Cover page with a collage of four photos and three logosTitle: Guam Project LAUNCH Environmental Scan April 2015 Top left photo is of a female toddler sitting at a table all smiles and holding up the ÒHang LooseÓ sign in front of her; bottom left photo is of a woman affectionately gazing at the infant she is holding; top right photo shows a man holding a female toddler who is leaning her head against the side of his; bottom right photo is of a male toddler sitting on the carpet smiling with toys around him. Logos: Project LAUNCH, Department of Public Health and Social Services, University of Guam CEDDERS Page 2 - Text Page header: TABLE OF CONTENTS Introduction.................................................................................. 3 Stakeholder Participation and Engagement ................................. 4-6 Description of Methodology ........................................................ 7-9 Early Child Policy Summit / Environmental Scan Templates and Online Survey .............................8 Parent CafŽ / Review of Existing Documents .................................................................................9 Summary of Findings and Conclusions.......................................10-18 State of Young Child Wellness on Guam ................................................................................ 11-12 Increasing Immigration and Changing Demographics ................................................................12 Systems/Infrastructure Development ................................................................................... 13-14 FamiliesÕ Needs and Priorities ................................................................................................ 14-15 Family Support and Parenting Education .............................................................................. 15-16 Mental Health and Social Emotional Wellness....................................................................... 16-17 Early Care and Education ....................................................................................................... 17-18 Primary Care and Dental .............................................................................................................18 Environmental Scan Templates .................................................19-41 Family Support and Parenting Education .............................................................................. 20-28 Mental Health, and Social and Emotional Wellness ............................................................... 29-32 Early Care and Education, and Early Elementary Systems ...................................................... 33-38 Primary Care and Dental ....................................................................................................... 39-41 End of table of contents. Page 3 Ð Article with half page photo at the bottom of the page of three women and four kids sitting around a table and smiling for the photographer. Page header: Introduction Article: Project LAUNCH reflects GuamÕs unique culture in which children, family life, and relationships are the foundation for healthy individuals and the well-being of our island community. The purpose of Project LAUNCH is to promote the wellness (positive physical, social, emotional, behavioral and developmental health) of young children birth to 8 years of age through systems level change and the provision of health promotion and prevention services. Initially funded in September 2014, this five year grant from the Substance Abuse and Mental Health Services Administration to the Department of Public Health and Social Services (DPHSS) will work to achieve five goals: (1) strengthen infrastructure to improve coordination and collaboration across child-serving systems and the integration of behavioral health and primary care; (2) expand use of evidence-based prevention and wellness promotion practices; (3) increase access to high quality culturally and linguistically competent screening, assessment, and prevention and promotion services; and (4) increase family, provider, and community awareness and knowledge of young child wellness. Woven throughout these goals is a commitment to reducing disparities in access, participation, outcomes, and satisfaction. Project LAUNCH is an opportunity to build on existing early childhood systems change initiatives and enhance GuamÕs overall early childhood service delivery system. To better understand the target population, community context, and service system, an environmental scan was conducted from December 2014 Ð February 2015. The scan provided an opportunity to engage stakeholders around Project LAUNCH, assess strengths and challenges of existing systems change efforts, review data related to the state of young child wellness on Guam, and document available resources and service gaps/duplication. The scan will serve as the foundation for strategic planning for Project LAUNCH and the revision of the Early Childhood State Plan. End of article. Page 4 Ð Divider page title: Stakeholder Participation and Engagement with a full page photo of an adult male standing with a toddler boy riding on the back of his neck outside in a small open field. Page 4 - 5 Ð Text only Page header: Stakeholder Participation and Engagement Article: For the past ten years, Guam has engaged a range of stakeholders, including families, in advancing young child wellness under the umbrella of GuamÕs Early Childhood Comprehensive System (ECCS) or Project Tinituhon (the Beginning in the Chamorro language). The goal of Project Tinituhon is to promote the health and well-being of young children by reducing service gaps and fragmentation and improving coordination among public and private early childhood service agencies, organizations, and families. Strategic Management Teams (SMTs) function in both a governance and work group capacity to advance the ECCS across five critical areas: (1) Access to Health Insurance and Medical/Dental Homes, (2) Social Emotional Development and Mental Health, (3) Early Care and Education and Child Care, (4) Parent Education and Family Support, and (5) Sustainability. All five SMTs focus on broad systems issues, strategic planning and decision-making, and are forums for family and provider concerns related to their area of focus. They also provide forums for information sharing, workforce and policy development, and collaborative problem solving. Policy issues and concerns raised by the SMTs are reported to the Guam Early Learning Council (GELC) which serves as the overarching coordinating/governing body for all of GuamÕ early childhood programs. The Council is established in statute (P.L. 89-31) and is directly responsible for expanding and refining GuamÕs early childhood policy agenda. Members of the SMTs and the GELC include representatives from GuamÕs key child serving agencies and programs who are directly or indirectly involved in supporting the quality health care and education of young children and their families. As the first step in conducting the environmental scan, members of the SMTs and GELC were invited to a two-part (December 9, 2014 and January 20, 2015) Early Childhood Policy Summit jointly facilitated by Project Tinituhon and Project LAUNCH. Representatives from the following agencies/programs/groups participated in one or both days of the Summit. (bullet items) * Autism Community Together (ACT ) parent support group * Support group for families of children with hearing impairments * Parents of young children and youth who had been served by the system of care * Office of the Governor * Office of the First Lady * Guam Legislature * DPHSS Chief Public Health Officers * DPHSS Bureau of Social Services Administration (child welfare) * DPHSS Bureau of Family Health and Nursing Services (MCH) * DPHSS Bureau Medical Social Services * DPHSS Bureau of Public Welfare (CCDF) * DPHSS Immunization Program * Private Pediatrician * Private Child Care Provider * Guam Memorial Hospital Authority * Project Kari–u (GuamÕs early childhood system of care) * Project Bisita (GuamÕs MIECHV home visitation program) * Guam Behavioral Health and Wellness Center Prevention Branch * University of Guam Center for Excellence in Developmental Disabilities Education, Research, and Service (Guam CEDDERS) * Project Tinituhon * Guam Community College * Department of Labor * Department of Education (DOE) Special Education Part B and Part C programs * DOE Head Start * DOE Office of Curriculum and Instruction The December Summit was an opportunity for participants to learn more about Project LAUNCH and discuss the formation of the Young Child Wellness Council (YCWC). After considering several options, a decision was made to embed the YCWC under the GELC with Project TinituhonÕs SMTs functioning as workgroups for the five Project LAUNCH Core Strategies as depicted in Table 1. Table 1: LAUNCH Core Strategy Workgroups (2 columns, 5 rows including header) 1st column header title: Strategic Management Team/Workgroup 1st column, 1st row: Access to Health Insurance & Medical/Dental Homes 1st column, 2nd row: Social Emotional Development & Mental Health 1st column, 3rd row: Early Care and Education & Child Care 1st column, 4th row: Parent Education & Family Support 2nd column header title: Project LAUNCH Core Strategy 2nd column, 1st row: Integration of Behavioral Health into Primary Care; Enhanced Home Visitation 2nd column, 2nd row: Screening & Assessment; Early Childhood Mental Health Consultation 2nd column, 3rd row: Screening & Assessment; Parent Strengthening & Parenting Skills Page 6 Ð Divider page header title: Description of Methodology, Early Child Policy Summit / Environmental Scan Templates Photo of a couple and their son, standing and posing for the photographer. Mom is holding a green teddy bear and son is holding a ball. Page 8 Ð 9 - Text only Article: Data collection for the environmental scan was part of a larger process of revising the Early Childhood Policy Agenda for Guam. As such, it was an opportunity to unify stakeholders around a common agenda, strengthen and build relationships, and ensure a broad range of perspectives are reflected in the scan and future strategic planning. Information for the scan was collected through: (1) a two-day Early Childhood Policy Summit; (2) a Parent CafŽ; (3) a fillable template or an online survey; and (4) review of existing relevant documents. Paragraph subtitle: Early Child Policy Summit: Setting the Early Childhood Course for 2015 This two-day event was sponsored by the Guam Early Learning Council (GELC) and Project Tinituhon with additional facilitation being provided by Project LAUNCH. Members of the SMTs and the GELC were invited to participate through a formal letter of invitation. Follow up phone calls were conducted and emails reminders sent out to encourage participation. A total of 32 individuals participated during the December 9th session and 37 on January 20th, representing the various agencies and programs listed in the preceding section of this report. The December 9th session focused on setting the stage for the work ahead through presentations on the importance of early childhood development and young child wellness, an orientation to Project LAUNCH, and an introduction to the environmental scan process. Each SMT also provided an update of key activities and accomplishments since the last report period, followed by a presentation on Culturally and Linguistically Appropriate Services (CLAS) standards and the administration of a Cultural and Linguistic Competency (CLC) self-assessment. Some preliminary data on indicators of young child wellness was shared with participants who then had an opportunity to engage in small group discussions about the data in relation to the priorities identified in GuamÕs 2013 Early Childhood State Plan. Each small group reported out and reflections from the groups were noted via real-time recording. Day Two of the Summit focused on an in-depth review of child wellness data and small group activities organized around four topic areas which correspond to the environmental scan topic areas and Project TinituhonÕs SMTs: (1) primary care and dental; (2) mental health and social emotional wellness; (3) early care and education; and (4) parent education and family support. Participants were seated by SMT areas and throughout the day engaged in discussions using a series of worksheets to guide their process. During the small group discussions, each group recorded their input on the worksheets or chart paper and later reported out to the large group where responses were collected via real-time recording. The worksheets included: * Guiding Questions (by area of focus) * Intersections/Overlap, Gaps & Implications * Analyzing and Drawing Conclusions Guiding Questions The Guiding Questions by area of focus and Analyzing and Drawing Conclusions Guiding Questions were taken from the SAMHSA Project LAUNCH Environmental Scanning and Strategic Planning Guidance. At the conclusion of the Summit, all input recorded by participants on the worksheets and chart paper were transcribed. This information and the notes from the real-time recording was then organized by themes for further analysis. Paragraph subtitle: Environmental Scan Templates and Online Survey Prior to Part Two of the Early Childhood Policy Summit, a fillable pdf of the Project LAUNCH environmental scan template was created and emailed to all members of the GELC and SMTs to complete and return prior to the Summit. The intent was that during the Summit, participants would review their templates by topic area and analyze the data for gaps, overlap and duplication, areas where resources could be blended, and areas for new collaboration among partners, including Project