goals of the State Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Legislative Mandate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Statutory Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

COLORADO’S CHILDREN AND YOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Investing in Colorado’s Children and Youth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Colorado Children and Youth in Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Diversity and Disparities in Colorado . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Systems Approach and Partnerships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Colorado’s Children and Youth Thrive by 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

OUTCOMES AND INDICATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12All infants and children thrive. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13All children are ready for school . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14All children and youth succeed in school . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14All youth choose healthy behaviors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14All youth avoid trouble/illegal behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 All children live in caring and supportive families . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17All children and youth live in safe and supporting communities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GOALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Goal I: Coordinate and streamline state-level processes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Goal II: Utilize a system of care approach. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Goal III: Coordinate and integrate training and technical assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Goal IV: Advance the sharing and utilization of data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Goal V: Ensure collaborative planning and decision-making . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

APPENDIX A: DEFINITIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

APPENDIX B: UNIFORM MINIMUM STANDARDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

APPENDIX C: THRIVE BY 25 DASHBOARD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

APPENDIX D: SOCIAL DETERMINANTS OF HEALTH FRAMEWORK . . . . . . . . . . . . . . . . . . . . . . . . . 33

APPENDIX E: SYSTEM OF CARE VALUES AND PRINCIPLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

APPENDIX F: COLORADO MEDICAL HOME STANDARDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

APPENDIX G: EARLY CHILDHOOD COLORADO FRAMEWORK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

C o l o r a d o P r e v e n t i o n L e a d e r s h i p C o u n c i lii

The State Plan for Prevention, Intervention andTreatment Services for Children and Youth was revisedby members of the Colorado Prevention LeadershipCouncil and members of the Colorado PreventionPartners (CPP) Project, including local CPP coordi-nators, with input and feedback from private andpublic stakeholders and state program managers.

Special thanks are extended to Bill Fulton of CivicCanopy for facilitating the strategic planning processof the Colorado Prevention Partners ManagementTeam, which resulted in a logic model and a pro-posed structure for implementing many strategies ofthe State Plan. Chele Clark, Project Manager of thePrevention Services Division/Interagency PreventionSystems Program in the Colorado Department ofPublic Health (CDPHE) was instrumental in settingup the public meetings across the state and compil-ing the input from stakeholders for use in writing the State Plan. Anne-Marie Braga, Director of theAdolescent Health Program in the PreventionServices Division (CDPHE), went the extra mile toensure input from program managers of children andyouth programs within CDPHE.

■ ACKNOWLEDGEMENTS

State Plan for Prevention, Intervention and Treatment Services for Children and Youth: Fiscal Years 2010–2013 iii

MEMBERS, 2009

José Esquibel, Chair

Chele Clark, Project Manager

Interagency Prevention Services ProgramPrevention Services Division Colorado Department of Public Health andEnvironment

COLORADO DEPARTMENT OF EDUCATION

Terry Jones, Prevention Initiatives

COLORADO DEPARTMENT OF HEALTH CAREPOLICY AND FINANCING

Gina Robinson, Client and CommunityRelations

Amy Scangarella, Child Health Plan PlusDivision

COLORADO DEPARTMENT OF HUMANSERVICES

Norman Kirsch, Collaborative ManagementProgram, Division of Child Welfare

Samantha O’Neil-Dunbar, Colorado Works

Stan Paprocki, Community Prevention Programs,Division of Behavioral Health

COLORADO DEPARTMENT OF LAW

Cynthia Honssinger Coffman, Office of theAttorney General

COLORADO DEPARTMENT OF PUBLIC HEALTHAND ENVIRONMENT

Eric Aako, Colorado Physical Activity andNutrition Program, Prevention ServicesDivision

Anne-Marie Braga, Adolescent Health,Prevention Services Division

Tresing Dorjee, Office of Planning andPartnership/Office of the Executive Director

Alyssa Lasseter, Tony Grampsas Youth ServicesProgram, Prevention Services Division

Lindsey Myers, Injury and Suicide Prevention,Prevention Services Division

Lena Peschanskaia, Fiscal and Policy AnalysisOffice/Prevention Services Division

COLORADO DEPARTMENT OF PUBLIC SAFETY

Anna Lopez, Office of Adult and JuvenileJustice Assistance, Division of Criminal Justice

Meg Williams, Office of Adult and JuvenileJustice Assistance, Division of Criminal Justice

COLORADO DEPARTMENT OF REVENUE

Kathy Beesing, Hearing Division

COLORADO DEPARTMENT OFTRANSPORTATION

Carol Gould, Office of Safety and TrafficEngineering Branch

COLORADO DEPARTMENT OF MILITARY ANDVETERANS AFFAIRS

Lt. Col. Chris Ryan, Colorado JointCounterdrug Task Force

■ COLORADO PREVENTION LEADERSHIP COUNCIL

C o l o r a d o P r e v e n t i o n L e a d e r s h i p C o u n c i liv

COLORADO JUDICIAL DEPARTMENT

Susan Colling, State Court Administrator’sOffice, Division of Probation Services

COLORADO STATE UNIVERSITY

Jan Carroll, Extension

UNIVERSITY OF COLORADO HEALTH SCIENCESCENTER

Julie Marshall, Department of PreventiveMedicine and Biometrics and the RockyMountain Prevention Research Center

OMNI RESEARCH AND TRAINING

Jim Adams-Berger, OMNI Research andTraining

Carole Broderick, Regional Prevention Services

SOUTHWEST CENTER FOR THE APPLICATIONOF PREVENTION TECHNOLOGY

Kathleen Gary, Colorado Liaison

State Plan for Prevention, Intervention and Treatment Services for Children and Youth: Fiscal Years 2010–2013 1

P U R P O S E

The purpose of this State Plan is to provide a frame-work for the implementation of Colorado RevisedStatutes (C.R.S.) § 25-20.5 (101-109), “Prevention,Intervention and Treatment Services for Children andYouth.” The primary goal of this legislation is toimprove the health and well being of Colorado’s chil-dren and youth by coordinating programs within andacross state departments to ensure that those pro-grams are responsive to the needs of communities. Itshould also be noted that while the statute typicallydefines the service population as children and youth,the partners of various state agencies recognize thatfamilies are an integral part of effective programs andservices.

Article 20.5 (109) of Title 25, Colorado RevisedStatues excludes the following state-managed pro-grams from the legislation:

(a) Any juvenile programs operated by theDivision of Youth Corrections in theDepartment of Human Services;

(b) Any program operated for juveniles in connec-tion with the state judicial system; and

(c) Any program pertaining to out-of-home place-ment of children pursuant to Title 19, C.R.S.

However, representatives of the excluded state-man-aged programs are partners with the ColoradoPrevention Leadership Council in an effort to furthercoordinate and collaborate on common priority areas.

The goals and objectives of this State Plan guide theimplementation of innovative approaches to enhanc-ing the prevention, intervention and treatment sys-tems through collaboration among state agencies,partners and advocates, and community representa-tives. See Appendix A for definitions of prevention,intervention and treatment.

The lead state body for this effort is the ColoradoPrevention Leadership Council, a collaborative group

consisting of representatives from nine state agencies,the State Judicial Department, two institutions ofhigher education, two statewide resource organiza-tions, and a regional technical assistance organization.The Colorado Prevention Leadership Council was cre-ated as a result of statutory mandate to promote coor-dinated planning, implementation, and evaluation ofquality prevention, intervention, and treatment servic-es for children, youth, and families at the state andlocal levels.

Per statute, the Colorado Department of Public Healthand Environment, Prevention Services Division is thestate agency with the primary responsibility of facili-tating interagency efforts related to the delivery ofstate and federally-funded prevention, interventionand treatment services for children and youth.Specifically, the Interagency Prevention SystemsProgram within the Prevention Services Division hasthe responsibility for the oversight of the implementa-tion of statutorily requirements of C.R.S. § 25-20.5(101-109).

Colorado Preschool Program, Colorado Department of Education

Colorado Preschool children areperforming at grade level and improvingtheir language skills to appropriate age-level development. Children whohave English as a second languagedemonstrate significant school success,and there is also local evidence that theseprograms are closing the achievementgap between ethnic groups.

PREVENTION WORKS!

C o l o r a d o P r e v e n t i o n L e a d e r s h i p C o u n c i l2

S T A T E P R O G R A M S

The following is a list of the prevention, interventionand treatment programs for children and youth thatare operated or funded by five state agencies namedin statute and by the Colorado Department ofRevenue.

