Missing from Care

In which Ross wanders around the U District trying to find a 14-year-old who is “missing from care.” Writing good policy is hard and I don’t think it works if you don’t try hard to understand the reality of what you are trying to do.

Many legislators are working on a bill (SB 5290) that makes pretty significant changes to the ability of judges to place children and youth in detention for non-criminal activities, like running away from a foster home.  The agency supports this bill, but has some serious concerns that will need to be addressed before it’s ready to be made into law.

In late February I spent the day with one of DCYF’s missing from care (MFC) locators. We have 9 people statewide tasked with finding youth who are “missing” from care. Typically, this means that they’ve run away from a placement, but there are other scenarios we pursue as well. This was an emotionally challenging experience. Nina Shapiro, a reporter from the Seattle Times went with us. Her article on the situation is here, and I found it to be well-balanced.

Writing about this is hard because I have to be cautious of the privacy rights of the youth involved and if I explain too many details of the demographics of the youth in question I run the risk of identifying her. It’s also just hard to write about.

We spent the whole day looking for two youth. We found neither, which is depressingly common, though the locator lit up when I asked him how many kids he’s found in the last 8 years of the work – “hundreds” was his answer.

We spent most of the day looking for a 14-year-old girl who has a history of running from placements. For context, 300-400 children, mostly older youth, run away from a foster care placement every year. The agency just released a research report providing some descriptive statistics about children who run. This was part of our ongoing effort to comply with the settlement in the Braam case (or here) from two decades ago. More on this later.

First, we visited the University District Youth Center (UDYC). UDYC provides drop-in and basic needs services, case management, and hosts a Seattle Public Schools Interagency Academy for homeless and at-risk youth in the University District. This was a cool place for youth to do laundry, get a bite to eat, talk to other people in the dry, and engage in some cool looking art and other creative pursuits and connect to key services. We had a great conversation with the program manager, but no direct leads.

We visited a drugstore (legal) on the Ave and left a flyer with the staff. I bought cashews, a granola bar and a diet soda for lunch. Made me think about the ease with which I could acquire food, and that it would have been easy for me to skip lunch, though I might have been a bit hangry later. This is not the experience homeless youth have.

We tried the library, often a hangout for youth on rainy days, but no luck. They wouldn’t take a flyer.

Next we followed a tip and talked to all the people in “tents” in a specific area. Living in a tent in February in Seattle is miserable, especially since many of the “tents” were really constructions of tarps and collected materials. Several of the folks we talked to had had contact with the particular girl, and all were concerned that someone that young would be out on the streets. It’s also a little dangerous for our social workers, and they behave very carefully as a result.

The tent in the photo wasn’t occupied. I took it mostly to create a memory of the difficult situation homeless people are in. Why do we have so many people living in these conditions? Probably beyond this short essay, but we have to do better as a society in providing treatment for obvious mental health and substance abuse issues so that our kids aren’t living in desperate situations.

A few more spots to look in with no luck and we were out of time for the day. I think our MFC locator could have been more productive without me tagging along, but I’ll bet there are a lot of days like this.

Looking for this child was a searing emotional experience. It must be terrifying to be in a place as a 14-year-old where living on the street feels better to you than the foster placement you were in.

Had we found her our options would have been somewhat limited. Our MFC locator can offer some options that may or may not have been appealing to her:

  • An opportunity to talk to her caseworker in the office or another “safe” location. They may have a relationship that we can make work.
  • Maybe we could offer her a better placement for her. There might be a rational reason she ran away from care. The locator can talk to the caseworker and other resources about what might be available to her.

That’s about it. He’s not a police officer and has no ability to detain her. The youth who run regularly know this. “87.5% of all runs from out-of-home placements occur due to repeat runners.”[1]

When we have a missing youth and we can’t find them quickly we will ask the court that supervises their case to put out a “warrant.” This puts police officers on notice that we’re looking for the youth. They have more options than our locators do, including the ability to bring the youth to a secure place to figure out a safe plan.

Risks Faced by Homeless Teenagers

Increased likelihood of high-risk behaviors, including engaging in unprotected sex, having multiple sex partners and participating in intravenous drug use.  Youth who engage in these high-risk behaviors are more likely to remain homeless and be more resistant to change. 

Greater risk of severe anxiety and depression, suicide, poor health and nutrition, and low self-esteem.

Increased likelihood of exchanging sex for food, clothing and shelter (also known as “survival sex”) or dealing drugs to meet basic needs. Forty percent of African American youth and 36 percent of Caucasian youth who experienced homelessness or life on the street sold drugs, primarily marijuana, for money.

