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Health and School Readiness in Early Childhood Douglas Tynan, Ph.D.

Health and School Readiness in Early Childhood Douglas Tynan, Ph.D. May 27, 2009 . The World of Children Has Changed. Families are changing More… Single parent births > 40% Parents are working Women in workforce> 65% mothers Back to work 6 weeks Lack of good childcare

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Health and School Readiness in Early Childhood Douglas Tynan, Ph.D.

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  1. Health and School Readiness inEarly ChildhoodDouglas Tynan, Ph.D. May 27, 2009

  2. The World of Children Has Changed Families are changing • More… • Single parent births > 40% • Parents are working • Women in workforce> 65% mothers • Back to work 6 weeks • Lack of good childcare • Medicaid-eligible children>24% • Fewer… • Engaged fathers • Community connections

  3. Three Decades of Increases Source: SECPTAN Source: U.S. Census

  4. School Readiness Domains • Physical well-being and motor development • Social and emotional development • Approaches to learning • Language development • Cognition and general knowledge

  5. Mother Education & Readiness

  6. Poverty & School Readiness

  7. Early Childhood Education & Health Health, mental health and education responses are changing • More… • Demand on all providers in health, education, child care, mental health to address developmental, emotional and behavioral problems • Less… • Access to effective screening tools or access to effective help for parents and families

  8. Education and Health: Changing Risk Factors Out-of-home care is changing • More… • Children in non-parental childcare • Time spent daily in out-of-home care • Much day care is poor quality • And in care, teachers have less… • Opportunities for professional development or for working full time • Adequate compensation and benefits

  9. Risk Factor: Disruptive Behavior in Early Childhood Surveys in Delaware: • 30% of low-income preschool children have emotional and behavioral problems by parent and teacher rating • 40.2% of Delaware child care providers asked family to withdraw a child from their care • Delaware ranks fifth nationally for expelling children from state-funded Pre-K • Nearly one out of five parents in Delaware reported having a child with some level of emotional or behavioral difficulty, similar to national numbers • Lack of effective and available mental health services

  10. Risk and Opportunity • Children are exposed to many types of risk: Within child, within family, within child care, within community • Nearly all young children birth to five share exposure to risk • As risks increase, chances for problems increase • Opportunities: • many adults and systems have a hand in raising young children • work with child care, primary care, community organizations and with parents to reduce risks and offer effective solutions

  11. Public Spending Priorities Do Not Match Research Findings Source: RAND Corporation

  12. Promising Approaches in Early Care and Education • Quality ratings systems • Teacher compensation • Parent support (e.g. Triple P, Help Me Grow) • Early childhood mental health consultation • Early childhood professional development and technical assistance • Parent engagement

  13. Status of Quality in Child Care Source: SECPTAN Source: Midwestern Child Care Study

  14. Preschool Teacher Income, 2007

  15. Promising Approaches in Primary Care Opportunities: • Shifting the model for transforming primary care • Screening • Surveillance • Anticipatory guidance (brief counseling) • Parent approach

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