First 5 Napa County
2013-2014 Program Summary Report
November 2014
Submitted by:
Sally Sheehan-Brown, MS
Executive Director
Emily Darlington, M. Ed.
Program Administrative Manager
Michelle Laymon
NV Early Learning Initiative
Program Officer
Written by:
Sarah Barry, MSW
Evaluation and Contract Manager
2013-2014 Program Summary Report
Table of Contents
Table of Contents .............................................................................................................. 2
Introduction ....................................................................................................................... 4
Background............................................................................................................ 4
Investment ............................................................................................................. 6
Part I: Overview by Focus Areas and Goals ................................................................. 8
Access to Healthcare for Young Children ......................................................... 9
Infant, Family and Early Childhood Mental Health ..................................... 11
Early Childhood Learning and Education ...................................................... 14
Early Detection, Intervention and Health Education .................................... 17
Part II: Program Evaluation .......................................................................................... 20
Focus Area: Access to Healthcare for Young Children ............................................. 21
Children’s Health Initiative........................................................................................... 22
The Children’s Health Insurance System of Napa Valley ............................ 22
Focus Area: Infant, Family and Early Childhood Mental Health ........................... 24
Aldea Children and Family Services ........................................................................... 25
Early Childhood Social-Emotional Wellness Collaborative ......................... 25
Family Services of Napa Valley .................................................................................... 30
The Family and Infant Mental Health Counseling Program ....................... 30
Napa County Health & Human Services Public Health Division ........................... 32
Therapeutic Child Care Center Project............................................................ 32
Focus Area: Early Childhood Learning and Education ............................................ 36
Child Start, Inc. ............................................................................................................... 37
Raising A Reader ................................................................................................ 37
Community Resources for Children ............................................................................ 40
Active Minds, Toy Library & Early Learning Center .................................... 40
Community Resources for Children ............................................................................ 46
CARES Plus (Comprehensive Approaches to Raising Educational
Standards) ............................................................................................................ 46
Community Resources for Children ............................................................................ 52
Child Signature Program; Readiness Assessment and Quality Improvement
(CSP) ..................................................................................................................... 52
On the Move .................................................................................................................... 55
Latino Family Literacy Project .......................................................................... 55
UpValley Family Resource Centers ............................................................................. 57
Parents as Educators .......................................................................................... 57
Focus Area: Early Detection, Intervention and Health Education .......................... 59
American Canyon Family Resource Center ............................................................... 60
First 5 Napa County
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2013-2014 Program Summary Report
Family Strengthening Project ............................................................................ 60
Community Resources for Children ............................................................................ 63
Active Bodies & Children and Weight Coalition Support ........................... 63
Cope Family Center........................................................................................................ 67
Healthy Families Napa- Home Visitation ....................................................... 67
Parents CAN.................................................................................................................... 71
Queen of the Valley Medical Center Community Outreach .................................... 73
Mobile Dental Clinic .......................................................................................... 73
Part III: Sponsorships .................................................................................................... 75
Sponsorship Summaries .................................................................................... 76
Part IV: Conclusion........................................................................................................ 79
First 5 Napa County
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2013-2014 Program Summary Report
Introduction
Background
In November of 1998, California voters passed Proposition 10: The California Children and
Families Act1 which takes a 50-cent tax on tobacco products and distributes those funds to
children 0-5 years old and their families throughout California. The Act funds crucial
programs through comprehensive and integrated networks that provide needed health care,
quality child care and provider and caregiver education to serve at-risk families and children
prenatal through 5 years of age. The local First 5 Napa County Commission has been
working to support children and families in Napa County through the role of convener,
facilitator, and funder since 2000.
First 5 Napa funds local agencies through a strategic funding plan that is outlined in the First
5 Napa County 2011-16 Community
2011-16 Community Plan
Goals & Focus Areas
Plan. Children and families are
served through programs and
initiatives under the longstanding
Goals:
1) Early Childhood Learning and Education
First 5 goals of (1) Early Childhood
2) Early Childhood Health
Learning and Education; (2) Early
3) Parent and Community Education
Childhood Health; and (3) Parent
Focus Areas:
and Community Education. Since
1) Access to Healthcare for Young Children
fiscal year 2012-13, First 5 Napa
2) Infant, Family and Early Childhood Mental
Health
County has integrated four new
3) Early Childhood Learning and Education
focus areas and several strategies
4) Early Detection, Intervention and Health
Education
under the overarching goals into the
community. These focus areas are
the culmination of a 2-year planning process, and through strategic funding have become the
foundation for the investment and work to accomplish the mission and vision for children
and families in Napa County.
1
Excerpted from First 5 California website: http://www.first5california.com/about/about_first5.html
First 5 Napa County
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2013-2014 Program Summary Report
The four focus areas are: 1) Access to Healthcare for Young Children that increases access and
utilization of health insurance; 2) Infant, Family and Early Childhood Mental Health that
supports screening, referrals, treatment and education in early childhood mental health; 3)
Early Childhood Learning and Education which aims to improve early childhood education
through provider and family support and education; and (4) Early Detection, Intervention and
Health Education that provides comprehensive perinatal services and various health topic
services and education to families.
In this First 5 Napa County 2013-14 Program Summary Report, the 4 focus areas of Access to
Healthcare for Young Children, Infant, Family and Early Childhood Mental Health, Early
Childhood Learning and Education and Early Detection, Intervention and Health Education
are presented through an outcomes-based evaluation summary. This report is a summary of
all programs, activities and materials funded by First 5 Napa County in the 2013-14 funding
year. Comprehensive descriptions of each program with outcomes and activities are
included. Also included is how each program implemented strategies to fulfill the
Commission's goals and focus areas outlined in the 2011-16 Community Plan.
First 5 Napa County
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2013-2014 Program Summary Report
Investment
In this last year, First 5 Napa County distributed $897,191 in total; $847,251 in grants through
a full fiscal year funding cycle and $49,940 through sponsorship grants.
Funding discussions about fiscal year 2013-14 began in December 2012 with a review of the
previous evaluation data in the program summary report for fiscal year 2012-13, and the
2011-16 Community Plan. In subsequent months, First 5 staff met with funded agencies to
discuss the Commission plans for the funding process. Letters, and requests for funding
(RCF) applications were sent to agencies in April 2013. Each agency applied under one of the
four focus areas (Access to Healthcare for Young Children, Infant, Family and Early
Childhood Mental Health, Early Childhood Learning and Education and Early Detection,
Intervention and Health Education). The review committee was comprised of First 5 Napa
staff, Commission members and an outside community member. The committee reviewed,
scored and discussed RCF applications. The review committee provided the full First 5 Napa
Commission with recommendations for funding in May 2013 for grants to begin July 1, 2013.
There were 15 programs2 funded through the main grant process for a total of $847,251.
Below in graph form are the funding amounts by focus area.
2013-14 Grant Funding by Focus Area
Total: $847,251
2
Both of the following programs are included in the above graph but are fully or partially funded by First 5 CA: CSP is fully
funded and CARES Plus is funded through match by First 5 California. All funds are presented in this graph.
First 5 Napa County
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2013-2014 Program Summary Report
In the table below are investments by agency
2013-14 Investment by Focus Areas
Program
Agency
Funds
Access to Health Care
Children’s Health Initiative
Children’s Health Insurance System of Napa Valley
$57,000
Total: $57,000
Infant, Family and Early Childhood Mental Health
Aldea Children and Family
Services
Early Childhood Social-Emotional Wellness Collaborative
$84,700
Family Services of Napa Valley
Family and Infant Mental Health Counseling Program
$42,700
Napa County, Health and
Human Services, PH Division
Therapeutic Child Care Center
$58,700
Total: $186,100
Early Childhood Learning and Education
Child Start Inc.
Raising A Reader
$43,000
Community Resources for
Children
Active Minds, Toy Library & Early Learning Center
$65,500
CARES Plus
$100,0003
Child Signature Program
$94,0514
On the Move
Latino Family Literacy Project
$12,000
UpValley Family Resource
Centers
Parents as Educators
$27,300
Community Resources for
Children
Community Resources for
Children
Total: $341,851
Early Detection, Intervention and Health Education
American Canyon Family
Resource Center
American Canyon Family Strengthening Project
$43,600
Community Resources for
Children
Active Bodies/Children & Weight Coalition Support
$55,400
Cope Family Center
Healthy Families Napa- Home Visitation
$68,400
ParentsCAN
Healthcare Program
$50,000
Queen of the Valley Medical
Center
Queen of the Valley Mobile Dental Clinic
$44,900
Total: $262,300
3
4
Matching funds provided by First 5 California; $50,000 by First 5 Napa and $50,000 by First 5 CA.
Fully funded by First 5 California.
First 5 Napa County
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2013-2014 Program Summary Report
Part I: Overview by Focus Areas and Goals
Part I provides funding amounts, counts of those served, and highlights of activities and
outcomes for each of the four focus areas. The results in this section are not exhaustive, but
illustrate progress in each area.
Focus areas and their strategies are provided to begin each summary, however please note
the strategies are truncated; for full strategies under each focus area please see Part II:
Program Evaluation.
First 5 Napa County
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2013-2014 Program Summary Report
Access to Healthcare for Young Children
Strategies:
1. Provide access to affordable health insurance and healthcare linkages, such
as case management for utilization.
 1 agency was funded $57,000 under Access to Healthcare for Young
Children.
 An estimated 2,453 children 0-5 years old and 2,060 parents were
provided case management services to enroll and maintain health
insurance and health services.
 Approximately 10 trainings on the quickly changing health
insurance landscape were given to Application Assistants in the
community.
 An additional 22 Application Assistants were trained to enroll
children and families in health insurance.
First 5 Napa County
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2013-2014 Program Summary Report
How do we know we’ve made progress?
 Children have increased access to affordable health insurance and health products.
 105 children 0-5 years old acquired health insurance and were newly enrolled.
 1,233 children were screened for health insurance need.
 Approximately 1,200 children 0-5 years old maintained health insurance
enrollment.
 Children have improved utilization of health insurance.
 98% of families report they have a medical home, or a place they usually take
their child when they are sick or need advice about their health, other than the
emergency room.
 97% of families report they were able to access health services when need.
First 5 Napa County
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2013-2014 Program Summary Report
Infant, Family and Early Childhood Mental Health
Strategies:
1. Support the development of a community multidisciplinary collaborative
and services. Description of possible components: universal screening
tool and process, centralized referral system, multidisciplinary services,
further assessment as needed, mental health treatment, support and
education to families, and specialized services.
2. Provide training and education to increase the number of providers
trained in strength-based relational models.
 3 agencies were funded $186,100 under Infant, Family and Early
Childhood Mental Health
 An estimated 131 children between 0-5 years old received specialized
and responsive therapeutic interventions.
 160 parents were provided mental health services and support to
become more effective caregivers to their children 0-5 years old.
 39 providers participated in an interdisciplinary collaboration that
aims to improve the coordination of early childhood mental health
services.
First 5 Napa County
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2013-2014 Program Summary Report
How do we know we’ve made progress?
 Children and their caregivers have access to mental health and specialized services.
 Aldea Children and Family Services provided:
 52 children and their 53 parent/caregivers with mental health services.
 11 families received 45 specialized home visits for their newborns.
 Family Services of Napa Valley provided:
 19 families with children 0-5 years old with mental health services.
 Therapeutic Child Care Center provided:
 43 children 0-5 years old received specialized health services.
 Children have access to developmental screenings.
 As part of First 5 Napa County’s support of the Early Childhood SocialEmotional Collaborative, First 5 has collected data on all funded agencies
under all focus areas that are providing the early childhood screenings: Ages
and Stages Questionnaire-35 (ASQ-3) and/or the Ages and Stages
Questionnaire: Social-Emotional (ASQ: SE).
 5 agencies screened 191 children with the ASQ-3.
 5 agencies screened 162 children with the ASQ: SE.
 Children and families show improved mental health.
 Children and families that received services from Aldea and the Therapeutic
Child Care Center maintained or demonstrated improvements in developmental,
social-emotional and psychological measures.
 Parents that received services from Family Services of Napa Valley
demonstrated improvements on measure of depression or anxiety.
5
For exhaustive explanations of the ASQ-3 and the ASQ: SE please see Part II of this report. Descriptions are throughout
Part II but they can easily be found under Aldea Children and Family Services’ program evaluation.
First 5 Napa County
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2013-2014 Program Summary Report
 Early childhood mental health providers report a better understanding of resources
and referrals for families.
 In the Early Childhood Social-Emotional Wellness collaborative :
 54% of members agree the collaborative has increased or strengthened my
knowledge and understanding of the resources and referrals available to
families.
 62% of members agree they have gained knowledge that I can use in my own
work within the community.
First 5 Napa County
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2013-2014 Program Summary Report
Early Childhood Learning and Education
Strategies:
1. Support professional development and quality improvement of early
learning and child care providers.
2. Support parents and children through education…and support linkages
from early childhood education to kindergarten.
