The early development instrument and ECD - Centre of Excellence ...
The early development instrument and ECD - Centre of Excellence ...
The early development instrument and ECD - Centre of Excellence ...
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Measuring <strong>ECD</strong> conference<br />
Dr. Neal Halfon<br />
UCLA Center for Healthier Children, Families <strong>and</strong><br />
Communities<br />
&<br />
National Center for Infancy <strong>and</strong> Early Childhood Health<br />
Policy<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
Center for Healthier Children,<br />
Families & Communities <strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
<strong>The</strong> EDI <strong>and</strong> <strong>ECD</strong><br />
• How good is the EDI?<br />
• How will the EDI help us know how well<br />
children are really doing?<br />
• How can the EDI be used to change<br />
policy, engage communities, <strong>and</strong> make<br />
changes in the <strong>ECD</strong> systems that are<br />
emerging around the world?<br />
• What needs to be done next?<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
<strong>The</strong> EDI <strong>and</strong> <strong>ECD</strong><br />
• How good is the EDI?<br />
• Its Good- but can be improved, with use<br />
• How will the EDI help us measures <strong>and</strong><br />
monitor how well children are really doing?<br />
• by linking to EDI like measures done earlier<br />
(age birth, 18 months, 3 years) in order to<br />
measures <strong>development</strong>al/ school readiness<br />
trajectories<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
<strong>The</strong> EDI <strong>and</strong> <strong>ECD</strong><br />
• How can the EDI be used to change<br />
policy, engage communities, <strong>and</strong> make<br />
changes in the <strong>ECD</strong> systems that are<br />
emerging around the world?<br />
• Positioning EDI results appropriately to<br />
reframe the vision, goals, strategies <strong>of</strong> <strong>ECD</strong><br />
services, programs, systems, <strong>and</strong> policies<br />
• What needs to be done next?<br />
• Spread the innovation, improve its function,<br />
link it to systems building activities, keep<br />
changing the <strong>ECD</strong> Pardigm<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
<strong>The</strong> <strong>ECD</strong> Revolution
From Maturational to<br />
Transactional Development<br />
• Maturational Model<br />
• Unfolding <strong>of</strong> preset<br />
genome<br />
• Stages <strong>and</strong> milestones<br />
• Minimize disabilities<br />
(chronic disease<br />
model)<br />
• Screen for disabilities<br />
• Deficit based/focus<br />
• Transactional Model<br />
• Bi-directional gene-<br />
environment interactions<br />
• Continuous process<br />
• Optimize<br />
<strong>development</strong>al<br />
potential<br />
• Continuous surveillance<br />
<strong>of</strong> <strong>development</strong>al<br />
competency<br />
• Developmental Assets<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
Anxious<br />
mother<br />
Withdrawal<br />
Depression<br />
Low<br />
APGAR<br />
Fussy<br />
baby<br />
Slow to<br />
speak<br />
Language<br />
delay<br />
0 months 18 months 2 years<br />
Source: Samer<strong>of</strong>f<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
New Operating System<br />
• New Goals<br />
• School Readiness = Healthy <strong>development</strong><br />
• New Strategies –optimizing<br />
devleopment<br />
• New Programs<br />
• New Measures <strong>and</strong> Systems Performance<br />
Goals<br />
• Clinical <strong>development</strong>al Assessments<br />
• Population Developmental Surveillance <strong>and</strong><br />
Monitoring--<br />
EDI<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
Paradigm Shift: School Readiness<br />
• Prior to 1990’s<br />
Measurement<br />
• Child level measure<br />
• Maturational model<br />
• School entry regulation<br />
• Now<br />
• Multilevel, dynamic measure<br />
• Transactional model<br />
• Promoting optimal <strong>development</strong>al inputs <strong>and</strong><br />
creating <strong>development</strong>al assets in communities<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
School Readiness (NEGP)<br />
• National Ed Goals Panel – School Readiness<br />
i. Schools ready for children<br />
ii.<br />
iii.<br />
Children ready for Schools<br />
Families <strong>and</strong> Communities support<br />
• NAEYC –children ready for schools<br />
• Cognition <strong>and</strong> general knowledge<br />
• Social Emotional Development<br />
• Physical Well Being & Motor Development<br />
• Language Development<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
Strategies to Improve<br />
School Readiness Trajectories<br />
Lack <strong>of</strong> health services<br />
Family Discord<br />
Social-emotional, Physical<br />
Cognitive, Language<br />
function<br />
Ready to learn<br />
Poverty<br />
Reading to child<br />
Appropriate Discipline<br />
Pre-school<br />
Lower trajectory:<br />
With diminished<br />
function<br />
Parent education<br />
Emotional literacy<br />
Birth Late Infancy<br />
Late Toddler Late Preschool<br />
6 mo 12 mo 18 mo 24 mo 3 yrs 5 yrs Age<br />
Early Infancy<br />
Early Toddler Early Preschool<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
Optimizing Early Child Health<br />
<strong>and</strong> Development<br />
• Optimizing <strong>early</strong> childhood health <strong>and</strong> brain<br />