DEPARTMENT OF EDUCATION

Center for At-Risk Education

Even Start Family Literacy

Prevention Initiatives

Colorado Connections for Healthy Schools

Comprehensive School Health Education

Education for Homeless Children and Youth

Expelled and At-Risk Student Services

Improving Health, Education and Well-Being

Safe and Drug-Free Schools and Communities

Public School Finance Unit

Colorado Preschool Program

Early Childhood Councils

Special Education

Positive Behavioral Support

DEPARTMENT OF HUMAN SERVICES

Division of Behavioral Health

Access to Recovery

Colorado Prevention Partners/StrategicPrevention Framework

Colorado Prevention Partnership for Success

Early Childhood Mental Health

Governor’s Portion of Safe and Drug-FreeSchools and Communities

Law Enforcement Assistance Fund (LEAF)

Persistent Drunk Driving Program

Substance Abuse Prevention Block Grant

Division of Child Care

School Readiness

Division of Child Welfare

Collaborative Management for Multi-AgencyServices

Colorado Safe Places/Adolescent Services

Promoting Safe and Stable Families

Division of Disabilities

Early Childhood Connections (Part C)

Supportive Housing and Homeless Programs

Office of Homeless Youth Services


DEPARTMENT OF PUBLIC HEALTH ANDENVIRONMENT

Prevention Services Division

Adolescent Health

Child and Adult Care Food Program

Colorado Children’s Trust Fund

Colorado Physical Activity and NutritionProgram

Family Resource Centers

Enhancing State Capacity to Address Child andAdolescent Health through Violence Prevention(ESCAPe)

Maternal and Child Health Block Grant

• Health Care Program (Children withSpecial Needs)

• Medical Home Initiative

Nurse Home Visitor Program

Oral Health Prevention

School Based Health Centers

Sexual Assault Prevention Programs

State Tobacco Education & PreventionPartnership

Suicide Prevention

Tony Grampsas Youth Services Program

Women, Infants and Children (WIC)Supplemental Food Program

DEPARTMENT OF PUBLIC SAFETY

Division of Criminal Justice

Juvenile Justice and Delinquency PreventionFormula Grants

Title V Juvenile Delinquency PreventionIncentive Grants

Juvenile Diversion Program

DIVISION OF REVENUE

Underage Drinking Prevention Programs

DEPARTMENT OF TRANSPORTATION

Office of Transportation Safety (Safety andTraffic Engineering Branch)

Bicycle and Pedestrian Safety Program

Impaired Driving/Substance Abuse Prevention

Occupant Protection Program

Safe Routes to School

Young Drivers Program


V I S I O N , M I S S I O N , A N D V A L U E S

VISION

A coordinated system of quality prevention and earlyintervention and treatment services to improve thehealth and well being of all children, youth and fam-ilies in Colorado.

MISSION

Provide a strong, unified voice for prevention, earlyintervention and treatment in Colorado and promotecoordinated planning, implementation and evalua-tion of quality prevention, intervention and treat-ment services for children, youth and families at thestate and local levels.

VALUES

State and local collaborative partners must develop astreamlined, coordinated system for the delivery ofprevention, intervention and treatment services forchildren and youth. This system shall incorporate thefollowing values:

■ Support an environment in which children andtheir families are emotionally and physicallyhealthy and are connected to an engaged and sup-portive community.

■ Services and supports are provided in the bestinterest of the child to ensure that all of the childand family’s needs are being met.

■ Provide services and supports in the most appro-priate and least restrictive environment and in thehome community of the child, youth and family.

■ Honor diverse cultural values within communi-ties. Programs must be culturally appropriate andmust reflect sensitivity to ethnicity, gender, edu-cation and geography.

■ Promote individual responsibility and strengthsthrough the enhancement of resiliency, protectivefactors and developmental assets.

■ Enhance community responsibility through soci-etal commitment to the reduction of risk factors,promotion of positive youth development andcreation of an environment where children andyouth can thrive.

■ Reduce disparities and address social determi-nants of health leading to negative outcomesamong groups most at risk.

■ Assure that programs have research-based princi-ples as their foundation.

■ Remain flexible and open to new ideas and community initiatives.

■ Support a child, youth and family focus in program design.

■ Encourage the development of delivery systemsthat ensure availability of services throughout thestate.

■ Foster trust and optimism for collaborative problem-solving and success.

■ Maintain state and local prevention, early inter-vention and treatment partnerships that foster thehealth and well being of Colorado children andyouth.

■ Use program evaluation to improve the quality ofservices and guide dissemination of funds.


GOALS OF THE COLORADO STATE PLAN FORPREVENTION, INTERVENTION AND TREATMENTPROGRAMS FOR CHILDREN AND YOUTH

The Colorado State Plan consists of five goals basedon the requirements of C.R.S.§ 25-20.5 (101-109).

Goal I:

Coordinate and streamline state-level processes.This goal focuses on objectives and strategies relatedto implementing streamlined and coordinatedprocesses for distributing resources, and administer-ing and evaluating programs.

Goal II:

Utilize a system of care approach to better meetthe multiple and changing needs of children,youth and families. This goal focuses on institutinga non-categorical system of care approach for moreefficient use of resources and more effective, integrat-ed responses to addressing the needs of children,youth, and families.

Goal III:

Coordinate and integrate training and technicalassistance resources in support of success of localcommunities. This goal focuses on improving coor-dination of state-funded trainings and technicalassistance and improving the use of the ColoradoUniform Minimum Standards for prevention, inter-vention and treatment programs.

Goal IV:

Advance the sharing and utilization of data toimprove the use of resources, service delivery, andthe assessment of the impact of prevention, inter-vention and treatment services on health andsocial indicators. The focus of this goal is to provideuse of data to improve planning, resource utilization,individual information sharing, and assessment ofimpacts on health and social indicators and out-comes.

Goal V:

Ensure collaborative planning and decision-mak-ing between state agencies and local stakeholders.The focus of this goal is to ensure ongoing collabora-tion efforts across state agencies, between state andlocal community groups, and within communities.

Even Start Family Literacy, Colorado Department of Education

After 300 hours of family participation inthe program, 93 percent of preschool-aged children were functioning at age-appropriate levels of development. Theprojected outcome was 85 percent.

PREVENTION WORKS!


LEGISLATIVE MANDATE

This State Plan is required by C.R.S.§ 25-20.5 (101-109) and addresses coordination and streamlining ofstate processes related to state-managed prevention,intervention and treatment services for children andyouth. The statute created the Prevention ServicesDivision within the Colorado Department of PublicHealth and Environment.

The Prevention Services Division is statutorilyresponsible for providing leadership and oversightfor the implementation of Part 1 of Article 20.5 ofTitle 25, Colorado Revised Statutes. The other fouragencies required to coordinate and collaborate inregard to state processes related to prevention, inter-vention and treatment programs are the ColoradoDepartment of Education, Colorado Department ofHuman Services, Colorado Department of PublicSafety, and Colorado Department of Transportation.Voluntary state partners included the Colorado StateJudicial Department, Colorado Department of Law,Colorado Department of Veterans Affairs, ColoradoState University Extension Office, and the Universityof Colorado Health Sciences Center.

STATUTORY REQUIREMENTS

Representatives of the state agencies that fund preven-tion, intervention and treatment services make up themembership of the Colorado Prevention LeadershipCouncil. (See pages iii–iv for a list of members). TheColorado Prevention Leadership Council is the bodycharged with the development and implementation ofthe following, as described in Part 1 of Article 20.5 ofSection 25, Colorado Revised Statues.

■ Memoranda of Understanding. As required byC.R.S.§ 25-20.5-107, a revised memorandum ofunderstanding was signed in 2008 with each stateagency mandated in statute that provides preven-tion, intervention and treatment services.Collectively, these memoranda are a tool for

achieving consensus regarding the coordinationof the prevention, intervention and treatmentprograms administered by the executive agencies.

■ State Plan. The purpose of the plan is to establishand implement goals for improving the deliveryof prevention, intervention and treatment servic-es to children and youth throughout the state.The law requires the plan to establish standardsand measurable outcomes; develop methods totarget and prioritize resources throughout thestate; and identify methods to foster collaborationat the local level. The initial plan was approved in2001. The statute requires a review of the StatePlan every two years. The current version of theState Plan contains goals, objectives and strategiesfor the period of 2010 through 2013.

■ Uniform Administrative Processes. The depart-ments are charged with developing uniformprocesses for grant application, grantee selection,and program monitoring.

■ Annual Report. The annual report provides anaccount of the state and federal funding that isavailable for services, the identification of the spe-cific service populations, the anticipated out-comes and evidence of achieving outcomes.

■ Uniform Minimum Standards. The intent ofthis requirement is to create uniform languageand common expectations across state and localprevention, intervention and treatment programs,and to ensure the provision of high-quality pre-vention, intervention and treatment servicesthroughout the state. The following standards arespecified in the legislation:

• That programs provide research-based services that have been implemented in oneor more communities with demonstrated success or that otherwise demonstrate a reasonable potential for success;


• That programs provide outcome-based services, specifying the outcomes to beachieved; and

• That programs work collaboratively withother public and private programs in the community.

The Colorado Prevention Leadership Council devel-oped the following Uniform Minimum Standards forprevention, intervention and treatment programs.

1. Clear Statement of Problem/Issue to beAddressed

2. Focus on Contributing Factors

3. Intended Outcomes Specified

4. Evidence-based Programs/Services

5. Services and Target Population Specified

6. Evaluation

7. Agency Capacity

8. Collaboration

The Board of Health officially approved theseUniform Minimum Standards in March 2004. Formore details, see Appendix B.