 4 agencies with 6 programs were funded $341,851 under Early
Childhood Learning and Education.
 152 early learning professionals were provided site visits, technical
assistance, trainings and professional advising.
 1,333 parents were provided services which included early learning
materials, home visits and workshops on how to provide early
learning and early literacy experiences at home.
 341 children were provided high quality early learning experiences
which included a parent participation component.
First 5 Napa County
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2013-2014 Program Summary Report
How do we know we’ve made progress?
 Providers are supported to provide quality early literacy experiences to children 0-5
years old.
 69 providers at 32 early learning sites received technical assistance and
support to implement the Raising A Reader program.
 Providers were able to maintain parent engagement through introduction
to RAR (96%), enrollment (96%) and book rotations (yearly basis 100%
and weekly basis 96%).
 Providers were able to engage children through reading RAR books with
them (87%) and allowing children opportunities to share their
experiences with RAR books (84%).
 Providers make progress in completing required coursework to earn a degree in field
related to child development.
 2 providers6 earned their Bachelor of Science degree in Early Childhood Education.
 3 providers earned their Associate of Science degree in Child and Family Studies.
 36 providers, completed coursework toward degree attainment.
 Children show improvements on developmental domains.
 75% - 84% of children participating in early learning experiences
demonstrated typical development in their communication, problem solving and
personal-social functioning.
6
1 provider’s stipend was funded through AB212.
First 5 Napa County
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2013-2014 Program Summary Report
 Parent have increased participation in early learning and early literacy opportunities.
 120 parents attended play-based school readiness programs throughout Napa
County (31 in the city of Napa and 89 in Calistoga).
 26 families with entering kindergarteners who live in isolated areas received
home visits where kindergarten transition information and materials were provided.
 59 Spanish speaking parents (11 of which were fathers) attended Latino
Family Literacy classes that provided support on how to provide early literacy
experiences to their children at home.
 Parents have increased confidence and ability to provide age-appropriate routines,
and early learning and early literacy experiences at home.
 Parents that participated in Community Resources for Children’s Active
Minds program increased the amount of early learning experiences they
provide:
 93% of parents report supporting expanded learning through conversation at
least once a week.
 100% of parents report providing kindergarten readiness skill building
opportunities at least once a week.
 Parents that participated in On the Move’s Latino Family Literacy Project
increased the amount of early literacy opportunities they provide at home:
 97% of parents report reading to their children on a daily basis.
 Parents that participated in UpValley Family Resource Centers’ parent
workshops and classes report increased understanding and confidence in
parenting:
 93% of parents report they could better identify age-appropriate activities
for their child.
 100% of parent report they feel more confident in their ability to prepare
their child for school.
First 5 Napa County
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2013-2014 Program Summary Report
Early Detection, Intervention and Health Education
Strategies:
1. Support prevention, education, outreach, screening, and early assessment
and referral. Topics of emphasis include: nutrition, obesity, physical
activity, oral health and family stability.
2. Provide comprehensive perinatal (prenatal and postpartum) services for
families.
 5 agencies were funded $262,300 under Early Detection, Intervention
and Health Education.
 1,531 children received home visiting services; healthy eating and
physical activity experiences; specialty case management support
services; and specialty dental services.
 626 parents received case management services; attended
workshops on healthy eating and early childhood practices; and
received home visiting services.
 80 early childhood professionals received training and support to
improve healthy eating and physical activity experiences in their
child care centers and child care homes.
 20 medical professionals received training and support materials to
help them improve their services to children with special needs.
First 5 Napa County
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2013-2014 Program Summary Report
How do we know we’ve made progress?
 Parents report increased stability, awareness and use of community resources.
 Parents that received American Canyon Family Resource Center services
report an increase in awareness of community resources.
 97% of parents agree they know more about community services.
 100% of parents agree they are more aware of community resources to help
with financial stability.
 Improvement in early learning experiences for children 0-5 years in nutrition and
health.
 The Active Bodies program was implemented in child care centers and family
child care homes that serve 361 children 0-5 years old. The Early learning
experiences for these children improved in nutrition and health.
 Child care centers and family child care homes either maintained a
high score or had an increase in children receiving age-appropriate meals
and increased nutritional value.
 Child care centers and family child care homes demonstrated an
increase in time and quality of physical activity with children.
 Parents report knowledge of recommended preventative dental care practices.
 75% of parents, report an adult makes sure their child brushes their teeth twice a
day.
 Repeat parents to the mobile dental clinic, were more likely than first-time
parents, to make sure their child brushes his teeth twice a day.
First 5 Napa County
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2013-2014 Program Summary Report
 Parents report they have the support and resources necessary to make informed
decisions about needed treatment and services.
 Through 489 service contacts, 77 referrals and connections and the
distribution of 43 binders to organize health, resource and referral information
PCAN provided parents of children with special needs the tools they need to
make informed decisions.
 100% of parents agree they have an increased understanding of my child’s
disability/diagnosis.
 95% agree they are more familiar with local services and supports for their
child.
 Parents report increased self-efficacy and family strengths.
 Through Cope Family Center’s home visiting program, parents demonstrated
stability and improvements in self-efficacy and family strengths.
 80% of families demonstrated positive outcomes in their ability to access
social support.
 68% of families demonstrated positive outcomes in their satisfaction with
being a parent.
 Children are receiving wellness services.
 81% of children are up to date on immunizations.
 100% of children have a medical home, or a place they usually take their child
when they are sick or need advice about their health, other than the
emergency room.
First 5 Napa County
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2013-2014 Program Summary Report
Part II: Program Evaluation
Part II consists of a comprehensive description of each program’s activities and outcomes
and a brief summation of First 5 Napa’s fiscal investment. All program summary
information was taken from the funded program’s scope of work, the evaluation reports
submitted during the contract period, and conversations with funded programs. All
summaries have been reviewed by funded program staff.
First 5 Napa County
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2013-2014 Program Summary Report
Focus Area: Access to Healthcare for Young Children
Strategy:
 Provide access to affordable health insurance and healthcare linkages, such as
case management for utilization.
Funded Agencies & Details
Agency
Children’s Health
Initiative
First 5 Napa County
Program
Children’s Health Insurance
System of Napa Valley
First 5 Napa Goal
 Early Childhood
Health
FY13-14
Funds
$57,000
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2013-2014 Program Summary Report
Children’s Health Initiative
The Children’s Health Insurance System of Napa Valley
Commission Goal Area:
Early Childhood Health
Focus Area:
Access to Healthcare for Young Children
Population Served:
Children
Funding:
Funded Committed in FY13-14:
$57,000
Previous First 5 Napa Funding:
$818,467
Total Funding:
$875,467
Program Description
The Children’s Health Initiative Napa County (CHI) provides health insurance related
services that are responsive and up to date to the rapidly changing health insurance
landscape. CHI continues to provide case management services to hard-to-reach families to
enroll children in health insurance and keep them enrolled. CHI also provides vital
education on how to fully use insurance benefits and the health care system. In addition,
CHI trains the Certified Application Assistants employed by several other local non-profits,
maintain an on-going training program, and provides technical assistance countywide. This
has been a vital component of CHI services as health insurance services change at a rapid
pace as a result of the Affordable Care Act (ACA).
Activities & Outcomes
□
Children have increased access to affordable health insurance and health products.
o
105 children 0-5 years old acquired health insurance and were newly enrolled.
o
1,233 children were screened for health insurance need. To find hard-to-reach families
CHI attended 81 events and visited community agencies throughout Napa
County.
o
Families of children 0-5 years old maintained health insurance enrollment and were
given courtesy calls to explain changes due to ACA. CHI also focused on
transferring children 0-5 years old from Kaiser Child Health Plan to ACA
compliant plans.
o
Approximately 1,200 children 0-5 years old maintained health insurance enrollment
and were transferred from Healthy Families to Medi-Cal.
First 5 Napa County
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2013-2014 Program Summary Report
o
□
An average of 28 families each month were seen for Medi-Cal reasons by CHI staff
at the county office.
CHI kept up with the quickly changing health insurance landscape through trainings of
Application Assistants throughout Napa County. 10 trainings were conducted with an
average of 27 AA’s attending. An additional 22 AA’s were trained to provide services at
CHI (6 at CHI) and throughout the county (16 in community based organizations).
Outcomes
□
Measure: Health Insurance Post-Enrollment Surveys aim to measure utilization of health
insurance and satisfaction with health insurance.
o
□
The Post-Enrollment Surveys are administered by CHI staff at 2-months postenrollment and on a yearly basis thereafter. Families are asked about their
experiences during the previous 2-month or in the last year. CHI completed 320
Post-Enrollment Surveys at either 2-months or 1-year post enrollment.
Outcome: Children have improved utilization of health insurance.
o
The vast majority of families (98%) report they have a medical home at 2-months and
1-year, or a place they usually take their child when they are sick or need advice
about their health, other than the emergency room.
o
Families reported accessing health services when needed. Of the 180 parents that
reported needing care by a provider, just barely 3% reported being unable to take
their child.
Number of Cases Where children needed to receive care
and the number that was unable to do so
Has your child had any reason…
Number of cases where child
needed to receive care
Number that was unable
to take their child
Frequency
Frequency
Percent
…to visit a doctor?
94
3
3%
…to visit an optometrist?
18
-
-
…to visit a dentist?
60
2
3%
…to visit a specialist?
4
-
-
4
-
-
180
5
3%
…to visit a mental health provider?
Total
First 5 Napa County
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2013-2014 Program Summary Report
Focus Area: Infant, Family and Early Childhood Mental
Health
Strategies:
 Support the development of a community multidisciplinary collaborative and
services. Description of possible components: universal screening tool and
process, centralized referral system, multidisciplinary services, further
assessment as needed, mental health treatment, support and education to
families, and specialized services.
 Provide training and education to increase the number of providers trained in
strength-based relational models.
Funded Agencies & Details
Agency
Program
FY13-14
Funds
First 5 Napa Goal
Aldea Children and
Family Services
Early Childhood SocialEmotional Wellness
Collaborative
 Early Childhood Health
$84,700
Family Services of
Napa Valley
 Early Childhood Health
Family and Infant Mental
 Parent and Community
Health Counseling Program
Education
$42,700
Napa County, Health
and Human Services,
PH Division
Therapeutic Child Care
Center
$58,700
First 5 Napa County
 Early Childhood Health
Page 24 of 80
2013-2014 Program Summary Report
Aldea Children and Family Services
Early Childhood Social-Emotional Wellness Collaborative
Commission Goal Area:
Early Childhood Health
Focus Area:
Infant, family and Early Childhood Mental Health
Population Served:
Children; Providers
Funding:
Funded Committed in FY13-14:
$84,700
Previous First 5 Napa Funding:
$96,190
Total Funding:
$180,890
Program Description
Aldea Children and Family Services is a community-based mental health agency that
serves vulnerable populations with mental health needs who would not otherwise receive
needed services. The Early Childhood Social-Emotional Wellness Collaborative (ECSEW)
was formed in 2011 by various community member and spearheaded by Aldea. With
guidance from Aldea, the ECSEW collaborative now aims to increase coordination and
collaboration of community organizations to better support young children through early
screening, referrals, and service delivery of early childhood mental health services. Aldea
also provides direct mental health services to children and families. One component of
these services include providing Fussy Baby services. Fussy Baby7 is a National model of
community-based prevention that serves families and infants. Aldea provides warm line
telephone supports, home visiting and clinical supervision/reflection to other Fussy Baby
Network providers in Napa County.
In the last year the ECSEW collaborative, with Aldea as the lead, has now become a Help
Me Grow (HMG) Learning Community member. Help Me Grow8 is a system of care with
four core components and three structural requirements that build on existing resources.
HMG uses an evidence based approach to an early detection system that links children to
programs. As a member of the HMG Learning Community, the ECSEW collaborative will
enter into a network of HMG counties in California that offer support, guidance and
resources.
7
8
Description taken from Fussy Baby website: http://www.erikson.edu/fussybaby/
Description taken from Help Me Grow National Website: http://www.helpmegrownational.org/index.php.
First 5 Napa County
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2013-2014 Program Summary Report
Activities & Outcomes
□
Increase in coordination and collaboration between early childhood mental health
communities.
o
Aldea led and coordinated the Early Childhood Social Emotional Wellness Collaborative
(ECSEW): 5 ECSEW collaborative meetings were conducted throughout the year
with smaller lead meetings. On average 13 ECSEW members attended the
meetings. Members were multidisciplinary with county agencies, private agencies,
health care services, family resource centers and other nonprofits all serving
children 0-5 years old.
o
The ECSEW collaborative expanded membership through adding new partners.
Membership had a 35% increase from 23 members to 31 members, including:
Clinic Ole, Healthy Moms and Babies, a private speech/language specialist, On the
Move and UpValley Family Resource Center.
