City of Santa Clara Challenge Team November 14, 2018 Kathleen King

Goals Actively support the well-being of children and families in Santa Clara. Nurture and facilitate valuable community relationships. Engage community members. Connect Collaborate Discuss challenges Share resources Reduce duplication of services www.hkidsf.org

Visit the Challenge Team Website Sarah Peña SarahP@hkidsf.org 408.564.5114 Visit the Challenge Team Website www.hkidsf.org/our-programs/challenge-team www.hkidsf.org

Santa Clara County Children’s Health Improvement Plan November 14, 2018 2018

Children’s Health Assessment The Children’s Health Assessment (CHA) was requested in 2015 by the County of Board Supervisors and completed in 2017 Call to action: create equitable, action-oriented programs, policies and practices to improve the lives of all children, youth and families Public Health is coordinating a network of partners working around the 7 priorities identified in the CHA Recall the assessment, call to action and priorities, identify the convening partners working on each priority – Kathleen King The Children’s Health Assessment (CHA) was requested in 2015 by the County of Board Supervisors and completed in 2017 Call to action: create equitable, action-oriented programs, policies and practices to improve the lives of all children, youth and families Priority areas: Universal Screening, Access to Care, Food Security, Racial Equity, Housing, Early Care and Education, Bullying and Violence Prevention The public health department was charged with coordinating the implementation phase in 2018 with a network of agencies and partners. A Children’s Health Improvement Plan (CHIP) has been developed for FY19 through collaboration with a network of community partners.  

Priority Convening Partners Race and Health Equity Black Leadership Kitchen Cabinet SCC Office of Cultural Competency Santa Clara County Public Health Department Access to Care & Oral Health Collaborative for Oral Health Healthier Kids Foundation Santa Clara County Public Health Department Developmental Screening FIRST 5 Santa Clara County Early Care and Education Santa Clara County Office of Education Food Security Second Harvest Food Bank Housing Santa Clara County Office of Supportive Housing Violence and Bullying Prevention Key community agencies working in each of the priority areas have come forward to guide the development of each priority area. These agencies are recognized as “convening partners” given their leadership role and engagement of their networks of partners to define the scope of each priority and develop goals, strategies and targets for improvement. Convening partners have lead the development of the initial implementation plan and will continue to engage their networks to support the implementation steps detailed in the plan and provide data to track progress toward goals.

Children’s Health Improvement – Coordinating Committee Partner Integration Children’s Health Improvement – Coordinating Committee School Linked Services Children’s Agenda – Kids in Common Cross Agency Services Team (CAST) Whole Child Initiative Parent – School – Community Partnerships 7 Priorities: Racial Equity Access to Care Developmental Screening Early Care and Education Food Security Housing Bullying Prevention Universal early childhood developmental and behavioral screening Universal Developmental Screening Initiative Children’s Health Assessment Every child safe, healthy, successful in learning, successful in life Universal Health and Education Pilot sites: Alum Rock & Franklin McKinley School Districts Trauma and Healing Informed Systems of Care Discuss alignment of this effort with other initiatives (Whole Child, CAST, SLS and Children’s Agenda Network) – Jolene Smith A Coordinating Committee has been established to guide and monitor the implementation of the Children’s Health Improvement Plan. This committee aims to promote collaboration and communication across the seven priority areas included in the plan, in addition to engaging other key children’s health partners. The Coordinating Committee is made up of key leaders from the original Children’s Health Assessment Advisory Committee, the convening partners for the 7 priorities, and leaders from the Whole Child Initiative, the Cross Agency Services Team, the Kids in Common Children’s Agenda and School Linked Services to promote communication and partnership between these efforts. All of these efforts share a holistic approach to addressing the needs of children, youth and families and therefore present opportunities to leverage resources and align strategies for greater community impact.

Aligned Structures and Partners Children’s Nutrition Coalition Office of Women’s Policy Title IX Workgroup Collaborative for Oral Health PRIME 2.4 Workgroup Cultural Responsivity, Diversity & Inclusion Workgroup Public Health Department Health Equity Committee QUALITY MATTERS…a STRONG START for kids Consortium East San Jose PEACE Partnership Enhancing/Expanding Homelessness Prevention & Housing Strategies for Families and Youth Work Group Race and Equity through Prevention Workgroup Safety Net Committee Strong Start Coalition Family Child Care Education Network Universal Developmental Screening Initiative Clinical Workgroup Intra-Cultural Competence Committee Juvenile Justice System Collaborative Universal Developmental Screening Initiative Systems Workgroup Local Childcare Planning Council Maternal Mental Health Collaborative Welcoming Schools Workgroup Office of Immigrant Relations Programs Taskforce School Climate Committee For each of the priority areas the convening partners have helped integrate the planning and implementation activities into their existing structures to: Promote alignment with established community priorities and strategies; Utilize resources and build off efforts already underway; And Engage existing coalitions or workgroups Each plan section references these workgroups, aligned plans and community partners that have been engaged in the development of the plan through these various structures The Children’s Health Improvement Plan is aligned with 13 Community Plans and 22 Community Coalitions or Workgroups For example, in the area of early childhood education, SCCOE and FIRST 5 based the Children’s Health Improvement Plan ECE section on the 2017 Santa Clara County Early Learning Master Plan and provided additional detail through the CHIP planning process to set action steps, timelines and performance measures to the general strategies that had been adopted in the 2017 ELMP. Ongoing coordination of activities will occur through the Strong Start Coalition and FIRST 5’s QUALITY MATTERS Executive Cabinet.