LAUNCH. However, only a few individuals met the timeline and others reported difficulty using the template. Despite not having access to the completed templates during the Summit, participants still engaged in discussions around service gaps and duplication, as well as opportunities for programs to collaborate. After the Summit, an online survey based on the environmental scan template was created using Qualtrics software. The survey link was then emailed to 42 individuals/groups, including agencies/programs represented on the GELC and SMTs as well as mental health providers in private practice, non-profit organizations, family organizations, and U.S. military programs offering services and supports to young children and their families. A series of follow up email reminders were sent and follow phone calls made to encourage potential respondents to complete the survey. A total of 36 surveys were completed, resulting in a response rate of 85.7%. The survey results were then reformatted into the environmental scan template and analyzed to identify gaps/overlaps in services. Paragraph subtitle: Parent CafŽ For the past few years, families on Guam have been participating in Parent CafŽs using the Strengthening Families approach to build family resiliency. In CafŽs, parents engage in a series of small group conversations around pre- established questions. At the conclusion of the CafŽ, the moderator ÒharvestsÓ the results of the conversations and charts any insights participants have gained through the process. This approach has proven to be a culturally responsive strategy and has been well received by families from varying cultures/ethnicities, socio-economic status, and educational levels. To gather additional family input, the Project LAUNCH Evaluator collaborated with Project Kari–u to include two questions relevant to the environmental scan in a Parent CafŽ that was conducted on February 14th. A total of 14 parents/caregivers participated in the CafŽ and 13 staff members participated as table hosts and supported the event. Participants were asked to engage in conversations about: * What are the strengths of GuamÕs programs and services for children and their families? * What needs to be improved? FamiliesÕ responses were harvested and charted. Additionally, since the theme of the CafŽ was ValentineÕs Day, families recorded their individual responses to the two questions on colored hearts which were then collected as additional data sources. Paragraph subtitle: Review of Existing Documents A variety of existing documents and data sources were reviewed for the scan, including: * Project Kari–u Evaluation Reports * Data submitted to the National Evaluation Team for Project Kari–u as part of the System of Care Assessment study * GuamÕs 2009 and 2013 Early Childhood State Plans * Data from GuamÕs Child Death Review Committee * Data from DPHSS related to childrenÕs health status, maltreatment and contact with child welfare, teen pregnancy, SCHIP * GuamÕs 2012 Epidemiological Profile * Data from Project Bisita * Data from EDHI Project * Data from Department of Education related to screening and referrals for mental health related services and special education and school achievement grades 1 Ð 3 * Project Tinituhon Reports * 2010 Guam CENSUS End of article. Page 10 Ð Divider page title: Summary of Findings and Conclusions Full page photo of three children, two girls and one boy and a woman sitting on small chairs. The boy is sitting on the womanÕs lap. Page 11 Ð Text only Page header title: Summary of Findings and Conclusions, State of Young Child Wellness on Guam Article: Subtitle: State of Young Child Wellness on Guam Approximately 3,400 babies are born on Guam each year. Nine percent (9%) of GuamÕs population is under the age of 5 and nearly 9% are between 5 and 9 years of age. Data related to young child wellness was reviewed during the Early Childhood Policy Summit and further analyzed within the context of the 2010 census. As evidenced by the data, young children and their families face many challenges and the following findings will need to be considered when establishing priorities, goals and activities for the Project LAUNCH strategic plan. * Disproportionality in Infant Mortality. From 2011 Ð 2013, there were a total of 112 infant deaths. Fifty-eight percent (58%) of these infants were of Chamorro ethnicity and 29% were Chuukese. Twenty percent (20%) were Chuukese males. This represents an over-representation of these two ethnic groups. These groups are also reported to be over-represented across service sectors such as special education, juvenile justice, etc. * Access to Health Care and Periodic Screening. Twenty-one (21%) of the total population and 15% of children under the age of 18 have no form of health coverage. About one-third of all babies born on Guam are enrolled in the Medicaid program. The Medically Indigent Program (MIP) provides medical assistance to low-income families who do not qualify for Medicaid. MIP provides a limited benefit package and does not include behavioral health services. Despite the potential of providing periodic screening of children under Medicaid, in 2013, only 200 children under the age of 1 year received at least one periodic screen. Data from 2013 revealed that only 23.2% of children 19 -35 months old received the full schedule of immunizations. LAUNCH can play an important role in promoting young child wellness through the integration of behavioral health into primary care. Strategic planning needs to address the need to increase awareness and access to well-baby checks and regular screening of young children. * Child Maltreatment, Foster Care, and Wards of the State. During 2014, there were a total of 2,195 referrals for maltreatment. Of these, 8.7% were for children under the age of 1 year; 8% were for children ages 1 Ð 3 years; and 9.3% were for children ages 3 Ð 5 years. A total of 236 children were in foster care; 14% were under the age of 3 years. For children referred to Project Kari–u, 34.5% were involved in the child welfare system at intake and maltreatment was one of the top five most frequent presenting problems. Of children found eligible for Project Kari–u services, 13% had experienced physical assault and 6.5% sexual assault. Fourteen percent of children receiving services through Project Kari–u are Wards of the State. Project LAUNCH will need to ensure a strong partnership with child welfare and consider ways to promote young child wellness with this vulnerable population and support foster parents in promoting childrenÕs development. * ChildrenÕs Access and Participation in Early Care and Education Programs. Data from March 2014 revealed that the majority (over 75%) of GuamÕs young children are not accessing and participating in structured early care and education settings. While the precise reasons are unknown, it is likely that familiesÕ financial limitations and cultural preferences play a role. During strategic planning, it will be important to address this area of need and find effective ways to increase access, engage families and promote childrenÕs development in a variety of settings. This may require Òthinking outside the boxÓ and considering options such as mobile preschool or partnering with community programs where families regularly participate. Table 2 presents the number of children enrolled by early care and education setting. End of article. Page 12 Ð Table and text Page header title: Summary of Findings and Conclusions Table title: Table 2: ChildrenÕs Participation in Early Care and Education Settings (3 columns, 8 rows, including column headers) 1st row, 1st column: Early Care & Education Setting: Licensed Child Care Centers 1st row, 2nd column: # of Settings: 37 1st row, 3rd column: # Children Served: 1,862 2nd row, 1st column: Early Care & Education Setting: Family Home Providers (CCDF) 2nd row, 2nd column: # of Settings: 4 2nd row, 3rd column: # Children Served: 7 2nd row, 1st column: Early Care & Education Setting: Part C Guam Early Intervention System 2nd row, 2nd column: # of Settings: In home services 2nd row, 3rd column: # Children Served: 172 2nd row, 1st column: Early Care & Education Setting: Part B Special Education Preschool 2nd row, 2nd column: # of Settings: 4 2nd row, 3rd column: # Children Served: 108 2nd row, 1st column: Early Care & Education Setting: Head Start 2nd row, 2nd column: # of Settings: 27 2nd row, 3rd column: # Children Served: 534 2nd row, 1st column: Early Care & Education Setting: Gifted and Talented Preschool Program 2nd row, 2nd column: # of Settings: 9 2nd row, 3rd column: # Children Served: 126 2nd row, 1st column: Early Care & Education Setting: Private Preschools 2nd row, 2nd column: # of Settings: Data not available 2nd row, 3rd column: # Children Served: Data not available End of table. * Family Risk Factors. Children and families on Guam experience multiple risk factors including poverty, high levels of chronic disease, substance abuse, domestic violence, and suicide. The role of trauma, including historical trauma, and use of trauma screening and trauma informed care is just beginning to gain attention among service providers despite the fact that GuamÕs people have endured a multitude of traumatic events (e.g., natural disasters, colonization, high rates of military deployment and PTSD, etc.). Data from a December 2014 evaluation report for Project Kari–u, demonstrates that many children with social emotional and behavioral challenges have been exposed to multiple risk factors. Caregivers reported that 28.9% of children had witnessed domestic violence; 47.8% had lived with someone with depression; 18.5% had lived with someone with a mental illness other than depression, 23.8% had lived with someone convicted of a crime; and 28.8% had lived with someone with a substance abuse problem. This data is pertinent to strategic planning specifically around the types of screenings that should be made available, workforce development to include a focus on trauma informed care, and the establishment of strong linkages with child welfare and mental health and substance abuse treatment programs. A continued focus on building child and family resiliency through the protective factors should also be a priority. End of bullet items. Paragraph subtitle: Increasing Immigration and Changing Demographics. Article: The 2010 Census reported GuamÕs total population as 159,358. Chamorros are the indigenous people of the island and make up approximately 37% of the population. Filipinos are the second most populous group (26%) with Caucasians and other Asians accounting for a small percentage of the population (7% and 6% respectively). Under the Compact of Free Association, residents of the Federated States of Micronesia, the Republic of Palau, and the Republic of the Marshall Islands can live and work in the U.S. This has resulted in ever increasing immigration from these Pacific nations to Guam. During the past year, immigrants from the compact nations totaled 22,161 or nearly 14% of the islandÕs population. This is double the total from the 2010 census with the majority of immigrants from Chuuk state (14,261). Many of these immigrants face tremendous challenges in assimilating to living on Guam and lack adequate housing, employment, and the ability to meet the most basic needs of their children and families. In 2013, 28% of children under the age of 8 who received primary care services at the Northern Community Health Center were Chuukese. As the Northern Community Health Center will be the initial site for Project LAUNCH direct services, Chuukese children and families represent a significant sub-population that will be served through Project LAUNCH. Strategic planning and subsequent service delivery will need to ensure culturally responsive outreach, engagement, and intervention strategies are in place to address this changing demographic. Page 13 Ð 16 Text only Page header: Systems/Infrastructure Development Paragraph subtitle: Systems/Infrastructure Development Article: Governance. As described in the Section, Stakeholder Participation and Engagement, an established advisory/ governance structure is in place to support Project LAUNCHÕs infrastructure development and systems change efforts. As strategic planning and service delivery move forward, the membership of the GELC and/or SMTs may need to be expanded to ensure adequate representation by all key Project LAUNCH stakeholders, including members with ties to the Chuukese community and other sub-populations to be served. Additional training and support may be needed to ensure that the GELC and SMTs fully understand their roles and responsibilities with respect to Project LAUNCH and the YCWC. Cultural and Linguistic Competency. Over the past few years, there has been an island-wide focus on advancing cultural and linguistic competency. Through Project Kari–u and the Office of Minority Health, training for behavioral health interpreters has been offered locally, as well as training on CLAS standards. In 2013, Project Kari–u sponsored ÒCultural Conversations in Behavioral HealthÓ during which representatives from GuamÕs most common ethnicities discussed and documented cultural views of 10 behavioral health and early childhood concepts to increase cross-cultural understanding. This event was well received and should serve as a model for how to engage Òcultural advisorsÓ as part of Project LAUNCHÕs strategic planning process. CLASP (Culture and Language Access Service Partners), a coalition of agencies, programs, and stakeholders, meets regularly. In 2014, CLASP hosted a public forum on language access equality and is actively pursuing legislation related to language access services. By joining CLASP and partnering with Project Kari–u and