□
Progress toward a framework for universal screening in Napa County: During this last
year the sub-workgroups were not created; however, ECSEW collaborative became a
member of the Help Me Grow (HMG) learning community. HMG will provide technical
support and resources to Napa County that support progress toward universal
screening. In fiscal year 2014-15 sub-workgroups will be created using the four HMG
components.
□
Action plan was developed and presented, and with the HMG membership a more
detailed and comprehensive plan will be created in FY14-15.
□
Aldea led and coordinated the Interdisciplinary Team (IDT): The IDT is a collaborative effort
comprised of staff from multiple disciplines serving young children. The “IDT on the
road model” was launched in the last year. With the Therapeutic Child Care Center as
the pilot site the IDT focused on providing consultation and review of TCCC cases and
their agency practices. IDT case referrers have better understanding of how to treat and
support clients presented. The TCCC was provided with recommendation reports from
the psychologist and the occupational and physical therapists. Recommendations were
general and specific. General recommendations, such as, expanding and highlighting the
regulatory experiences already provided to children at the TCCC were provided. The
more specific recommendations included techniques such as ways to enhance
relationships to make each encounter more therapeutic for TCCC children.
□
Increased number of children who have access to mental health services.
o
52 children 0-5 years old and their 53 parent/caregivers were served in this last
year. Children received services for a minimum of 3 months and up to 2 years.
o
Children were served at Aldea and out in the community at sites such as: Los
Ninos Child Care Center, Therapeutic Child Care Center, Browns Valley Child
Care Center, Phillips Elementary School and Northwood Elementary School.
First 5 Napa County
Page 26 of 80
2013-2014 Program Summary Report
o
□
Children and families received 210 individual therapy contacts; 381 dyadic and
family therapy contacts; 391 assessments; 65 rehabilitation service contacts and 603
plan development contacts with families and other community partners.
Increased number of children who have access to mental health services.
o
Of those children reported above, 11 of those families received 45 Fussy Baby
Network (FBN) home visits. Services included between 1 and 12 home visits until
parental concerns were resolved.
o
9 Fussy Baby Team meetings were conducted, with an 80% average attendance.
o
In this last year Public Health Nurses have integrated the Fussy Baby model into
their work. As a result, 11 consultation/supervision sessions have been provided to
nurses in pursuance of FBN fidelity. As part of this new development- Fussy Baby
National provided a 2-day training for public health nurses and the Fussy Baby
supervisor.
o
FBN coordinator and specialist attended 2 National FBN conferences, participated
in 4 telephone conference calls with Erikson Institute and attended 2 all-day
trainings with Erikson staff in pursuance of FBN fidelity to model.
Outcomes
□
□
Measure: Collaborative Survey was created to measure the ECSEW collaborative
members understanding of the collaborative as well as their opinion of the strength and
clarity of the ECSEW collaborative work.
o
The Collaborative Survey was distributed as an online survey in August 2014. The
survey invite was sent to 31 ECSEW collaborative members, with 2 subsequent
follow up reminders. When the survey was closed 15 members had completed the
survey. Presented below are data for the 15 members that completed the survey.
With such a small number of completed surveys these results should be
interpreted with caution as small shifts can create large changes.
o
80% of members report being members for at least 6 months.
o
73% of members report that they “usually” or “always” attend meetings,
demonstrating a commitment to the collaborative.
Outcome: Members report a better understanding of resources and referrals for
families.
o
Just about half (54%) of members agree the collaborative has increased or strengthened
my knowledge and understanding of the resources and referrals available to families.
o
The majority (62%) of members agree they have gained knowledge that I can use in
my own work within the community.
First 5 Napa County
Page 27 of 80
2013-2014 Program Summary Report
□
Outcome: Providers9 report a better understanding of the feasibility of a universal
screening system in Napa County.
o
Less than half (40%) of members believe the collaborative stays focused on their
objective “completely”. This is reflected in some of the comments by members with
concerns that, “the goals and objectives are ‘fuzzy’”. The aim in FY13-14:
Plan, develop and implement a coordinated system of early childhood mental health care
that includes a universal developmental and social-emotional screening, collaboration
across sectors, centralized access and a system-wide data collection system.
o
□
Just about half (54%) of members agree the collaborative has increased or
strengthened my knowledge and understanding of the resources and referrals available to
families.
Overall members believe the factors that influence the process and objectives of a
collaborative are being fulfilled.
o
The majority (69%) agree the collaborative has open and clear communication
between meetings.
o
Over half (62%) agree they feel their input is seen as valuable and important.
o
Similarly 62% agree that leadership facilitates and supports individual, group and
organizational strengths and that meetings are conducted in a manner conducive to
accomplishing the necessary tasks.
□
Measure: The Ages and Stages Questionnaire-3 (ASQ-3) and the Ages and Stages
Questionnaire: Social-Emotional (ASQ: SE) are standardized screening tools that are
backed by rigorous research. The ASQ-3 and ASQ: SE are used to assess whether a young
child is displaying typical development for their age or if they are at risk of a
developmental disorder or social-emotional problems.
□
Measure: Child & Adolescent Needs & Strengths; an information tool for Children and
Adolescents with Mental Health Challenges10 (CANS- MH). The CANS is an assessment
tool that can be used to guide clinical decision making at the child and family level and
also for program planning. The CANS was used by Aldea as a way to assess the needs
and strengths of the child and family, and for this evaluation to demonstrate child and
family progress.
□
Children and families were assessed using the CANS upon entering services at Aldea
and again at approximately 6 months. Presented below are data for 17 children11 0-5
years old and their families that received services this last year.
□
Increased number of children who have access to mental health services.
9
In the Aldea FY13-14 accountability chart this was to be asked of the sub-workgroups; however, the workgroups were not
created in FY13-14 and therefore the results are from the overall ECSEW collaborative.
10 A version for children 0-5 years old was used.
11 Only children who had two CANS administered during the fiscal year are included in analyses. The earliest and the latest
CANS testing periods are presented.
First 5 Napa County
Page 28 of 80
2013-2014 Program Summary Report
o
□
23 ASQ-3 and ASQ: SE screenings were conducted upon intake, and 5 were
completed at 6 month follow-up.
Children are showing improved mental health by improving on developmental and
mental health measures.
o
87% of children had positive outcomes and either stayed at a good level or showed
improved results in their Regulatory Functioning – child’s ability to self-regulate
bodily functioning as well as intense emotions and their ability to be comforted.
o
87% of children stayed at a good level with their Adjustment to Trauma - child’s
adjustment to any trauma experienced.
o
73% had positive outcomes in their behavioral or emotional needs, but that still
leaves a quarter (25%) that either got worse or showed no improvements in Child
Behavioral/Emotional Needs – child’s behavioral and emotional needs and strengths.
o
88% of families either maintained a good level or improved in Caregiver Strengths
and Needs – the primary caregiver’s functioning and needs as they relate to their
ability to care for their child.
o
88% of children demonstrated positive outcomes in their Life Domain Functioningan assessment of child’s interactions, routines and opportunities within the family
unit as well as cognitive, social and developmental behaviors.
Change of Strengths and Needs on
CANS Domains at the Most Recent Assessment
N=17
First 5 Napa County
Page 29 of 80
2013-2014 Program Summary Report
Family Services of Napa Valley
The Family and Infant Mental Health Counseling Program
Commission Goal Area:
Early Childhood Health & Parent and Community
Education
Focus Area:
Infant, Family and Early Childhood Mental Health
Population Served:
Children; Parents
Funding:
Funded Committed in FY13-14:
$42,700
Previous First 5 Napa Funding:
$72,500
Total Funding:
$115,200
Program Description
Family service of Napa Valley (FSNV) is a nonprofit mental health agency that provides
affordable mental health services and support to Napa County residents. The Family and
Infant Mental Health Counseling Program aims to improve the mental health of families
with children 0-5 years by helping parents and guardians become more effective caregivers.
Through this program FSNV provides two primary critical mental health treatment
services to uninsured and underserved families with children 0-5 years that address
psychosocial needs; FSNV provides mental health treatment to parents, and when needed
and appropriate, FSNV provides screening and assessment of children 0-5 years.
Activities & Outcomes
□
Families with children 0-5 years old received mental health services that focused on
parents’ emotional health.
o
Target: 18 families
o
Served: 19 families
□
Clients presented with a variety of diagnoses: 35% Anxiety Disorder; 25% Depressive
Disorder; 20% Post Traumatic Stress Disorder; 10% Adjustment Disorder; and 10%
Relational Problems.
□
Increased number of children who have access to developmental screenings. In this
last year, 11 children were screened using the Ages and Stages Questionnaire: SocialEmotional Screener (ASQ: SE). All children were found to be within normal ranges.
First 5 Napa County
Page 30 of 80
2013-2014 Program Summary Report
□
Agencies in the community refer clients to FSNV. There were 17 referrals received from:
o
□
Clinic Ole, Napa Emergency Women’s Services (NEWS), UpValley Family
Resource Centers, and Puertos Abiertos.
FSNV refers clients to agencies in the community to support them in accessing local
services. There were 11 referrals made to:
o
Clinic Ole, Cope Family Center, a local psychiatrist, Aldea, and Legal Aid.
Outcomes
□
Measure: The Global Assessment of Functioning (GAF) is a clinician scored assessment of
overall level of psychological, social and occupational functioning. Scores may range
from 10, for “persistent danger to self” to 100, “superior functioning”.
□
Measure: The Global Assessment of Relational Functioning (GARF) is a clinician scored
assessment of the functioning of a family or other ongoing relationship. Scores may range
from 20, “too dysfunctional to retain continuity” to 100, “functioning satisfactorily from
self-report…and from perspectives of observers”. For this program the GARF was used
to assess the relationship between the caregiver and child.
□
Measure: The Patient Health Questionnaire (PHQ-9) is a self-report, clinician-scored
instrument used for screening, diagnosing, monitoring and measuring the severity of
depression. The frequency and severity of depression are measured with a score of 5
indicating “minimal symptoms” up to 20 or more indicating “severe major depression”.
□
Measure: The Beck Anxiety Inventory (BAI) is a self-report, clinician-scored instrument
used to measure the severity of anxiety. Severity of anxiety is measured with a score of
up to 21 indicating “very low anxiety” up to 36 or more indicating “potential cause for
concern”.
o
All 19 clients (individuals, couples and/or families) being served received: the
GAF, GARF, and either the PHQ-9 or the BAI.
□
Outcome: Families with kids 0-5 years old have improved mental health and therefore
better able to support their children and be more effective parents.
□
GAF: indicate overall psychological, social and occupational functioning:
o
□
GARF: indicate overall functioning of the family or other ongoing relationship:
o
□
Of the 19 individual clients, seen 90% showed gains of at least 5 points.
PHQ-9: indicate frequency and severity of depression:
o
□
Of the 19 individual clients, seen 90% showed gains of at least 5 points.
Of the 11 individual clients presenting with depression, 85% showed a reduction
in their depressive symptoms.
BAI: indicate severity of anxiety:
o
Of the 8 individual clients presenting with anxiety, 85% showed a reduction in
their anxiety symptoms.
First 5 Napa County
Page 31 of 80
2013-2014 Program Summary Report
Napa County Health & Human Services Public Health Division
Therapeutic Child Care Center Project
Commission Goal Area:
Early Childhood Health
Focus Area:
Access to Healthcare for Young Children
Population Served:
Children; Parents
Funding:
Funded Committed in FY13-14:
$58,700
Previous First 5 Napa Funding:
$849,65112
Total Funding:
$908,351
Program Description
First 5 Napa has provided funds to the Therapeutic Child Care Center (TCCC) since 2001,
and was a focused funding initiative to the Infant-Parent Mental Health Project from 2005 2008. The Infant-Parent Mental Health Project was designed to enhance early childhood
mental health services in Napa County.
First 5 funds are used to support staff within the TCCC to provide innovative prevention and
early intervention services to high risk children 0-5 years and their families. TCCC children
are supported in meeting developmental and social milestones, mental health functioning,
and in improving parent-child relationships. To provide the specialized and skilled support
needed, a multidisciplinary team of the Psychologist, Marriage Family Therapist and
Occupational Therapist meet regularly with teachers in the classroom, individually and in
case consultation/reflective supervision meetings. Meetings include mentoring, consultation,
education and support for therapeutic interventions in the classroom. Children who enroll at
the TCCC are considered to be at-risk for mental health, attachment and developmental
disorders because of chronically stressful circumstances that impact their emotional and
neurophysiological development.
12
This total does not include $355,000 funded through the Focused Funding Initiative from 2005-2008.
First 5 Napa County
Page 32 of 80
2013-2014 Program Summary Report
Activities & Outcomes
□
Children 0-5 years old and their families have access to specialized health services.
First 5 funds allow an early childhood clinical psychologist to provide mental health
assessments and clinical supervision. An occupational therapist is funded to perform
evaluations, provide interventions and make recommendations that promote healthy
physical development.
□
Children receive specialized health services.
o
43 children 0-5 years old received specialized health services during the reporting
period. Enrollment is fluid; 28 children are currently enrolled. Since 2001, the
TCCC has served 213 children and 166 families.