Identify and Engage Partners Key Approaches Identify and Engage Partners Develop Strategies Implement Evaluate Progress Refine Approaches Iterative planning on a yearly cycle Ongoing identification and recruitment of partners and local efforts aligned to plan priorities Focus on policy and systems approaches for broad impact and sustainability Collaborate across priority areas on policy and resource needs While this work has sought to align with existing resources and partners we recognize the planning and implementation process will be iterative and that other efforts underway in the community have not all been captured to date This plan includes 3 year goals and outcomes as well as one year action steps and performance measures. This is intentional to adapt to changes in the implementation process and integrate new strategies and partnerships as they are identified. In general the plan emphasizes policy, systems and environmental strategies over direct services to expand the reach and to promote the sustainability of our efforts. Policy change strategies may be targeted at the school district, organizational, municipal or state level within the plan. A specific priority of the SHFB is to encourage school districts to adopt policies expanding access to school meals to reduce childhood food insecurity which can be accomplished through a variety of school district strategies such as offering breakfast after the bell or providing universal breakfast to students. Identifying and collaborating across sectors on policy strategies will be a key function of the coordinating committee. Additionally, we expect there will be resource gaps identified during this first implementation year and we will need to work collectively to quantify and address those gaps to support ongoing effort in each of the priority areas. As we approach the spring we will re-assess each section for revisions for the coming FY

Equity and Community Participation Assessment Call to Action prioritized addressing racial equity Priority populations for implementation and evaluation include: Families engaged in the foster care system Families and youth engaged in the juvenile justice system Historically disenfranchised communities FY19 Key Activities: Providing training and support to integrate racial equity into all seven plan priorities Developing structures for direct community participation for youth, parents and caregivers to assure strategies address community needs Government Alliance for Racial Equity (GARE) Framework While six of the seven priorities focus on a particular health or community issue and involve partners working in that sector, the Children’s Health Assessment Call to Action elevated racial equity as a priority that cuts across each of the other priorities. In the current Children’s Health Improvement Plan the racial equity section has its own strategies and action steps but also includes training and support to integrate racial equity into each section of the CHIP. Utilizing tools in use by public health and the Office of Cultural Competency, training has been provided to all of the convening partner organizations on structural racism and training on the use of a racial equity toolkit is planned to be completed by the end of this calendar year. In early 2019 we will review and revise the implementation plans to apply the racial equity tools and ensure that a racial equity lens has been applied to all plan sections and revisions will be developed as needed. Additionally our evaluation plans will include a focus on racial disparities in selected outcome indicators and analysis of data for priority target populations including young people involved in the foster care system and in the juvenile justice system Finally, over the last few months with the support of a New Americans Fellows through the Office of Immigrant Relations we have been consulting with community groups to identify best practices and opportunities to partner with grassroots efforts underway to promote community participation in the CHIP. We are working to establish ongoing opportunities for community members, including youth, to guide the development and implementation of our work in the 7 priorities with a focus on building community capacity and shared power in decision-making

Social-Ecological Factors, Equity and Systems Change Focusing on Results Performance Measures Aligned to 1 year action steps 132 measures across 7 priorities in plan Outcome Measures Aligned to 3 year goals 29 measures across 7 priorities in plan Community Measures Broad measures of child/youth health and wellness Transcend priority areas Long-term change Developed Jointly with Children’s Agenda Network Social-Ecological Factors, Equity and Systems Change Evaluation and monitoring is a critical component of the Children’s Health Improvement Plan to assess implementation progress and coordinated efforts to achieve results The Children’s Health Improvement Plan includes annual process measures and 3-year outcome measures and targets to promote accountability and a focus on the use of data to drive strategies in future iterations of the plan We are in the process of building these measures and others into an overall evaluation plan that illustrates how work in the 7 priority areas, as well as other community efforts contribute to long-term improvements in outcomes for children and youth in Santa Clara County. Key elements of the evaluation plan include: Using data to assess disparities among priority populations and focus our equity work Incorporating concepts such as the social and community impacts on individual outcomes and the importance of systems coordination to Utilizing a common set of long term outcomes to promote coordination of efforts across the 7 priorities and break down silos of activities and outcomes The Children’s Agenda is actively collaborating with Public Health and the Coordinating Committee to align our community level measures using the Bill of Rights for Children and Youth as a guiding framework for success in improving the lives of children and young people.

Next Steps Continue development of the evaluation plan by December 2018 Support quarterly implementation monitoring meetings and data collection tools for the Coordinating Committee Continue racial equity training and TA toward plan revisions for Year 2 (FY20) Establish mechanisms for direct community and youth participation Support all convening partners and their networks in implementing strategies and reporting on success Continue to identify strategies that address the needs of priority populations including systems involved children and youth Identify next steps and open for questions - Christine

Insert Presentation 2

Announcements www.hkidsf.org