■ Collaboration. The statute requires that the fivestate agencies that fund prevention, interventionand treatment services for children and youthwork collaboratively with other public and pri-vate prevention, intervention and treatment pro-grams in the community and with local govern-ments, local health agencies, county departmentsof social services, and faith-based organizations inthe community. The Colorado PreventionLeadership Council is the state body that focuseson collaborative interagency efforts and coordi-nates with local and private partners. Severalother state departments participate voluntarily, asnoted above.

Colorado Collegiate Tobacco Prevention Initiative,


A total of six campus-wide tobaccopolicies were implemented or strengthenedin 2009. Campuses sponsored 185 events,including 17 classroom presentations,reaching an estimated 25,475 members ofthe campus community. These events helpto create momentum for policy changeand promoted cessation resources.

PREVENTION WORKS!


C O L O R A D O ’ S C H I L D R E N A N D Y O U T H

Investing in Colorado’s Children and Youth

In 2007 children and youth comprised of 25 percentof the population of the State of Colorado, represent-ing 1,225,449 individuals under age 18. The greatestnumbers of children and youth live in the more pop-ulated urban and suburban counties of the FrontRange and Grand Junction areas. Eighty-four percentof Colorado’s children live in the state’s eleven largestcounties of Adams, Arapahoe, Boulder, Denver,Douglas, El Paso, Jefferson, Larimer, Mesa, Pueblo,and Weld.

Every child, youth and family has personal and indi-vidual strengths. For some, there are social, econom-ic, biological and environmental factors that createchallenges. State-funded programs for children,youth and families are intended to build on thestrengths and to assist those who are faced with chal-lenging factors. A State that invests in children andyouth will thrive.

The importance of investing public funds, state andfederal, into programs and services to improve thehealth, education, safety, and well-being of childrenand youth and families, is grounded in ensuring thatchildren and youth are ready to thrive as adults,ready to work, and ready for lifelong learning as citizens who contribute to their communities andsociety.

State-managed programs for children, youth andfamilies offer opportunities and experiences for mastering specific skills. In the responsibility ofstrengthening children, youth and families, state government is one partner along with county andmunicipal governments, foundations, businesses,non-profits service organizations, and advocacygroups.

Colorado Children and Youth in Poverty

There are a number of societal factors that impede theability of children, youth and families to thrive.Poverty, especially persistent poverty, profoundlyaffects the physical, emotional, and cognitive health,of children and youth, as well as other life outcomes.Data from the Colorado Children’s Campaign indicatethat childhood poverty continues to increase inColorado with higher rates of persistent poverty con-centrated in the south-central and south-easternregions as well as in Denver (Kids Count in Colorado!Report, 2008). Of particular concern is the number ofchildren in extreme poverty (50 percent of the federalpoverty level) that has more than doubled since 2000,increasing 137 percent.

Key findings for Colorado children and youth include:

• 32 percent of all Black children live in poverty.

• 30 percent of all Hispanic children live inpoverty.

• 28 percent of all American Indian childrenlive in poverty.

• 13 percent of all White or Asian children livein poverty.

Those students who are eligible for free or reducedprice lunch perform significantly worse on the math,writing, and reading tests of the Colorado StudentAssessment Program (CSAP) compared to their peerswho live in families with higher incomes.

It is essential to understand which children andyouth are poor in Colorado and where they live inorder to identify more collaborative and integratedapproaches to services as well as to efficiently allo-cate resources to areas of targeted need.


Diversity and Disparities in Colorado

Colorado’s children are diverse in race, ethnic back-ground, and language. In Colorado, 82 percent of children ages 5–17 speak only English, 14 percent ofchildren speak Spanish, two percent speak other Indo-European languages, and one percent speak anAsian or other Pacific Island language at home (KidsCount in Colorado!, July 2009). The ColoradoDepartment of Local Affairs estimates that by 2030more than 31 percent of Colorado’s total populationwill be classified as minority, an increase of 5 percentfrom 2005. Kids Count in Colorado! notes that chang-ing demographics will impact policy decisions as chil-dren’s needs change, including a population with avariety of family types, languages, incomes, healthcare needs, and educational abilities (Kids Count inColorado!, July 2009).

The health, education, safety and well-being of chil-dren and youth are influenced by disparities. Datafrom many disciplines shine a spotlight on the factthat disparities exist among various children andyouth populations in Colorado. This is seen in lowergraduation rates for Blacks and Hispanics, over repre-sentation of minority youth in the juvenile justice system, and higher rates of children who are obese.

In regard to education, student achievement isunequal by race, ethnicity and income. The gradua-tion rate of Colorado students in 2007 was 75 percent.The highest rates were among Asian (83.5%) andWhite students (82.1%), with lower rates amongBlack (65.4%) and Native American students (58.9%),and the lowest among Hispanics (57.1%), accordingto data from the Colorado Department of Education,Class of 2007 data report.

A few key strategies for improving cultural and linguistic appropriate programs and services include:

• Incorporate funding for professional interpre-tation and translation services into grantapplications.

• Adopt Culturally and LinguisticallyAppropriate Standards and more visiblyattend to compliance with Title VI of theCivil Rights Act, which requires agencies thatreceive financial assistance from the federalgovernment to take the necessary steps toensure that individuals with limited Englishproficiency can meaningfully access programsand services.

• Support education, training and developmentof a more culturally competent workforcethrough the allocation of time and resources.

• Improve workforce diversity and leadershipdevelopment.

Systems Approach and Partnerships

Colorado Revised Statute § 25-20.5 (101-109) man-dates the coordination of state-managed prevention,intervention and treatment services for children andyouth. The intent of this statute is for local and stateprograms to work together as partners to overcomebarriers, including the categorical requirements of various funding sources, in order to design andimplement approaches that provide a more compre-hensive response to the needs of Colorado childrenand youth.

As social issues continue to increase in complexity,government approaches still tend to respond to themin a disconnected manner by compartmentalizing theissues. This compartmentalization perpetuates cate-gorical funding, program and policy responses to theneeds of children, youth and families. It also resultsin undue burden and duplication of efforts, particu-larly at the service organization level.

No single service program or single entity —whetherpublic, private, or nonprofit—can address the complex health, education, behavioral health, andsafety issues of children, youth and families inColorado. Consequently, cross-system collaborationsat the state and local level have been increasingly


recognized as critically important for access to a fullcontinuum of appropriate and timely services result-ing in improved outcomes. Furthermore, the empha-sis on discipline-specific, siloed approaches inaddressing complex social issues is giving way to the“network approach,” which requires agencies to part-ner in order to achieve common goals and outcomesthrough:

• systems management of networks of partners;

• systems management for shared outcomesand population-based indicators;

• systems management of funds in partnership;and

• systems management for quality.

Fostering effective partnerships within and across thepublic, private and nonprofit sectors is intended tocreate a new dimension for performance and forimpacting complex social issues. Transitioning to thenetwork, or systems management, model of manag-ing resources requires thoughtful planning andanalysis in order to utilize the state funding andfinance systems for collaborative and integrated man-agement of prevention, intervention and treatmentservices for children and youth in Colorado.

This represents a move from managing people andspecific programs to managing resources for achiev-ing outcomes. The emphasis is now on how well net-works of partners are able to produce positive out-comes resulting in a higher yield from investedresources in prevention, intervention and treatmentservices.

The State Plan for Prevention, Intervention andTreatment Services for Children and Youth, 2010–2013,contains goals, objectives and strategies for continu-ing the transition from a siloed approach to a systemsapproach to managing resources to better address theneeds of children youth and families in Colorado. Astructure will be defined to facilitate and foster thework in accomplishing the goals, objectives andstrategies of the plan.

Colorado’s Children and Youth Thrive by 25: A Framework of a Systems Approach

(Adapted from The Forum for Youth Investment’sReady by 21 Framework)

The work of the Colorado Prevention LeadershipCouncil focuses on coordination and collaborationamong state-funded children and youth programs andsystems improvement initiatives for the purpose ofimproving prevention, intervention, and treatmentservices and increasing positive outcomes for chil-dren, youth and families. This effort intentionallyseeks to enable change in three areas:

Key findings for Colorado children and youth include:

• Leadership Actions

• Families and Communities Supports

• Children and Youth Outcomes

The coordinated aim of this effort is “changing theodds for youth by changing the way we do business”to ensure that children and youth in Colorado, ages0–25, are:

• Ready for Life

• Thriving (developing physicallyhealthy attitudes, skills and behaviors)

• Connecting (developing positive socialattitudes, skills and behaviors)

• Leading (developing positive civic atti-tudes, skills and behaviors)

• Ready for Lifelong Learning

• Learning (developing positive basicand applied academic attitudes, skillsand behaviors)

• Ready for Work

• Working (developing positive voca-tional attitudes, skills and behaviors)


C.R.S. § 25-20.5 (101-109) mandates a unified, coordinated response to community-based programsfor the delivery of prevention, intervention, andtreatment services. In this respect, the statuterequires collaboration among programs to ensure theavailability of a continuum of services for childrenand youth. Five core domains of Colorado’s state-managed programs for children and youth serve toorganize this continuum by population:

• Education

• Health and Medical Home

• Safety

• Social, Emotional and Behavioral Health

• Family and Youth Support and Involvement

See Appendix C for the Colorado Thrive by 25Dashboard, which will be utilized to identify areas inwhich state-managed children and youth programsare serving similar populations and aiming to achieverelated or common outcomes. This identification willassist in the coordination and integration of efforts.