Number of children currently enrolled in TCCC
Current enrollment
□
Number of children 0-5 years old
Girls
11
Boys
17
Total
28
Children receive the appropriate interventions.
o
30 minutes a month are provided to each child by the child psychologist and 15
minutes a month for each child by the occupational therapist.
o
Teachers received up to 5 hours a week with the child psychologist and 6 hours a
week with the occupational therapist.
Outcomes
□
Measure: The Parent-Infant Relationship-Global Assessment Scale (PIR-GAS). The PIRGAS assess the strength and quality of the parent (or caregiver) – child relationship.
□
Measure: The Ages and Stages Questionnaire-3 (ASQ-3) and the Ages and Stages
Questionnaire: Social-Emotional (ASQ: SE) are standardized screening tools used to
assess whether a young child is displaying typical development for their age or if they
are at risk of a developmental disorder or social-emotional problems.
□
Data presented are for the 22 children enrolled at the TCCC who received both an initial
assessment and a second assessment in June 2014.
First 5 Napa County
Page 33 of 80
2013-2014 Program Summary Report
□
Child risk profile: The children served through the TCCC are considered to be at-risk for
mental health, attachment and developmental disorders because of chronically stressful
circumstances that impact their emotional and neurophysiological development.
o
The children and families receiving services at the TCCC are working toward
remaining stable or make positive gains in meeting developmental and socialemotional milestones.
o
The vast majority (86%) of children at the TCCC have had at least one disruption
to their caregiving experience. Examples of disruptions include a parent leaving
the family or returning to the family, foster care placement or reunifications.
o
Three out of four children (75%) have at least one parent with a substance abuse
history.
Risk Factor Profiles of Children Served by TCCC
Risk Factors (n=28)
Percent of Children
Have between 1 and 3 disruptions in the caregiving experience
Have parent(s) with substance abuse history
Exposed to drugs in utero
Family history with CPS13/Family Preservation/Foster care
Incarcerate parents
Currently with CPS/Family Preservation/foster care
Have psychiatric diagnoses14
86%
75%
64%
64%
57%
50%
43%
13
CPS: Child Protective Services
Include: Post Traumatic Stress Disorder, Attention Deficit/Hyperactivity Disorder, Anxiety, Impulsive Regulatory
Disorder, and Developmental
14
First 5 Napa County
Page 34 of 80
2013-2014 Program Summary Report
□
Outcome: Children show improvement on developmental and mental measures.
o
The children and families receiving services at the TCCC are working toward
remaining stable or make positive gains in meeting developmental and socialemotional milestones.
o
When the strength and quality of the relationship between the caregiver and the
child was measured just half of the children (50%) made gains or remained stable in
the quality of their relationships with their primary caregiver. (PIR-GAS)
o
The vast majority of children (91%) were determined to be stable or improving in
their ability to achieve social-emotional developmental milestones. (ASQ: SE)
o
Children demonstrated positive development by meeting age-typical developmental
milestones in all domains; communication (73%), gross motor (95%), fine motor
(100%), problem solving (86%), and personal social (95%). (ASQ-3)
N=22
First 5 Napa County
Page 35 of 80
2013-2014 Program Summary Report
Focus Area: Early Childhood Learning and Education
Strategies:
 Support professional development and quality improvement of early learning
and child care providers (birth to 5 years) through professional learning
communities, trainings, technical assistance and education.
 Support parents and children through education on parenting and early
literacy. Support linkages from early childhood education to kindergarten and
provide early childhood education experiences for those children with no
prior experience.
Funded Agencies & Details
Agency
Program
FY13-14
Funds
First 5 Napa Goal
Child Start Inc.
Raising A Reader
 Early Childhood
Learning & Education
$43,000
Community
Resources for
Children
Active Minds, Toy Library
& Early Learning Center
 Early Learning &
Education
 Parent and Community
Education
$65,500
Community
Resources for
Children
CARES Plus
 Early Learning &
Education
$100,00015
Community
Resources for
Children
Child Signature Program
 Early Learning &
Education
$94,05116
On the Move
Latino Family Literacy
Project
 Parent & Community
Education
$12,000
UpValley Family
Resource Centers
Parents as Educators
 Parent & Community
Education
$27,300
15
16
First 5 California provided $50,000 and First 5 Napa County provided $50,000.
Fully funded by First 5 California.
First 5 Napa County
Page 36 of 80
2013-2014 Program Summary Report
Child Start, Inc.
Raising A Reader
Commission Goal Area:
Early Childhood Learning and Education
Focus Area:
Early Childhood Learning and Education
Population Served:
Providers
Funding:
Funded Committed in FY13-14:
$43,000
Previous First 5 Napa Funding:
$633,712
Total Funding:
$676,712
Program Description
Raising A Reader (RAR) is an early literacy program designed to promote parents reading
to their children. The RAR program has been evaluated and found to be effective at
increasing the number of parents that share books with their children 3-5 times per week,
and improving literacy scores for children attending Head Start17. First 5 Napa County
funds support providers and supplies to assist early care and family support providers in
offering the RAR program to the families they serve. This includes training, technical
assistance, supplies (including age and language-appropriate books), and the facilitation of
community connections for the families who participate. RAR provides resources and
support to providers in linking enrolled families to school and community libraries.
Annually, enrolled families receive library bags, information about summer reading
programs and incentives to promote summer reading.
Activities & Outcomes
□
This year RAR served 32 sites with 69 providers. Each site received an average of 2 visits.
□
Providers are supported and able to continue providing Raising A Reader.
Consultation and technical assistance was provided to staff on the utilization of RAR.
The RAR coordinator provided technical assistance (46%), coordinating and preparing
for the library connection event (19%), coordinating the blue bag distribution events
(22%), monitoring fidelity to the RAR model (2%) and inventory support (2%).
17
“Evaluating the Impact of the Raising A Reader Book Bag Program”, United Way of South Hampton Roads, July 2004.
First 5 Napa County
Page 37 of 80
2013-2014 Program Summary Report
Outcomes
□
□
Measure: The Raising A Reader Provider Survey was designed to assess provider
experiences and perceptions of support provided to implement the RAR program.
Providers are also asked to report on fidelity to RAR model.
o
In this last year 24 providers completed the RAR survey.
o
The majority of providers (88%) reported they have used RAR for at least 2 or
more years.
o
The majority of providers were center-based programs with 79%, another 17%
were home visiting programs, and 4% family resource centers.
Outcome: Providers are supported and able to continue providing Raising A Reader.
o
Providers overwhelmingly rate the RAR training and technical assistance as
“excellent” or “good”. Support to conduct parent workshops and family literacy
events appears to be the area most in need of improvements, but that is still rated
highly by the majority of providers (58%).
Percent of Providers that Rate Support as “excellent” or “good”
Training/Technical Support
Quality of books and book bags
Parent and classroom resources
Ongoing support and training to distribute red bags
Support and materials to connect families to library
Support to conduct parent workshops and family literacy events
First 5 Napa County
Percent “excellent”
or “good”
100%
100%
96%
96%
58%
Page 38 of 80
2013-2014 Program Summary Report
□
Outcome: Providers are supported and able to provide Raising A Reader model to
fidelity. Providers were able to maintain fidelity to the RAR model.
o
Although not “easy” for all providers, they were able to maintain parent engagement
though introduction to RAR (96%), enrollment (96%) and book rotations (yearly
100% and weekly 96%).
o
There were some providers who were unable to engage children through reading
RAR books with them (8%) or allowing opportunities for children to share their
experiences with RAR books (13%), however it is still the vast majority that are
able to with 87% and 84% respectively able to do so.
o
Taking a trip to the library is clearly the most difficult to accomplish, yet there were
still 50% of providers that accomplished this activity. Also difficult is taking time
to assist parents in filling out the application for library cards with providers split with
46% not accomplishing this activity and 46% able to accomplish this activity.
Percent of Providers Accomplished RAR Activities18
Accomplished Activity
RAR Activity
Parent & Child Engagement
Maintain a “high” parent enrollment
Maintain weekly parent weekly rotation
Maintain 6 months out of year rotation
Use RAR resources to introduce parents to RAR
Parent literacy workshop
Routinely read RAR books to children
Library
Connections
Children are provided time to share RAR experiences
Assist parents in filling out library card
Distribute blue library bags
Take trip to school or public library
Librarian visits children
18
Did not
accomplish
Easy
Not all Easy
92%
4%
-
92%
4%
-
100%
-
-
96%
-
-
67%
4%
29%
83%
4%
8%
71%
13%
13%
38%
8%
46%
79%
-
13%
25%
25%
50%
80%
-
17%
Do not all add to 100% due to non-responses.
First 5 Napa County
Page 39 of 80
2013-2014 Program Summary Report
Community Resources for Children
Active Minds, Toy Library & Early Learning Center
Commission Goal Area:
Early Childhood Learning and Education; Parent &
Community Education
Focus Area:
Early Childhood Learning and Education
Population Served:
Children; Parents
Funding:
Funded Committed in FY13-14:
$65,500
Previous First 5 Napa Funding:
$409,167
Total Funding:
$474,667
Program Description
The Community Resources for Children’s (CRC) Toy Library & Early Learning Center
(TL&ELC) has been serving families, since 1978. To enrich the lives of children age 0-5
years, educational and developmentally appropriate toys and materials are available to
families and early childhood caregivers and providers. The Toy Library and Early Learning
Center is open to all Napa County residents, but affords rare learning opportunities and
support for families that have barriers to high quality daycare such as: low or fixed income
families, families that homeschool, and families with the additional barrier of not speaking
English at home.
The Active Minds program is a bilingual, play-based school readiness program that serves
children ages 2 to 3 years old and their families. An early childhood specialist teacher and a
bilingual teacher assistant work with parents and children two days a week for 4 month
sessions. Parents are provided education, support and role-modeling on how to support
their preschoolers in home-based early learning experiences and the transition to
kindergarten. Children are provided education experiences in key dimensions of a child’s
early learning: social/emotional growth and language and pre-literacy skill development.
First 5 Napa County
Page 40 of 80
2013-2014 Program Summary Report
Activities & Outcomes
□
Children participate in early learning opportunities.
o
□
The Toy Library & Early Learning Center (TL&ELC) was open 3 days a week and
served an approximate 708 children 0-5 years old and 390 parent/caregivers.
Parents have increased involvement in early care and education programs.
o
Active Minds was provided in 2-sessions that each lasted 4.5 months. Each
session was 1.25 hours a day for 2-days a week. A total of 32 children and 31
parents attended the Active Minds program.
o
All 32 children received a Desired Results Developmental Profile (DRDP). The
DRDP was established by the California Department of Education, Child
Development Division and was used to structure curriculum around the needs of
the individual children.
Outcomes
□
Measure: The Ages and Stages Questionnaire-3 (ASQ-3) is a standardized screening tool
that is backed by rigorous research. The ASQ-3 is used to assess whether a young child is
displaying typical development for their age or if they are at risk of a developmental
disorder.
o
The ASQ-3 consists of 30 developmental items that fall into 5 domains:
communication; gross motor; fine motor; problem solving; and personal-social.
o
Based on the screening, children’s scores for each developmental domain are
categorized as “below cutoff”, “at cutoff” and “above cutoff”. If a child’s score in
one or more domains falls “below cutoff”, it is recommended they are referred for
further assessment and services. If a child’s score falls “at cutoff” it is
recommended the child be monitored, more frequently screened or referred. If a
child’s score is “above cutoff” it indicates this child is displaying typical
development for their age within the developmental domain.
o
All 32 children who participated in the Active Minds program were screened
using the ASQ-3 at the beginning of the program and then again 4.5 months later
upon completion of the program. Scores were used to discuss a child’s strengths
and areas of concern with parents.
First 5 Napa County
Page 41 of 80
2013-2014 Program Summary Report
□
Outcome: Children show improvements on developmental domains. Children showed
improvements in social-emotional developmental domains. ASQ-3 results for all 32
children are presented below:
o
The largest proportion of children made gains in the problem solving domain. At the
start of the program the problem solving domain had the lowest percent of children
displaying typical development with 66% above cutoff; the largest proportion of
children made gains with 84% of children displaying typical development upon
completion of the program. The problem solving domain measures critical
thinking skills.
o
At the start of the program 69% of children were displaying typical development
in the communication domain; upon completion slightly more did with 75%
displaying typical communication development. The communication domain
measures language skills that include what children can say and what they can
understand.
o
At the start of the program, the largest number of children were displaying typical
development in personal-social development, with 78% of children at the start of the
program. Upon completion of the program 84% of children demonstrated typical
development in the personal-social domain. The personal-social domain measures a
child’s sense of self and how they relate to the world.
