Elizabeth Carroll Executive MPA Mark O. Hatfield School of Government

Elizabeth Carroll

Executive MPA

Mark O. Hatfield School of

Government

Portland State University

June 2014

Project Review

1. Research Problem/Problems with Research

2. Research Framework

3. Findings

4. Program Design

5. Next Steps to Implement

6. Reflections

PROBLEM:

Our current “evidence-based” early childhood home visiting program is not a good ‘fit’ for at- risk immigrant and refugee families.

HOW do we culturally adapt/ design a new program from scratch that supports optimal and equitable outcomes?

Initial Research Approach: What Works?

Proven program

Proven program

Proven program

Focus groups:

What works here?

Clear options?

Final Capstone Project:

RIPL

Framework:

Evidencebased

Communitybased

Culturallybased

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Link: New Program!

Title of your presentation

RESEARCH:

Evidence

“Best Practice” Research:

Provides needed validation and funding… cultural alignment is unknown

IDENTIFY:

IDENTIFY

Culturally-Based Research:

Critical to understanding cultural aspects and disparities… But

Methodology, complex findings, gaps, limited funding

PROBE:

Community

Empowers the community to own and define the problem and the solutions & help sift through other research findings…BUT may not be

sufficient on its own, (especially re: funding)

The RIPL Framework:

1. RESEARCH:

Evidence of Best

Practice

2. IDENTIFY:

Cultural

Alignment

3. PROBE:

Community

Colaboration

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Title of your presentation

4. LINK:

For Innovation

LINK:

Sample Recommendations: For Innovation

1. Priority for Service: foreign-born parents, ELL, severe trauma, health problems or disabilities and child < age 2

2. Home visitors will serve families in their native language (not interpreters for most services )

3. Multi-disciplinary team : lay Home Visitors, nurse, mental health provider, English teachers

4. Parental stress is primary focus, addressed through multiple culturally-informed strategies

Finish Stakeholder interviews

Approval from MCHD leadership

Finish operationalizing strategies

Finalize new data collection and evaluation plan

Identify contractor

PILOT NEW PROGRAM

Drs. Nishishiba and Morgan for your expert capstone guidance

My entire PSU EMPA academic family for sharing your love of learning and public service, so many amazing experiences in DC and Asia, and for generously sharing your incredibly diverse knowledge and skills with me

Multnomah County Early Childhood Directors, Rachael Banks and

Jessica Guernsey for your confidence in me, your flexibility and the many new challenges you continue to so gthoughtfully offer

Jewel Robinson, Monique Allen, Kathleen Pequeno, Emily Hyde and Beth Crane for fueling my journey with your, humor, support, and friendship

My 6 brothers and sisters who have cheered my way through

My son, Chris whom I hope to inspire, and look forward to spending time with again

I dedicate this Capstone Project to my mother, Dolores and father,

Dr. Daniel B. Carroll, who both taught me at a young age to love books, study and work hard, serve others, and always to take time to smell the roses.