1

Geoffrey Nagle, PhD, LCSW, MPH Tulane University

Institute of Infant and Early Childhood Mental Health

December 3, 2011

EARLY CHILDHOOD FINANCING: A CASE STUDY FROM LOUISIANA

KNOW  WHERE  YOU  ARE  

Budget Need Assessment

2

EARLY  CHILDHOOD    SYSTEM  INTEGRATION  BUDGET  

Basic  Assumption  (1)  

§  The budget is the most significant POLICY DOCUMENT used in government planning.

§  “The budget process is the spinal column of public policymaking.”

Nathan, R. P. Handbook for Appointed Officials in America’s Governments. Chapter 5, Page 42. Available at www.rockinst.org/pdf/government_reform/2009-handbook_for_appointed_officials_in_america%27s_governments.pdf

3

Basic  Assumption  (2)  

§  A cross-system plan without a cross-system budget is difficult to implement.

Early  Childhood  System  Integration  Budget  

§  Looks at resources for children less than age 5 ú  Formatted by categories ú  Includes

   description    source of funds    population served    geographic areas served

4

ECSIB  

§  No right answers ú  Simply shows the resources and programs in

the priority areas

§  Context? ú  310,000 children under age 5 (7.2%) ú  30% of children under age 5 live in poverty

Typical  Children’s  Budget  

DSS – Office of Family Support

State

General Fund

Federal Funds

Total

Funds

Child Care Assistance

$7,500,000 $109,804,670 $117,304,670

Head Start Collaboration

$35,000 $175,000 $210,000

Support Enforcement

2,349,694 $22,031,073 $24,380,767

Totals $9,884,694 $132,010,743 $141,895,437

5

 EARLY  CHILDHOOD  SYTEM  INTEGRATION  BUDGET    

 FY 12 Appropriated SGF IAT Fees Stat.

Dedications Federal Total

Access to Medical Care

$240,017,765 $6,696,769 $1,453,550 $0 $616,902,589 $865,070,673

Early Care and Education

$21,371,312 $70,509,597 $1,832,631 $8,987,900 $180,378,210 $283,079,650

Family Support and Parenting Education

$35,977,551 $10,887,865 $5,654,080 $93,000 $188,488,360 $241,100,856

Mental Health and Social-Emotional Development

$1,031,606 $116,868 $0 $0 $6,382,944 $7,531,418

EARLY CHILDHOOD SYTEM INTEGRATION BUDGET TOTALS

$298,398,234 $88,211,099 $9,940,261 $9,080,900 $992,152,103 $1,396,782,597

Changes from FY 11 to FY 12 SGF IAT Fees Stat.

Dedications Federal Total

Access to Medical Care

$45,350,842 ($2,317,543) $129,764 $0 ($12,956,575) $30,206,488

Early Care and Education

($479,839) $1,105,005 $182 ($4,510,251) $10,425,567 $6,540,664

Family Support and Parenting Education

$2,158,045 $2,087,849 ($47,493) $0 $5,762,732 $9,961,133

Mental Health and Social-Emotional Development

$195,635 ($89,342) $0 $0 $484,173 $590,466

EARLY CHILDHOOD SYTEM INTEGRATION BUDGET TOTALS

$47,224,684 $785,969 $82,453 (4,510,251) $3,715,897 $47,298,751

 EARLY  CHILDHOOD  SYTEM  INTEGRATION  BUDGET    

 

6

Early  Childhood  System  Integration  Budget    

Access to Medical Care

61.9%

Early Care and Education

20.3%

Family Support/Parenting Education

17.3%

Mental Health/Social-Emotional Development 0.5%

Medicaid/LaCHIP-89%-

Other-11%-

ECSIB&funds&

SGF IAT Fees Stat. Dedications Federal Total

Access to Medical Care

$240,017,765 $6,696,769 $1,453,550 $0 $616,902,589 $865,070,673

EARLY  CHILDHOOD  SYTEM  INTEGRATION  BUDGET    

Medical 62%

Other 38%

7

45%$

ECSIB&funds&SGF$

SGF IAT Fees Stat. Dedications Federal Total

Early Care and Education $21,371,312 $70,509,597 $1,832,631 $8,987,900 $180,378,210 $283,079,650