O U T C O M E S A N D I N D I C A T O R S

The desired outcomes for children and youth inColorado are:

■ A. All infants and children thrive.• Primary Domains: Health and Medical Home;

Social, Emotional and Behavioral Health; andFamily and Youth Support and Involvement

■ B. All children are ready for school.• Primary Domains: Education; Health and

Medical Home; Social, Emotional andBehavioral Health; and Family and YouthSupport and Involvement

■ C. All children and youth succeed in school.• Primary Domains: Education; Health and

Medical Home, Emotional and BehavioralHealth; and Family and Youth Support andInvolvement

■ D. All youth choose healthy behaviors.• Primary Domains: Safety; Health and Medical

Home; Social Emotional and BehavioralHealth; and Family and Youth Support andInvolvement

■ E. All youth avoid trouble/illegal behavior.• Primary Domains: Education; Social,

Emotional and Behavioral Health, Family andYouth Support and Involvement

■ F. All children live in caring and supportive families.

• Primary Domains: Health and Medical Home;Social, Emotional and Behavioral Health; andFamily and Youth Support and Involvement

■ G. All children and youth live in safe and supporting communities.

• Primary Domains: Safety; and Family andYouth Support and Involvement

A core set of seventeen health and social indicatorshelp quantify the above desired outcomes. The indi-cators are population-based, comprehensive andmeaningful. In addition, they are shared across multiple state departments, can inform broad rangeof audiences, and are leading indicators related tochildren and youth in Colorado.


MEASURE

Percentage of parents with concerns about theirchild’s learning, development, or behavior

Percentage of parents with concerns about theirchild’s emotions, concentration, behavior, or ability toget along with others

Percent of children whose health care provider askedtheir parent to fill out a survey about development,communication, or social behavior

COLORADO RATE

7.7%

24.2%

44.2%

DATA SOURCE AND YEAR

Colorado Child Health Survey, 2008



A. ALL INFANTS AND CHILDREN THRIVE.

1. Increase number of children meeting developmental milestones.

2. Increase number of children who receive a Medical Home approach.

MEASURE

Percentage of children in Colorado who receive carewithin a medical home

The percentage of children (ages 1–14) with oneperson thought of as a personal doctor or nurse

The percentage of families who (usually/always) feellike a partner [with health care provider] in theirchild’s health care

The percentage of children (ages 1–14) receivingcare arrangement and/or coordination from healthcare providers and/or related services

COLORADO RATE

59.3%

67.5%

89.2%

28.5%


National Survey of Children’s Health, 2007


Colorado Child Health Survey

Colorado Child Health Survey, 2008 2

1 90.6% for children ages 0–17 years old in Colorado, according to theNational Survey of Children’s Health, 2007 (This proportion representschildren who have one or more persons they think of as their personaldoctor or nurse.)

2 17.5% for children ages 0–17 years old in Colorado, according to theNational Survey of Children’s Health, 2007


MEASURE

3rd grade reading scores, proficient or above

COLORADO RATE

70.4%


Colorado Department of Education, EducationStatistics, 2008

B. ALL CHILDREN ARE READY FOR SCHOOL.

3. Increase 3rd grade reading scores.

MEASURE

Graduation rate

COLORADO RATE

73.9%


Colorado Department of Education, EducationStatistics, 2008

C. ALL CHILDREN AND YOUTH SUCCEED IN SCHOOL.

4. Increase the graduation rate.

MEASURE

Dropout rate

COLORADO RATE

3.8%


Colorado Department of Education, EducationStatistics, 2007–2008

5. Decrease the dropout rate.

MEASURE

Motor vehicle crash fatalities per 100,000 for 15–19year olds

COLORADO RATE

19 per 100,000


Web-based Injury Statistics Query and reportingSystem (WISQARS)/Colorado Health InformationDataset, 2006

D. ALL YOUTH CHOOSE HEALTHY BEHAVIORS.

6. Reduce deaths among 15–19 year old by motor vehicle crashes.


7. Reduce underage alcohol and other drug use.

MEASURE

Proportion of 9th–12th grade students who had fiveor more drinks of alcohol in a row, within a couple ofhours, on one or more of the past 30 days

Percent of 9th–12th grade students reporting no useof alcohol in the past 30 days

Percent of students reporting no use of tobacco inthe past 30 days

Percent of 9th–12th grade students who report notdrinking and driving in the past 30 days

COLORADO RATE

30.6%

52.6%

81.3%

89%


Youth Risk Behavior Surveillance System (YRBSS),2005

YRBSS, 2005

YRBSS, 2005

YRBSS, 2005

8. Reduce births among females under age 18.

MEASURE

Births among adolescent females age 15–17

Percent of 9th–12th grade students reporting neverhaving had sexual intercourse

COLORADO RATE

21.4 per 1,000 live births

60.7%


National Vital Statistics System/Colorado HealthInformation Dataset, 2008

YRBSS, 2005

9. Reduce the proportion of obese children and adolescents.

MEASURE

Percentage of obese children

Percent of children who eat 2 servings of fruit and 3vegetables/day

Percentage of obese adolescents (grades 9–12)

Percent of adolescents (grades 9–12) who engage invigorous physical activity three or more days perweek for 20 minutes or more

Percent of 9th–12th grade students who ate fruitsand vegetables five or more times per day

COLORADO RATE

13.6%

10.0%

9.8%

74.6%

19.2%


Child Health Survey, 2008

Child Health Survey, 2008

YRBSS, 2005

YRBSS, 2005

YRBSS, 2005


MEASURE

Juvenile property arrest rate

Juvenile violent arrest rate

Juvenile drug arrest rate

COLORADO RATE

646.5 per 100,000

75.1 per 100,000

302 per 100,000


Colorado Bureau of Investigation, Department ofLocal Affairs, 2007



E. ALL YOUTH AVOID TROUBLE/ILLEGAL BEHAVIOR.

10. Reduce juvenile arrest rates.

MEASURE

Percent of successful terminations of juveniles fromregular probation

COLORADO RATE

74%


State Judicial, 2009

11. Increase successful terminations of juveniles sentenced to regular probation.

MEASURE

Juveniles who terminated from regular probationwho remained crime-free one-year after successfulprobation termination

Percent of pre-discharge recidivism

Percent of post-discharge recidivism

COLORADO RATE

84.8%

33.5%

37.2%


State Judicial, 2009

Colorado Department of Human Services/Division ofYouth Corrections, FY 2006–2007

Colorado Department of Human Services/Division ofYouth Corrections, FY 2006–2007

12. Reduce recidivism among juveniles sentenced to probation or committed to the Colorado YouthCorrections system.


MEASURE

Rate of child maltreatment per 1,000 children

COLORADO RATE

7.6%


National Child Abuse and Neglect Data System, 2008

F. ALL CHILDREN LIVE IN CARING AND SUPPORTIVE FAMILIES.

13. Reduce the incidences of child abuse and neglect.

MEASURE

Percentage of infants born to a high-risk mother

COLORADO RATE

6.7%


CDPHE, Health Statistics Section, 2008

14. Reduce the percentage of infants born to a high-risk mother (unmarried under 25 years of age with lessthan 12 years education).

MEASURE

Percentage of out of home placement of children

COLORADO RATE

12,838 of a total population of 1,244,134


Colorado Department of Human Services, ChildWelfare, 2008

15. Reduce out of home placement of children.

MEASURE

Number of children under 12 years of age experienc-ing homelessness in Colorado communities

Number of youth ages 13–17 experiencing home-lessness in Colorado communities

Number of youth ages 18–25 experiencing home-lessness in Colorado communities

COLORADO RATE

2,707

680

1,365


Colorado Statewide Homeless Count, 2007



G. ALL CHILDREN AND YOUTH LIVE IN SAFE AND SUPPORTING COMMUNITIES.

16. Increase the number of children who live in safe, stable, and supportive families.


MEASURE

Percentage of 9th–12th grade students who did notgo to school because they felt unsafe at school or ontheir way to or from school on one or more of thepast 30 days

COLORADO RATE

4.3%


YRBSS, 2005

G. ALL CHILDREN AND YOUTH LIVE IN SAFE AND SUPPORTING COMMUNITIES. (cont.)

17. Reduce the proportion of students who did not go to school because they felt unsafe at school or on theirway to or from school on one or more of the past 30 days.