<strong>development</strong> requires<br />
• Integration <strong>of</strong> clinical, targeted prevention, universal<br />
<strong>and</strong> broader social interventions<br />
• Curve shifting strategies that minimize risks <strong>and</strong><br />
maximize protective factors are necessary<br />
• Policies that align levels <strong>of</strong> government <strong>and</strong> service<br />
delivery sectors (silos) within government in a<br />
common effort<br />
• Place based programs that integrate <strong>early</strong> childhood<br />
services <strong>and</strong> program into a more integrated system<br />
<strong>of</strong> care<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
Integrating <strong>ECD</strong> Services<br />
Sectors <strong>and</strong> Levels<br />
Education<br />
POLICY<br />
COMMUNITY<br />
NEIGHBORHOOD<br />
SERVICES<br />
FAMILY<br />
Includes:<br />
Doctors<br />
Schools<br />
Child Care<br />
Family Resource<br />
Centers<br />
CHILD<br />
Child Welfare<br />
Clinical/Individual<br />
Child Health<br />
Targeted/<br />
community<br />
Universal<br />
Policy Level/<br />
Civic Society<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
“<strong>The</strong> definition <strong>of</strong> hell is a<br />
place where nothing connects<br />
with nothing”<br />
T.S. Eliot<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
An Integrated Model <strong>of</strong> <strong>ECD</strong> Systems:<br />
cycles <strong>of</strong> continuous improvement<br />
FRAMING<br />
SYSTEMS DESIGN<br />
IMPROVING<br />
Life<br />
Course<br />
Social<br />
Ecology<br />
Promoting<br />
Optimal<br />
Development<br />
Community<br />
Building<br />
Child Development Outcomes<br />
Integrate <strong>ECD</strong> System<br />
Joining up approaches<br />
Bridging Strategies, Tool, Pathways<br />
Policy<br />
Measuring,<br />
Monitoring,<br />
Analyzing,<br />
Interpreting, &<br />
Changing<br />
(PDSA cycles)<br />
Center for Healthier Children,<br />
Families & Communities<br />
*adapted from A.Best, D.Stokels, L.Green, et al., AJHP, 2003.<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
Tracking Population <strong>ECD</strong>-School Readiness<br />
Trajectories<br />
Pediatric Early Child<br />
Assessment<br />
Preschool EDI<br />
Birth<br />
Certificate<br />
School Readiness EDI<br />
• Physical Wellbeing & motor dev’t<br />
• Social & emotional dev’t<br />
• Approaches to learning<br />
• Language dev’t<br />
• Cognition & general knowledge<br />
Birth 1.5 ys 2 ys 3 ys 4 ys<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006<br />
5 ys
<strong>ECD</strong> Assets: Performance Measurement Framework<br />
Level <strong>of</strong><br />
Measurement<br />
Individual/<br />
Child<br />
Parent/Family<br />
Community<br />
Service<br />
Provider<br />
County/<br />
Community<br />
I: Prevalence <strong>of</strong> Asset<br />
Type <strong>of</strong> Measures<br />
II: Performance <strong>of</strong><br />
Asset<br />
III: Interconnectivity<br />
within Person, Program<br />
or Policy Portfolio<br />
State Policy/<br />
System<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
<strong>ECD</strong> Assets: Performance Measurement Framework<br />
Level <strong>of</strong><br />
Measurement<br />
Individual/<br />
Child<br />
Parent/Family<br />
Community<br />
Service<br />
Provider<br />
I: Prevalence <strong>of</strong> Asset<br />
Language capacity –EDI<br />
Family Reading<br />
ROR Programs in<br />
Pediatric <strong>of</strong>fices / Ready<br />
to Read in ECE sites<br />
Type <strong>of</strong> Measures<br />
II: Performance <strong>of</strong><br />
Asset<br />
Performance in<br />
School Setting<br />
Frequency <strong>and</strong><br />
Impact<br />
Number <strong>of</strong> children<br />
Served & improved<br />
III: Interconnectivity<br />
within Person, Program<br />
or Policy Portfolio<br />
How well Language<br />
ability related to other<br />
EDI domains<br />
Library outings, <strong>and</strong><br />
utilization<br />
ROR connect to<br />
Developmental<br />
Screening<br />
County/<br />
Community<br />
State Policy/<br />
System<br />
Number <strong>of</strong> Early<br />
Literacy programs –<br />
ROR, RTR<br />
State/Provincial Policy ,<br />
Funding levels for<br />
Number <strong>of</strong> Children<br />
Served<br />
S/P impact<br />
assessment –<br />
Effectiveness,<br />
Efficiency ,<br />
Accessibility<br />
ROR & RTR programs<br />
connected to Family<br />
Resource Centers<br />
Linkage <strong>of</strong> <strong>ECD</strong> with<br />
medical care, child<br />
welfare, child mental<br />
health treatment<br />
services<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
UCLA Center for Healthier Children,<br />
Families <strong>and</strong> Communities<br />
&<br />
National Center for Infancy <strong>and</strong> Early<br />
Childhood Health Policy<br />
Http.//healthychild.ucla.edu<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
UCLA Center for Healthier Children,<br />
Families <strong>and</strong> Communities<br />
&<br />
National Center for Infancy <strong>and</strong> Early<br />
Childhood Health Policy<br />
Http.//healthychild.ucla.edu<br />
Center for Healthier Children,<br />
Families & Communities<br />
<strong>Centre</strong> <strong>of</strong> <strong>Excellence</strong> for Early Childhood Development, Vaudreuil (Québec) April 26-28, 2006
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