Difficulty attending school due to lack of required enrollment records (such as immunization and medical records and proof of residence) as well as lack of access to transportation to and from school.  As a result, homeless youth often have a hard time getting an education and supporting themselves financially.

Homeless gay, lesbian, bisexual, transgender or questioning (GLBTQ) youth are more likely to exchange sex for housing or shelter, are abused more often at homeless shelters (especially adult shelters), and experience more violence on the streets than homeless heterosexual youth.

Source: National Conference of State Legislators

Let’s start with the observation that it’s not safe for children to be living on the streets. The risks of drug use, being a victim of violent crime, and being commercially sexually exploited are very real, and we are all concerned about these young people. Youth who are in foster care are in the care of the state and we’re responsible for ensuring, at a minimum, that they have a safe place to sleep.

Given the national data in the sidebar, very few police officers are going to think that they should let a 14-year-old go back to being homeless. The problem is that the officers don’t have a lot of good options. They could

  • Do the same thing the locator tried – get the youth to talk to the caseworker.
  • Take her to a safe, but temporary location where she could get connected to the caseworker and find a better placement. This could be a teen drop-in center like the UDYC, a library, a coffee shop, etc.
  • Take her to a safe place with overnight capacity. This could be a Hope Center, a Crisis Residential Center, etc. It could be a program run by a county. For example, King County runs the FIRS program, providing an alternative to juvenile detention to youth involved in domestic violence cases.
  • Take her to juvenile detention. This is the current default in most cases. Here the youth who have not committed a crime are mixed with a juvenile offender population. It’s always open, there is always a bed, and the officer and the judge feel like it’s safe for the youth.

Unfortunately, we have lots of evidence that being in juvenile detention creates additional trauma[2] for the youth, and that being exposed to a population more inclined to delinquency often results in new criminal activity by the youth.[3]

It’s a hard tradeoff for the officer or our social worker. Placing a child who has run many times before or who has other significant risk factors in a non-secure placement is likely to result in the child running again.[4] The officer knows the risks the child is exposed to. Right now the warrant isn’t clear about what should happen, so the officer takes the lowest risk option, even if it isn’t necessary to have a secure setting for that particular youth.

I’ve had several conversations with child welfare experts who say that we are one of very few states that puts this much effort into searching for youth who run from care. It’s frustrating for many of the reasons outlined above – there are very few options that work out well, so many other jurisdictions just wait for the youth to return to their placement or wind up as a statistic. This is not a good path.

The bill affects many adolescents who are not in the foster care system. In many cases youth running from a foster care placement have the same needs as other homeless youth, and face the same risks on the street. We do not have the same legal authority or responsibility, but should develop a solution that is flexible enough to work with all of them.

The Missing from Care report, as well as most national research on this topic, points to the more complex behavioral health needs of the youth who repeatedly run from placements. We are concerned about behavior of these youths that place them at extreme risk of harm. We have work to do to either find placements that work better for these youth or prevent the trauma in the first place. Even if we make great progress in these areas we will still have kids who run, and will need a better strategy.

Of course, we also have court involvement in this issue here in Washington. In late January we came to final agreement with the plaintiffs in the “Braam” case, and we now have some new outcome targets that need to be met in this area.

The Braam vs. State of Washington lawsuit was filed in August 1998 on behalf of a class of foster children who had three or more placements while in foster care. The lawsuit alleged that the Department of Social and Health Services (DSHS) did not provide constitutionally required care to foster children.

Under the Settlement Agreement the Department agreed to achieve 21 individual outcomes. These outcomes addressed a number of areas including monthly visits, sibling placement, sibling visits, annual mental health and substance abuse screens, and youth missing from care.

As of 2017 the Department had achieved compliance or outcomes were no longer enforceable for all but two of these 21 outcomes. The two remaining judicially enforced outcomes both related to foster children who are missing from care. They measured the frequency of foster youth running from care and the median number of days youth are on the run. Court cases shouldn’t go on for decades, and in the last month we came to an agreement on three substitute missing from care outcomes with the plaintiffs. These measures are risk-adjusted, are actually measurable, and are hopefully achievable. Under these new outcomes, we agreed to: 1) reduce the percent of youth with a first run event by 20% from baseline; 2) reduce the percent of youth with a subsequent run event by 20% from baseline; and 3) reduce the mean length of run events by 10% from baseline.