N=32
First 5 Napa County
Page 42 of 80
2013-2014 Program Summary Report
o
Although not the main outcome goal for Active Minds, fine and gross motor
development was also measured as part of the ASQ-3.
o
At the start of the program 69% of children demonstrated typical development in
the gross motor domain; upon completion, 78% were displaying typical gross motor
development. Gross motor measures the ability to coordinate arms and legs when
they move and play.
o
The least amount of children (59%) were displaying typical fine motor development
at the start of the program. Upon completion of the program 72% of children
demonstrated typical fine motor development. The fine motor domain measures
small muscle use that includes the hands and wrist.
N=32
□
Measure: The Active Minds parent survey measures parent knowledge, confidence and
behaviors related to early learning experiences and transition activities.
o
Parents were given the Active Minds survey at the beginning of the program and
then again 4.5 months later upon completion of the program. Of the 31 parents
who participated in the Active Minds program only 15 completed the survey.
o
Presented below are those 15 survey results. With such a small number of
completed surveys these results should be interpreted with caution as small shifts
can create large changes.
First 5 Napa County
Page 43 of 80
2013-2014 Program Summary Report
□
Outcome: Parents have increased confidence in their ability to provide age-appropriate
routines, play and expectations of their child.
o
Read or share books with your child: The shift of parents who read to their children
at least 2 times a week did not shift in the desired direction. Again, with such a
small number of completed surveys, results should be interpreted with caution.
At the start of the program 80% reported reading to their child at least 2 times in
the last week; upon completion that decreased to 60% of parents. That is a
difference of 3 parents shifting. Further observation shows that prior to starting
the program there were 7% (or just 1 parent) that didn’t read to their child at all
in the previous week; upon completion all parents were supporting their child’s
literacy through reading at least once a week.
o
Visit the library with your child: Again the shift in parents reporting they take their
child to the library at least 2 times a month did not shift in the desired direction.
This may be influenced by such a small number of completed surveys. This drop
could also be accounted for by the inclusion of the Raising A Reader (RAR)
program. RAR provides bilingual books each week for children and families to
take home; thereby eliminating at least some of the reason to visit the library. At
the start of the program just over half of parents (54%) reported visiting the
library with their children at least 2 times a month; upon completion that
decreased to just 40%.
o
Library Card: By the end of the program 73% of parents report that they have a
library card.
Parent Practices that Support Early Literacy Development
Percent of Parents (N=15)
Read or share books with child
First Class
Not at all last week
7%
1 time last week
13%
2 times last week
13%
3 or more times last week
67%
Last Class
20%
80%
40%
60%
40%
60%
Visit the library with your child
Not at all last month
33%
1 time last month
13%
2 times last month
27%
4 or more times last month
27%
First 5 Napa County
46%
54%
40%
20%
20%
20%
60%
40%
Page 44 of 80
2013-2014 Program Summary Report
□
Outcome: Parents have increased confidence in their ability to provide age-appropriate
routines, play and expectations of their child.
o
Support expanded learning through conversation: At the start of the program 80% of
parents reported supporting expanded learning for their child through
conversation at least once a week; upon completion that increased to 93% of
parents. In addition, we see than less than half of parents (47%) supported their
children through conversation every day; upon completion that was nearly 3 out
of 4 parent (73%).
o
Provide early learning experiences at home (colors and shapes): At the start of the
program most parents (87%) reported providing early learning experiences at
home at least once a week; upon completion that increased to all parents (100%).
Parent Practices that Support Early Childhood Development
Percent of Parents (N=15)
Support expanded learning through conversation
First Class
Never
7%
At least once a month
13%
At least once a week
33%
Every day
Provide early learning experiences at home (colors
and shapes)
47%
Never
13%
First 5 Napa County
At least once a month
-
At least once a week
20%
Every day
67%
20%
80%
13%
87%
Last Class
7%
20%
73%
13%
87%
7%
93%
-
100%
Page 45 of 80
2013-2014 Program Summary Report
Community Resources for Children
CARES Plus (Comprehensive Approaches to Raising Educational Standards)
Commission Goal Area:
Early Childhood Learning and Education
Focus Area:
Early Childhood Learning and Education
Population Served:
Providers
First 5 Napa
County
First 5
California
Total Funding19
Funded Committed in FY13-14:
$50,000
$50,000
$100,000
Previous Funding:
$164,710
$124,488
$289,198
Total Funding:
$214,710
$174,488
$389,198
Funding:
Program Description
First 5 California Signature Program: As a Signature Program, First 5 California offers
matching-funds to First 5 counties to implement CARES Plus. Between February and June
of 2011 First 5 California provided planning and development funds, since that time First 5
California and First 5 Napa County now invest matching funds into the CARES Plus
program.
CARES Plus is a statewide professional development program for early educators designed
to improve the quality of early learning programs by focusing on increasing the quality,
effectiveness, and retention of early educators. The main objective is to improve both the
quality of early learning programs and, ultimately to improve young children’s learning
and development outcomes. CARES Plus Napa County provides stipends for college
classes towards a degree and trainings, and support through technical assistance and
advising. Main components of this year's program include: foundation of teacher-student
/parent interaction education, professional goals, degree attainment, and early childhood
education consortium maintenance.
Outreach, enrollment and program requirements are the same for all providers in the
CARES Plus program, however funding sources are slightly different in stipend payment.
For those providers working in State Subsidized child development centers, they are paid
stipends through AB212 funds (contract from Department of Education administered by
the Napa County Child Care and Development Planning Council/Napa County Office of
Education) and the remaining providers in the community are paid through First 5 Napa
County and matching First 5 California funds. For the early childhood providers, and
remaining community the program is conducted seamlessly.
19Planning
and development funds were expended between February 2011 and June 2011.
First 5 Napa County
Page 46 of 80
2013-2014 Program Summary Report
Activities & Outcomes
□
In this last year a total of 36 providers (27 CARES Plus and 9 AB212) completed all CARES
Plus program requirements and received stipends. Of the 36 providers there were 10 new
providers and 26 providers that have participated in CARES Plus in one of the last 3
years.
o
New participants: 10 providers
o
Return participants: 26 providers
Number of Providers20 that Completed CARES Plus
Required Components and Received their Stipends by Fiscal Year
FY 2013-14: Completed all Requirements and
Received Stipend
□
□
□
New
Participants
Return
Participant
Total
10
26
36
FY 2012-13: Completed all Requirements and
Received Stipend
40
FY 2011-12: Completed all Requirements and
Received Stipend
4321
New participants completed all CARES Plus requirements. There were 12 providers that
completed the application and 10 providers completed all the requirements.
o
Entering new CARES Plus: 12 providers
o
Completed CARES Plus: 10 providers
Returning participants completed all CARES Plus requirements. There were 34 providers
that previously participated in CARES Plus and returned; 26 of those providers
completed all the requirements.
o
Returning CARES Plus: 34 providers
o
Completed CARES Plus: 26 providers
After applications have been completed, providers meet with a CARES Plus Professional
Development Advisor. Advisors work with participants to co-create Professional
Development Plans. These plans include educational and career attainment as well as
short and long term goals.
o
46 Professional Development Plans22 were created (12 AB212 and 34 CARES Plus).
20
Reported are all providers that are enrolled in the CARES Plus program in a given year. Some participants may have been
enrolled in several years, and therefore be reflected in several years.
21 This number does not include the Professional Development track providers from FY11-12. After FY11-12, that track was
no longer offered through First 5 Napa County CARES Plus.
22 Professional Development Plans are completed with all applicants, including those who do not finish all requirements.
First 5 Napa County
Page 47 of 80
2013-2014 Program Summary Report
□
There are 3 major CARES Plus requirements that newly entering participants must
complete, in addition to the completion of degree-focused coursework for all
participants:
□
First requirement: "The Intro to CLASS" CLASS is the Classroom Assessment Scoring
System; the on-line introduction to this tool familiarizes participants with the many uses
of the tool and the importance of teacher-child interactions to the early learning process.
□
□
□
o
Entering new CARES Plus: 12 providers
o
Completed “The Intro to CLASS”: 11 providers
Second requirement: "Looking at Classrooms" (LAC) component moves from the utility
and background of teacher-child interaction into an in-depth look at the concepts.
Through a self-guided curriculum, providers learn to recognize effective teacher-child
interactions that are beneficial to the early learning experience.
o
Entering new CARES Plus: 12 providers
o
Completed "Looking at Classrooms": 10 providers
Third requirement: “second-hand smoke training” This is an on-line, self-guided
program that introduces providers to the health risks of children exposed to second-hand
smoke, and how to talk with parents who do smoke.
o
Entering new CARES Plus: 12 providers
o
Completed “second-hand smoke training”: 11 providers
Final requirement: Completion of 6 units of lower division 8-Core coursework, or
Degree-focused coursework during the program. Coursework is determined through
mutual professional development planning between participants and staff, within the
constraints of the coursework available in the academic settings, as well as
thoughtfulness to participant's educational needs.
First 5 Napa County
Page 48 of 80
2013-2014 Program Summary Report
□
Outcome: Providers make progress in completing required coursework to earn degree
in field related to child development.
o
In this last year a total of 36 providers (27 CARES Plus and 9 AB212), completed the
required 6 units or hours at adult school English as a Second Language pre-approved
coursework during that time.
Stipend
Distribution
Totals
CARESPlus Program Year23
2011-201224
$89,900
2012-2013
$74,750
2013-2014
$64,350
Total
$229,000
□
This last year in total, $64,350 in stipends were distributed.
□
This year 5 participants earned degrees:
□
o
Two participants earned their Bachelor of Science degree in Early Childhood
Education from Pacific Union College and received a bonus stipend of $2,000.
o
Three participants earned their Associate of Science degree in Child and Family
Studies from Napa Valley College and received a bonus stipend of $1,000.
Provider comments expressed how much CARES Plus supported them in attending
school:
“CARES Plus program helped me to continue with my education to get my degree, otherwise I
probably wouldn’t have finished yet.”
Outcomes
□
23
24
Measure: The CARES Plus Participant Survey was developed to measure participant
experiences within the CARES Plus program, and any barriers they may have to degree
attainment. Surveys are provided to participants during their last meeting with CARES
Plus staff and are completed during the meeting.
o
This last year, 36 participants (9 AB212 and 27 CARES Plus) completed all
requirements and received a stipend. Of those participants, all 36 completed the
Participant Survey. In addition, 1 participant from AB212 who did not complete all
requirements also completed the survey about their experiences.
o
In total 37 participants completed the CARES Plus Participant Survey about their
experiences and their data are presented below.
This includes both the CARES Plus and AB212 funds.
This includes stipends from the Professional Development track that is no longer offered.
First 5 Napa County
Page 49 of 80
2013-2014 Program Summary Report
□
CARES Plus participant profiles:
o
Almost half of participants (46%) have worked in the child care field for 6 or less
years, another 43% reported they have worked between 7 and 19 years and just
11% report having worked more than 20 years in the child care field.
o
The vast majority of providers (92%) report they plan on staying in the child care field
in the next year; the remaining 5% did not answer the question. Just 1 participant
reported they plan on leaving their current employer in the next year.
o
About a quarter (24%) report working with infants 0-17 months, 41% report
working with toddlers 18-35 months, and 73% report working with preschool age
3-5 years. Just about 1 in 5 providers (22%) report working with special needs
children.
o
Just about half of participants (49%) identified their position titles at work as either
Assistant Teacher (27%) or Teacher (22%).
CARES Plus Participants Self-Identified Position Title at Work
o
The majority of participants work at Child Care Centers (68%).
CARES Plus Participants Work Setting
First 5 Napa County
Page 50 of 80
2013-2014 Program Summary Report
□
□
Outcome: Providers develop knowledge and skills and report applying these to their
work in early childhood settings.
o
All providers (100%) agree I have used new ideas and information in my current child
care setting.
o
The vast majority of providers (95%) agree I have shared ideas to improve quality with
my co-workers.
o
All providers (100%) agree I can explain things to children in greater variety of ways.
o
Almost all providers (97%) agree I have included research based or best practices in my
current child care setting.
Provider comments reflect their reports:
“I am able to have more open ended questions available for the children which opens up the
conversations in a more stimulating way.”
“I have included more music and movement”
“I have included more skills to assist children with self-regulation…”
□
In this last year a total of 36 providers, completed the required 6 units of college
coursework, the equivalent hours at adult school English as a Second Language preapproved coursework during that time. There were 5 participants that earned degrees in
this last year: 2 B.S. degrees and 3 A.S. degrees. Few barriers were reported to taking
coursework this last year.
o
The barrier reported by the most providers was that the coursework required computer
use; however that was still just 35% of providers. Next was 32% of providers
reporting that classes were not held often enough.
First 5 Napa County
Page 51 of 80
2013-2014 Program Summary Report
Community Resources for Children
Child Signature Program; Readiness Assessment and Quality Improvement (CSP)
Commission Goal Area:
Early Childhood Learning and Education
Focus Area:
Early Childhood Learning and Education
Population Served:
Providers
First 5 Napa
County
First 5
California
Total Funding
Funded Committed in FY13-14:
$0
$94,051
$94,051
Previous Funding:
$0
$68,345
$68,345
Total Funding:
$0
$162,396
$162,396
Funding:
Program Description
First 5 California Signature Program: As a Signature Program, First 5 California has fully
funded the Child Signature Program; Readiness Assessment and Quality Improvement
(CSP) in Napa County. The CSP program began in FY12-13 and is scheduled to end in
FY14-15. First 5 Napa County is waiting for an announcement from First 5 California
regarding subsequent opportunities for funding CSP in Napa County.