Juvenile Justice and Delinquency Prevention Grant Program,


• Programs funded show a 2 percentreduction in recidivism rates foryouth served.

• Programs funded show a 2 percentreduction in court failure to appearrates for youth served.

• Programs funded show a 2 percentreduction in violations of court issuedsanctions for youth served.

PREVENTION WORKS!


G O A L S

The goals typically focus on children and youth as the service population, in accordance withstatutory directives. However, the department andthe partner agencies recognize and support thatfamilies are an integral component of programsserving children and youth. The goals, objectivesand strategies are intended to improve the opera-tion of state systems and programs in order topositively impact outcomes for children, youthand families, as well as assist in making positivegains in the health and social indicators identifiedin the previous section.

GOAL I:

Coordinate and streamline state-levelprocesses.

Objective 1.1: Utilize the Colorado PreventionLeadership Council to strengthen cross-state agencycoordination and collaboration of state-managedchildren and youth prevention, intervention and treat-ment programs.

Strategies:

• Maintain the Colorado Prevention LeadershipCouncil as the state coordinating body for pre-vention, intervention and treatment initiativesrelated to children and youth as establishedthrough interdepartmental Memoranda ofUnderstanding.

• Create and institute a process for orientingsupervisors and new program managers ofchildren and youth programs to the ColoradoPrevention Leadership Council.

• Review and update the Regulations forPrevention, Intervention and TreatmentPrograms for Children and Youth every twoyears.

Objective 1.2: Implement a strategic preventionapproach for providing quality prevention services for children, youth, and families.

Strategies:

• Institute a coordinated and integrated assess-ment, capacity building, planning, implemen-tation, and evaluation process for providingquality prevention services for children,youth, and families that is aligned with the State of Colorado Uniform MinimumStandards for prevention, intervention andtreatment programs for children and youth.

• Make available and utilize developed tools fora strategic prevention approach and apply tocommunity prevention planning and initia-tives.

• Document and disseminate lessons learnedfrom the strategic prevention framework ini-tiative that are tailored for funders, communi-ties, and evaluators.

Objective 1.3: Strive for streamlined, cohesive fund-ing of prevention, intervention and treatment servicesfor children, youth and families, including commongrant applications across state programs.

Strategies:

• Institute the use of the Common Requests for Applications/Requests for Proposals(RFAs/RFPs) Components for children andyouth programs across state departments.

• Make accessible RFAs/RFPs for children andyouth programs in a central State Web site.

• Develop a uniform process and uniform crite-ria for grant review and selection of programsin the areas of prevention, intervention andtreatment services for children and youth.


• Increase joint funding of programs and servic-es, including the use of joint RFAs/RFPs andfunding to outcomes versus specific programsand services.

• Increase strategic funding of cross-systemscollaboration, including support for enhanc-ing state and local prevention infrastructures.

• Design and implement a pilot of combinedfunds around common outcomes in collabora-tion with county and provider partners.

• Create an overarching Web page related tostate funding for children and youth programsand services, especially regarding the resourcedatabase, Colorado BRAID, and any templatesfor braiding and blending funding.

Objective 1.4: Evaluation is an ongoing part of pre-vention planning and implementation and includesefforts to enhance the meaningful use of evaluationfindings for improving system and program outcomes.

Strategies:

• Identify common outcomes across state-man-aged prevention, intervention and treatmentprograms for children and youth and utilizethe common outcomes to link programs wherepossible.

• Determine how common outcomes acrosschildren and youth programs will be utilizedfor joint planning and funding of shared prior-ities.

• Develop a coordinated children and youthstate evaluation plan and ensure data for needsassessments is linked with evaluation.

• Improve the web-based evaluation system forprevention and early intervention services.

• Encourage the assignment of funds withinchildren and youth programs for building andsupporting local evaluation capacity.

• Institute interactive reporting mechanismsthat allow for standardized program monitor-ing and reporting across state-managed pro-grams for children and youth.

Objective 1.5: Institute the inclusion of youth andfamily voices in interagency collaborative groups thataddress children and youth needs and actively fosteryouth and family leadership.

Strategies:

• Identify immediate opportunities and developa long-range plan for working from a commonplatform across the various family leadership,family involvement, and family engagementefforts, such as the Colorado Systems of CareCollaborative, the Colorado Medical HomeInitiative, Early Childhood Colorado,Colorado Collaborative Management Program,Colorado LINKS for Mental Health, the BlueRibbon Policy Council for Early ChildhoodMental Health, and the Family PolicyAcademy.

• Support youth and family leadership develop-ment programs to increase and assure skill-based leaders from local communities.

• Encourage all governing boards and advisorycouncils of state agencies that address children,youth and family issues to have youth and fam-ily members to assure the inclusion of youthand family perspective in decision-making.

• Partner and share decision-making with youthand family members in developing childrenand youth programs and in writing grantapplications for children, youth and familyprograms and services through meaningfulyouth-adult partnerships.

• Encourage and support grantees/contractors atthe local level to actively involve youth, parentand families in planning, implementing andevaluating programs.


• Determine how youth and family member rep-resentation can be integrated as a consistentpart of the work of the Colorado PreventionLeadership Council.

Objective 1.6: Promote an inclusive approachregarding cultural responsiveness and congruence tofoster effective programs, policies, and practices thatrespects cultural values within communities.

Strategies:

• Establish common terminology regarding cultural responsiveness and cultural and lin-guistic competence in collaboration with theColorado Interagency Health DisparitiesLeadership Council.

• Make available the Cultural ResponsivenessAssessment for identifying strengths and areasof improvement in planning, implementingand evaluating prevention, intervention andtreatment services for children and youth.

• Monitor health and social indicators so thatissues of health disparities related to children,youth and families can be addressed throughrelevant program, practices and policies.

• Promote the importance of prevention as ameans of impacting social determinants ofhealth that are associated with disparities inhealth, behavioral health, juvenile justice,child welfare, and education. See Appendix Dfor a Social Determinants of Health framework.

• Partner with the Colorado Interagency HealthDisparities Leadership Council to:

• encourage and support local communi-ty prevention partnerships that addressdisparate populations disproportionate-ly affected by health and social prob-lems, and

• provide information on social determi-nants of health to state program man-agers and providers as well as strategiesfor addressing factors that contributeto social and health disparities.

• Support state and local partners in developingculturally and linguistically competent work-force that is representative of the disparatepopulations served by state-managed childrenand youth funds.

Objective 1.7: Establish a multi-systems, cross-departmental approach for supporting the infrastruc-ture of community prevention coalitions that engageskey leaders and decision-makers and maintains designated leadership at the community level.

Strategies:

• Identify a set of overarching goals that reflectareas of overlap and/or complementaritybetween state-funded coalition initiativeswithin and across departments.

• Develop a shared set of performance indicatorsthat reflect the overlapping parts of state-fund-ed coalition initiatives in order to establishconcrete relationships and a sense of sharedpurpose.

• Identify shared targets relative to the indica-tors to encourage dialogue around how theseparate coalition initiatives might join togeth-er in a common mission.

• Create a plan for how the state partners intendto combine and target their respective strate-gies relative to the shared components.

• Identify a community with multiple state-funded coalitions to serve as a pilot for testinga coordinated approach.

• Coordinate requirements for coalitions acrossstate programs that fund coalitions.


GOAL II:

Utilize a system of care approach to bettermeet the multiple and changing needs ofchildren, youth and families.

Objective 2.1: Institute a state-level, non-categoricalsystem of care approach that fosters more efficient use of current resources and more effective, integratedresponses to addressing the stated needs of children,youth, and families.

Strategies:

• Determine the structure for a state-level, non-categorical system of care approach based onthe Colorado System of Care Values (seeAppendix E) and Principles and ColoradoMedical Home Principles and Standards (seeAppendix F), that is inclusive of various disci-plines (health, oral health, behavioral health—inclusive of substance, abuse, mental healthand co-occurring—, child welfare, juvenilejustice, education, etc.) and family and youthinvolvement, that seeks to:

• engage family and youth as partnersand leaders;

• individualize service and support plan-ning to meet needs specific to eachchild, youth and family;

• improve care coordination for children,youth and families involved with serv-ice from multiple service agencies;

• improve outcomes for children, youthand families;

• ensures provider accountability; and

• broaden the network of serviceproviders.

• Partner with youth, families, family-drivenorganizations, and local agencies in the devel-opment and implementation of a non-categor-ical system of care approach.

• Strive for integrated and streamlined rules,regulations and funding procedures for thesupport a non-categorical system of careapproach across state departments.

• Accept and adopt a single definition of carecoordination across state departments thatmanage funds and programs for children,youth and families.

• Integrate the Colorado Care CoordinationPlan into state-funded programs for childrenand youth, where appropriate, to foster a com-mon care coordination approach and allow foreffective and efficient communication betweenfamilies and providers.

• Explore the use of client-centric electronicpersonal health records as a means of facilitat-ing coordinated care and facilitating access ofrecords by families.