the Office of Minority Health, Project LAUNCH can extend the good work of these initiatives into its service delivery and systems level activities. Workforce Development. Through a shared vision, the braiding of funds, and a commitment of in-kind resources, between October 2011 and September 2014, GuamÕs early childhood workforce participated in over 35 trainings related to young childrenÕs social emotional development and mental health. This included training on: ASQ and ASQ- SE; Incredible Years; Pyramid Model; Strengthening Families-The Protective Factors; Parents as Teachers; DC: 0-3R; Early Childhood Mental Health Consultation; Universal Referral Process, and Wraparound. Staff from across GuamÕs early childhood agencies/programs participated in these trainings. Further, and there now exists a cross-agency cadre of local trainers qualified to continue building GuamÕs workforce in the Pyramid Model, Strengthening Families, and ASQ and ASQ-SE. Strategic planning will need to address how to best utilize additional training monies to address other areas of need (e.g. integration of primary care and behavioral health, home visitation, other screening instruments, etc.), how to continue to support and mentor local trainers, and how to develop the infrastructure to link local trainers with agencies/programs and child care providers in need of staff training or consultation. During the Early Childhood Policy Summit, participants expressed concern over the need to build an early childhood workforce with knowledge and competence in young childrenÕs social, emotional, and behavioral health. Of particular concern is that the University of Guam (UOG) plans to eliminate its Early Childhood degree program that currently resides within the School of Education (and Special Education degree program). Guam Community College (GCC) currently offers Associates level course work in early childhood development and no other higher education programs in early childhood are available locally. This has serious implications for workforce development and is likely to hamper efforts to establish universal preschool on Guam. During the Summit, participants discussed the option of expanding to online programs and the need to Òbring UOG and GCCÓ to the early childhood table. Currently, there is are representatives from these institutions on the GELC, but Summit participants would like to see more participation and active engagement in key issues from these stakeholders. Summit participants also voiced concern over UOGÕs Good to Great initiative which is driving the elimination of the early childhood degree program and recommended that the GELC review the plan. Further, the GELC needs to provide a strong voice about the importance of early childhood development and determine the best strategies to engage the UOG Board of Regents and School of Education around this important issue. Coordination and Integration of Services. In 2014, the Guam Early Learning Council adopted the Universal Referral and Intake Form and Process. Staff from across GuamÕs early childhood agencies/programs have received training on the form and process. The form is now being used across agencies/programs and it clearly represents an important step in the coordination and integration of services. However input from families and providers alike, suggest that often the successful coordination and integration of services (and transition between early childhood and services for older children) is largely due to the diligence of the individual providers, rather than a system wide approach and standard operating procedures. Too many children and families report lack of follow up on referrals and frustration with having to start over again when their child Òages outÓ of a particular program or service. The need to improve coordination and transition between birth Ð age 5 programs and those serving children over the age of 5, was also noted as a challenge in a 2014 report from SAMHSA after a site visit for Para I FamaguÕon, GuamÕs system of care expansion grant. During the site visit, the Project Officer (Captain Andy Hunt) facilitated a strategic planning session. Many members of the GELC and SMTs participated in this event and one of the priorities noted by the work groups was the need to establish a cross-agency case review team and process as one way to better coordinate and integrate services. Data and Evaluation. Data collection, evaluation and data sharing/integration present significant challenges. Guam still does not have an electronic birth certificate despite ongoing efforts that span several years. Many programs lack formal data systems, relying on internal spreadsheets and Òhand counts.Ó This results in incomplete and inconsistent data for some programs. The Electronic Health Record (EHR) has recently been implemented at the Northern and Southern Community Health Centers and staff at the Central Clinic are currently being trained in its use. To date, the EHR behavioral health module is not in place nor is the hearing screen module. Through the ChildLink system, Guam is able to collect some descriptive data on all babies born at Guam Memorial Hospital and Sagua Managu (GuamÕs birthing Center) as part of its Early Hearing Detection and Intervention (EDHI) Project. Project Kari–u and Bisita I Familia also have ChildLink databases and are collecting descriptive and some outcome data for children and families they are serving. Presently, none of these systems are integrated, although the ChildLink databases have the capacity to be linked. Federally funded programs (e.g. Project Kari–u, Bisita I Familia, DOE Part C and Part B, and Head Start) have provided some evaluation data useful to the early childhood system. Part of Project LAUNCHÕs strategic plan will include the development of local capacity for data collection and evaluation through a ChildLink database. Paragraph subtitle: FamiliesÕ Needs and Priorities During the February 2015 Parent CafŽ, families identified the strengths of GuamÕs service delivery system, providing important information about Òwhat worksÓ for families. This includes programs and services that are easy to access, either by being available at various locations around the island (e.g., outreach), through home visitation, by having transportation provided, and/or services available at no cost. Families appreciate staff that they can Òrelate to,Ó that show kindness and respect, that understand their culture and beliefs, and programs that are culturally responsive. Options are important to families. This includes having a wide range of accessible services and programs available to them because as one parent shared, Òone size does not fit all.Ó Families want and need information about available resources and which services/programs will meet their specific needs. Families expressed satisfaction with the support groups that they have participated in, both peer to peer support and provider to parent support and discussed the importance of respite and structured play activities provided by various programs. Lastly, families reported that trainings and Parent CafŽs are definite strengths. Families also provided input about what needs to be improved and several themes emerged. For some families, it still difficult to get the help they feel they need. Many factors are related to this: lack of childcare and transportation, programs with long wait lists, and not really knowing where to get help. Some parents have a general sense that they need help, but donÕt know what kind of help they need. A parent resource center and/or a Òone stopÓ center are two strategies that might help families meet their needs. Also, more trained staff are needed across all programs. Parents want to be self-sufficient and have their voices heard at all levels. They also want staff to focus on their strengths rather than deficits and feel more outreach and social marketing are needed. Although families noted respectful relationships with staff and cultural responsiveness as strengths, they also felt more could be done in this area across all programs and services. This is also true for trainings and Parent CafŽs; these were reported as current strengths but also as areas where more could be done. Lack of childcare and transportation are barriers to familiesÕ participation and they suggested more services be provided in their villages. Much can be learned from families about what services should be a priority for Project LAUNCH and how best to deliver those services. Project LAUNCH is encouraged to find family friendly and culturally appropriate ways to involve families in its strategic planning process. Paragraph subtitle: Family Support and Parenting Education Article: A review of the information provided on the Environmental Scan Templates indicates Guam offers a variety of family support and parenting education services. These include: outreach and informational services; educational programs related to child and family health, child development and parenting, and family resiliency; home visitation; respite; care coordination and case management; and advocacy. A strength is GuamÕs non-profit organizations which provide peer support groups for caregivers of children with disabilities. It appears that there is quite a bit of structured peer support around interacting with schools and the IEP process and less around child development and parenting education. During the Early Childhood Policy Summit, participants noted that while many programs exist in this area, many are not serving the family as a whole and more services are needed that directly support caregivers. Further, access to services is often dependent upon a child being determined eligible due to the presence of a disability or mental health diagnosis. Differences in eligibility requirements at different ages (e.g., Part C to Part B), programs Òclosing casesÓ, and/or children Òaging outÓ of programs often leave families who were receiving services with nowhere to go, despite ongoing needs. There is clearly an opportunity for Project LAUNCH to increase access through a public health approach. The environmental scan also revealed that there appears to be both gaps and duplication in home visitation services. For example, Guam Early Intervention Services, Project Kari–u, and Project Bisita may all be serving the same family and providing home visitation. Clearer protocols for how to coordinate and integrate services across these three (and Project LAUNCH) programs are needed. Participants in the Summit noted the need to revisit current models of home visitation and that evidence-based programs currently in place are Òtedious and the paperwork is overwhelming.Ó They expressed the need for a locally developed home visitation program. The use of Parent CafŽs and the Strengthening Families America model has been successful across GuamÕs early childhood programs and agencies. In February 2015, twenty individuals completed the Strengthening Families Train the Trainer course, increasing GuamÕs capacity to use this evidence-informed model to build the protective factors and family resiliency. There is a need to increase access to Parent CafŽs as a wellness promotion and prevention strategy, possibly through partnering with faith-based organizations, village mayorÕs offices, and community-based organizations. Page 16 Ð Page header: Summary of Findings and Conclusions, Family Support and Parenting Education / Mental Health and Social Emotional Wellness Continuation of article from previous page: During the Summit, participants recommended increasing opportunities for parent education and the need for more social marketing to spread the word about wellness promotion and prevention supports and to reduce stigma. Issues related to transportation, literacy and language barriers need to be addressed to increase access and participation. Participants also felt a hotline was needed to support families who may be experiencing stress or a crisis and that there was a need for more support for families dealing with domestic violence. Paragraph subtitle: Mental Health and Social Emotional Wellness Article: Over the past five years, there has been an increasing awareness of the importance of childrenÕs social emotional wellness and early childhood mental health. Local capacity to screen, assess, and diagnose young children from birth Ð 5 years of age has increased significantly and the ASQ and ASQ-SE are now being widely used across early childhood programs. Project TinituhonÕs Island-wide Developmental and Behavioral Screening System (iDBSS) recently launched a pilot program to build system capacity to maximize the identification of children ages birth Ð 3 years with developmental and behavioral needs and ensure resources are available to address their needs upon referral. The iDBSS is being piloted with primary care providers and child care centers. As of February 2014, eight physicians and 17 child care centers have joined the pilot program. This clearly represents an opportunity for Project LAUNCH to partner on this initiative and expand the scope of the pilot to older children and additional providers. Identifying appropriate tools and strategies for screening children ages 5 Ð 8 years in both primary care and educational settings is an area of need as well as screening for maternal depression, trauma, caregiver substance abuse, and autism spectrum disorders. Mental health interventions for children from birth Ð 5 years of age are currently provided by Project Kari–u located within the Department of Public Health and Social Services (DPHSS) and by I FamaguÕon-ta located within Guam Behavioral Health and Wellness Center (GBHWC) for children 5 years of age and older. Since both Project Kari–u and Project LAUNCH are located