CSP is based on the success of the Power of Preschool demonstration project that aimed to
improve the quality of preschool experiences. CSP in Napa focuses on increasing the
"quality of early learning programs for children 0 to 5 in identified early care and education
centers where the educational divide is greatest" 25 . Classrooms enrolled in CSP have
committed to three years of the program, which includes engaging in training and technical
assistance activities provided by the Early Learning Systems Specialist (ELSS) and the Early
Education Effectiveness Exchange (E4) to improve quality. In the first year, First 5 CA
delayed in providing the E4 Institute and the Quality Improvement Plan (QIP), and
therefore some components of the program were not implemented. In this last year, the QIP
was released to counties in October 2013 and completed.
25
Program description from the Child Signature Program RFA #2.
First 5 Napa County
Page 52 of 80
2013-2014 Program Summary Report
Activities & Outcomes
□
There were 26 classrooms operating in 17 centers with 56 providers enrolled in the CSP
program in the first year. At that time Readiness Assessments and classroom
environment measures26 were completed. This year, those data were used by the CSP
Early Learning Systems Specialist (ELSS) to co-create Quality Improvement Plans with
classrooms:
o
□
□
All 26 classrooms created Quality Improvement Plans
Quality Improvement Plans (QIP) include classroom specific content area goals for each
classroom. Classrooms meet their goals outlined in the Quality Improvement Plans.
Due to delays by First 5 California and the E4 Institute, the ELSS have not been able to
work on goals by content areas with trainings. In August of 2014, the training topics by
content area are scheduled to be released through Professional Development to Go
(PD2GO). At that time the ELSS Topic areas in the QIP for each classroom include:
o
Parent Involvement and Support
o
Classroom Instruction
o
Infrastructure via using technology to support the use of data
o
Baseline Criteria such as screenings, transition support, nutrition, group size, and
teacher provider qualifications
Even with the delays from First 5 California, Community Resources for Children (CRC)
offered 5 workshops for CSP and community providers. Although community provider
participation was average, CSP provider participation was low; Cooking with Kids (3);
Science in the Classroom (3); Make Math Matters (2); Active Play (0); and, Technology in
the Classroom (2). As a result, CRC surveyed the CSP participants and determined that
many providers are taking college courses at night during the times the workshops were
offered. Plans for this next year include workshops scheduled during times when
providers are not in class.
Outcomes
□
Measure: The Workshop Survey was designed to measure the experiences of providers at
the workshops. Also measured is whether the workshop information, resources and
materials will be useful for providers in their classrooms. The survey was distributed at
the end of the Science, Cooking and Math workshops; 28 providers27 in total completed
the survey.
26
Early Childhood Environment Rating Scale; Infant/Toddler Environment Rating Scale; or Classroom Assessment Scoring
System
27 CSP and other community providers that participated in the workshops completed the surveys.
First 5 Napa County
Page 53 of 80
2013-2014 Program Summary Report
□
□
□
Measure: Classroom Assessment Scoring System (CLASS). The CLASS is a researchbased observation tool that measures effective teacher and student interactions in the
classroom. Several dimensions of quality are assessed and collectively inform 3 domains:
emotional support, classroom organization, and instructional support. CLASS scores
range from 0-7 and will give another measure of quality improvement and/or
maintenance.
o
9 Head Start classrooms have CLASS baseline scores.
o
2 Napa County Office of Education (NCOE) classrooms have CLASS baseline
scores
Measure: Early Childhood Environmental Rating Scale (ECERS). The ECERS is a
research-based observation tool that measures and assess classroom environment quality.
The ECRS used with children 2-5 years old is comprised of 43 items that span 7 subscales.
Subscales include measures of quality in program structure, language-reasoning and
activities with scales from 1-7. The ECRS scores will allows us to measure the quality of
the classroom and track progress.
o
15 Head Start classrooms that serve children 2-5 years old have ECERS baseline
scores.
o
5 Napa County Office of Education (NCOE) classrooms that serve children 2-5
years old have ECERS baseline scores.
Measure: The Infant/Toddler Environment Rating Scale (ITERS). The ITERS is a researchbased observation tool that measures and assess classroom environment quality. The
ITERS used with infants and toddlers up to 30 months of age is comprised of 39 items
that span 7 subscales. Subscales include measure of quality in program structure,
routines and activities, and teacher and child interactions with scales 1-7. The ITERS
scores will allows us to measure the quality of the classroom and track progress.
o
3 Head Start classrooms that serve children up to 30 months of age have ITERS
baseline scores.
□
Outcome: Classrooms demonstrate increases in classroom rating scales. All classrooms
have baseline data for CLASS, ECERS or ITERS. The post assessments will be conducted
in Fiscal Year 2014-15.
□
Outcome: Providers develop knowledge and skills and report applying these to their
work in early childhood settings. Based on the Science, Cooking and Math workshops:
o
All providers (100%) agree they have gained knowledge they can use in the classroom.
o
All providers (100%) agree they have a clear understanding of how to use the
materials from the workshop and will be able to use them in their classrooms.
o
All providers (100%) agree they are more confident in understanding how to create
early learning experiences.
First 5 Napa County
Page 54 of 80
2013-2014 Program Summary Report
On the Move
Latino Family Literacy Project
Commission Goal Area:
Parent and Community Education
Focus Area:
Early Childhood Learning and Education
Population Served:
Parents
Funding:
Funded Committed in FY13-14:
$12,000
Previous First 5 Napa Funding:
$19,330
Total Funding:
$31,330
Program Description
The Latino Family Literacy Project (LFLP) is a school-site based early literacy program that
uses an evidence based curriculum to promote Latino parents reading to their children. The
project includes family reading, vocabulary development, and English-language
development for parents and their children. Parents are given instruction on family reading
skills such as how to pose questions and engage young children in active story time.
In this last year LFLP worked hard to expand outreach to fathers at all 4 school sites. LFLP
evaluated their outreach techniques, class curriculum and class timing all in an effort to
boost father participation.
Activities & Outcomes
□
There were 8 LFLP classes provide to 59 parents with a 68% attendance rate. Between the
first and second session of offering LFLP the staff created more inclusive outreach
materials and techniques, changed the timing of their classes, and recruited father leaders
for the class.
o
As a result of their efforts 11 fathers were enrolled in the second session of LFLP.
First 5 Napa County
Page 55 of 80
2013-2014 Program Summary Report
Outcomes
□
Measure: The Family Latino Literacy Survey is designed to measure family early literacy
practices that support their children’s early literacy skills. Parents complete the survey at
the start of the LFLP and upon completion of the program.
o
□
28
36 parents completed both the first survey and the last survey and are reported on
below.
Outcome: Parents report establishing a regular reading routine and have increased the
amount of time spent reading with their children.
o
94% of parents report establishing a reading routine and increased reading on a daily
basis. 97% of parents report reading to their children on a daily basis.
o
100% of parents report having a connection with the library28. Of those parents, 77%
report taking their child to the library at least once a month.
The library connection question was provided to a limited number of parents. Only 13 parent answered this question.
First 5 Napa County
Page 56 of 80
2013-2014 Program Summary Report
UpValley Family Resource Centers
Parents as Educators
Commission Goal Area:
Parent and Community Education
Focus Area:
Early Childhood Learning and Education
Population Served:
Children; Parents
Funding:
Funded Committed in FY13-14:
$27,300
Previous First 5 Napa Funding:
$493,726
Total Funding:
$521,026
Program Description
In spring of 2014 the Calistoga Family Resource Center and St. Helena Family Resource
Center merged to become the UpValley Family Resource Centers (UVFRC). UVFRC
provides a multitude of activities designed to provide parents with the tools to raise
healthy children who will succeed in school and in life. The Parents as Educators major
components include: outreach activities and home-based parenting groups to families
living in isolated areas, parent workshops and child preschool experiences. Through these
family-centered services, the UVFRC supports parents in providing their children with
healthy, safe, and stimulating environments. The program targets families with children
two to four years old in Calistoga.
Activities & Outcomes
□
4 workshop series with 4 classes each of the Positive Discipline curriculum were offered.
24 sessions of the Ninos Activos bilingual preschool activity hour were offered.
Kindergarten readiness Pathways program offered home visits to families with children
with no preschool experience.
□
Increased involvement of parents in early care and education programs as indicated by
participation in programs/classes.
o
Target 40 parents; 56 parents attended Positive Discipline classes.
o
Target 80 families; 89 parents and 106 children attended Ninos Activos program.
o
26 parents and children received kindergarten readiness home visits in the summer of
2013 or 2014.
First 5 Napa County
Page 57 of 80
2013-2014 Program Summary Report
Outcomes
□
Measure: The Parenting Class Questionnaire was developed to measure parenting
practices, knowledge and understanding of early childhood development. All 56 parents
that participated in the Positive Discipline classes completed the survey at the end of the
workshop and are presented below.
□
Measure: The Ninos Activos Survey was developed to measure parenting practices and
understanding of early childhood development, and parent confidence in supporting
their children in kindergarten transition. Of the 89 parents that participated in the Ninos
Activos classes, 50 parents completed the surveys.
□
Measure: The Kindergarten Readiness Survey was developed to measure parent
knowledge, routines and understanding of early literacy practices and parent confidence
in supporting their children in kindergarten transition. Of the 26 parents that received
home visits, 8 parents completed the surveys.
o
□
All three of the above parent surveys are rated and scored the same: parents are
asked to indicate how much they agree or disagree with items on the
questionnaire. Each agreement scale ranges from 1 as “Strongly Disagree” up to
the best score of 7 as “Strongly Agree”. Reported on below are the percent of
parents that indicated an increased agreement that they have changed after
participating in the program.
Outcome: Parents are confident in their ability to provide age-appropriate routines,
play and expectations of their child, and they are confident in their understanding of
how their child is growing and developing.
o
93% of parents reported a better understanding of typical behavior for their child.
o
93% of parent reported they could better identify age-appropriate activities for their
child.
o
93% of parent reported they had a better understanding of age-appropriate discipline.
o
100% of parents reported that they better understand what their child needs to be ready
for school.
o
100% of parents reported they feel more confident in their ability to prepare their
child for school.
First 5 Napa County
Page 58 of 80
2013-2014 Program Summary Report
Focus Area: Early Detection, Intervention and Health
Education
Strategies:
 Support prevention, education, outreach, screening, and early assessment and
referral. Topics of emphasis include: nutrition, obesity, physical activity, oral
health and family stability.
 Provide comprehensive perinatal (prenatal and postpartum) services for
families. Description of possible components: prenatal care and education,
home visitation, breastfeeding, developmental assessments of newborns,
parent education (including normal development, attachment and bonding),
postpartum depression screening/referral/support/treatment, linages to
community support network and peer network.
Funded Agencies & Details
Agency
Program
FY13-14
Funds
First 5 Napa Goal
American Canyon
Family Resource
Center
American Canyon Family
Strengthening Project
 Parent & Community
Education
$43,600
Community
Resources for
Children
Active Bodies/Children &
Weight Coalition Support
 Early Childhood Health
$55,400
Cope Family Center
Healthy Families NapaHome Visitation
 Early Childhood Health
$68,400
ParentsCAN
Healthcare Program
 Early Childhood Health
$50,000
Queen of the Valley
Medical Center
Queen of the Valley Mobile
Dental Clinic
 Early Childhood Health
$44,900
First 5 Napa County
Page 59 of 80
2013-2014 Program Summary Report
American Canyon Family Resource Center
Family Strengthening Project
Commission Goal Area:
Parent and Community Education
Focus Area:
Early Detection, Intervention and Health Education
Population Served:
Children; Parents
Funding:
Funded Committed in FY13-14:
$43,600
Previous First 5 Napa Funding:
$337,370
Total Funding:
$380,970
Program Description
With First 5 Napa support American Canyon Family Resource Center (ACFRC) opened its
doors in the fiscal year 2006-07 and has been working hard since to meet the needs of
American Canyon's continually growing population. ACFRC aims to support families in
bringing stability and basic needs to their families. ACFRC provides one on one case
management to families and brings community based organizations and their services to
isolated families in American Canyon. ACRFC serves young children and their caregivers
through enhanced child and parent activities each week that focus on early literacy and
early childhood development.
Activities & Outcomes
□
ACFRC conducted outreach to American Canyon families. ACFRC attended/participated
in 37 events that included: 3 health fairs, co-sponsored the Latino Heritage month and
visited the food bank twice a month.
□
ACFRC worked to connect American Canyon families with other community based
organizations. One on-site open house was held with approximately 16 community
based organizations in attendance. At least 20, one on one meetings were conducted with
community based organizations, education institutions and financial institutions.
