Using QRIS As A Tool To Enhance Children’s Social and Emotional Development

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Using QRIS As A Tool To Enhance Children’s Social and Emotional Development Geoffrey Nagle, PhD, MPH, LCSW Allison Boothe, PhD Tulane University Institute of Infant and Early Childhood Mental Health

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Using QRIS As A Tool To Enhance Children’s Social and Emotional Development. Geoffrey Nagle, PhD, MPH, LCSW Allison Boothe, PhD. Tulane University Institute of Infant and Early Childhood Mental Health. Integrating Social-Emotional Development in the QRIS. Environment Rating Scales - PowerPoint PPT Presentation

Transcript of Using QRIS As A Tool To Enhance Children’s Social and Emotional Development

Page 1: Using QRIS As A Tool To Enhance Children’s Social and Emotional Development

Using QRIS As A Tool To Enhance Children’s Social

and Emotional Development

Geoffrey Nagle, PhD, MPH, LCSW

Allison Boothe, PhD

Tulane University Institute of Infant and

Early Childhood Mental Health

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Integrating Social-Emotional Development in the QRIS

Environment Rating Scales Social-Emotional Subscale

Mental Health Consultation Reflective Supervision

Social-Emotional Screening Training Warm Line

Funding

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Quality Start – Louisiana’s QRIS

Recognize the quality of child care being offered by child care providers

Build and sustain quality child care

Inform parents about the quality of child care

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Points to Earn Stars

Total Number of Points

Star Rating

3-5

6-9

10-11

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Environment Rating Scales

Social-Emotional Subscale

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Environment Rating Scales

Infant/Toddler Environment Rating Scale - Revised (ITERS-R) – birth through 2½ years

Early Childhood Environment Rating Scale - Revised (ECERS-R) – 2½ years to 5 years

Harms, T., Cryer, D., & Clifford, R. M. (2006).

Harms, T., Clifford, R.M., Cryer, D. (2005).

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Each ERS Scale Assesses

Space and Furnishings

Personal Care Routines

Activities

Listening & Talking/Language-Reasoning Skills

Interaction

Program Structure

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Social-Emotional Subscale

ITERS-R Listening and

Talking Interaction Program

Structure

ECERS-R Language-

Reasoning Interaction Program

Structure

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Points

Criteria

1

2

3

4

5

Program Standards - Scores on the ERS (ITERS/ECERS)

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Points

Criteria

1 An average of 3.75 on the social-emotional subscale, with no one classroom lower than 3 on the subscale

2

3

4

5

Program Standards - Scores on the ERS (ITERS/ECERS)

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Points

Criteria

1 An average of 3.75 on the social-emotional subscale, with no one classroom lower than 3 on the subscale

2 An average of 4 on the social-emotional subscale, with no one classroom lower than 3 on the subscale

3

4

5

Program Standards - Scores on the ERS (ITERS/ECERS)

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Points

Criteria

1 An average of 3.75 on the social-emotional subscale, with no one classroom lower than 3 on the subscale

2 An average of 4 on the social-emotional subscale, with no one classroom lower than 3 on the subscale

3 An average of 4.25 on the social-emotional subscale, with no one classroom lower than 3.25 on the subscale

4

5

Program Standards - Scores on the ERS (ITERS/ECERS)

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Points

Criteria

1 An average of 3.75 on the social-emotional subscale, with no one classroom lower than 3 on the subscale

2 An average of 4 on the social-emotional subscale, with no one classroom lower than 3 on the subscale

3 An average of 4.25 on the social-emotional subscale, with no one classroom lower than 3.25 on the subscale

4 An average of 4.5 on the social-emotional subscale, with no one classroom lower than 3.5 on the overall ERS

5

Program Standards - Scores on the ERS (ITERS/ECERS)

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Points

Criteria

1 An average of 3.75 on the social-emotional subscale, with no one classroom lower than 3 on the subscale

2 An average of 4 on the social-emotional subscale, with no one classroom lower than 3 on the subscale

3 An average of 4.25 on the social-emotional subscale, with no one classroom lower than 3.25 on the subscale

4 An average of 4.5 on the social-emotional subscale, with no one classroom lower than 3.5 on the overall ERS

5 An average of 5 on the overall ERS, with no one classroom lower than 4 on the overall ERS

Program Standards - Scores on the ERS (ITERS/ECERS)

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Mental Health Consultation

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Acknowledgments

Angela Keyes, Ph.D.

Sheryl Scott Heller, Ph.D.

Krystal Vaughn, LPC

All of the Quality Start Mental Health Consultants

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A Primary Goal of MHC & Quality Start Support healthy social emotional

development.

Social Emotional Development: Children’s ability to experience, regulate, and express emotions; form close and secure relationships; explore the environment and learn” (Parlakian, 2003, p. 2).

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Kindergarten teachers rate motivation and social emotional skills as more important to school success than being able to read upon entering kindergarten. (National Institute of Early Education Research, 2008).

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What is Mental Health Consultation? A method of supporting the healthy

development of infants and young children.

An important component of support to childcare centers working to maximize quality.

Designed to support ALL children, teachers, and families involved in childcare.

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Quality Start Model of Mental Health Consultation

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Quality Start is a Combination Model of MHC 3 types of MHC:

Program Centered: designed to improve experience of all individuals involved with center

Child Centered: designed to assess and make recommendations about particular children

Combination Model: uses aspects of both models to assist center and individuals within center

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Program Centered Components of The Model

Relationships are seen as major catalyst of change

Interactive trainings are consistently conducted

MHC consistently observes in classrooms MHC consistently meets with director Consultants are available to meet

individually with staff members Parent meetings/workshops are available

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Child Centered Components of Our Model MHC available to complete a child-

centered consultation when requested Parent permission necessary & beneficial MHC can:

Observe child in classroom Interview parents/teachers/director Make referrals when needed Assist in designing behavior management program

for class and assist teacher in implementing

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Benefits of Combined Model

Centers often request consultation for child-centered reasons. e.g., Challenging behaviors; developmental

concerns

Combined model = immediate assistance for challenging behavior with continued assistance across the center.