within DPHSS, these two initiatives will be able to easily co-locate staff and integrate services to provide a seamless service experience for families from promotion to prevention to mental health intervention. The coordination for children ages 5 to 8 will require improvements in the coordination of services between DPHSS and GBHWC. Both providers and families have reported challenges in coordinating and transitioning children/families across these two agencies. Some efforts have been made to address this, including use of the Universal Referral and Intake Form and process, joint meetings of staff, and joint participation in strategic planning for GBHWCÕs System of Care expansion grant, but much more work is needed to ensure that children and families do not fall between the cracks. Project Kari–u is the primary provider of mental health therapeutic interventions for young children. Head Start collaborates with Project Kari–u for mental health assessments and consultation and Project Kari–u staff provide some consultation services in child care centers and elementary schools. However, there are a limited number of staff available to provide this, and other mental health interventions, and federal funding for this program will end September 30th unless it is granted a no cost extension by SAMHSA. Efforts are underway to find local monies to sustain this important program but its future is not guaranteed. The presence of Project LAUNCH reinforces the need for sustaining Kari–u and will increase awareness of the importance of young child wellness and social emotional development and mental health. GBHWC also provides adult mental health and substance abuse therapeutic interventions and support, as well as the Superior Court of Guam and Family Court. Additional substance abuse treatment and supports are available through GuamÕs non-profit organizations (i.e., Sanctuary, Salvation Army, GALA, West Care, Oasis, and Light House Recovery Page 17 Ð 18 - Text only Page header: Mental Health and Social Emotional Wellness / Early Care and Education Article continuation from Page 16 Center). During the Summit, participants learned that Head Start also provides substance abuse support services to families. Linkages will need to be established with these programs to ensure successful referrals of families served by Project LAUNCH who may need services. Substance abuse and suicide prevention services are offered through the Prevention Branch of GBHWC and the PEACE project has established partnerships with 14 nongovernmental organizations. GBHWC Prevention/PEACE is now represented on the GELC and there appears to be opportunities for collaboration and new partnerships to promote young child wellness. During the Summit, participants identified other areas/activities that might be considered during strategic planning under the area of Mental Health and Social Emotional Wellness, including: * Data inconsistency/inaccuracy across programs, particularly suicide data * Need for increased community awareness on the importance of health, inclusive of behavioral health * Outreach to civic groups, grassroots groups, and cultural groups to share information and provide cultural brokering * Increased understanding of a family systems approach and recognition of the need to address the needs of the entire family, not just the child End of bullet items. Over the past few years, increased attention has been given to supporting young childrenÕs social emotional development using the Pyramid Model. Guam now has a cadres of trainers and individuals with skills related to promoting childrenÕs social emotional development and for providing early childhood mental health consultation. Project LAUNCH should tap into this resource as it builds its direct service component. Paragraph subtitle: Early Care and Education Article: As noted under the previous section, State of Young Child Wellness on Guam: ChildrenÕs Access and Participation in Early Care and Education Programs, the majority of GuamÕs young children do not participate in structure early care and education settings. Children in foster care are not routinely accessing child care and early education settings despite their being at significant risk. Currently, there are 41 licensed child care providers on Guam. Head Start, the Department of Education Special Education Preschool program, the Gifted and Talented Education Preschool program, and a few private faith-based schools offer early education services. Additional programs are available to military personnel through Andersen Air Force Base and the Naval Station. Guam does not have Early Head Start. During the upcoming school year, the Department of Education (DOE) will pilot a voluntary pre-kindergarten program in four elementary schools. Access to the program will be limited to children who reside in the schoolsÕ attendance area who will be four (4) years old by July 31, 2015 and a lottery will be held to fill the available slots if too many children are registered at each school. DOE hopes to expand the pilot program to all schools by 2020. However, classroom space, adequate local funding and workforce challenges are anticipated During the Summit, participants discussed the fact that there is overlap between programs in the types of services they provide although their population of focus may be different due to funding mandates. Most programs also focus on serving low income families. Summit participants identified the need for better coordination; that at times it seems like there are too many services targeting a single family and that most programs experience difficulty with parent follow through. The need for informal play settings for children who are not enrolled in child care centers or preschools was also identified as a priority. Since transportation is a significant barrier for many families, these informal play settings should be located where high risk families live. The First Lady of Guam has proposed creating a Òplaygroup on wheelsÓ that can move around the island and serve children in need. This represents another potential partnership for Project LAUNCH. Page 18 Ð Page header: Summary of Findings and Conclusions, Early Care and Education / Primary Care and Dental Article: After nearly 30 years, Guam passed new child care center standards which include professional development requirements for providers. During the Summit, it is noted that while professional development for these providers is important, the reality is that once they receive more training, they often leave their positions in the child care centers for jobs within the Department of Education or with the military child development centers. As Project LAUNCH engages in strategic planning, it may want to explore how LAUNCH might collaborate with child care centers to strengthen their workforce to further support young child wellness. Paragraph subtitle: Primary Care and Dental As previously described under the section, State of Young Child Wellness on Guam, there are many challenges and needs related to primary care and dental which should guide planning for Project LAUNCH activities for improving young child wellness and the integration of behavioral health into primary care. During the Summit, participants noted additional challenges. They discussed the general inadequacy of the medical and dental services, primarily due to lack of resources. This impacts individual children and families who find it difficult to schedule appointments and also sets the stage for potential outbreaks of preventable diseases. There is limited access to PPD tests despite GuamÕs vulnerability and recent occurrence of active TB cases and appointments for routine immunizations are difficult to schedule. Dental services are extremely limited and children with special needs are actually being sent off island for dental services. This creates additional stress and financial challenges for the family and makes follow up difficult. During the Summit, participants discussed the possibility of offering primary care and dental services in collaboration with the Òplaygroup on wheelsÓ which is being proposed by the First Lady. Summit participants identified the following priority areas related to primary care and dental: * Nutrition for young children (and the elderly) * Access to primary care and dental services, including well-baby checks, immunizations and family planning * Improved linkages within the Community Health Centers and between DPHSS programs * Increase number of primary care and dental providers at the Community Health Centers Page 19 Ð Divider page: Environmental Scan Templates Full page photo of woman squatting next to her son whoÕs holding a book in a carpeted reading area. Page 20 Ð Table (5 columns, 3 rows) Page Header: Family Support and Parenting Education 1st column, 1st row: Column header: Service Provided Early Prenatal Counseling Classes bi-monthly, referrals. 2nd column, 1st row: Column header: Organization Delivering the Service Department of Public Health & Social Services/ Medical Social Services 3rd column, 1st row: Column header: Population Served Patients and/ or families who are experiencing social, emotional, psychological or financial problems related to their illness, disabling condition, disability and its incapacitating effects or high-risk pregnancy including counseling, medical consultation, referral and crisis intervention. 4th column, 1st row: Column header: Goals Did not respond 5th column, 1st row: Column header: Funding Amount and Source Did not respond 1st column, 2nd row: Column header: Service Provided Care coordination/supportive counseling/evaluation services. 2nd column, 2nd row: Column header: Organization Delivering the Service Department of Public Health & Social Services/ Medical Social Services 3rd column, 2nd row: Column header: Population Served All students with disabilities, ages birth through 21 years. 4th column, 2nd row: Column header: Goals Did not respond 5th column, 2nd row: Funding Amount and Source Federal 1st column, 3rd row: Column header: Service Provided: Parents Empowering Parents of Children with Disabilities is a Non Profit Parent Organization that provides training, advocacy and support for parents of children with disabilities. PEP, Inc. offers direct and group services and training to parents for their children as well as young adults in the future planning of their lives. We collaborate with multiple agencies in the Parent Training we offer several times a year. We serve a diverse cultural group of parents and seek to work with Guam's diverse cultural groups. We serve all disabilities. 2nd column, 3rd row: Column header: Organization Delivering the Service Parents Empowering Parents of Children with Disabilities, Inc. 3rd column, 3rd row: Column header: Population Served Parents of children with disabilities 4th column, 3rd, row: Column header: Goals To build capacity on Guam by empowering parents and their children to be the decision makers and change agents in all areas of their lives. 5th column, 1st row: Column header: Funding Amount and Source PEP, Inc. functions on donations from the community and fundraising. All persons are volunteer force at this time. End of table. Page 21 - Table (5 columns, 3 rows) Page Header: Family Support and Parenting Education 1st column, 1st row: Column header: Service Provided Family preservation services enable families to build self-sufficiency and preserve family unity. Services include teaching family support, parental skills, cleaning the home, budgeting, applying for public benefits, transportation and employment assistance. 2nd column, 1st row: Column header: Organization Delivering the Service Department of Public Health & Social Services/ Medical Social Services 3rd column, 1st row: Column header: Population Served Families on Guam 4th column, 1st row: Column header: Goals Provide family preservation services to prevent out of home placement for children who are victims of abuse/neglect and preserve the family unity. 5th column, 1st row: Column header: Funding Amount and Source Title XX, Consolidated Block Grants ($92,960.00). 1st column, 2nd row: Column header: Service Provided Parent Training on early childhood development, intervention strategies and community resources for military families and dependents. 2nd column, 2nd row: Column header: Organization Delivering the Service Educational and Developmental Intervention Services, Naval Hospital Guam 3rd column, 2nd row: Column header: Population Served Children up to 3 years of age who may have a developmental delay, disability, or medical condition which may affect their development disability with parents in the Military community. 4th column, 2nd row: Column header: Goals Enhance family's ability to support early childhood development. 5th column, 2nd row: Column header: Funding Amount and Source Dept. of Navy, Bureau of Medicine 1st column, 3rd row: Column header: Service Provided Parent & familial support; parenting education 2nd column, 3rd row: Column header: Organization Delivering the Service Down Syndrome Association of Guam 3rd column, 3rd row: Column header: Population Served Families of children with Down syndrome 4th column, 3rd, row: Column header: Goals DSAG is a non-profit organization whose objectives are to: 1) increase awareness of Down syndrome and other developmental disabilities on Guam and throughout Micronesia; 2) provide practical assistance to families of individuals with Down syndrome and other developmental disabilities; 3) to improve educational and vocational opportunities of individuals with Down syndrome and other developmental disabilities 5th column, 1st row: Column header: Funding Amount and Source Donations End of table. Page 22 - Table (5 columns, 4 rows) Page Header: Family Support and Parenting Education 1st column, 1st row: Column header: Service Provided Icareguam provides Family Peer Support Group services. 