EARLY  CHILDHOOD  SYTEM  INTEGRATION  BUDGET    

62% ECE 20% 80%

SGF IAT Fees Stat. Dedications Federal Total

Family Support and Parenting Education

$35,977,551 $10,887,865 $5,654,080 $93,000 $188,488,360 $241,100,856

EARLY  CHILDHOOD  SYTEM  INTEGRATION  BUDGET    

Family'support''95.6%'

Paren6ng'Educa6on'

4.4%'

ECSIB&funds&

FS/PE 17%

83%

8

SGF IAT Fees Stat. Dedications Federal Total

Family Support and Parenting Education

$35,977,551 $10,887,865 $5,654,080 $93,000 $188,488,360 $241,100,856

EARLY  CHILDHOOD  SYTEM  INTEGRATION  BUDGET    

72.9%

4.4%

22.4%

Fam Support Parenting Ed Child Welfare

SGF IAT Fees Stat. Dedications Federal Total

Mental Health and Social-Emotional Development

$1,031,606 $116,868 $0 $0 $6,382,944 $7,531,418

EARLY  CHILDHOOD  SYTEM  INTEGRATION  BUDGET    

99.5% 0.5%

9

Mental  Health  and  Social-­‐Emotional  Development  

§  9 programs in this category ú  81% is in just one program

2.2%  

8.9%  

5.5%  

0%  

2%  

4%  

6%  

8%  

10%  

of  Total  State  Funds   of  Total  Federal  Funds   of  Total  State  Budget  

ECSIB  as  a  Percentage  of  Total  State  Budget    (FY  12  Appropriated  –  Act  12)  

10

0.7%  

6.4%  

3.2%  

0%  

2%  

4%  

6%  

8%  

10%  

12%  

of  Total  State  Funds   of  Total  Federal  Funds   of  Total  State  Budget  

ECSIB  as  a  Percentage  of  Total  State  Budget*    (FY  12  as  Appropriated)  –  Excluding  Medicaid  

*estimate

11

Risk  Report  

§  Risk: Parish specific level of risk of school failure ú  Based on 11 risk factors

Estimating  Risk  Economic Factors

Health-Related Factors

Education-Related Factors

Unemployment Rate Low Birth Rate DIBELS (At High Risk)

Births to Single Mothers Teen Birth Rate Availability of High Quality Early Care and Education

Mothers w/ Less than High School

Infant Mortality Rate

Children 0-5 in Poverty Uninsured Rate (0-5)

Median Income as Percent of FPL

12

Percent Unemployed - December 2009

Percent Low Birth Weight Babies - 2007

13

Infant Mortality Rate - 2007

Percent of Uninsured Children Under Age 5 - 2009

14

Percent of Children Scoring “Intensive Intervention” on the DIBELS - 2009

Percent of Children in Publicly Funded Pre-K, Head Start, Early Head Start or High Quality Child Care - 2009

15

Overall Risk - 2009

Risk  Report   Parish

% less than 5 in Poverty

Low Birth Weight

DIBELS

Overall Rank

Ascension 17.1% 9.0% 14.7% 1.36

E. Baton Rouge 27.2% 12.5% 18.3% 2.27

E. Feliciana 28.7% 12.7% 19.5% 2.73

Iberville 26.8% 12.9% 12.6% 2.36

Livingston 17.8% 8.2% 14.9% 1.55

Pointe Coupee 37.0% 13.9% 21.2% 2.64

St. Helena 36.5% 9.3% 23.3% 2.91

St. James 23.8% 13.9% 10.9% 1.73

W. Baton Rouge 32.2% 12.9% 13.2% 2.09

W. Feliciana 25.9% 13.3% 8.6% 2.00

LA 30.0% 11.3% 19.2% --

US 21.0% 8.3% -- --

16

Overall  Risk  Risk Category Number of

Parishes Number of Children

Percent of Children

Low 0 0 0

Low-Moderate 13 80,299 25.8%

Moderate-High 38 187,322 60.3%

High 13 43,095 13.9%

•  Almost 75% of young children (230,417) are growing up in Moderate-High Risk or High Risk parishes (51 of 64 parishes)

So  now  

§  More informed decisions §  Address the question:

ú  Need for additional money or better use of what is already in the system

§  Need to determine “reach”

17

THANK YOU Contact Information: Geoffrey Nagle, PhD

(504) 988-8241 gnagle@tulane.edu

www.lsutuearlychild.org