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2012-13 Annual Evaluation Report

October 23, 2013

2

OverviewOverall Well-Being of Children in Santa Cruz County A profile of Santa Cruz County’s youngest children

County trends in indicators of child and family well-being

Profile of First 5 Participants

Highlights of 2012-13 Results Healthy Children

Strong Families

Children Learning and Ready for School

Questions and Discussion

Overall Well-Being of Children in

Santa Cruz County

4

Profile of Santa Cruz County’s Youngest ChildrenSanta Cruz County has a growing and diverse population of young children.

55.3%

36.7%

2.4%0.8%

4.8%

HispanicWhiteAsian/ Pacific Is-landerOtherMultirace

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%53.1%

45.7%

1.2%

Column1

Ethnicity of County Children 0-5 (2013)

English Language Proficiency of County Kindergarteners (2012-13)

2010 2011 2012 201310,000

14,000

18,000

22,000

18,046 18,327 18,633 18,753

5

Countywide Trends: Employment

INDICATOR COUNTY POPULATION CURRENT DATA

CHANGE OVER TIME

1 YEAR 5 YEARS

EMPLOYMENT

Unemployment Rate

Santa Cruz County 9.9% -1.3% +2.6%

Watsonville 20.9% -2.3% +4.9%

Aptos 3.9% -0.5% +1.1%

Unemployment remains high, although rates have decreased slightly since last year.

6

Countywide Trends: Public Assistance

INDICATOR COUNTY POPULATION

CURRENT DATA

CHANGE OVER TIME1 YEAR 5 YEARS

PUBLIC ASSISTANCE

CalWORKS enrollmentGeneral population(Enrollment as of July of each year)

4,798* -0.5% +4.6%

CalFresh enrollment (Food Stamps)

General population(Average monthly enrollment)

22,581 +8.0% +80.5%

National School Lunch Program enrollment

Student population(Annual enrollment) 20,290* +2.2% +23.0%

Enrollment in public assistance programs remained steady or increased.

* 2012 data

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Countywide Trends: Public Health Insurance

INDICATOR COUNTY POPULATION CURRENT DATA

CHANGE OVER TIME

1 YEAR 5 YEARS

PUBLIC HEALTH INSURANCE

Medi-Cal enrollmentGeneral population(Enrollment as of July of each year)

45,019 +5.6% +14.3%

Healthy Families enrollment

Children 0-18(Enrollment as of June of each year)

1,686 -75.5% -71.2%

Healthy Kids enrollment

Children 0-18(Enrollment as of June of each year)

1,415 -18.3% -35.4%(4 year trend)

Children 0-5(Enrollment as of June of each year)

134 -18.8% -49.4%(4 year trend)

Enrollment in Medi-Cal increased while enrollment in Healthy Families and Healthy Kids decreased.

8

Countywide Trends: Prenatal Care & MediCal Births

INDICATOR COUNTY POPULATION CURRENT DATA

CHANGE OVER TIME

1 YEAR 5 YEARS

PRENATAL CARE IN THE FIRST TRIMESTER

Prenatal Care in the First Trimester

Mothers (ages 24 and under 70.1%* +2.1%

-0.6%(3 year trend)

Prenatal Care in the First Trimester

Private insurance 92.3%* -0.3% +1.3%

Medi-Cal insurance 73.8%* -1.2% +2.8%

BIRTHS PAID BY MEDI-CAL

Births Paid by Medi-Cal Mothers (ages 24 and under) 81.5%* +1.8%

+2.7%(3 year trend)

Not enough young mothers received early prenatal care. Most of the births to young mothers were paid for by MediCal.

* 2012 data

Profile of First 5 Participants

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Profile: Children Ages 0-5 Served

First 5-supported programs are wide-reaching• 7,966 unique children served in FY 2012-13

2010-11 2011-12 2012-130%

10%

20%

30%

40%

50%

60%

70%

80%

62%

54%59%

44%39%

42%

Percent of County's Latino Children 0-5 Served by First 5

Percent of County's Children 0-5 Served by First 5

11

First 5’s funded programs consistently reach children who are Latino, live in Spanish-speaking households and live in South County

Profile: Ethnicity, Language & Geography

Spanish as Household Language

South County Latino0%

10%20%30%40%50%60%70%80%90%

64%

72%

79%

12

Profile: Risk Indicators vs Areas Served

Distribution of Children Who Received Services (2012-13), by ZIP Code

First 5 serves children in the highest risk zones of the county

Healthy Children

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Healthy Children: Insurance Coverage

11,410 children ages 0-5 have gained access to public health insurance via the Health Care Outreach Coalition since 2004

2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-130

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

2,200

580519

620

1,312

1,741

2,185

1,871

53 42 67

901

1,226

1,6811,609

352 359395

315

445 429

205175 118

15896 70 75

57

Total

Medi-Cal

Healthy Families

Healthy Kids

Newly Enrolled Children in Publicly-Funded Health Insurance Programs

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Healthy Children: Newborn Enrollments