2nd column, 1st row: Column header: Organization Delivering the Service Icareguam 3rd column, 1st row: Column header: Population Served Children up to 3 years of age who may have a developmental delay, disability, or medical condition which may affect their development disability with parents in the Military community. 4th column, 1st row: Column header: Goals Enhance family's ability to support early childhood development. 5th column, 1st row: Column header: Funding Amount and Source Dept. of Navy, Bureau of Medicine 1st column, 2nd row: Column header: Service Provided: Emergency housing for homeless families with case management services, transportation, and food assistance; protective housing for child and women victims of abuse or neglect, with case management services, transportation, and meals; respite services for caregivers of individuals with disabilities or terminally ill, to provide caregiver a break from caregiving; food and clothing assistance through a food pantry. 2nd column, 2nd row: Column header: Organization Delivering the Service Catholic Charities of the Diocese of Agana dba Catholic Social Service 3rd column, 2nd row: Column header: Population Served Homeless families, children and women of abuse or neglect 4th column, 2nd row: Column header: Goals Enhance family's ability to support early childhood development. 5th column, 2nd row: Column header: Funding Amount and Source Government contracts from Department of Public Health and Social Services and Guam Behavioral Health and Wellness Center, approximately $1.4M 1st column, 3rd row: Column header: Service Provided Parent Trainings, Parent Mentors, Resource and Information Center 2nd column, 3rd row: Column header: Organization Delivering the Service SPED Parent Services 3rd column, 3rd row: Column header: Population Served Parents of Children receiving special education services. 4th column, 3rd row: Goals Did not respond 5th column, 3rd row: Column header: Funding Amount and Source Federal Grant 1st column, 4th row: Column header: Service Provided Parent training, home visits 2nd column, 4th row: Column header: Organization Delivering the Service DOE ECSE Preschool 3rd column, 4th row: Column header: Population Served Parents of eligible children ages 3-5 4th column, 4th row: Goals Provide supports to families on strategies to use to support their child's development. 5th column, 4th row: Funding Amount and Source Part B funds / no specific amount End of table. Page 23 - Table (5 columns, 5 rows) Page Header: Family Support and Parenting Education 1st column, 1st row: Column header: Service Provided We are a parent support group for individuals or family member in the spectrum of Autism. 2nd column, 1st row: Column header: Organization Delivering the Service Autism Community Together (ACT) 3rd column, 1st row: Column header: Population Served Families of children with Autism. 4th column, 1st row: Column header: Goals To let other parents know that they are not alone with the challenges he/she may be facing with their child or family member. 5th column, 1st row: Column header: Funding Amount and Source Donations from the Community. 1st column, 2nd row: Column header: Service Provided Clothing, Shoes, Baby Gear, Diapers and Wipes, Pregnancy and Parental Classes, Dress for Success 2nd column, 2nd row: Column header: Organization Delivering the Service GuamÕs Moms Helping Moms 3rd column, 2nd row: Column header: Population Served Guam Moms 4th column, 2nd row: Column header: Goals To assist and guide low income and struggling families, lead them into a path of self-stability 5th column, 2nd row: Funding Amount and Source None 1st column, 3rd row: Column header: Service Provided Parenting Skills 2nd column, 3rd row: Column header: Organization Delivering the Service Sanctuary, Incorporated 3rd column, 3rd row: Column header: Population Served Adults age 18 years and older that focuses on the issues of parenting and provides the opportunity to discuss the frustrations they face caring for their children. 4th column, 3rd row: Column header: Goals Provide parents with the skills to strengthen family communication and relationships. 5th column, 3rd row: Column header: Funding Amount and Source: Fee for Service: $5.00 registration fee plus $5.00 per session 10 Week Class total fee: $50.00 1st column, 4th row: Column header: Service Provided Service member and family support, transition assistance, family life education, financial readiness, personal and family readiness, spouse employment, etc. 2nd column, 4th row: Column header: Organization Delivering the Service Airman & Family Readiness Center 3rd column, 4th row: Population Served Service members and their families in the Military. 4th column, 4th row: Column header: Goals Assist Commanders in their responsibilities for the health and welfare of the military community. Support mission readiness by helping individuals and families adapt to the changes and demands of military life. 5th column, 4th row: Column header: Funding Amount and Source Appropriated and Non-appropriated funds 1st column, 5th row: Column header: Service Provided Parenting Groups 2nd column, 5th row: Column header: Organization Delivering the Service Betty Frain Ph.D. IMFT 3rd column, 5th row: Column header: Population Served Children and families 4th column, 5th row: Column header: Goals Resilience of children and families. 5th column, 5th row: Column header: Funding Amount and Source Insurance payments End of table. Page 24 - Table (5 columns, 3 rows) Page Header: Family Support and Parenting Education 1st column, 1st row: Column header: Service Provided Childhood immunization education service 2nd column, 1st row: Column header: Organization Delivering the Service Guam Immunization Program 3rd column, 1st row: Column header: Population Served All children birth -18 years of age. 4th column, 1st row: Column header: Goals To ensure parents properly immunized their children according to the immunization Schedule. 5th column, 1st row: Column header: Funding Amount and Source 100% Federally Funded 1st column, 2nd row: Column header: Service Provided New Family Orientations; Home Visits; Peer Family Support Groups; Strengthening Families Parent Cafes; Parent-Child Play Dates; Family Respite Play Dates; Emergency Respite Child Care; Family Activities and Trainings; Family Incentives to include gas coupons, stipends, promotional items; Food and Community Donations for Needy Families; Sugar Plum Tree Project (Community-based organization that provides seasonal gifts to needy children); Flex Funds; Parent Information Resources to include Ð Nene Directory, Project Kari–u website, Community Outreach activities; Home visiting services; Culturally & Linguistically Appropriate services to include interpreter services; Family Service Plan. 2nd column, 2nd row: Column header: Organization Delivering the Service DPHSS, BFHNS/Project Karinu 3rd column, 2nd row: Column header: Population Served Families with children birth to 5 years with social, emotional, and behavioral concerns 4th column, 2nd row: Column header: Goals To provide family-driven and culturally competent family support and activities that reflects System of Care Values and Principles. 5th column, 2nd row: Funding Amount and Source SAMHSA Ð Grant Award from September 30, 2014 Ð September 29, 2015 Total Award Amount: $1,000,000.00 1st column, 3rd row: Column header: Service Provided Suicide Prevention and Early Intervention 2nd column, 3rd row: Column header: Organization Delivering the Service PEACE (Prevention Education and Community Empowerment) 3rd column, 3rd row: Column header: Population Served GuamÕs Community 4th column, 3rd row: Column header: Goals To train community-based caregivers, such as parents and youth, health and human services providers, educators, law enforcement and other first responders, and the community at large in suicide prevention and early intervention skills. 5th column, 3rd row: Column header: Funding Amount and Source Garrett Lee Smith Memorial Grant/ SAMHSA-CMHS End of table. Page 25 - Table (5 columns, 3 rows) Page Header: Family Support and Parenting Education 1st column, 1st row: Column header: Service Provided One-on-one support, advocacy, resources and training for parents/families of children with disabilities. 2nd column, 1st row: Column header: Organization Delivering the Service Guam's Positive Parents Together, Inc. 3rd column, 1st row: Column header: Population Served Parents of children with developmental, physical, and emotional disabilities. 4th column, 1st row: Column header: Goals To improve the lives of parents, families and children with disabilities. 5th column, 1st row: Column header: Funding Amount and Source Donations 1st column, 2nd row: Column header: Service Provided The Special Supplemental Nutrition Program for Woman, Infants and Children (WIC) serves as an adjunct to health care for pregnant, post-partum and breastfeeding women and children from birth to 4 years of a who are determined to be at nutritional risk by providing specific nutritious foods, nutrition education and serving as a gateway to refer at-risk clients to other health services such as primary care and immunizations. 2nd column, 2nd row: Column header: Organization Delivering the Service Guam WIC Program 3rd column, 2nd row: Column header: Population Served Women who are pregnant, breast feeding or post-partum, infants and children up to age 5. 4th column, 2nd row: Column header: Goals Improved Birth Outcomes, Improved Savings in Health Care Costs, Improved Diet and Diet-Related Outcomes, Improved Infant Feeding Practices, Improved Immunization Rates via Referrals, Improved Medical Care Utilization, Improved Cognitive Development and Improved Preconception Nutritional Status. 5th column, 2nd row: Funding Amount and Source USDA/FNS: FY2014 - Food Funds = $6,681,487; Nutrition Services Administration (NSA) Funds = $2,750,480; Total Grant = $9,431,967 1st column, 3rd row: Column header: Service Provided Home visiting services; Do follow-up home visits to MCH clients after they give birth to ensure the health of the mother and baby - Family planning counseling, Immunizations; TB priority visits - Provide skin test screening to all household contacts of the TB patient; Visit the homes of children with special health care needs to ensure that their health needs are being met; Coordinate Community-based Outreaches throughout the year. 2nd column, 3rd row: Column header: Organization Delivering the Service DPHSS/ Island-Wide District Nursing Services (Home Visiting) 3rd column, 3rd row: Column header: Population Served Individuals, families, and communities throughout the Island of Guam 4th column, 3rd row: Column header: Goals District Nursing Services: Provides comprehensive community health nursing services to individuals, families, and communities throughout the island of Guam 5th column, 3rd row: Column header: Funding Amount and Source Local funding, MCH, and OPA funding and > $1,000,000 per budget period. (These funding at matched with MCH funding @ 60%, Local Funding @ 40%. End of table. Page 26 - Table (5 columns, 3 rows) Page Header: Family Support and Parenting Education 1st column, 1st row: Column header: Service Provided WomenÕs Health Clinic - Provides family planning counseling; Adolescent Health Clinic Ð Family planning counseling (Free for minors); Provide Outreach presentations for Health Fairs, Schools, and other interested agencies; 2nd column, 1st row: Column header: Organization Delivering the Service DPHSS/ Family Planning Program (FP) 3rd column, 1st row: Column header: Population Served GuamÕs Community 4th column, 1st row: Column header: Goals Family Planning Program: To improve the reproductive and general health of the people of Guam, To increase general understanding of the value of family planning services for improved health, social, and economic status 5th column, 1st row: Column header: Funding Amount and Source OPA and $280,000 per budget period. 100% federally funded grant 1st column, 2nd row: Column header: Service Provided WomenÕs Health Clinic - Provide prenatal and postpartum care, family planning counseling and cancer screening (PAP Smear, breast exam); Child Health Clinic Ð Perform baby-well checkups, school physicals; Adolescent Health Clinic Ð Family planning counseling, physical exams; Early Prenatal Care Classes Ð educate pregnant women on the importance prenatal care, proper nutrition and other issues related to pregnancy. 2nd column, 2nd row: Column header: Organization Delivering the Service DPHSS/ MCH Program / CSHCN Program 3rd column, 2nd row: Column header: Population Served Mothers and children 4th column, 2nd row: Column header: Goals MCH Program: To improving the health of all mothers and children. CSHCN Program: To improve the access for clients with integrated services and provide funding for children with special health care needs. 5th column, 2nd row: Funding Amount and Source HRSA/MCHB and > $700,000.00 quarterly but it pays 60% while the Government of Guam pay 40% of the budget 1st column, 3rd row: Column header: Service Provided To provide evidence-based home visitation services to improve outcomes for children (birth - 8 years) and families who reside in at-risk communities; Strengthen and improve the programs and activities carried out under the Maternal and Child Health Program; To improve coordination of services for at-risk communities; To identify and provide comprehensive services to improve outcomes for families that reside in at-risk communities. 