5 by 5: Growing Healthy Learners An early childhood system of care designed to prepare vulnerable children for success in school and in life. Sylvia Echols Linda Hutchinson

Systems of care Family-focused, strength-based and individualized Cultural/linguistic competence Replacing agency “silos” with comprehensive supports and services

Research on the early years The Achievement Gap Kindergarten readiness Brain development Early intervention

Economic Benefits Investing in HIGH QUALITY early childhood initiatives produces returns to the community valued from 7-20%

Major Goals of 5 by 5 Help children at “greatest risk” Engage and strengthen families Promote Collaboration Achieve Sustainability

The 5 by 5 FRAMEWORK Simple, but strong. Research-based Identifies “essential” information and appropriate, available services Incorporates technology

5 by 5 Components Strengthen families and children during 5 early stages of development. Identify 5 categories of “essential needs” at each stage based on research Enable families to access and maintain services Implement with a “2-generation lens” (Center for High-Impact Philanthropy for Early Childhood)

5 ages/stages of early childhood 1. Prenatal “the achievement gap begins in the womb” 2. Infancy (birth to age one) 3. Toddler (age one to two) 4. Twos (age two to three) 5. Preschoolers (ages 3 and 4)

5 Essential Needs 1. Safety and Security 2. Physical Health 3. Social and Emotional Development 4. Cognitive and Language Development 5. Strong Families

1. Safety and Security

2. Health (physical, mental, dental) A comprehensive health approach for mother and child

3. Social and Emotional Development The foundation of educational achievement

4. Cognitive and Language Development (Hart & Risley) High-quality programming

5. Strong Families INFORMED and SUSTAINED parent engagement

5 by 5: Prenatal 1. Avoids harmful substances 2. Gets regular checkups 3. Reduces stress 4. “Talks and sings” to her unborn child 5. “Family Plans Meeting”

5 by 5: Infant 6. Sleep and car safety 7. Medical Home for mother and child 8. Consistent and responsive care giving 9. Talk, sing and read to baby 10. Celebrate developmental milestones

5 by 5: Toddler 11. Child-proof the home and other play spaces 12. Serve healthy foods and allow for safe movement and exploration 13. Positive guidance strategies 14. Read daily, speak clearly with the child 15. Positive parenting education

5 by 5: Two year old 16. Practice consistent routines 17. Add healthy foods & practice dental care 18. Use preventive discipline strategies 19. Read, write and limit screen time 20. Explore community play options

5 by 5: Preschool (3-4) 21. Teach safety rules 22. Provide indoor and outdoor play 23. Teach/practice social skills 24. Attend high-quality preschool 25. Family and child engagement

Suggestions for Evaluation Prenatal Risk Assessment Child Developmental Screening Preventive Health Care Guidelines (2014) Ages and Stages Questionnaire (ASQ) and ASQ-SE (Social Emotional) Positive Parenting Program and Parents as Teachers surveys School Readiness Assessments  DIAL-R  5K district tools Collaboration (Ohio State) Parent Child Center of Tulsa OK (2+generational lens)

What school readiness “looks like” Discussion