Overall, 43 agencies were reached to facilitate resource and referrals to families.
□
41 families received one on one support services on site at ACFRC. An additional 4
families were served off-site at a home for mothers with young children and 47 families
received free tax clinic services. Referrals included financial assistance, employment,
housing, health and dental services, education and family activities.
First 5 Napa County
Page 60 of 80
2013-2014 Program Summary Report
□
The target was to recruit 40 parents to attend enhanced child and parent weekly activity
groups; just 28 parents were recruited and increased their involvement with their child’s early
care and education by attending the groups with an average of 6 at each class.
Outcomes
□
Measure: The One-on-One survey was developed to measure parent understanding,
knowledge and use of community resources and their service needs. The One-on-One
survey asks parents to report on knowledge prior to participating and after participating,
all after participating- retrospectively.
o
□
□
Surveys were completed by parents after receiving case management services from
ACFRC. Of the 41 families that received case management services, 34 parents
completed the One-on-One survey.
Measure: The Parenting Class Questionnaire was developed to measure parenting
practices, knowledge and understanding of early childhood development.
o
Parents are asked to indicate how much they agree or disagree with 7 items on
the questionnaire. Each agreement scale ranges from 1 as “Strongly Disagree” up
to the best score of 7 as “Strongly Agree”. Reported on below are the average
scores provided for “before participating in the program” and “after participating
in the program”.
o
Surveys were completed by parents after participating in the enhanced child &
parenting activity hour. Out of the 28 parents that attended the groups, 26
completed the Parenting Class questionnaire.
Outcome: Parents report increased stability, awareness and use of community
resources.
o
97% of parents agree they know more about community services.
o
97% of parents agree they can identify more people and places that can assist them in
crisis.
o
100% of parents agree they are more aware of community resources to help with
financial stability.
o
Prior to ACFRC services 97% of families reported cutting the size of meals or
skipping meals because there wasn’t enough food; although families report
knowing more about community services (97%) they still reported having to cut
meals after receiving ACFRC services. Similarly 97% of families report continuing
to feel hungry but not eating enough because they could not afford enough food.
o
In the 12 months prior to receiving ACFRC services 12% of families (n=4) had
moved once. Since receiving services all 4 families report more stability and that it
is “not at all likely” they will be moving in the next 6 months.
First 5 Napa County
Page 61 of 80
2013-2014 Program Summary Report
□
Outcome: Parents are confident in their ability to provide age-appropriate routines,
play and expectations of their child.
□
On a scale of 1-7, with 7 being in complete agreement and the highest score, parents
report:
o
Better understanding of how my child is growing and developing: parents reported an
average score of 5 for understanding prior to the program; upon completion the
parent average agreement score increased to 6.
o
Identify age-appropriate activities for my children: parents reported an average score
of 6 prior to the program; upon completion the parent average agreement score
increased to 7.
o
Confidence in my parenting ability: parents reported an average score of 6 prior to
the program; upon completion the parent average agreement score increased to
7.
o
Increased the time spent reading or telling stories with my child: upon completion of
the program, parents agree they have increased their time spent participating in
early literacy practices with their children with an average agreement score of 7.
First 5 Napa County
Page 62 of 80
2013-2014 Program Summary Report
Community Resources for Children
Active Bodies & Children and Weight Coalition Support
Commission Goal Area:
Early Childhood Health
Focus Area:
Early Detection, Intervention and Health Education
Population Served:
Providers
Funding:
Funded Committed in FY13-14:
$55,400
Previous First 5 Napa Funding:
$341,481
Total Funding:
$396,881
Program Description
The Active Bodies program serves early childhood providers to improve the quality of
early childhood education in the area of nutrition and fitness. As a result of the immense
success of the Active Bodies program in child care centers, and the demand from the family
child care homes to be included, Active Bodies implemented the Let’s Move! Child Care
curriculum. Let’s Move! Child Care curriculum is part of Michelle Obama’s larger Let’s
Move! Initiative aimed to reduce childhood obesity within a generation. Using the
foundation of the previous curriculum used by Active Bodies this new program expands
the Active Bodies target from just child care centers to include family child care homes.
Active Bodies staff provides onsite assessment, strategizing, and student and teacher
instruction as part of the program. Based on the individual needs of each site, strategies for
improvements to meet defined goals are outlined in the “Action Plans” for the year. The
Children and Weight Coalition provides leadership for the Active Bodies program and the
community, serving as a resource for evidence-based strategies that promote children’s
health through sound nutrition and physical activity.
Activities & Outcomes
□
7 child care centers & 3 child care homes participated. These agencies serve:
o
□
361 children
22 goals were created and included in center and home Action Plans.
o
20 goals were achieved
o
2 goals had progress, but not fully achieved
First 5 Napa County
Page 63 of 80
2013-2014 Program Summary Report
□
□
4 off-site workshops were offered to Active Bodies providers and the community.
o
Children and Weight Coalition members provided these workshops.
o
80 child care providers and 53 parents attended.
Children and Weight Coalition attended 11 community events where healthy eating and
physical activity information was provided along with 1,024 related items.
Outcomes
□
□
Measure: The Let’s Move! Child Care Checklist Quiz was developed for providers to selfassess their nutrition and physical activity practices and policies. The quiz was used by
Active Bodies staff and center and home staff to create goals for the year in their Action
Plans. Upon completion of the program, center and home staff completed the quiz for a
second time to track progress in improving policies and practices.
o
The Let’s Move! Child Care Checklist Quiz is comprised of 15 nutrition and
physical activity best practices. Each item is scored on a 4-point Likert scale from
“Yes, fully meeting this best practice” to “Unable to work on meeting this best
practice right now”. Not all centers and homes answered all 15 items, as items are
specific to centers/home serving different age groups- infants, toddlers and
preschoolers.
o
Nutrition and physical activity subscales were created for each age group and are
presented below. Some items may be overlapping as they pertain for two age
groups. For example toddler and preschool nutrition have 7 overlapping items.
o
All 10 participating centers and homes completed the quiz at the start of the
program and again upon completion. With such a small number of completed
quizzes these results should be interpreted with caution as small shifts can create
large changes.
Measure: The Active Bodies Teacher Survey was designed to better understand the
participating teacher’s prior experience with the Active Bodies program and their most
recent experiences with learning new activities and ideas around how best to engage
children in healthy nutrition and physical activities.
o
There are 6 main items teachers are asked to report whether they engaged in the
activity or learned the information provided to them. If they had, they are then
asked how likely they are to integrate it into their classrooms.
o
There were 41 teachers who completed the survey. Results for all 41 teachers are
presented below.
o
Of the 41 teachers, about 1 out of 3 of them (34%) report this was their first year
participating, and a little over half (56%) reported they had participated in
previous years. This year however is a new curriculum for the Active Bodies
program.
o
These teachers have been caring for children an average of 12 years. With a range
of only 2 years in the field up to 46 years in the field.
First 5 Napa County
Page 64 of 80
2013-2014 Program Summary Report
□
29
Outcome: Providers report increased knowledge on how to promote healthy weight
behaviors for children 0-5 years old. The vast majority of providers29 report they learned
new ideas and are likely to implement these ideas to promote healthy weight through:
o
new indoor physical activities (95%)
o
new outdoor physical activities (81%)
o
new ways of using existing materials (95%)
o
new songs (100%)
o
new games (100%)
o
new information on healthy eating (81%)
Does not always add to 100% because of non-answered.
First 5 Napa County
Page 65 of 80
2013-2014 Program Summary Report
□
Outcome: Improvement in early learning experiences for children 0-5 years in
nutrition and health. With such a small number of completed quizzes these results
should be interpreted with caution as small shifts can create large changes.
o
Centers/homes either maintained a high score or had and increase in children
receiving age-appropriate meals and increased nutritional value in all age ranges.
o Centers/homes demonstrated some increased time and quality of physical activity
with children in all age ranges.
Average Scores on Nutrition Subscales
at the Start of the Program and Upon Completion
Average Subscale Scores
Nutrition
Student Age (scale range)
Infant (0-3)
Toddler (0-21)
N
Time-1
Time-2
2
3
3
10
18
21
10
20
23
Preschool (0-24)
Average Scores on Physical Activity Subscales
at the Start of the Program and Upon Completion
Average Subscale Scores
Physical Activity
Student Age (scale range)
Infant (0-6)
Toddler (0-6)
N
Time-1
Time-2
2
4
5
430
5
6
931
7
8
Preschool (0-9)
30
5 centers/homes answered for time-1 and are included in the averages; n=4 was provided in table as the most conservative
representation. Due to so few centers/homes they were not eliminated for only answering once.
31 10 centers/homes answered for time-2 and are included in the average; n=9 was provided in the table as the most
conservative representation. Due to so few centers/homes they were not eliminated for only answering once.
First 5 Napa County
Page 66 of 80
2013-2014 Program Summary Report
Cope Family Center
Healthy Families Napa- Home Visitation
Commission Goal Area:
Early Childhood Health
Focus Area:
Early Detection, Intervention and Health Education
Population Served:
Children; Parents
Funding:
Funded Committed in FY13-14:
$68,400
Previous First 5 Napa Funding:
$96,000
Total Funding:
$164,400
Program Description
Beginning in 2011 Cope Family Center (Cope) began implementing the Healthy Families
America (HFA) Home Visiting Model. This is a nationally recognized evidence-based
home visiting program designed to work with high-risk families to help prevent child
maltreatment and strengthen and stabilize the family.
Voluntary participation in HFA services begin prenatally or shortly thereafter. Visits are
intensive and slowly become less frequent throughout the 3-5 year duration. Case
managers work with families to address the often transgenerational histories of trauma,
intimate partner violence, mental health and substance abuse issues. Through this work the
HFA model aims to see, "all children receive nurturing care from their family essential to
leading a healthy and productive life"32.
32
http://www.healthyfamiliesamerica.org/about_us/
First 5 Napa County
Page 67 of 80
2013-2014 Program Summary Report
Activities & Outcomes
□
In this last year, 120 Universal Screens were completed with pregnant women and
families in the community. Screens are considered an intervention in themselves and
determine eligibility through meeting a minimum number of risk criteria.
□
Of those 120 Universal Screens, 41 families completed the Parent Survey to determine
eligibility for HFA home visiting program.
□
Of those, 34 families were determined to be “high risk” and eligible for enrollment.
Screening Process
Description
Number of
Families
Universal Screens
completed in the community
and at Cope Family Center
120
Parent Surveys
completed by Cope Family
Center to determine eligibility
41
HFA Eligible
“high risk” families
34
□
34 families met the eligibility criteria and 18 families were enrolled. Due to program
capacity 7 families remain on the eligibility list (because their babies are not yet
approximately 2.5 months old, at which time they become ineligible); 17 families lost
contact and 20 families declined services.
□
27 families are currently receiving HFA home visiting services.
□
Families have worked with HFA home visitors to create 108 Family Goal Plans.
□
o
Despite the multiple stressors HFA families are experiencing, HFA home visitors
have kept 58% of their conversations with families focused on their goals- this
includes reviewing the goals, brainstorming on strategies to achieve those goals and
measuring their progress.
o
HFA home visitors kept the vast majority (94%) of conversations focused on the
Parent Surveys or the family strengths.
Families are receiving needed services with 190 referrals provided to HFA families. These
include: adult education, housing authority, food bank, and drug and alcohol services.
First 5 Napa County
Page 68 of 80
2013-2014 Program Summary Report
Outcomes
□
Measure: Healthy Families Parenting Inventory (HFPI) is a home visitation instrument
designed as an outcome tool that also tracks immediate progress for clinical use.
o
The HFPI is a 63-item instrument with 9 parenting subscales. For the purposes of
this evaluation, subscale results for social support, problem solving, role
satisfaction and parent efficacy were tracked and presented below.
o
Presented below are the results of HFPI measurements for 25 HFA families.
□
Outcome: Parents reported increased self- efficacy & family strengths. HFA families
have demonstrated stability and improvements in their ability to access social supports,
their satisfaction with their role as a parent and also their problem solving skills.
□
In the first year of the program, the first assessment33 is conducted prenatally, the second
at birth, at 6-months and then a year; in subsequent years families are assessed annually.
There was an average of 5 months between the first assessment and the second
assessment, with the least amount of time being 28 days between tests and the most
approximately 12 months.
33
o
Social Support Overall 80% of clients either remained stable or improved their
ability to access social supports; 44% of clients actually improved.
o
Role Satisfaction Overall 68% of clients remained stable or improved their
satisfaction with being a parent; 40% of clients actually improved.
o
Problem Solving Although skills in problem solving had the lowest overall
maintaining or improving at just 52%, the vast majority of those clients saw
improvements (44%) and actually did so at the same or higher amount than the
other two subscales (social support 44% and role satisfaction 40%).
Families may be recruited up until the child’s second week of life and would not have the prenatal assessment.