Objective 2.2: Partner with stakeholders in imple-menting a comprehensive early childhood system focus-ing on early learning, family support and parent educa-tion, health, and social, emotional and mental health.

Strategies:

• Implement the cross-sector ‘Framework inAction’ plan guided by the Early ChildhoodColorado Framework (see Appendix G).

GOAL III:

Coordinate and integrate training andtechnical assistance resources in support ofsuccess of local communities that is activelysupported by a variety of stakeholders.

Objective 3.1: Create a coordinated and integratedsystem of state-funded trainings and technical assis-tance opportunities, including professional develop-ment.

Strategies:

• Coordinate state-funded trainings forproviders of children and youth services toalign with state goals, objectives and outcomesfor children, youth and families.

• Create mechanisms for coordinating the deliv-ery of trainings and technical assistanceincluding coordinated funding.

• Link state government, higher-education insti-tutions, and private technical assistance andtraining providers as part of a training, techni-cal assistance, and professional developmentsystem.

• Make state-funded training and technicalassistance available in a variety of ways,including offering more regional trainings andtechnical assistance, the sharing of trainingssites, the support and use of regional learningcommunities, online trainings, the use of tech-nology for distance learning, and linkinggroups together around common training andtechnical assistance topics.

• Utilize a central, Web-based training manage-ment system to list available trainings offeredacross state programs and to post relatedresource materials.

Objective 3.2: Increase the effectiveness of stateagencies and technical assistance agents to enhancethe capacity of providers to deliver effective preven-tion and intervention services.

Strategies:

• Develop protocols for use of the UniformMinimum Standards Assessment Tool, includ-ing the documentation of findings within andacross state-managed programs and the identi-fication of technical assistance needs.

• Utilize the Uniform Minimum StandardsAssessment Tool for identifying strengths,opportunities for improvement, and exempla-ry practices of local prevention and interven-tion programs.

• Link the identification of technical assistanceneeds of prevention providers based on theresults of the Uniform Minimum StandardsAssessment Tool with the prevention technicalassistance, training, and professional develop-ment system.

• Identify exemplary prevention programs andconnect these programs with regional, nation-al and federal resources and technical assis-tance to enhance program evaluation and out-comes.


Promoting Safe and Stable Families, Colorado Department of Human Services

• 72 percent of children who wereseparated from their families werereunited with them and 96 percent ofreunited families remained intact.

• 98 percent of at-risk families whowere provided family preservation offamily support services remainedintact, with no children entering achild welfare placement.

PREVENTION WORKS!


Objective 3.3: Set a foundation for an integrated system of professional development for individualswho serve children, youth and families.

Strategies:

• Design an integrated system of professionaldevelopment for individuals that serve olderchildren, youth and young adults based onthese elements:

• Core knowledge

• Access and Outreach

• Qualifications, Credentials andPathways

• Funding

• Quality Assurance

• Integrate the Colorado System of Care Valuesand Principles, the Colorado Medical HomeStandards, cultural issues related to resiliencyand risk, and the value of individuality of fam-ilies of all cultures as core criteria in state-funded professional developmental course-work and in-service training for those workingwith children and youth.

• Ensure the utilization of the Colorado CoreKnowledge and Standards for Early ChildhoodProfessional Development as part of any state-funded early childhood professional develop-ment training and education, and focus on thefollowing strategies for early childhood profes-sional development:

• develop and support the use of earlylearning standards by families, pro-grams and professionals;

• develop, promote and support highquality professional development andformal education for adults who workwith children;

• strengthen coordinated efforts of publicand private stakeholders to meet theneeds of children and families;

• strengthen and support family leader-ship through effective training models.

• promote caregivers’ knowledge of thesocial, emotional, and mental health ofchildren;

• provide early childhood professionalswith effective practices that promotechildren’s emotional development andmental health; and

• strengthen coordinated efforts of publicand private stakeholders to supporthealth and wellness.

• Provide training and technical assistance onpositive youth development strategies andpractices, including strengths-based program-ming and on how to engage and partner withyouth.

GOAL IV:

Advance the sharing and utilization of data toimprove the use of resources, service delivery,and the assessment of the impact ofprevention, intervention and treatmentservices on health and social indicators.

Objective 4.1: Improve data utilization at the stateand local levels for needs assessment, strategic plan-ning and evaluation, and promote data-driven deci-sion making for determining priorities of childrenand youth prevention, intervention and treatmentprograms.

Strategies:

• Establish health and social indicator data shar-ing agreements across state departments inorder to implement long-range integrated andcomprehensive planning, implementation andevaluation around common priorities at thestate and local levels.

• Institute a cross-department ongoing processfor utilizing data to determine prevention,intervention and treatment priorities for state-managed children and youth programs and foruse in decision-making.

• Develop policies, procedures and products tosupport data sharing and utilization at thestate and local levels.

• Pilot the development of data profiles for chil-dren and youth RFAs/RFPS that relate to prior-itized indicators of state-funded programs forchildren and youth.

• Coordinate the administration of children andyouth surveys managed by state agencies.

Objective 4.2: Develop strategies and agreements forsharing information to optimize services availableand delivered to individual children, youth and fami-lies in Colorado.

Strategies:

• Collaborate with Governor’s Office ofInformation Technology to develop cross-sys-tem protocols and explore technological solu-tions for information gathering and sharing.

• Establish data sharing agreements betweenstate agencies that provide access to informa-tion for use in policy, program, service andresource decisions.

• Pilot and establish protocols to assist countyagencies and local service providers in access-ing timely and reliable information for use inconducting assessments and to determine andcoordinate appropriate services for individualchildren, youth and families.


Sexual Assault Prevention Program, Colorado Department of Public Health

and Environment

• A total of 8 colleges/universities wereintroduced to a campus wide sexualviolence prevention campaign.

• Over 150 professionals receivedtraining.

PREVENTION WORKS!


GOAL V:

Ensure collaborative planning and decision-making between state agencies and localstakeholders to increase effectiveness ofprevention, intervention and treatmentservices for children and youth.

Objective 5.1: Improve communication, collabora-tion and coordination.

Strategies:

• Develop policies and procedures for commu-nicating with local stakeholders about stateagency efforts related to children and youthprevention, intervention and treatment pro-grams.

• Include local stakeholders in state-level pre-vention, intervention, and treatment programand project decision-making.

• Establish forums for dialogue at the regionallevel for input and feedback on improvingpolicies and processes related to state-man-aged children and youth programs and intera-gency collaborative efforts.

• Expand the use of technology to facilitate col-laborative planning and decision-making inorder to incorporate the perspective of localstakeholders.


A P P E N D I X A : D E F I N I T I O N S

Cultural Responsiveness:

An inclusive approach of inquiry and action to fostereffective programs, policies, and practices that arerespectful of cultural conditions within communities.

Cultural Congruence:

The ability to be meaningfully and positively respon-sive to someone else’s cultural reality. This respon-siveness is necessary in all areas of interpersonalinteraction, particularly in relationships where sig-nificant power imbalances exist. Culturally congru-ent practices, interventions, and strategies are consis-tent with the cultural values, beliefs, histories, andlearning styles of the cultural group(s) served.

Family Member:

A family member is a person who is raising or hasraised a child, youth, or adolescent with special phys-ical, mental, emotional, behavioral, substance use,developmental and or educational needs. As a familymember they experienced working with many of theagencies and providers in their community.

A family member can be recognized and utilized as col-laborators by serving on state and local boards, com-mittees and coalitions. They also can be hired asIndividualized Service Plan care managers and or facil-itators, family advocators, evaluators, and trainers.

Family-Driven Organization:

An organization with the explicit purpose to servefamilies who have a child, youth, or adolescent withspecial physical, mental, emotional, behavioral, sub-stance use, developmental and or educational needs.It is governed by a board of directors and comprisedof a majority of individuals who are family members.

Family organizations have an independent governingstructure. They give preference to family members in

hiring practices, and promote family involvement atthe individual, local, state and national levels.

Following a “System of Care” model, a family organi-zation provides opportunities for the “family voice” tobe instrumental in shaping policies that offer a broadarray of effective, coordinated services and supportsthat are individualized for the needs of each family.

Medical Home:

C.R.S.§ 25.5-1-103(5.5): “Medical home” means an appropriately qualified medical specialty, develop-mental, therapeutic, or mental health care practicethat verifiably ensures continuous, accessible, andcomprehensive access to and coordination of commu-nity-based medical care, mental health care, oralhealth care, and related services for a child. A medicalhome may also be referred to as a health care home. Ifa child’s medical home is not a primary medical careprovider, the child must have a primary medical careprovider to ensure that a child’s primary medical careneeds are appropriately addressed. All medical homesshall ensure, at a minimum, the following:

(a) health maintenance and preventative care;

(b) anticipatory guidance and health education;

(c) acute and chronic illness care;

(d)coordination of medications, specialists, and therapies;

(e) provider participation in hospital care; and

(f) twenty-four-hour telephone care.

