1. Early Childhood Programs Supported by ITCM Resources and support for tribal/American Indian communities in developing a comprehensive, integrated, high quality service system

2. Programs working at Multiple Levels I. Policy, Government, Community Support, Economy, Opportunity II.Services Families & Social Networks Anishinaabe Children Honoring Our Children PRIME FIMR SAMHSA Eval Support CDC REACH – Breastfeeding Work Place Policy Tool Kit PREP Healthy Start Teen Pregnancy Tribal Home Visiting Head Start Support for Work at Different Levels

3. System which addresses well- being across the Continuum: Thriving Anishinaabe Children Primary prevention & preconception health (PREP Grant) Prenatal and Infant Well-being (Healthy Start & Teen Pregnancy Grants) Optimum Early Childhood: Parenting skills & support for development (Tribal Home Visiting, Head Start)

4. ITC programs Fit into the bigger system ITC programs Fit into the bigger system Healthy, Happy, Successful Native Children Tribal Child Care Centers Healthy Start & Teen Pregnancy Services: (Pregnancy-Age 2) Health, Family Bonding Early Education Services: Early Head Start, Head Start, Early Learning Child Protection Services: Parenting, Abuse Prevention Tribal Home Visiting Project Community Engagement: Honoring Our Children Kellogg Planning Initiative Primary Prevention: Tribal PREP – strengthening future parents

5. Comprehensive Service System Across the continuum of Early Childhood High quality, effectiveHigh quality, effective Easy to access and relevant to participantsEasy to access and relevant to participants Community directed and community-drivenCommunity directed and community-driven Maximum system integration – linked/shared intake, referral, data systems, assessment and curricula – to make the most of resources and to be seamless for familiesMaximum system integration – linked/shared intake, referral, data systems, assessment and curricula – to make the most of resources and to be seamless for families SustainableSustainable

6. Video http://developingchild.harvard.edu/resources/multimedia/videos/theory_of_change/ http://vimeo.com/59185115

7. Community Readiness to Address Early Childhood How can we move into more action?

9. Based on key informant interviews in 7 communities, OVERALL COMMUNITY READINESS SCORE= 4.6 (Range among sites: 3.6 – 5.5). AS a whole, we are between Stage 4 and 5: Based on key informant interviews in 7 communities, OVERALL COMMUNITY READINESS SCORE= 4.6 (Range among sites: 3.6 – 5.5). AS a whole, we are between Stage 4 and 5: Stage 4 Preplanning: Scoring in this stage indicates that there is clear recognition that something must be done and there may even be a group addressing it. However, efforts are not yet focused or detailed to address the wellbeing of Native American infants and children.Stage 4 Preplanning: Scoring in this stage indicates that there is clear recognition that something must be done and there may even be a group addressing it. However, efforts are not yet focused or detailed to address the wellbeing of Native American infants and children. Stage 5 Preparation: Active leaders begin planning in earnest. The community offers modest interest in effortsStage 5 Preparation: Active leaders begin planning in earnest. The community offers modest interest in efforts Community Readiness Results

10. What would it take? For everyone to view having access to a support system and quality early childhood programs as equally important as going to high school? No one would accept a “waiting list for high school” For everyone to view having access to a support system and quality early childhood programs as equally important as going to high school? No one would accept a “waiting list for high school” For everyone to embrace that parenting skills and parent- child interaction which supports healthy development (social, spiritual, emotional & cognitive) is as fundamental as keeping children fed, clean and safe? For everyone to embrace that parenting skills and parent- child interaction which supports healthy development (social, spiritual, emotional & cognitive) is as fundamental as keeping children fed, clean and safe? For this awareness to translate into widespread support and real change? What will move people to say “We’ve got to do this” For this awareness to translate into widespread support and real change? What will move people to say “We’ve got to do this”

11. Consider Other Significant Community movements: Development of Tribal Health Centers, Elder & Cultural Centers Development of Tribal Health Centers, Elder & Cultural Centers Founding of Tribal colleges and schools Founding of Tribal colleges and schools Availability and quality of Tribal Housing Availability and quality of Tribal Housing Establishment of Head Start and Healthy Start 15+ yearsEstablishment of Head Start and Healthy Start 15+ years Establishment of protections for AI children under ICWAEstablishment of protections for AI children under ICWA Federal reaffirmation of 6 tribes since 1994Federal reaffirmation of 6 tribes since 1994 Think about the levels at which people took action to make all this happen: Who was involved? How did they do it? What can YOU do to further Early Childhood?