2nd column, 3rd row: Column header: Organization Delivering the Service DPHSS/ Project Bisita I Familia (PBIF) 3rd column, 3rd row: Column header: Population Served Children (birth Ð 8 years of age) and families who reside in at-risk communities 4th column, 3rd row: Column header: Goals Project Bisita I Familia Program: To cultivate positive parent-child. bonding/attachment and lasting relationship; To motivate parents to support their childÕs health, growth and development; To enhance parental self-sufficiency and confidence; Prevent child abuse and neglect; To enhance the school readiness of children; To improve coordination of services with other agencies. 5th column, 3rd row: Column header: Funding Amount and Source HRSA/MCHB funding and $1,000,000 per budget period. 100% Federally Funded End of table. Page 27 - Table (5 columns, 2 rows) Page Header: Family Support and Parenting Education 1st column, 1st row: Column header: Service Provided No services but focus on enhancing the data capacity of the MCH and CSHCN Programs by improving existing and establishing new data linkages and surveillance systems, which are outlined in the Title V Block Grant Health System Capacity Indicator #9A. 2nd column, 1st row: Column header: Organization Delivering the Service DPHSS/ State Systems Development Initiative Grant (SSDI) 3rd column, 1st row: Column header: Population Served Mother and children on Guam in high risk populations 4th column, 1st row: Column header: Goals The ultimate goal is to improve the health status of mothers and children on Guam by targeting high-risk populations, by mitigating risk factors that result in negative health outcomes, and by reducing health disparities among sub-populations within the state, particularly between Chamorro and FSM citizens. 5th column, 1st row: Column header: Funding Amount and Source HRSA/MCHB and funding of $800,000/year for 3 years 1st column, 2nd row: Column header: Service Provided Family Support Group; Family Counseling 2nd column, 2nd row: Column header: Organization Delivering the Service Guam Behavioral Health & Wellness Center, Children & Adolescent Services Division/I FamaguÕon-ta 3rd column, 2nd row: Column header: Population Served Children ages 5 to 17 (up to 21 if still in school) with emotional, behavioral and mental health challenges and their families. 4th column, 2nd row: Column header: Goals Enhance knowledge & skills to understand serious emotional & behavioral issues relating to child. 5th column, 2nd row: Funding Amount and Source Local & Federal Funding End of table. Page 29 - Table (5 columns, 5 rows) Page Header: Family Support and Parenting Education 1st column, 1st row: Column header: Service Provided Family Needs Assessments, Family Partnership Agreements, Home visits, transportation as needed to appointments, outreach activities such as registration, community projects, homeless count, Governance (Center Level Parent Groups and the programs Policy council). Parent child activities to include parent activities funding, parent conferences, fitness fair parent cafŽÕs, on site trainings (center level) in topics such as: stress management, positive behaviors, what to do when your child gets sick, EFNEP, and other topics of interest to the families at that center, parent orientation, parent child days, parent teacher conferences to include joint discussion of child needs especially in the area of school readiness, referrals, family literacy, pedestrian safety, etc. (the list goes on) Parent volunteers are encouraged and supported (classroom and office) 2nd column, 1st row: Column header: Organization Delivering the Service Guam Head Start Program 3rd column, 1st row: Column header: Population Served Children ages 3 Ð 5 years who meet income requirement or have a disability 4th column, 1st row: Column header: Goals The program uses the OHS Parent, Family, Community, Engagement Framework as the basic guidelines. The grant goals are: The Program will improve the quality of services to support positive family outcomes. Objective 1: The achievement of Family Partnership Agreements will increase by 5% each year. Objective 2: At a minimum, 75% of parents each year will have attended at least one program event, parent training or workshop. Objective 3: There will be at the minimum 50% of families attending Parent Teacher Conference each year. The Guam Head Start ProgramÕs Parent, Family and Community Engagement Goals: 1. Family Well-Being: Families will practice safe and healthy lifestyles that support achieving their educational, financial and wellness goals. 2. Positive Parent-Child Relationships: Promotion of positive relationships throughout the program that will foster the growth and development of children and families. 3. Families as Learners and Lifelong Educators: Families will learn and apply skills to provide learning opportunities at home with their children that work towards kindergarten readiness. There are 3 other goals for families within the framework which the program addresses too. 5th column, 1st row: Column header: Funding Amount and Source The grant is the primary source of funds with the in-kind supports of families and community partners. While funds have been designated for parent activities, the holistic approach of the program has various components overlapping in services and using the funds. The specific amounts tentatively set aside for just family engagement is: * Supplies for parent specific activities: $6,000 * Parent Activity Funds: $15/ child: ( 8010) These funds have specific regulations and is used at the center level * Parent Training: conferences, parent cafŽÕs, $14,000 End of table. Page 29 - Table (5 columns, 5 rows) Page Header: Mental Health, & Social and Emotional Wellness 1st column, 1st row: Column header: Service Provided Supportive counseling and referrals to Behavioral Health & Wellness Center for more therapeutic counseling and treatment. 2nd column, 1st row: Column header: Organization Delivering the Service Department of Public Health & Social Services/ Medical Social Services 3rd column, 1st row: Column header: Population Served Patients and/ or families who are experiencing social, emotional, psychological or financial problems related to their illness, disabling condition, disability and its incapacitating effects or high-risk pregnancy including counseling, medical consultation, referral and crisis intervention. 4th column, 1st row: Column header: Goals Promote social and emotional wellness. 5th column, 1st row: Column header: Funding Amount and Source Did not respond 1st column, 2nd row: Column header: Service Provided Supportive Counseling 2nd column, 2nd row: Column header: Organization Delivering the Service Guam Department of Education/ Division of Special Education/ Emotional Disabilities Program 3rd column, 2nd row: Column header: Population Served All students with disabilities, ages birth through 21 years. 4th column, 2nd row: Column header: Goals Did not respond 5th column, 2nd row: Funding Amount and Source Federal 1st column, 3rd row: Column header: Service Provided Respite services for caregivers of individuals with disabilities or those terminally ill from birth to 59 years at 16 hours monthly. 2nd column, 3rd row: Column header: Organization Delivering the Service Catholic Charities of the Diocese of Agana dba Catholic Social Service 3rd column, 3rd row: Column header: Population Served Caregivers of individuals with disabilities or those terminally ill from birth to 59 years; adult day care services for elderly age 60 and older. 4th column, 3rd row: Column header: Goals Minimize stress of caregiving 5th column, 3rd row: Column header: Funding Amount and Source: Government contract with DPHSS, GBHWC: $800,000 1st column, 4th row: Column header: Service Provided Counseling 2nd column, 4th row: Column header: Organization Delivering the Service Oasis Empowerment Center/ Empower Together 3rd column, 4th row: Population Served Women with life-controlling problems such as addiction, codependency, and the wounds of abuse and homelessness. 4th column, 4th row: Column header: Goals Did not respond 5th column, 4th row: Column header: Funding Amount and Source DOJ/ GBHWC/ THP 1st column, 5th row: Column header: Service Provided Parent Training, Resource and Information Center 2nd column, 5th row: Column header: Organization Delivering the Service SPED Parent Services 3rd column, 5th row: Column header: Population Served Parents of children receiving special education services. 4th column, 5th row: Column header: Goals Did not respond 5th column, 5th row: Column header: Funding Amount and Source Did not respond End of table. Page 30 - Table (5 columns, 6 rows) Page Header: Mental Health, & Social and Emotional Wellness 1st column, 1st row: Column header: Service Provided Direct and consultation services to the child 2nd column, 1st row: Column header: Organization Delivering the Service DOE ECSE Preschool 3rd column, 1st row: Column header: Population Served Parent of eligible children ages 3-5 4th column, 1st row: Column header: Goals To assist services providers with strategies in working with their student. Direct services to the child based on identified goals 5th column, 1st row: Column header: Funding Amount and Source Part B / no specific amount 1st column, 2nd row: Column header: Service Provided Pregnancy and Parental Guidance 2nd column, 2nd row: Column header: Organization Delivering the Service GuamÕs Moms Helping Moms 3rd column, 2nd row: Column header: Population Served Guam Moms 4th column, 2nd row: Column header: Goals Class that assists and guides expecting mothers and parents 5th column, 2nd row: Funding Amount and Source None 1st column, 3rd row: Column header: Service Provided Individual and Family Therapy 2nd column, 3rd row: Column header: Organization Delivering the Service Betty Frain Ph.D. IMFT 3rd column, 3rd row: Column header: Population Served GuamÕs children and families 4th column, 3rd row: Column header: Goals Increase the well-being of children and families 5th column, 3rd row: Column header: Funding Amount and Source: Insurance 1st column, 4th row: Column header: Service Provided Currently working on hiring two nurses through cost allocation between two programs but the requirement and service shave not been established at this time. 2nd column, 4th row: Column header: Organization Delivering the Service Department of Public Health & Social Services 3rd column, 4th row: Population Served Children with Social/ Emotional needs that attend day care centers registered with DPHSS. 4th column, 4th row: Column header: Goals To meet the Social/ Emotional needs of children identified at the respective child day care centers. 5th column, 4th row: Column header: Funding Amount and Source Department of Health & Human Services Administration for Children & Families Child Care Development Block Grant/ $4.3 million (2 years) 1st column, 5th row: Column header: Service Provided Wraparound; Mental Health Clinical Service; Screening provided using - Ages & Stages Questionnaire, Version 3 (Measures Developmental Milestones); Ages & Stages Questionnaire, Social-Emotional which measures the childÕs over-all social-emotional well-being 2nd column, 5th row: Column header: Organization Delivering the Service DPHSS, BFHNS/Project Karinu 3rd column, 5th row: Column header: Population Served Families with children birth to 5 years with social, emotional, and behavioral concerns 4th column, 5th row: Column header: Goals Required to use these two complimentary screeners for Project Kari–u clientele in order to determine their level of need and appropriate service 5th column, 5th row: Column header: Funding Amount and Source SAMHSA Ð Grant Award from September 30, 2014 Ð September 29, 2015 Total Award Amount: $1,000,000.00 1st column, 6th row: Column header: Service Provided Early Intervention, Referral and Follow-up (EIRF) To Treatment 2nd column, 6th row: Column header: Organization Delivering the Service PEACE (Prevention Education and Community Empowerment) 3rd column, 6th row: Column header: Population Served GuamÕs Community 4th column, 6th row: Column header: Goals To raise community awareness and timely access to effective behavioral health programs and services (includes prevention, alcohol and other drug treatment and mental health promotion). 5th column, 6th row: Column header: Funding Amount and Source SAMHSA (Substance Abuse and Mental Health Services Administration) - Substance Abuse Prevention and Treatment (SAPT) Block Grant End of table. Page 31 - Table (5 columns, 5 rows) Page Header: Mental Health, & Social and Emotional Wellness 1st column, 1st row: Column header: Service Provided To children & adolescents: residential & day treatment, therapeutic group home, respite, crisis response, psychiatric and therapy; medication and behavior management; transition to adulthood; vocational 2nd column, 1st row: Column header: Organization Delivering the Service Latte Treatment Center, L.L.C. 3rd column, 1st row: Column header: Population Served Children and youth with severe behavioral and emotional problems. 4th column, 1st row: Column header: Goals Provide integrated mental health treatment services that prepare clients to move back to their homes and communities as soon as reasonably possible, teach clients the skills they need to more effectively function in their natural environments to closely approximate naturally occurring situations 5th column, 1st row: Column header: Funding Amount and Source Via contract with GBHWC and SCOG referrals via court order 1st column, 2nd row: Column header: Service Provided One-on-one support, advocacy, resources and training for parents/families of children with disabilities. 