Health Disparities:

Differences in health status among groups dispropor-tionately affected by disease, disability and death areknown as health disparities and are present at thenational, state and local levels. There also are dispar-ities in access to health care and quality of care.


Intervention:

Intervention programs and practices are proactiveefforts to intervene at early signs of problems to stopdisease, to reduce crises and to change problembehaviors.

Intervention programs are designed to reach popula-tions that have greater potential for, or are participat-ing in, high-risk behaviors. An example is family casemanagement services for high-risk families or inter-vening with a youth beginning to abuse alcohol,tobacco or other drugs.

Positive Youth Development:

Positive Youth Development is an approach, not aprogram, that guides communities in developing andimplementing services, opportunities and supportsso that young people can be engaged and reach theirfull potential. Positive Youth Development startswith working with youth and young adults asresources to cultivate, not problems to fix, and isdependent upon the use of the following guidingprinciples: a strengths-based approach, youthengagement, youth-adult partnerships, culturalresponsiveness, inclusive of all youth, collaborationand sustainability.

Prevention:

Prevention is proactive, interdisciplinary effort toempower individuals to choose and maintain healthylife behaviors and lifestyles, thus fostering an envi-ronment that encourages law-abiding and non-trou-bled behavior.

Prevention programs are designed to reach a largeraudience base. This base may range from a universalpopulation of all citizens to a more selective popula-tion specific to the risk issue being addressed. Anexample is a curriculum-based program that is deliv-ered in a school setting to all students of a particulargrade, or a parenting skills program for parents of at-risk children and youth, or community-based effortsto address smoking in public buildings.

Social Determinants of Health:

The determinants of health refer to both specific fea-tures of, and pathways by which societal and envi-ronmental conditions affect health and that poten-tially can be altered by informed action. Health is notsimply the absence of disease, but a sense of physical,emotional, and mental well-being. Therefore thedeterminants of health are profuse, and includeincome, education, occupation, sanitation, exposureto environmental hazards, family structure, socialsupport, discrimination, and access to health care.

System of Care:

A comprehensive spectrum of necessary services that are organized into a coordinated network tomeet the multiple and changing needs of children,youth and families (Adopted from Stroul andFriedman, A system of care for children and youth withsevere emotional disturbances, 1986).

Treatment:

Treatment consist of individualized care services totreat individuals and/or groups in crisis situations thatcontribute to the health an dwell-being of individuals.

Examples include, but are not limited to, individual,group and family therapy/counseling, mental healthand substance abuse treatment services (including co-occurrence of both mental health and substanceabuse issues), day treatment, inpatient and residentialtreatment, recovery services, and health and medicalservices.


A P P E N D I X B

UNIFORM MINIMUM STANDARDS FORPREVENTION INTERVENTION AND TREATMENTPROGRAMS FOR CHILDREN AND YOUTH

One of the requirements in Article 20.5 of Title 25(101-109), Colorado Revised Statues is the develop-ment and adoption of Uniform Minimum Standardsfor all state and federally-funded prevention, inter-vention and treatment programs for children andyouth, which include 49 state-managed programsand more than 1,500 local programs currently oper-ated/funded by the state departments of Education,Human Services, Public Health and Environment,Public Safety, Revenue, and Transportation.

The intent of this requirement is to create more uni-form language and common expectations across stateand local prevention/intervention programs and topromote the provision of high-quality prevention,intervention and treatment services throughout thestate. The following standards are specified in thelegislation:

■ that programs provide research-based servicesthat have been implemented in one or more communities with demonstrated success or thatotherwise demonstrate a reasonable potential forsuccess;

■ that programs provide outcome-based services,specifying the outcomes to be achieved; and

■ that programs work collaboratively with otherpublic and private programs in the community.

The Colorado Board of Health was given the author-ity to create/adopt additional standards, as needed, toenhance the quality of prevention, intervention andtreatment services throughout the state.

Although the creation and application of UniformMinimum Standards are required, the statute, pro-vides an opportunity for state agencies and localservice providers to develop consensus regarding

standards for prevention, intervention and treatmentprograms for these purposes:

■ to assess strengths and areas for growth;

■ to identify and disseminate information on pro-grams that meet and exceed standards;

■ to provide guidance/direction for new or develop-ing programs; and

■ to chart a course for sustaining and enhancing thequality of prevention and intervention programsand services throughout Colorado.

The Colorado Prevention Leadership Council con-vened a Uniform Minimum Standards Task Force todevelop recommended standards. The task forcereviewed criteria/standards used by existing preven-tion and intervention programs in Colorado, and itidentified eight areas considered critical to the devel-opment and implementation of quality programs,including:

• Clear problem statement,

• Focus on contributing factors,

• Identified services and service population,

• Intended outcomes,

• Evidence-based services,

• Evaluation,

• Agency capacity and

• Collaboration.

Proposed Uniform Minimum Standards were writtenin each of these eight areas. The task force sent theproposed standards to more than 200 local preven-tion and intervention programs for review and input.Comments from local program staff strongly sup-ported the creation of the standards and providedgood suggestions for refinement of the standards.


The Colorado Board of Health reviewed and adoptedthe proposed Uniform Minimum Standards in March2004. A one-page version of the standards is foundon the opposite page.

In 2007 and 2008, the Colorado PreventionLeadership Council aligned the eight standards withcore competencies and developed the UniformMinimum Standards Assessment Tool. Contractors/providers can utilize the Uniform MinimumStandards Assessment Tool as a self-assessment oftheir strengths, areas for enhancement, and thedevelopment of plans that build or enhance thecapacity of the programs and organizations. Stateprogram managers and technical assistance agentsmay utilize the assessment tool to work withproviders in the identification of strengths and toprovide targeted technical assistance (coaching, mentoring, training, etc.). Lastly, a state agency mayutilize the assessment tool in the development of uni-form policies around state reviews and processes forfunding and capacity building (technical assistanceand training).

The Uniform Minimum Standards Assessment Toolcan be downloaded at www.colorado.gov/plc.

Occupant Protection Program, Colorado Department of Transportation

• In 2009, Colorado’s seat belt use ratewas 81.1%, the nationwide average is83%.

• In 2009, 87.15% of children <5 wereobserved to be fastened into car seats.

• Observed juvenile seat belt use (ages 5to 15) was 73.7% and teen seat beltusage rates reached an all time high of80.6%.

PREVENTION WORKS!


Minimum Standard #1: Clear Statement of Problem/Issue(s) to be Addressed. The program/project identifies the specific problem/issue(s) tobe addressed, and it describes a population or geographic area where the problem/issue exists. Estimates of the extent and nature of the problemin the population or geographic area to be served are based on relevant existing local, regional, state or national data (e.g. data from health,human services, education, law enforcement agencies, relevant studies or program data).

Minimum Standard #2: Focus on Contributing Factors. The program/project specifies risk factors known to contribute to the problem and/orprotective factors known to prevent or reduce the problem/issue(s) identified, and focuses its resources on changing these risk and/or protectivefactors. If specific risk and protective factors related to the problem have not been identified in the literature, the program/project provides a clearrationale for the program focus, based on relevant prevention/intervention or child/youth development principles, theories or frameworks.

Minimum Standard #3: Intended Outcomes Specified. The program/project specifies one or more measurable outcomes it intends to achieveas a result of the prevention and intervention program/services to be provided. These intended outcomes are related to changing factors con-tributing to the problem, or factors contributing to the prevention or reduction of the problem. The intended outcomes specify the changes inknowledge, attitudes/beliefs, skills, behaviors, obstacles/enabling factors in the physical or social environment and/or changes in the physical oremotional health status, educational achievement or well-being of the individual, group or community being served.

Minimum Standard #4: Evidence-Based Programs/Services. The program/project provides prevention or intervention services that have beenpreviously implemented in one or more communities with demonstrated success in achieving the intended results, or that otherwise demonstratea reasonable potential for success based on research, sound prevention/intervention principles or relevant theory.

Minimum Standard #5: Services and Target Population Specified. The program/project specifies the amount and type of services to be provided, and the proposed number of individuals, groups or the target population that will receive or benefit from the various program activities/services.

Minimum Standard #6: Evaluation. (a) The program/project systematically documents and is able to provide data regarding services provided,activities carried out and the number of individuals, groups and/or target population(s) receiving the services or benefiting from program activities;and (b) the program/project systematically documents changes occurring as a result of the program services and activities provided, and is able toprovide evidence of progress in meeting one or more of its intended outcomes.

Minimum Standard #7: Agency Capacity. (a) Staff carrying out the program/project are trained in the specific program, services or model thatthey will be implementing, or they have at least two years prior experience in the successful implementation of similar prevention or interventionprograms, practices and/or policies; and (b) The agency maintains records of revenues and expenditures by funding source, and can produce veri-fication of expenses upon request. An independent review of the fiscal records/practices is conducted periodically, but no less frequently thanannually.