Conclusion to a blog post that is much too long:

We are working with the bill sponsors, the Juvenile Court system, youth advocates, and the Office of Homeless Youth to come up with language that makes sense, works towards eliminating the use of detention where there are safe alternatives for youth, and can practically be implemented.

In the short run, the agency will make some changes to our internal policy to stop using detention in circumstances where it is not warranted. I’ll write more about this as we figure out detailed proposals and the process to roll them out. (There are 40 police agencies in King County alone…)

None of this will work if there are not safe, secure alternative places for youth to stay that are not juvenile detention. Ideally these would be available everywhere in the state. Based on the data we think we could make a system work that had options in the counties that have the most youth who run from care. We would recommend King, Pierce, Spokane, and Yakima counties, with a convenient location in each. 

These facilities will need to be staffed to provide trauma-informed assessment and support for youth. They need to be therapeutic, not correctional.

We also believe that some investments in providing permanent placement alternatives for older youth like the Responsible Living Skills program may be a better fit than some foster or group home settings, and may reduce the likelihood of youth running from a placement.


[1]

Missing from Care Analysis: Part 1. Page 11. WA State Department of Children, Youth, and Families, Office of Innovation, Alignment, and Accountability, Olympia. Retrieved from https://www.dcyf.wa.gov/sites/default/files/pdf/reports/2019_MissingfromCareAnalysis.pdf

[2] Richard A. Mendel (2011), No Place for Kids: The Case for Reducing Juvenile Incarceration, Annie E. Casey Foundation, pp. 5-12.

[3] Lipsey, M. (2009). The Primary Factors that Characterize Effective Interventions with Juvenile Offenders: A Meta-Analytic Overview. Victims & Offenders, 4(2), 124-147.

[4] “Once a child has run from care there is a 60.1% chance they will run again.” Missing from Care Analysis, Page 11

Take Me Home: Protecting America’s Vulnerable Children and Families

Take Me Home: Protecting America's Vulnerable Children and FamiliesTake Me Home: Protecting America’s Vulnerable Children and Families by Jill Duerr Berrick
My rating: 4 of 5 stars

I thought this was super-interesting. Her view is that while it makes some sense to invest resources in “upstream prevention,” we can’t fix the entire problem that way and will still need a robust child welfare system. Consequently the upstream investments should not take resources from current child welfare needs, and we should be very intentional about how we approach that project. She goes on to lay out clear and cogent reasons and structure for supporting families and children in crisis. She makes a strong case children need to have permanent homes with stability.

She’s got a well-reasoned argument and it gave me a good perspective on the challenges facing social workers who work with challenging families and try to protect some of our most vulnerable children.

This was totally worth reading, though somewhat depressing.

Special Advocates for Kids

On Friday I completed the second day (of four) of my training to be a Court Appointed Special Advocate (CASA). A Dependency CASA is a trained community volunteer who acts as an advocate for the best interests of children who have experienced abuse or neglect and who are the subject of Juvenile Court proceedings. CASAs are appointed to cases in which children are alleged to have been neglected, physically abused, sexually abused, and emotionally abused and/or if a parent or guardian is unable or unwilling to care for the child.

The training is pretty serious and ensures volunteers have enough knowledge of how the entire foster care and family court system works to be an effective advocate. On Friday we focused on understanding the impact of race, ethnicity, and culture in how families interact with their kids.

I’m trying to learn about how the system works from both the top level (we spend XXX on YYY, then ZZZ happens…) and from the street (they do what?) I don’t think I’ll actually be allowed to carry a case given the conflict of interest I have as the eventual manager of the social worker on the case, but seeing how it works (or doesn’t) is invaluable. Particularly compelling was the final video we watched of a graduation from family court in King County, with the return of the kids.

More info on CASA:

http://wacasa.org/volunteer/

Great Seattle Times Article on Racial Disproportionality in Education

The Seattle Times has a great article in today’s paper on racial disproportionality in outcomes for kids in the Seattle School District. The article talks about efforts to change things and makes a point that well-meaning approaches if not carried out with rigor and consistency over time don’t have much impact. The data series in the article starts at 3rd grade. I totally agree that the district needs to have a substantial strategy focused on improving outcomes for children who start out behind. The Times should keep digging into the effectiveness of what the district does, and also into the effectiveness of all the districts in the area, all of whom have the same problem, albeit to greater or lesser degrees.