2nd column, 2nd row: Column header: Organization Delivering the Service Guam's Positive Parents Together, Inc. 3rd column, 2nd row: Column header: Population Served Parents of children with developmental, physical, and emotional disabilities. 4th column, 2nd row: Column header: Goals To improve the lives of parents, families and children with disabilities 5th column, 2nd row: Funding Amount and Source Donations 1st column, 3rd row: Column header: Service Provided Individual, family & group counseling 2nd column, 3rd row: Column header: Organization Delivering the Service Guam Behavioral Health & Wellness Center, Children & Adolescent Services Division/I FamaguÕon-ta 3rd column, 3rd row: Column header: Population Served Children ages 5 to 17 (up to 21 if still in school) with emotional, behavioral and mental health challenges and their families 4th column, 3rd row: Column header: Goals To address and work on issues affecting the functioning and well-being of the child on the individual, family and group level 5th column, 3rd row: Column header: Funding Amount and Source: Local 1st column, 4th row: Column header: Service Provided SE screenings, observations, referrals, mentoring within the classroom, trainings for staff and parents. This category in Head Start falls under Health and under Education services. 2nd column, 4th row: Column header: Organization Delivering the Service Guam Head Start Program 3rd column, 4th row: Population Served Children ages 3 Ð 5 years who meet income requirement or have a disability 4th column, 4th row: Column header: Goals There is no specific goal for this area, but it is imbedded within the Health and Developmental performance standards of HS. 5th column, 4th row: Column header: Funding Amount and Source The program has direct services and supply funds for Health, disabilities services if needed. 1st column, 5th row: Column header: Service Provided Individual, Marriage, & Family Therapy 2nd column, 5th row: Column header: Organization Delivering the Service American Medical Center, L.L.C.- Mental Health 3rd column, 5th row: Column header: Population Served Individuals with Mental Health Needs 4th column, 5th row: Column header: Goals To enhance the social and emotional well-being of individuals and provide opportunities for positive mental health development. 5th column, 5th row: Column header: Funding Amount and Source Private insurance and self-pay End of table. Page 32 - Table (5 columns, 2 rows) Page Header: Mental Health, & Social and Emotional Wellness 1st column, 1st row: Column header: Service Provided Individual, Marriage, & Family Therapy 2nd column, 1st row: Column header: Organization Delivering the Service Oasis Empowerment Center/ Empower Together 3rd column, 1st row: Column header: Population Served Women with life-controlling problems such as addiction, codependency, and the wounds of abuse and homelessness. 4th column, 1st row: Column header: Goals Learning how to Love our kids on purpose, learning how to teach your children how to make wise decisions, setting limits, alternatives to arguing with children. 5th column, 1st row: Column header: Funding Amount and Source HUD 100% 1st column, 2nd row: Column header: Service Provided Parent Training; Family Therapy 2nd column, 2nd row: Column header: Organization Delivering the Service Latte Treatment Center, L.L.C. 3rd column, 2nd row: Column header: Population Served Families of children and youth with severe behavioral and emotional problems 4th column, 2nd row: Column header: Goals Build local capacity by training families to implement an integrated program that helps clients to function in their home, school and community and to maximize their growth; help families understand their child's diagnosis and how to best manage their behaviors. 5th column, 2nd row: Funding Amount and Source Via contract with GBHWC and SCOG referrals via court order End of table. Page 33 - Table (5 columns, 2 rows) Page Header: Early Care & Education, & Early Elementary Systems 1st column, 1st row: Column header: Service Provided Referrals to DOE social workers and outreach programs 2nd column, 1st row: Column header: Organization Delivering the Service Department of Public Health & Social Services/ Medical Social Services 3rd column, 1st row: Column header: Population Served Patients and/ or families who are experiencing social, emotional, psychological or financial problems related to their illness, disabling condition, disability and its incapacitating effects or high-risk pregnancy including counseling, medical consultation, referral and crisis intervention. 4th column, 1st row: Column header: Goals Proper linkages to the education system to address the educational needs of clients. 5th column, 1st row: Column header: Funding Amount and Source None 1st column, 2nd row: Column header: Service Provided Early Intervention Services for military family and dependents. Evaluation, Intervention, Transition, Direct services, Consultation, Monitoring, Speech Therapy, Occupational Therapy, Physical Therapy, Early Childhood Special Instruction 2nd column, 2nd row: Column header: Organization Delivering the Service Educational and Developmental Intervention Services, Naval Hospital Guam 3rd column, 2nd row: Column header: Population Served Children up to 3 years of age who may have a developmental delay, disability, or medical condition which may affect their development disability with parents in the Military community. 4th column, 2nd row: Column header: Goals Enhance family's ability to support early childhood development in social/emotional, communication, cognitive, adaptive and motor skills. 5th column, 2nd row: Funding Amount and Source Dept. of Navy, Bureau of Medicine End of table. Page 34 - Table (5 columns, 4 rows) Page Header: Early Care & Education, & Early Elementary Systems 1st column, 1st row: Column header: Service Provided Early Childhood Education 2nd column, 1st row: Column header: Organization Delivering the Service Guam Department of Education 3rd column, 1st row: Column header: Population Served Eligible children (3-5 years) 4th column, 1st row: Column header: Goals The Guam Department of EducationÕs Early Childhood Education (ECE) encompasses all programs and services for children from kindergarten through grade three. The Early Childhood Education programs include addressing students that are second language learners; teaching to the K-3 Content Standards & Performance Indicators and the Language Arts/English & Math Common Core State Standards; and assessing students at their developmental level. 5th column, 1st row: Column header: Funding Amount and Source Funding for Teachers 1st column, 2nd row: Column header: Service Provided Play techniques, developmental screening, information & Referral 2nd column, 2nd row: Column header: Organization Delivering the Service American Medical Center, L.L.C.- Mental Health 3rd column, 2nd row: Column header: Population Served All Children 4th column, 2nd row: Column header: Goals To enhance the social and emotional well-being of individuals and provide opportunities for positive mental health development. 5th column, 2nd row: Funding Amount and Source Private Insurance/ Self-Pay 1st column, 3rd row: Column header: Service Provided Protective sheltering for abuse/ neglected children; emergency housing for homeless families with children; with case management services, transportation and food/ clothing assistance. 2nd column, 3rd row: Column header: Organization Delivering the Service Catholic Charities of the Diocese of Agana dba Catholic Social Service 3rd column, 3rd row: Column header: Population Served Abuse/neglected children; Homeless families with children 4th column, 3rd row: Column header: Goals Provide sheltering and case management services to stabilize situation and develop service plan, to include continuity of school attendance while in a shelter setting. 5th column, 3rd row: Column header: Funding Amount and Source: Government contract with DPHSS, $1M 1st column, 4th row: Column header: Service Provided Parent Training, Information and Resource Center 2nd column, 4th row: Column header: Organization Delivering the Service SPED Parent Services 3rd column, 4th row: Population Served Parents of children receiving special education services 4th column, 4th row: Column header: Goals Did not respond 5th column, 4th row: Column header: Funding Amount and Source Did not respond End of table. Page 35 - Table (5 columns, 3 rows) Page Header: Early Care & Education, & Early Elementary Systems 1st column, 1st row: Column header: Service Provided Specialized instruction from the service provider to the child, consultation and monitoring by the SpEd preschool teacher to the parent, general ed/ typical child care setting 2nd column, 1st row: Column header: Organization Delivering the Service DOE ECSE Preschool 3rd column, 1st row: Column header: Population Served Parent of eligible children ages 3-5 4th column, 1st row: Column header: Goals Provide strategies and opportunities for the child to develop age appropriate (pre-readiness skill) 5th column, 1st row: Column header: Funding Amount and Source Part B/ no specific amounts 1st column, 2nd row: Column header: Service Provided Education & Training available to employees working at DPHSS registered day care centers. 2nd column, 2nd row: Column header: Organization Delivering the Service Department of Public Health & Social Services 3rd column, 2nd row: Column header: Population Served Employees working at day care centers registered by the Department of Public Health & Social Services (DPHSS). 4th column, 2nd row: Column header: Goals To provide quality care and service to children enrolled at the DPHSS registered day care centers. 5th column, 2nd row: Funding Amount and Source Department of Health & Human Services Administration for Children & Families Child Care Development Block Grant/ $4.3 million (2 years) 1st column, 3rd row: Column header: Service Provided Attendance at IEP meetings, classroom (child care, head start, preschool, and kindergarten) observations, submits clinical reports for school-aged children, assessments for Head Start and SpEd services; Assistance for the following prior to entry into the education system: hearing examinations, immunizations, orthopedic services; Assistance at/for/with: Special Kids Clinics, Assistance for uniform vouchers, medical insurance, nutritional programs, housing, with getting transportation services, court hearings; Peer Family Support Group Meetings, Parent Cafes, School Readiness for both child and parent/caregiver; Basic parenting skills 2nd column, 3rd row: Column header: Organization Delivering the Service DPHSS, BFHNS/Project Karinu 3rd column, 3rd row: Column header: Population Served Families with children birth to 5 years with social, emotional, and behavioral concerns 4th column, 3rd row: Column header: Goals To provide family-driven and culturally competent family support and activities that reflects System of Care Values and Principles. 5th column, 3rd row: Column header: Funding Amount and Source: SAMHSA Ð Grant Award from September 30, 2014 Ð September 29, 2015, Total Award Amount: $1,000,000.00 End of table. Page 36 - Table (5 columns, 3 rows) Page Header: Early Care & Education, & Early Elementary Systems 1st column, 1st row: Column header: Service Provided One-on-one support, advocacy, resources and training for parents/families of children with disabilities. 2nd column, 1st row: Column header: Organization Delivering the Service Guam's Positive Parents Together, Inc. 3rd column, 1st row: Column header: Population Served Parents of children with developmental, physical, and emotional disabilities. 4th column, 1st row: Column header: Goals To improve the lives of parents, families and children with disabilities 5th column, 1st row: Column header: Funding Amount and Source Donations 1st column, 2nd row: Column header: Service Provided Provide Home Visiting activities to enhance the school readiness of children; Provide Home Visiting activities to cultivate positive parent-child. bonding/attachment and lasting relationship; Provide Home Visiting activities to motivate parents to support their childÕs health, growth and development; Provide Home visiting activities to enhance parental self-sufficiency and confidence 2nd column, 2nd row: Column header: Organization Delivering the Service DPHSS/ Project Bisita I Familia (PBIF) 3rd column, 2nd row: Column header: Population Served Children (Birth Ð 8 years) and families who reside in at-risk communities 4th column, 2nd row: Column header: Goals To provide home visiting activities to Prevent child abuse and neglect. 5th column, 2nd row: Funding Amount and Source HRSA/MCHB and $1,000,000 annually 1st column, 3rd row: Column header: Service Provided Day Care, Hourly Care, and Enrichment Program 2nd column, 3rd row: Column header: Organization Delivering the Service Andersen Child Development Center 3rd column, 3rd row: Column header: Population Served Children of military dependents. 4th column, 3rd row: Column header: Goals To build partnerships with our families while ensuring quality child care and education while military members perform their duties. 5th column, 3rd row: Column header: Funding Amount and Source: Parent fees based on income and hourly cost End of table. Page 37 - Table (5 columns, 1 row) Page Header: Early Care & Education, & Early Elementary Systems 1st column, 1st row: Column header: Service Provided Under education the program has specific school readiness goals, individualized education in the classroom for all students, parent engagement within the classroom (center level parent groups, parent signatures on lesson plans and field trips, determination of goals for their child etc), Health and Safety monitoring in the classroom and on the playground. Integrated curriculum and learning through play. The program refers to SPED and participates in child find. The program is developing the Practice Based Coaching for staff protocols and systems. 