Minimum Standard #8: Collaboration. The program/project regularly exchanges information with other public, private and nonprofit prevention,intervention programs at the state, regional or local level (e.g. faith-based organizations, health, law enforcement, human service agencies, orother units of government) for the purposes of resource sharing, coordination of efforts, case management and to avoid duplication of services.

Uniform Minimum Standards for Prevention,Intervention, and Treatment Programs forChildren and Youth

Adopted by the Colorado State Board of Health 3/17/04

Developed by the Colorado Prevention Leadership Council


A P P E N D I X C

COLORADO’S CHILDREN AND YOUTH THRIVEBY 25

(Adapted from The Forum for Youth Investment’sReady by 21 Framework)

The Colorado Thrive by 25 Dashboard will be utilizedto identify areas in which state-managed children andyouth programs are serving similar populations andaiming to achieve related or common outcomes. Thisidentification will assist in the coordination and inte-gration of efforts.

THRIVE BY 25

Ready for Life

Ready for LifelongLearning

Ready for Work

Domains

Health and MedicalHome

Social/Emotionaland BehavioralHealth

Safety

Education

VocationalDevelopment

Early Childhood

(0–8)

ElementarySchool (9–11)

Middle School (12–13)

High School (14–18)

Older Youth (19–25)

Family and Youth Support and Involvement

Environmental Safety and Infrastructure (creating safe environments for children and youth)


A P P E N D I X D

SOCIAL DETERMINANTS OF HEALTH FRAMEWORK


A P P E N D I X E

SYSTEM OF CARE VALUES AND PRINCIPLES

In order to better align policy level and service deliv-ery level efforts in the State of Colorado related toaddressing the needs of children, youth and families,the following values and principles serve as a commonguide and foundation for jointly creating a more coordinated, integrated continuum of services. Thesevalues and principles describe essential aspects ofcommunity-based systems that serve children youthand families.

Values

1. A system of care is child/youth-centered andfamily-focused, with the needs of the child,youth and family dictating the types and mixof services provided.

2. A system of care is community-based, withthe locus of services as well as managementand decision-making responsibility resting atthe community level.

3. A system of care is culturally competent, withagencies, programs, and services that areresponsive to the cultural differences, includ-ing racial, ethnic, gender, age, sexual orienta-tion, socio-economic, spiritual (religious),and geographic differences of the population.

Principles

1. Persistent Commitment to Families, Youthand Children. Colorado and its communitiesmake a commitment to the fundamental rights ofevery child, youth and family to achieve andmaintain permanence in home, school and/orcommunity and stability of support in a safeenvironment.

2. Safety (Child, Youth, Family, and Community).Services and supports are developed and imple-mented to best ensure the safety of the child,youth, family, and community.

3. Child/Youth-centered. Services and supportsare provided in the best interest of the child oryouth to ensure that the child’s or youth’s needsare being addressed.

4. Family-focused. The child or youth is viewed asa part of the whole family. System, services andsupports are based on the strengths and needs ofthe entire family. Children, youth and their fam-ilies shall participate in discussions related totheir plans, have opportunities to voice theirpreferences and ultimately feel that they ownand drive the plan.

5. Individualized. Plans and supports for children,youth and their families are tailored to theunique culture, beliefs and values, strengths, andneeds of each child, youth and family. Fundingsources must be flexible to support individual-ization.

6. Culturally Responsive. The system of care isculturally competent, with systems, agencies,programs, and services that are responsive to thecultural differences, including racial, ethnic,gender, age, sexual orientation, socio-economic,spiritual (religious), and geographic differencesat the system and individual child, youth andfamily levels.

7. Strengths-based. Assessments, services andsupports are based on identified strengths of thechild, youth, family, and community.


8. Early Access. Services and supports should havea prevention and early intervention focus to facil-itate wellness for the child, youth, and family.

9. Community-based. Services and supports areprovided in the most appropriate and leastrestrictive environment and in the home com-munity of the child, youth and family. A systemof care is community oriented with the locationof services, management and decision-makingresponsibility resting at the community level.

10. Natural Supports. Children, youth, and fami-lies are supported by family and communitysocial networks and community resources (e.g.,service organizations, faith based organizationsand businesses). Services build on and strength-en these natural supports.

11. Collaborative. Collaboration between agencies,schools, community resources, youth and fami-lies is the basis for building and financing a localcomprehensive and integrated system of carethat supports easy access to needed services andsupports for children, youth, and families.

12. Family, Youth, and Professional Partnership.Family and youth are partners with professionalsat all levels of assessment, planning, implemen-tation and governance of a system of care.

13. Outcome-based and Cost Responsible.Services and supports are outcome based withclear accountability and cost responsibility. Thesystem values and funds outcome and qualitymanagement. This accountability includes pru-dent and effective use of public and privatefunds. As communities find ways to reduce theuse of restrictive care the funding is retained inthe community and reinvested in the preventionand early intervention that has made theseimprovements possible.

14. Transition. Children and youth should beensured smooth transitions through all majorchanges in their lives.


A P P E N D I X F

COLORADO MEDICAL HOME GUIDINGPRINCIPLES, ASSURANCES, AND STANDARDS

The following guiding principles, assurances and stan-dards were developed in a joint effort by the ColoradoDepartment of Public Health and Environment, theColorado Department of Health Care Policy andFinancing, and the Colorado Medical Home AdvisoryBoard, and approved by the Colorado Department ofHealth Care Policy and Financing and the ColoradoDepartment of Public Health and Environment in2008. The definition of Medical Home is in StateStatute (C.R.S. C.R.S. 25.5-1-103); see Appendix A forthis definition.

5 Guiding Principles

1. The standards are a framework for continuousquality improvement.

2. The standards are meant to describe Colorado’sgoals for quality health care for all children, theyare not meant to be punitive or prescriptive.

3. The standards, based on the national componentsof a medical home, were developed in collabora-tion with multiple colorado stakeholders, includ-ing: physical and behavioral health care providersand physicians, family members, communityadvocates and evaluators, and are aligned withestablished national standards.

4. The standards are a way to acknowledge goodpractice while providing a shared vision and com-mon language for a quality system of care for allchildren in Colorado.

5. The standards provide a means for evaluation to establish state, payer, family, and practiceaccountability.

5 Assurances

1. The Colorado Medical Home Initiative will con-tinue to provide a platform whereby stakeholders’input is encouraged, valued and incorporated.

2. Providers who choose to be acknowledged as providing a medical home approach will beoffered resources and support.

3. The term ‘provider’ is intended to be inclusive of behavioral, oral and physical health careproviders and specialists.

4. Development and refinement of these standards is only the first step in the process of implemen-tation.

5. Medicaid providers can choose to be acknowl-edged as medical home providers on a voluntarybasis.

Colorado Medical Home Standards

1. Provides 24-hour 7 day access to a provider ortrained triage service.

2. Child/family has a personal provider or teamfamiliar with their child’s health history.

3. Appointments are based on condition (acute,chronic, well or diagnostic) and provider canaccommodate same day scheduling when needed.

4. A system is in place for children and families toobtain information and referrals about insurance,community resources, non-medical services, education and transition to adult providers.

5. Provider and office staff communicates in a waythat is family centered and encourages the familyto be a partner in health care decision-making.

6. Provider and office staff demonstrate culturalcompetency.


7. The designated Medical Home takes the primaryresponsibility for care coordination.

8. Age appropriate preventive care and screening are provided or coordinated by the provider on atimely basis.

9. The designated Medical Home adopts and imple-ments evidence-based diagnosis and treatmentguidelines.

10. The child’s medical records are up to date andcomprehensive, and upon the family’s authoriza-tion, records may be shared with other providersor agencies.

11. The Medical Home has a continuous qualityimprovement plan that references Medical Homestandards and elements.

Early Childhood ColoradoFramework

EARLY CHILDHOOD COLORADO PROVIDES A

FRAMEWORK THAT:

THIS WORK IS GUIDED BY THE FOLLOWING PRINCIPLES:

state.co.us.

A COLLECTIVE VISION ON BEHALF

OF COLORADO’S YOUNG CHILDREN

AND THEIR FAMILIES.


A P P E N D I X G

GOALS all children are valued, healthy, and thriving

STRATEGIESFOR ACTION

outcomesACCESS

OUTCOMES

QUALITYOUTCOMES

EQUITYOUTCOMES

EARLY LEARNINGFAMILY SUPPORT AND PARENT EDUCATION

SOCIAL, EMOTIONAL, AND MENTAL HEALTH HEALTH

FOUNDATIONS

EARLY CHILDHOOD COLORADO FRAMEWORK / JULY 2008

EARLY CHILDHOOD COLORADO FRAMEWORK

Colorado Department of Education

Colorado Department of Health Care Policy and Financing

Colorado Department of Human Services

Colorado Department of Law



Colorado Department of Revenue

Colorado Department of Transportation

Colorado Department of Military and Veterans Affairs

Colorado Judicial Department

www.colorado.gov/plc

state plan for prevention, intervention, and treatment ... · the purpose of this state planis to...

Documents