What the entire article misses is the most effective long-term way to approach the problem. The white kids in Seattle are much more likely to be more economically advantaged than children of color, and are consequently much more likely to have access to high quality preschool.  The chart to the left shows the scores in the Seattle School District on an assessment Washington State does for every entering Kindergartner broken down by race and ethnicity. These kids are 5 years old and you can see significant differences in their development.

You can play around with the data and look up your own district by clicking on the chart, or clicking here, which takes you to an OSPI website with the full data set for all the kids in the state. There are some weirdnesses with the data based on the rollout schedule of all-day kindergarten which tilts the data to underreport higher income kids. This will work itself out in the next few years.

Only about 28% of kids below 110% of the federal poverty level (about 20% of the three and four-year-olds in the state) will meet all six metrics on the WAKIDS assessment. If they have two years of ECEAP, Washington’s high-quality state-run preschool program, about 67% will meet that same metric. I’m using slightly different measures than the chart above from OSPI so the numbers are not directly comparable. This is because I’m writing this on a Sunday and don’t have access to all the data in the office to make them line up, but they’re similar.

In the chart to the right you still see racial disparities (that we are working on eliminating) but you can see that “Black 4-year-olds” do better than “All 4-year-olds.” This is black 4-year-olds who are below 110% of the federal poverty level and had ECEAP, compared to all income 4-year-olds who might or might not have had preschool. This is the power of high quality preschool. You can see the entire 2016-17 outcome report for ECEAP here.

What if low-income kids could have the same access to high-quality preschool that their higher-income friends do? Seattle is embarked on a journey to find out and I think it will make a tremendous difference. This is not a cheap strategy – but spending the money early can result in long-term savings in special education and other costs to the system presented by kids who are not ready. The anecdotal stories we hear from kindergarten teachers who all of a sudden get a wave of kids who are all ready to succeed are both uplifting and helpful. They say that they can teach to the entire class, without having some kids two or more years behind other kids. Everyone does better.

You can get buried in this data and lose perspective easily. If all you do is look at costs to the system you can forget the moral imperative we have to ensure that all kids have access to what they need educationally to be successful in the world. Fortunately the data wonks and the moral imperative people come to the same outcome – we should invest in more high-quality preschool for kids that need it.

Seattle (and all the other school districts in the state) should absolutely focus on what they can do to ensure that outcomes for kids are not pre-determined by the race and family income of kids entering the system. I particularly agree with the no-expulsion policy.

 

Children’s Alliance Hiring Early Learning Policy Staff

I just got the following mail from Jon Gould, the Deputy Director at the Children’s Alliance about positions there.

Children’s Alliance is hiring an Early Learning Policy Director and a Pre-K Policy Associate. Our early learning policy advocacy focuses on expanding access to high-quality, affordable, culturally responsive early learning and care for Washington’s youngest kids, as a key strategy to close the opportunity gap facing children in low-income families and children of color.

  • The Early Learning Policy Director leads the organization’s public policy advocacy related to early learning. The position reports to the Deputy Director.
  • The Pre-K Policy Associate will focus on growing and improving the state’s Early Childhood Education and Assistance program. This is a new position.

Both positions are full time at 37.5 hours a week.

Check out our jobs page for more information on both positions and how to apply. 

Hard to imagine…

In the Chronicle of Social Change Jerry Milner, Donald Trump’s appointment to the federal agency within the Department of Health and Human Services that oversees federal child welfare funding and policy, speaks about his priorities in running the agency and improving outcomes for kids. The hard to imagine part is that I agree with almost all of his proposals, at least as they are described in this article..

He starts with an observation about how child welfare systems work today and how we have to get ahead of the game.

Right now, we typically respond only after families have lost much of their protective capacity and children have been harmed. We need to strive to create environments where they get the support they need before the harm occurs, which, in my mind, calls for a re-conceptualization of the mission and functioning of child welfare systems. Tweaking what we already have in place won’t solve the problems.

I totally agree, and the design of the new agency I head (The Department of Children, Youth, and Families) is structured around the same idea – that we should focus on preventing children and families from experiencing the kind of trauma that leads child welfare agencies to need to remove children for their own safety.

It’s worth reading the short interview. In his former life he ran Alabama’s foster care system and did interesting work in President Bush’s Children’s Bureau.

His level of oversight is narrower than I envision our agency embarking on – we are also responsible for the early learning system in Washington. This lets us invest in some of the key experiences in a young child’s life that build resilience and the ability to deal with some trauma, and in many cases actually reduces the trauma a family may experience by providing supports.