Baby Gateway is connecting Santa Cruz County’s newborns to medical care

Newborn MediCal Enrollments

MediCal Births

Total Newborn Visits

Total Births

0200

400600

8001,000

1,2001,400

1,600

143

246

388

942

326

358

712

869

981

1,144

1,203

1,344

Watsonville Community HospitalDominican HospitalSutter Maternity & Surgery Center

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Healthy Children: Medical & Dental HomesChildren (ages 2-6) enrolled in Healthy Kids have access to a Primary Care Practitioner

Children (ages 3-6) enrolled in Healthy Kids are getting well-child checkups

2006 2007 2008 2009 2010 2011 201250%

60%

70%

80%

90%

100%89.9% 90.1%

93.8%89.4%

95.1% 94.0% 97.2%

2006 2007 2008 2009 2010 2011 201250%

60%

70%

80%

90%

100%

78.1% 81.6% 76.8% 79.6%82.9%

87.2% 84.5%

17

Healthy Children: Medical & Dental HomesThe majority of children ages 0-5 in the county have access to dental care

County Children (0-5) With Dental Insurance (2011)“How many of your children have insurance?”

County Children (0-5) With a Dental Visit in the Past Year

No child (0-5) has in-surance

At least one child (0-5) has insurance

0%

20%

40%

60%

80%

100%

15.9%

84.1%

2009 2011-120%

20%

40%

60%

80%

100%

75.2%82.5%

18

Healthy Children: Use of Preventive ServicesMore children ages 0-5 are receiving preventive medical and dental care, reducing their visits to the Emergency Department

2005 2007 2009 2011-120%

10%

20%

30%

40%

50%

16.1%

31.7%

25.6%

15.7%

Percentage of Children (Ages 0-5) in the County Who Visited the Emergency Department in the Past Year

19

Healthy Children: Developmental Milestones

The Dominican Interdisciplinary Child Development Program is providing coordinated, comprehensive care to meet the developmental and social/emotional needs of young children in foster care.

Mental health assessment Developmental & behavioral testing Clinical consultations Case management & coordination 12.3%

27.4%

13.7%13.7%

15.8%

17.1%

< 1 year old

1 year old

2 years old

3 years old

4 years old

5 years old

146 children served (2011-2013)• 54% Latino / 40% Caucasian

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Healthy Children: Developmental Milestones

Young children in foster care are receiving early intervention, increasing the likelihood they will meet developmental milestones.

0%

5%

10%

15%

20%

25%

30%

35%

12.8%

1.4%4.8%

2.1% 2.0%

17.7%

4.3%4.8% 3.2% 2.7%

30.5%

5.7% 4.8% 4.8%3.2% 2.7% 2.1% 2.0%

TOTAL 0-5

Ages 3-5

Ages 0-2

Percentage of Children in DICDP (Ages 0-5) With These Diagnoses and Services, at Intake (2011-2013)

Strong Families

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Strong Families: Child Abuse & Neglect

* Although very few families had a “low risk” score at baseline, these families were omitted from these analyses so that only those who could demonstrate reduced risk on the tool remained in the analysis.

Families Together participants are reducing their level of risk for child abuse and neglect

Baseline* (N=388) 1st Reassessment (N=304) 2nd Reassessment (N=130)0%

10%

20%

30%

40%

50%

60%

70%

39.1%

49.7% 51.8%46.1%

17.9%

8.6%

14.7%

2.0% 3.6%

30.4%36.0%

Low Risk Moderate Risk

High Risk Very High Risk

Change in Families Together Participants’ Risk Levels Over Time (2007-13)

23

Strong Families: Parenting Practices

Families throughout Santa Cruz County are using the Triple P – Positive Parenting Program to strengthen parent-child relationships

THIS FUNDING CYCLE2012-2013

CUMULATIVE TOTALS2010-2013

Parents/Guardians 1,666 4,324Children (all ages) 2,927 7,714

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Strong Families: Parenting Practices

Families receiving in-depth parenting assistance are making significant improvements in multiple domains.

This is particularly true for parents experiencing the highest levels of distress

Perception of child's behavior

Overall parenting style

Depression Anxiety Stress0%

20%

40%

60%

80%

100%

64.0%76.4%

54.1% 51.5%60.9%

88.0%81.8% 84.2% 84.9% 89.6%

All Parents Clinical Range at Pre-test

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All Parents** (N=417)

Clinical Range at PreTest**

(N=200)

Male** (N=117) Female** (N=300)

Latino** (N=242)

Caucasian** (N=132)

Spanish** (N=164)

English** (N=239)

Child Welfare Involved* (N=111)

0

6

12

18

24

30

36

14.5

22.7

11.515.7

15.7 12.8 16.6

12.99.5

7.9

11.9

6.68.4 8.4

7.7

9.3

6.9 6.6

Number of Child Behaviors Perceived to Be a Problem (2010-2013)