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Model Components

12 total visits. One day every other week (day = 5-6 hours).

Centers with 8 or more classrooms receive weekly visits with up to 24 total visits.

All centers participating in the Quality Start QRIS program are eligible.

Centers serving child enrolled in CCAP receive priority.

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Work Expectations

Each MHC carries caseload of: Between 7-8 centers Averaging between 30 and 40 classrooms Large centers (8 or more rooms) ‘count’ as

2 centers as visited weekly Each MHC is responsible for 4 trainings

for child care community per year. Introduction to Social Emotional Screening Learning Through Play

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Quality Start Mental Health Consultants 13 full time equivalent consultants

across state All have master’s degree in a mental

health field and hold a license. Primarily LCSW, LPC, of GSW license. Prefer clinicians who have

experience with children.

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Community Agency Involvement Each MHC is employed through a

regional agency. Benefits of regional agency:

MHC is identified as member of community at large

MHC can call upon unique aspects of his/her agency

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Consultant Training

Pre-Service Training Full training on all aspects of MHC model

5 interactive didactic trainings 2 community trainings

Shadow consultants in field Infant Mental Health training

60 hours of class time in person or via videoconferencing

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In-Service Training Training occurs 1-2 times per calendar year Topics/Focus vary and have included:

Cultural differences within centers and between MHC and center

Outside speakers Updates Team building Reflective Supervision

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Consultant Supervision

Consultants participate in: Individual reflective supervision two

times per month Group reflective supervision one time

per month Focus of supervision is

Relationships with center staff Avoiding the “expert stance”

Consultants who are working towards a more advanced license maintain supervision outside of the program.

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Reflective Supervision Integral to program

Goal of reflective supervision: to help MHCs focus on their relationships

with consultees & how those relationships support positive change.

MHCs are encouraged to: discuss challenges to view challenges from a variety of

perspectives to “wonder” about methods of supporting

change within a center.

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Social-Emotional Screening

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Program Standards: Social-Emotional Development ScreeningPoin

tsCriteria

4 Complete screening for social-emotional development with instrument from recommended list for all children (0-5 yrs.) within 45 calendar days of enrollment and annually thereafter. Conference with parents to review results and provide a list of community resources.

5 Same

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Staff Qualifications: Social Emotional Screening Training

Points

Criteria

3 Directors and lead teachers complete training in social-emotional screening of children.

4 Same

5 Same

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Introduction to Social Emotional Screening Community Training

Rationale for universal screening Importance of early detection Identifying risk and protective factors Outcomes for early treatment vs. later

treatment

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Selection of Screening Instrument Recommended screeners :

ASQ-SE (Ages & Stages: Social Emotional)

ECSA (Early Childhood Screening Assessment)

Age ranges of each

Cost of implementation for each

Psychometric properties of each

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Preparing to Screen

Who orders? Who completes? (e.g., teacher; parent;

etc) Who scores? Who discusses results with parents? How to give feedback to parents. How to follow up? (e.g., referrals, re-

screening, etc.) Social-Emotional Warm line information

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Program Evaluation

Pre and post assessments are ongoing Staff self report Observational Measures (CLASS)

Initial findings are promising Staff report finding MHC worthwhile &

helpful Observed differences found in classrooms

in Student teacher interactions Overall classroom climate

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Mental Health Consultation:A teacher’s perspective

“She was very professional and at the same time her friendly ways made her a part of our school family. The children and parents trusted her not only as a consultant but also as a person who really cares.” A teacher after participating in Quality Start MHC program.

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Future Research

Compare pre and post Environment Rating Scale scores. Focus on social-emotional subscale

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Quality Start MHC strives to provide a foundation for child care center staff to support young children in their social emotional growth.

Evaluation data is assisting us in continuing to move in the right direction.

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Funding

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Funding to Support QRIS

Tiered Bonus Payments

School Readiness Tax Credits

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Tiered Bonus Payments

Children in the Child Care Assistance Program (CCAP)

Children in foster care

Payments are automatically issued after the end of each calendar quarter

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Tiered Bonus Payments

The bonus payment is equal to a percentage of all payments from DSS for services provided during the quarter as follows:

Star Rating Bonus

5 Star

4 Star

3 Star

2 Star

1 Star (or not participating)

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Tiered Bonus Payments

Star Rating Bonus

5 Star 20%

4 Star 13.5%

3 Star 8%

2 Star 3%

1 Star (or not participating)

0

The bonus payment is equal to a percentage of all payments from DSS for services provided during the quarter as follows:

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School Readiness Tax Credits

Package of 4 Tax Credits Credits to Providers

Credits to Directors and Teachers

Credits to Business for Supporting Child Care

Credits to Parents/Consumers

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Tax Credits to Providers

102 providers benefited from the SRTC

$1.3 million

$12,795 per provider Range $750 - $81,000

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Tax Credits to Teachers/Directors

761 teachers/directors benefited from SRTC

$1.3 million

Average of $1726 per teacher/director

Another 400-500 teachers were eligible and were not at a star rated center or did not file for the credits.

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Tax Credits to Businesses

27 businesses benefited from SRTC

$28,000

Average - $1000 each

In addition, $100,000 donated to Child Care Resource and Referral Agencies

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Tax Credits to Parents

4455 parents benefited from SRTC

$950,000 Average of $215 per parent (tax

return)

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THANK YOUContact Information:

Allison [email protected]

Geoffrey [email protected]