I’m also interested in his take on efforts at the federal level to re-structure the funding stream used for most child welfare work so that it more stable. Currently if we’re successful in reducing the number of children in foster care (say, by spending money on programs that provide support for them…) our level of funding goes down. This is super complicated to address, but something that needs to happen. I look forward to working with our federal delegation on this effort, and it’s good to know we have support from the administration.

Flexible funding, thoughtfully applied, will allow us to be a proactive rather than reactive system, which is key to preventing maltreatment, and key to strengthening families.

McCleary Almost Done

The latest decision from the court is available here.

The slide deck this particular image is from is available here. This was used in the November 16, 2017 House Appropriations Committee meeting and is another excellent product from Jessica Harrell, the education expert serving Appropriations – someone I depended on for many years.

It’s pretty exciting to see the progress being made towards adequacy and equity in the education funding system. This isn’t an optimal solution from my point of view, but it’s vastly better than what the system looked like in 2002 when I got peeved enough about it to run for office.

It was worth 13 years of my life to get this done. We now have full-day Kindergarten in every school in the state, not just the ones in rich suburbs that could afford it. Class sizes in K-3 are much more reasonable. Schools have enough money to cover reasonable transportation costs and the cost of materials and supplies they need to run a school. Most particularly, salaries are addressed so that there isn’t a huge disparity between districts.

I have quibbles about the details. It’ll need tweaking over time. It’s half of the state budget, so the Legislature should pay attention.

A new department to better serve children, youth, and families

Gov. Jay Inslee signed a bill Thursday to restructure how the state serves at-risk children and youth by creating the Department of Children, Youth and Families. The governor also appointed Ross Hunter, director of the state’s Department of Early Learning, to lead DCYF.

The new agency, after a yearlong transition period that begins this month, will oversee several services now offered through the state Department of Social and Health Services and the Department of Early Learning. These include all programs from the Children’s Administration in DSHS such as Child Protective Services, the Family Assessment Response program and adoption support, as well as all DEL services, including the Early Childhood Education and Assistance Program for preschoolers and Working Connections Child Care.

Starting in July 2019, the new department also will administer programs offered by the Juvenile Rehabilitation office and the Office of Juvenile Justice in DSHS. Those programs include juvenile rehabilitation institutions, community facilities and parole services.

The creation of the new department follows the suggestions of the bipartisan Blue Ribbon Commission on the Delivery of Services to Children and Families convened by the governor in February 2016 to recommend a state system that focuses more clearly on preventing harm to children and youth.

Washington’s Legislature expressed interest in restructuring during the 2016 legislative session, prompting the governor to issue the executive order creating the blue ribbon commission, of which Hunter was a member.

Read the rest of the story on the governor’s Medium page.

Math in High School Matters

This slide came up for discussion today at Governor Inslee’s Results Washington meeting for the education group. We were talking about STEM enrollment in community college programs and talked about one the factors that causes students to not complete a program – lack of math preparation. A huge fraction of community college students need to do remediation in math before they can take classes for credit. Students that do remediation are about half as likely to graduate as students who don’t need it. As part of the 24-Credit graduation requirements adopted a few years ago by the Legislature students are now required to have three high-school level math classes. This chart shows the decline in students needing remediation in community college overlaid with the percentage of high school students meeting the math credit accumulation requirement.

The chart is dramatic (as charts like this go) but you should be careful with it. Typically in economic recoveries we see fewer students applying to community colleges because they are employed. This is more likely to be students who aren’t intending to transfer, so we may be seeing the effect of a slightly different student pool.

One wants to be really careful assuming causality from a correlation. I’m not really a statistician though, so I’m going to believe that the policy we fought so hard for in the hope of exactly this is actually working.

Dosage Matters for Washington’s Preschool Kids!

Our goal as an agency is to get 90% of Washington’s children to be “ready for kindergarten,”  and to have race and family income not be predictors of readiness.

About 20% of Washington’s children are in families at or below 110% of the federal poverty level (FPL,) or about $24,000 for a family of four.  These young people face many challenges in life and are a key part of any rational economic strategy for the state, as well as being part of the paramount duty enshrined in Washington’s constitution. The large gap seen in our kindergarten entry assessment between kids below 110% and their more advantaged peers persists through their entire experience in the K12 system, and the rest of their lives.

We’re looking at a number of ways to help these kids get ready for kindergarten. The most effective in national data and in Washington is high-quality preschool. Without that investment, we estimate that about 28% of this group will arrive in kindergarten meeting our benchmark for kindergarten readiness. 28% isn’t 90%.

