Neal Halfon Presentation - Using the EDI for Transforming

Neal Halfon Presentation - Using the EDI for Transforming Neal Halfon Presentation - Using the EDI for Transforming

02.03.2013 Views

learn Ready to Birth Early Infancy Strategies to Improve School Readiness Trajectories Poverty Late Infancy Lack of health services Parent education Emotional Health Literacy Early Toddler Reading to child Late Toddler Toxic Stress Health Services Appropriate Discipline Early Preschool “Healthy” Trajectory “At Risk” Trajectory Pre-school Late Preschool 6 mo 12 mo 18 mo 24 mo 3 yrs 5 yrs Optimizing Healthy Development “Delayed/Disordered ” Trajectory Addressing the factors shaping health development trajectories over the lifespan Age The existing ECD service system • Fragmented service delivery Different sectors, (health, education, welfare) funding streams, cultures Lack of co-ordination - operate in silos • Diffi Difficulty lt accessing i services i Demand greater than services available Narrow programmatic criteria for eligibility Socio-economic factors limit access - social gradient in treatment and outcomes Age 2

The existing ECD service system • Uneven quality Families have complex needs, often beyond capability of any single service Variable understanding of early years issues • Model of care is outmoded focus on treatment rather than prevention/early intervention episodic contact • Local community limited accountability or responsibility Upgrading the ECD System • ECD systems are evolving, enhancing functionality & performance ECD 1.0 is about improving services within sectors ECD 2.0 is about connecting sectors into more effective pathways ECD 3.0 will be fully integrated systems • Progress - significant but uneven • Lots of re-inventing the wheel & slow adoption of innovations Service Organization for Early Brain and Child Development PROGRAMS Influencing Early Brain, Child Development & School Readiness Pre/perinatal support Family Child Care Early Intervention programs Child care centers Family Resource Programs Head Start Program Pediatric services Mental Health services Preschool Parenting and Family Literacy Programs Child Care Resource Programs 3

learn<br />

Ready to<br />

Birth<br />

Early Infancy<br />

Strategies to Improve<br />

School Readiness Trajectories<br />

Poverty<br />

Late Infancy<br />

Lack of health services<br />

Parent education<br />

Emotional Health<br />

Literacy<br />

Early Toddler<br />

Reading to child<br />

Late Toddler<br />

Toxic Stress<br />

Health Services<br />

Appropriate Discipline<br />

Early Preschool<br />

“Healthy” Trajectory<br />

“At Risk” Trajectory<br />

Pre-school<br />

Late Preschool<br />

6 mo 12 mo 18 mo 24 mo 3 yrs 5 yrs<br />

Optimizing Healthy Development<br />

“Delayed/Disordered ” Trajectory<br />

Addressing <strong>the</strong> factors shaping health development<br />

trajectories over <strong>the</strong> lifespan<br />

Age<br />

The existing ECD service system<br />

• Fragmented service delivery<br />

Different sectors, (health, education,<br />

welfare) funding streams, cultures<br />

Lack of co-ordination - operate in silos<br />

• Diffi Difficulty lt accessing i services i<br />

Demand greater than services available<br />

Narrow programmatic criteria <strong>for</strong> eligibility<br />

Socio-economic factors limit access -<br />

social gradient in treatment and outcomes<br />

Age<br />

2

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