First 5 Napa County
Page 69 of 80
2013-2014 Program Summary Report
80%
68%
52%
N=25
o
Measure: The Ages and Stages Questionnaire-3 (ASQ-3) and the Ages and Stages
Questionnaire: Social-Emotional (ASQ: SE) are standardized screening tools that are
backed by rigorous research. The ASQ-3 and ASQ: SE are used to assess whether a young
child is displaying typical development for their age, or if they are at risk of a
developmental disorder or social-emotional problems.
□
Outcome: Children are receiving wellness services.
34
o
Developmental Screens: 35 children received ASQ-3 screens at regular intervals
resulting in 79 ASQ-3 screens. 27 children received ASQ: SE screens at regular
intervals resulting in 29 ASQ: SE screens.
o
81% of children34 are up to date on their immunizations.
o
100% of children have a medical home, or a place they usually take their child
when they are sick or need advice about their health, other than the emergency
room.
o
100% of children have health insurance.
Only currently enrolled families are included (n=24)
First 5 Napa County
Page 70 of 80
2013-2014 Program Summary Report
Parents CAN
Healthcare Program
Commission Goal Area:
Early Childhood Health
Focus Area:
Early Detection, Intervention and Health Education
Population Served:
Parents
Funding:
Funded Committed in FY13-14:
$50,000
Previous First 5 Napa Funding:
$462,256
Total Funding:
$512,256
Program Description
Using a parent to parent approach and medical home practices, ParentsCAN (PCAN) aims
to increase access and utilization of appropriate health, developmental, social-emotional
and social services available for newborns, infants and young children age birth to 5 years
with special healthcare needs. The focus is on reaching families of young children who
have a high risk of developing a special healthcare need, and increased barrier to accessing
early intervention services. Program components include outreach and education to
medical providers and families, screening, referral and monitoring services and ongoing
parent support and education.
Activities & Outcomes
□
PCAN served 77 families with children 0-5 years; 43 were newly enrolled families and 44
were continuing families. Within those families 77 adults with 87 children 0-5 years old
were served.
□
21 workshops were conducted with 39 parents attending
□
o
13 English speaking workshops with 16 parents
o
8 Spanish speaking workshops with 19 parents
Increased number of children with access to specialized health services, with decrease
in barriers to access services.
o
Outreach and education to 20 providers on how to refer and support children in
accessing specialized health services through 7 presentations.
First 5 Napa County
Page 71 of 80
2013-2014 Program Summary Report
o
□
20 packets distributed containing Napa County resource and referral laminates,
referral forms, developmental screening cards and Medi-Cal application assistance
information.
Increase the number of children screened for risk of health or developmental
disabilities. Measure: The Ages and Stages Questionnaire-3 (ASQ-3) and the Ages and
Stages Questionnaire: Social-Emotional are standardized screening tools that are backed
by rigorous research. The ASQ-3 and ASQ: SE are used to assess whether a young child is
displaying typical development for their age or if they are at risk of a developmental
disorder or social-emotional problems.
o
73 ASQ-3 and ASQ: SE screens were completed. PCAN staff did 33 of those screens
at the PCAN family resource center and the remaining 40 were completed in
home.
Outcomes
□
Measure: Parent survey distributed for all services provided at PCAN and was
developed to measure parent knowledge of services, confidence and satisfaction with
services.
o
□
□
22 parents completed the parent survey and are presented below.
Outcome: Parents report they have the support and resources necessary to make
informed decisions about needed treatment and services.
o
489 service contacts were made: 124 in-person, 311 phone contacts, 50 home visits,
and 6 health insurance application assistance contacts.
o
77 referrals/connections were made to agencies, such as: North Bay Regional
Center, Aldea Family Services, Napa Infant Program, and Community Resources
for Children. Basic need referrals and recreation referrals were also made.
o
43 binders that are used to organize health, resource and referral information were
distributed
o
All parents (100%) agreed they have an increased understanding of my child’s
disability/diagnosis.
o
95% of parents35 agreed they are more familiar with local services and supports for their
child.
o
All parents (100%) agreed they can identify more people and places outside of their
family they can go for support.
Outcome: Parents report they are comfortable advocating for their children.
o
35
All parents (100%) agreed they feel more confident working with professionals, and
feel part of a collaborative team.
Only 21 parents answered this question
First 5 Napa County
Page 72 of 80
2013-2014 Program Summary Report
Queen of the Valley Medical Center Community Outreach
Mobile Dental Clinic
Commission Goal Area:
Early Childhood Health
Focus Area:
Early Detection, Intervention and Health Education
Population Served:
Children; Parents
Funding:
Funded Committed in FY13-14:
$44,900
Previous First 5 Napa Funding:
$72,371
Total Funding:
$117,271
Program Description
The Queen of the Valley Mobile Dental Clinic (QVMDC) aims to improve access to oral
health services. This comprehensive oral health program serves low-income children 6
months to 5 years of age through on-site visits to preschools and kindergartens.
Preventative dental care, oral health education services, and dental treatment services are
provided in the mobile dental clinic.
Activities & Outcomes
□
36
Children are receiving appropriate and timely oral health visits. Children, 6 months to
5 years old, received dental exams, x-rays, cleanings and sealants:
o
Target: 300-400 children
o
Served: 623 children
o
80% were existing patients who had seen a dentist within 6 months to 1 year prior
o
93% presented36 with improved oral health on the dentist- completed oral health
status checklist.
o
238 children received specialty services. Procedures performed include composite
fillings, extractions, space maintainers, crowns, and root canals.
Percent calculated based on a sample of 233 client charts.
First 5 Napa County
Page 73 of 80
2013-2014 Program Summary Report
Outcomes
□
Measure: The Parent Knowledge survey is a short 3 item survey designed to measure
parent knowledge of recommended preventative dental care practices.
o
138 parents completed the survey while their child was receiving dental services.
□
To explore the difference in the proportion of first time clients and repeat clients who
have their children brush their teeth twice a day, a chi-square test of independence was
conducted. If the difference is large enough from what we would expect if there is no
relationship, it can be concluded that it was not just due to chance. When the difference is
large enough it is considered statistically significant. To determine the strength of the
relationship the Phi test was conducted to help factor out the size of the sample.
□
Outcome: Parents report knowledge of recommended preventative dental care
practices.
o
75% of parents reported an adult makes sure their child brushes their teeth twice a
day.
o
o
Of those 103 children, 60% had been to the mobile van before.
Repeat-clients (84%) were more likely than first-time clients (56%) to make sure
their child brushes their teeth twice a day. This was a significant interaction with a
small to moderate effect size (X2 (1) = 10.43, p ≤ .001, ф = .3).
(X2 (1) = 10.43, p ≤ .001, ф = .3)
First 5 Napa County
Page 74 of 80
2013-2014 Program Summary Report
Part III: Sponsorships
Part III is a brief summary of the activities, trainings and materials funded by First 5 Napa
County Sponsorship funds in the fiscal year 2013-14. Last year these grants were short-term
funding opportunities for amounts up to $4,000.
Throughout the year, applicants submit a Request for Sponsorship Funds to the
Commission. The request describes the project or activity, explains the need, and how the
proposed project or activity furthers the goals of the Commission. Requests are submitted
on an on-going basis until the budgeted Sponsorship funds are exhausted. For each
submission a Sponsorship Review Request is completed which provides a systematic review
of applications. Commission staff and the Executive Committee use the review process, and
based on those reviews, the Executive Committee makes a recommendation to the full
Commission.
In addition to the Requests for Sponsorships Funds, the Commission began awarding Core
Endorsement Sponsorships in fiscal year 2012-13. First 5 staff review the sponsorships
awarded over several years and choose agencies to invite to apply at the beginning of the
fiscal year. These suggestions are presented to the First 5 Commission to review. Core
endorsements are by invitation at the beginning of the year, and are meant to provide
agencies with funded amount knowledge at the beginning of the year to provide them with
more planning time.
First 5 Napa County
Page 75 of 80
2013-2014 Program Summary Report
Sponsorship Summaries
Funding Summary
Events
Training
Materials
Total First 5 Funding FY 2013-14
$18,400
$18,500
$13,040
$49,940
In fiscal year 2013-14 Sponsorship funds were used to meet the First 5 Napa Goal Area 1)
Early Childhood Learning and Education, Goal Area 2) Early Childhood Health, and Goal
Area 3) Parent and Community Education. The below graph shows the sponsorship funds
distributed by the type of sponsorship.
Fiscal Year 2013-14 Sponsorship
Funding Amounts by Type of Sponsorship
(26%)
(37%)
(37%)
Total: $49,940
First 5 Napa County
Page 76 of 80
2013-2014 Program Summary Report
Sponsorships are outlined below by type of project, and a brief summation of services is
provided.
Events
Title
Children’s Health
Initiative
Description
9 Annual Benefit
Reception
Cope Family Center
Community Resources for
Children
Community Resources for
Children
Blue Ribbon Campaign
ParentsCAN
UpValley Family
Resource Centers
UpValley Family
Resource Centers
Local Goal Area
Amount
Early Childhood Health
Parent and Community
Education
Early Childhood Learning
and Education
Early Childhood Learning
and Education
Parent and Community
Education
Early Childhood Learning
and Education
Parent and Community
Education
$1,400
Total
$18,400
th
Bill Dodd Beneficiary
Child Care Provider
Appreciation Event
Grand Traditions Gala
Event
Back to School
7 Annual Dia de los
Muertos Celebration
th
$4,000
$4,000
$500
$4,000
$2,000
$2,500
Seven events were held throughout Napa County with help by First 5 Napa County.
Events were attended by service providers, community based organizations, community
members and children and their families. Evidence based presentations were provided and
community events aimed at raising awareness. Topics and events included a community
wide child abuse prevention campaign, raising awareness of the importance of supports for
families of children with special needs, the importance of early childhood education and of
the cultural diversity throughout Napa County.
First 5 Napa County
Page 77 of 80
2013-2014 Program Summary Report
Materials
Title
Napa Valley Adult
Education
Description
Cope Family Center
Dare To Be You
Sunshine & Rainbows
Healthy Moms and Babies
Raising A Reader
Sweet Baby Dreams Gift
Store
Presbyterian Day School
Raising A Reader
First Step
Local Goal Area
Early Childhood Learning
and Education
Parent and Community
Education
Early Childhood Learning
and Education
Amount
Early Childhood Health
Parent and Community
Education
$3,000
Total
$4,000
$2,465
$1,650
$1,925
$13,040
Five sponsorships were provided for materials by First 5 Napa County.
Materials in Spanish and English included kindergarten readiness skills workbooks to
children; manuals and activity kits for evidence based parenting classes; books for children
in early literacy programs; and materials to support maternal and birth outcomes.
Trainings
Title
University of
Massachusetts Boston
Napa County Health
and Human Services
Napa Valley
Breastfeeding Coalition
Description
3 Infant Parent Mental Health
Post-Graduate Certificate
Program Sponsorships
Touchpoints
Breastfeeding Conference
Local Goal Area
Amount
Early Childhood
Health
Early Childhood
Health
Parent and
Community
Education
$10,500
$4,000
$4,000
Total
$18,500
Three training related sponsorships were provided with help by First 5 Napa County. These
trainings were attended by service providers working throughout Napa County.
Trainings included evidence and strengths based trainings on breastfeeding, approaches to
infant-parent relationships and topics that consider the neuro-relational and neurodevelopmental models. The three providers in the Infant Parent Mental Health PostGraduate Certificate Program are all currently enrolled in the program to be completed this
spring.
First 5 Napa County
Page 78 of 80
2013-2014 Program Summary Report
Part IV: Conclusion
First 5 Napa County
Page 79 of 80
2013-2014 Program Summary Report
Conclusion:
Programs funded in fiscal year 2013-14 by First 5 Napa County addressed the overall goals
and focus areas by implementing the strategies outlined in the 2011-2016 Community Plan.
Each program clearly documented their activities and outcomes and participated in the data
collection process to track their progress throughout the year. This report includes the
summation of those efforts in detail.
Programs increased access to healthcare for young children through outreach and
education to providers throughout Napa County and case management services that support
families in becoming insured, staying insured and fully utilizing their insurance. Programs
working toward improvements in infant, family and early childhood mental health
provided services that included intensive and specialized mental health services to children
0-5 years old and their caregivers. Programs aimed to improve early childhood learning and
education through provider and family support and education in areas such as early
learning and early literacy practices. Progress was made in early detection, intervention and
health education through comprehensive services to providers, parents and children in
areas of family stability, healthy eating and physical activity, and specialized dental services.
Similar to previous years, this last year’s programs took strategic and multi-faceted
approaches to improving outcomes for children 0-5 years in Napa County. Currently the
First 5 Napa County Children and Families Commission is beginning their preliminary
discussion on funding efforts to FY2014-15. As part of that process this program summary
report, the 2011-16 Community Plan and any the Napa Valley Early Learning Initiative first
year program summary report will be included in those discussions to continue to
strategically serve children and families in Napa County.
First 5 Napa County
Page 80 of 80