Sometimes you can have too much of a good thing. Say – ice cream. When it comes to high-quality preschool experiences – not so much. Dosage matters. There are three major components of “dosage,” the amount of preschool a kid gets.  Length of day, number of years, and length of year.

ECEAP today is mostly a half-day program – about 2 ½ to 3 hours. Most national research suggests that a full-day program is much more successful in getting kids ready for kindergarten.[1] There are other reasons full-day makes a lot of sense, which I’ll cover later.

We also have strong data supporting high quality preschool for both three and four year olds.

  • After one year of ECEAP, about 55% are ready when we measure in June. When we measure in the fall the number falls to about 35%. We attribute this falloff to both to summer learning loss, a problem well explored in the literature[2]and some testing differences between ECEAP and
  • A small fraction of kids start when they are three, getting two years of ECEAP. 69% of those kids are ready for kindergarten. 69% is a lot closer to 90% than 55% is.

Only a very small fraction of kids in ECEAP have summer programming, and it’s too new for us to have enough data to evaluate the effect. We’re super-interested in figuring out how to prevent the large drop of scores over the summer, and this year’s budget includes funds for a reasonable experiment to measure the effect of providing the service all summer. This would inform future investment decisions.

One of my particular concerns about ECEAP is that we’re not getting to the kids at the highest risk. Over 60% of the families below 110% of the federal poverty level (FPL) are headed by single parents, but only 42% of ECEAP families are. There are lots of potential reasons for this, but the most likely is that a half-day program is crazymaking for single parents. What are you going to do in the middle of the day – tell your boss you need time off to switch your kid from one place to the other?

We don’t have another intervention that works this well for getting kids ready for kindergarten, and if we’re serious about ensuring that kids from low income families have the same chance to succeed in school as their friends that are born closer to opportunity then we have to design the preschool experience so that it actually works for Washington families. Governor Inslee’s ECEAP budget proposal in front of the Legislature right now:

  • Continues to expand ECEAP, but with almost all full and extended-day slots. Washington law says that all kids below 110% FPL will be entitled to a slot in the fall of 2020, and Governor Inslee’s budget calls for a significant expansion in the next two years so that we’re not scrambling to try to do it all at once in the next budget cycle.
  • Funds a substantive experiment in summer programming so we can determine which particular model works best to reach our kindergarten readiness goals.
  • Continues eligibility for both three and four year old children, because without this we are unlikely to make our 90% goal and will be living with an opportunity gap for the next generation of kids, something we think is morally repugnant.

In one of my favorite turns of phrase this year, it’s pretty clear from national data that kids really need to spend more time each day in the somatosensory bath[3] of the high-quality preschool and intervention services that ECEAP provides. Research is emerging that indicates more time in high quality preschool each day equals better results for the kids who need it most.[4]

So in short, dosage matters and more is better for ECEAP. Some questions we’re still exploring in order to best steward the public funds in our trust while getting the best outcomes for kids:

  • What is the best combination of length of day, number of years, and type of summer programming to get the most children ready for kindergarten?
  • Which children benefit the most from the three elements above?
  • ECEAP is more than just classroom time. The variety of family supports and health coordination the program provides are a critical part of its success. Not all families need every type of support available. What types and levels of services each family needs, and how to determine that efficiently, is a question we took up in our Family Support Pilot and will continue to examine.
  • What other factors are affecting kindergarten readiness: availability of dual-language instruction, family involvement in various parts of the child welfare system, seamless transitions from effective early intervention programs like Early Head Start, ESIT, and home visiting to high quality preschool programs like ECEAP?

We don’t have a perfect formula for dosage yet, but we have the tools to devise a good one. Most importantly, we need to support and expand ECEAP in a thoughtful and effective manner. I’ll be writing more about how DEL plans to implement ECEAP expansion in the coming weeks, so keep an eye out for that post.

[1] (Kenneth B. Robin, 2006)

[2] Wikipedia “Summer learning loss” https://en.wikipedia.org/wiki/Summer_learning_loss

[3] Somatosensory “of or relating to sensations that involve parts of the body not associated with the primary sense organs.” James Heckman writes about the importance of the somatosensory bath of early childhood here: http://bostonreview.net/archives/BR37.5/ndf_james_heckman_social_mobility.php

[4] RAND 2016, “Informing Investments in Preschool Quality and Access in Cincinnati”, http://www.rand.org/pubs/research_reports/RR1461.html