Pre Post

Strong Families: Child Behaviors

Triple P participants experience improvements in their children’s behaviors

All behaviors were a problem

No behaviors were a problem

Clinical Cut-off:

>=15

Children Learning and Ready for

School

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Children Learning and Ready for School: Quality Early Learning Initiative

Race to the Top (RTT) Child Signature Program (CSP) Established the Santa Cruz County Quality

Early Learning Initiative (QELI) Consortium Ensured early educators in CSP classrooms

participated in required trainings Adopted the framework for our local

Quality Rating and Improvement System Conducted Readiness Assessments with 19

participating classrooms Began conducting baseline quality ratings

using the “Hybrid Matrix” Began developing classroom-specific

Quality Improvement Plans Provided stipends to early educators to

participate in “The Teaching Pyramid” trainings and coaching

Began providing technical assistance to assist classrooms with achieving quality improvement goals

Provided trainings on Ages & Stages and CLASS assessments

Leveraged local resources through regional partnerships

28

Children Learning and Ready for School: 3rd Grade Reading Scores

Santa Cruz County’s 3rd grade reading scores remain lower than statewide scoresFreedom Elementary has made tremendous improvements

2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-130%

10%

20%

30%

40%

50%

60%

37% 38%

44% 44% 46% 48%46%

34% 34%

40%

37%40% 39%

36%

21% 20%

25% 24%

28%25%

24%

12% 12%16%

24%

28%24%

28%

California

Santa Cruz County

PVUSD

Freedom Elementary

Percentage of 3rd Grade Students in the County At / Above Grade Level In English/Language Arts

29

Children Learning and Ready for School: SEEDS-Trained Educators

First 5 has trained over 500 Early Childhood Educators and Reading Corps Tutors in SEEDS

THIS FUNDING

CYCLE2012-2013

CUMULATIVE TOTALS2007-2013

EARLY CHILDHOOD EDUCATORSNumber of SEEDS Quality Coaches 14 52

Number of early childhood educators attending SEEDS of Early Literacy workshops

28 383

Number of early childhood educators attending the SEEDS Plus program

15 41

Number of Family, Friend or Neighbor (FFN) informal child care providers attending SEEDS of Early Literacy workshops

0 155*

Number of Reading Corps tutors who received SEEDS training 12 12

TOTAL (unduplicated) 69 559

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Children Learning and Ready for School: Quality in Classrooms

The quality of support for language and literacy increases when early childhood educators are trained in SEEDS

Pre Post Pre Post Pre Post Pre Post0%

20%

40%

60%

80%

100%

9.0% 15.6% 19.6% 21.8%

35.6%

5.3%

50.9%

10.8%

49.1%

10.5%

39.9%

10.6%

55.3%

94.7%

33.5%

88.1%

31.3%

89.1%

38.3%

88.8%

Low-Quality Support Basic Support High-Quality Support

Opportunities for Child Choice &

Initiative

Approaches to Book Reading

Support for Chil-dren’s Writing

Approaches to Curriculum

Preschool Classrooms of SEEDS-Trained Early Childhood Educators: Key Language and Literacy Supports (2007-2013)

31

Children Learning and Ready for School:Pre-Literacy Skills

Children in SEEDS-Plus trained classrooms increase their skills in key predictors of later reading success

Picture Naming

Rhyming Alliteration Picture Naming

Rhyming Alliteration Picture Naming

Rhyming Alliteration0%

20%

40%

60%

80%

100%

9.8%2.7% 5.0% 1.8%

12.6% 12.7%

2.5% 2.5% 3.9%

32.5%

17.1% 14.6%18.6%

30.1%40.0%

7.8% 11.8%

22.3%

43.3%34.9%

39.6%31.1%

45.9%

69.7%

17.3%

32.3%41.6%

1st Benchmark 2nd Benchmark 3rd Benchmark

Primarily English-Speaking Chil-dren

Primarily Spanish-Speaking Children

Spanish Assessment English Assessment

Percentage of Children At/Above Targets for Later Reading Success (2012-13)

32

Picture

Naming

Rhyming

Allitera

tion

Letter N

aming

Letter S

ounds

Picture

Naming

Rhyming

Allitera

tion

Letter N

aming

Letter S

ounds0%

20%

40%

60%

80%

100%

5.6%1.3% 2.2% 2.2%

15.8% 13.3%18.8%

7.1% 1.8%8.0%

16.5% 17.9% 17.2%

36.8%

6.7%

38.5%

20.0%26.7%

14.2%

25.6% 22.6%

38.0% 39.1%

1st Benchmark (Oct.) 2nd Benchmark (Feb.) 3rd Benchmark (May)

Primarily Spanish-Speaking Children

Children Learning and Ready for School: Santa Cruz Reading Corps

Children in Reading Corps classrooms increase their pre-literacy skills when they receive tailored support

Percentage of “Tutored” Children At or Above Targets for Later Reading Success – English Assessments (2012-2013)

Primarily English-Speaking Children

Questions?