2nd column, 1st row: Column header: Organization Delivering the Service Guam Head Start Program 3rd column, 1st row: Column header: Population Served Children ages 3 Ð 5 years who meet income requirement or have a disability 4th column, 1st row: Column header: Goals The program has school readiness goals and grant program goals, * Social Emotional Development: Children will develop independence in a range of activities, routines, and tasks * Approaches to Learning: Children will express themselves creatively through various modes of learning; demonstrate initiative, curiosity, persistence, attentiveness, and cooperation through play. * Language and Literacy: Children will express their wants and needs: demonstrate and recognize the letters of their name and the alphabet through labels, print, and writing. * Cognitive and General knowledge: Children will explore their environment through observations, manipulation, asking questions, making predictions, and developing comprehension skills: demonstrate skills related to problem solving using numbers, patterns, and use prediction sequence to compare and relate: recall prior knowledge to solve a problem: understand and develop an awareness of their environment and the people around them * Physical development and health: Children will recognize and apply basic safety practice in the area of hygiene and recognize health and safety rules and routines by: developing health awareness and skills: demonstrating healthy practices during hand washing, tooth brushing, and the use of the toilet independently: develop awareness that their bodies need rest and exercise: recognize the five basic food groups that help their bodies to grow and be healthy (continued on page 38) 5th column, 1st row: Column header: Funding Amount and Source The program has a training and technical assistance grant to support staff development in all component areas. The grant amount is $45,994. These funds are broken down for OHS specific trainings and $24,600 for staff development for all staff. $1,394 is for supplies for training and staff resources. The tracking system for education costs the program $9,000/ year as does the program tracking system which includes education, health, mental health, family services, monitoring. Page 38 - Table (5 columns, 3 rows) Page Header: Early Care & Education, & Early Elementary Systems 1st column, 1st row: Column header: Service Provided blank Ð continuation of page 37Õs table 2nd column, 1st row: Column header: Organization Delivering the Service blank Ð continuation of page 37Õs table 3rd column, 1st row: Column header: Population Served Parents of children with developmental, physical, and emotional disabilities. 4th column, 1st row: Column header: Goals (continued from previous page) Grant goals: The Program will improve the quality of services and supports for child outcomes in being ready for Kindergarten (school readiness) Each year the program will at least meet the average CLASS scores in the three domains and each dimension based on the previous yearÕs OHS findings as a means to measure classroom quality. The program will provide supports and training to the teaching staff on strategies to improve childrenÕs progress from entry to transitioning ready for kindergarten. 5th column, 1st row: Column header: Funding Amount and Source Donations 1st column, 2nd row: Column header: Service Provided Early Childhood Education Program 2nd column, 2nd row: Column header: Organization Delivering the Service Guam Department of Education 3rd column, 2nd row: Column header: Population Served Eligible children ages 3 - 5 4th column, 2nd row: Column header: Goals The Guam Department of EducationÕs Early Childhood Education (ECE) encompasses all programs and services for children from kindergarten through grade three. The Early Childhood Education programs include addressing students that are second language learners; teaching to the K-3 Content Standards & Performance Indicators and the Language Arts/English & Math Common Core State Standards; and assessing students at their developmental level. 5th column, 2nd row: Funding Amount and Source Funding for Teachers 1st column, 3rd row: Column header: Service Provided Child Care Services to parents who work receiving public assistance or within an acceptable eligible income bracket. 2nd column, 3rd row: Column header: Organization Delivering the Service Department of Public Health & Social Services 3rd column, 3rd row: Column header: Population Served Parents who receive public assistance. 4th column, 3rd row: Column header: Goals To provide quality child care services to participants in an effort to improve their financial situation to increase their income and no longer require public assistance therefore promote self-sustain ability. 5th column, 3rd row: Column header: Funding Amount and Source: Department of Health & Human Services Administration for Children & Families Child Care Development Block Grant/ $4.3 million (2 years) End of table. Page 39 - Table (5 columns, 4 rows) Page Header: Primary Care & Dental 1st column, 1st row: Column header: Service Provided Referrals to primary care and dental services within the Dept. of Public Health & Social Services and the community. 2nd column, 1st row: Column header: Organization Delivering the Service Department of Public Health & Social Services/ Medical Social Services 3rd column, 1st row: Column header: Population Served Patients and/ or families who are experiencing social, emotional, psychological or financial problems related to their illness, disabling condition, disability and its incapacitating effects or high-risk pregnancy including counseling, medical consultation, referral and crisis intervention. 4th column, 1st row: Column header: Goals Promote positive health behaviors. 5th column, 1st row: Column header: Funding Amount and Source None 1st column, 2nd row: Column header: Service Provided Monitoring from school Health Counselor 2nd column, 2nd row: Column header: Organization Delivering the Service DOE ECSE Preschool 3rd column, 2nd row: Column header: Population Served Parent of eligible children ages 3-5 4th column, 2nd row: Column header: Goals To provide monitor child health and give guidance and refer families to the services available in the community. 5th column, 2nd row: Funding Amount and Source Part B funds/ no specific amount 1st column, 3rd row: Column header: Service Provided Childhood immunization service 2nd column, 3rd row: Column header: Organization Delivering the Service Guam Immunization Program 3rd column, 3rd row: Column header: Population Served All children birth -18 years of age. 4th column, 3rd row: Column header: Goals To ensure every child by the age of 5 years has been properly immunized. 5th column, 3rd row: Column header: Funding Amount and Source: 100% Federally Funded 1st column, 4th row: Column header: Service Provided Referral and follow-up to CRCHC for Dental Assessment & Service. 2nd column, 4th row: Column header: Organization Delivering the Service DPHSS, BFHNS/Project Karinu 3rd column, 4th row: Population Served Families with children birth to 5 years with social, emotional, and behavioral concerns. 4th column, 4th row: Column header: Goals Healthy teeth that last a lifetime and to lower other medical risk factors such as heart attack. 5th column, 4th row: Column header: Funding Amount and Source Did not respond End of table. Page 40 - Table (5 columns, 3 rows) Page Header: Primary Care & Dental 1st column, 1st row: Column header: Service Provided Dental Services; The Dental Program provides basic dental care to children under 17 years old. This includes oral exams, prophys, fluoride, sealants, x-rays, restorations and extractions. They also conduct the Guam Fluoride Varnish Program in which they apply fluoride varnish to children under 6 years old who attend Head Start Centers, daycares and immunization outreaches. They participate in the WIC Immunization Outreach that takes place once a month at the NRCHC and apply fluoride varnish to children under the WIC Program. 2nd column, 1st row: Column header: Organization Delivering the Service DPHSS Dental Program 3rd column, 1st row: Column header: Population Served Children below the age of 17 years and emergency dental care to senior citizens over the age of 55 years. 4th column, 1st row: Column header: Goals To educate parents and children on the importance of good oral hygiene and proper nutrition on the prevention of caries and the importance of good oral health to overall health. 5th column, 1st row: Column header: Funding Amount and Source Healthy Futures Fund 1st column, 2nd row: Column header: Service Provided Sharing of stories and past experiences. 2nd column, 2nd row: Column header: Organization Delivering the Service Guam's Positive Parents Together, Inc. 3rd column, 2nd row: Column header: Population Served Parents of children with developmental, physical, and emotional disabilities. 4th column, 2nd row: Column header: Goals To better the navigating experiences for parents, families and children with disabilities in their health care needs 5th column, 2nd row: Funding Amount and Source Donation 1st column, 3rd row: Column header: Service Provided Provides Tooth Brushes and Tooth paste to the children when the Dental Program goes out for Fluoride Varnish or Dental Screening in the Day Care Centers and Head Start Program. 2nd column, 3rd row: Column header: Organization Delivering the Service DPHSS/ MCH Program / CSHCN Program 3rd column, 3rd row: Column header: Population Served Children below the age of 17 years and emergency dental care to senior citizens over the age of 55 years. 4th column, 3rd row: Column header: Goals To assist with the Dental to help improve the dental health within the MCH Population. 5th column, 3rd row: Column header: Funding Amount and Source: MCH Program/ >$2,000 End of table. Page 41 - Table (5 columns, 3 rows) Page Header: Primary Care & Dental 1st column, 1st row: Column header: Service Provided The Southern and Northern Region Community Health Centers provide primary healthcare, acute outpatient care, and preventive services to the community. Family practitioners, pediatricians, internists, nurse practitioners, and other health professionals provide a full range of essential primary care services such as: Prenatal and Postpartum Care, Well Baby Care, Child Health and Immunization, Adolescent and Adult Health Care, Family Planning Services, just to name a few. 2nd column, 1st row: Column header: Organization Delivering the Service DPHSS / Bureau of Primary Care Services (NRCHC and SRCHC) 3rd column, 1st row: Column header: Population Served Underserved, indigent, and uninsured populations who are most in need of assistance and least able to find it. 4th column, 1st row: Column header: Goals The Bureau of Primary Care Services aims to reduce health disparities by providing comprehensive primary health care to the underserved, indigent, and uninsured populations who are most in need of assistance and least able to find it. 5th column, 1st row: Column header: Funding Amount and Source Federal Program Income, Healthy Future Fund, Compact Impact Funding / $5.9 million for both centers 1st column, 2nd row: Column header: Service Provided Wrap around System of Care 2nd column, 2nd row: Column header: Organization Delivering the Service Guam Behavioral Health & Wellness Center, Children & Adolescent Services Division/I FamaguÕon-ta 3rd column, 2nd row: Column header: Population Served Children ages 5 to 17 (up to 21 if still in school) with emotional, behavioral and mental health challenges and their families. 4th column, 2nd row: Column header: Goals Link child to services as needed based on CANS/ CASII assessment. 5th column, 2nd row: Funding Amount and Source Local 1st column, 3rd row: Column header: Service Provided The students must meet the requirements of DOE for entry. Health services provide the following screens: vision, hearing, developmental, behavioral screening, immunizations, lead, dental, BMI nutritional, and physical. Coordinates services for dental, medical, nutritional, and mental health needs. Dental exams and fluoride varnish is provided in the classroom 2 x / year. Tracking and follow-up on child and family needs. Home visits and site visits as necessary. Parent and staff training in health and wellness areas. Transports families as needed to appointments. Monitors health and safety in the classrooms and with staff. 2nd column, 3rd row: Column header: Organization Delivering the Service Guam Head Start Program 3rd column, 3rd row: Column header: Population Served Children ages 3 Ð 5 years who meet income requirement or have a disability 4th column, 3rd row: Column header: Goals To ensure families and students receive the screens within the timeframe required by the grant, and to assist families in receiving the necessary health interventions needed. 5th column, 3rd row: Column header: Funding Amount and Source: The program has direct services and supply funds for Health, disabilities services if needed. Costs are integrated within the program. CHILD Plus provides the program tracking system. Page 42 Ð 43 - Text with lines Page header: NOTES Page 44 Ð Back Cover with text and logos Logos: Project LAUNCH, Department of Public Health & Social Services, and University of Guam CEDDERS For More Information About the Environmental Scan, contact: Center for Excellence in Developmental Disabilities Education, Research, and Service (Guam CEDDERS) House #12 Dean Circle, Mangilao, Guam 96923 (671)735-2397/98/2618 [Type text]0[Type text]0[Type text]