In this peri-Covid period, it would be fair to ask, “How can we go beyond recruitment and retention given the shortage of home visitors right now?” After all, supervisors in community-based programs have never worked so hard to find and onboard new home visitors who are racially, culturally, and linguistically representative of families served while also trying to retain the ones who remain. For those of us connected to home visiting who are not supervisors, it is time to examine the systemic conditions that fuel pervasive vacancy and turnover, and to consider changes that could make a real difference both now and in the future for local programs.

Supervisors Know What’s Wrong With the Home Visiting Sector at the ‘Front Door’:

Interested candidates don’t meet educational job requirements set at the systems level. Are we turning away candidates with racial, language and community experience in common with the families served because they didn’t have an opportunity to pursue a degree? Perhaps we could make progress in achieving greater cultural alignment in the workforce with the families in home visiting, if we re-weighted personal attributes, life experience, and competencies as ‘proxies’ for job requirements based on economic opportunity.

Salaries are not competitive nor commensurate with the nature of the work. Let’s face it, there are many jobs that require less training, breadth of expertise, and emotional resiliency that pay the same or more. To retain this critical workforce, we need to advocate for higher salaries that match the expertise that home visitors bring to their work with families, nurture existing job benefits (e.g., partnership and support of peers; ongoing on-the-job professional development), and support opportunities for advancement.

Supervisors Also Know What’s Wrong with the Home Visiting Sector at the ‘Back Door’:

Job expectations keep expanding. Constantly expanding and/or changing expectations for breadth of expertise to keep the job they have, and at the same salary, is experienced by some home visitors as an invitation to leave their work with families.

Lack of opportunities for advancement. There is a need for better defined career ladders driven by the goals and aspirations of the workforce. This isn’t new, but we seem stuck in thinking about this as a challenge at the community, program, or agency level and not more broadly at a systems level.

Perhaps we need to expand our thinking about how to expose practitioners to other sectors of the home visiting field: research, training, administration, CQI, policy, etc. Gains could be made especially with a focus on BIPOC practitioners whose perspectives in these leadership and decision-making sectors are largely missing and yet, who are uniquely qualified to represent the perspectives of the minority families served in home visiting.

For those who have found a sense of calling in direct service with families, we have an obligation to improve the conditions that support them to stay doing what they feel called to do. At a systems level, ensuring equal access to high quality professional development that reflects the lived experience in the language of practitioners is a critical component. For those who want their experience with families to be a foundation for something next, we have an obligation to support their exploration of where in the field of home visiting they could be.

Home visitors often don’t have a seat at the table. Too often decisions are made that directly impact the work that home visitors do – without their feedback involved in the process. Engaging and authentically incorporating practitioner voice from the very beginning in decision-making processes brings critical expertise to the table.

Our Challenge to the Field:

We invite you to engage in further exploration of these issues with us and others from across the home visiting field at the upcoming virtual National Home Visiting Summit in March, 2023. The National Home Visiting Summit is a great opportunity to become personally and professionally inspired to explore who is involved and what is happening across the field of home visiting. The Summit emphasizes the importance of attracting, retaining, and advancing BIPOC representation and voice in all sectors of the field. It’s an opportunity to ask yourself what else you could do to open the ‘front door’ to a racially, culturally, and linguistically diverse, next generation of home visitors and to inspire today’s practitioners to find the place where they can make a valued contribution to the field.

Yesterday, the United States’ 117th Congress passed its end-of-year omnibus bill, which notably included reauthorization of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. The final package includes the highest level of federal investment in and commitment to home visiting in over a decade – doubling federal investments to $800 million over five years, a doubling of the Tribal set-aside from 3% to 6%, development of new home visiting data dashboards and the continuation of virtual home visits.

This MIECHV reauthorization cycle has been a clear testament to strong bipartisan recognition that home visiting, as well as other early childhood programs, are focal priority areas for families and the early childhood workforce. Start Early is especially proud of the strong showing of support from the Congressional delegations in our home states of Washington and Illinois. We are particularly grateful to Illinois Representative Danny K. Davis (D-IL7) for serving as a true home visiting champion and the original co-sponsor of the House of Representatives’ MIECHV reauthorization bill.

An estimated 140,000 families across the United States partner with home visitors each year to enhance parent-child relationships and improve physical health, mental health, learning and safety outcomes. With this five-year reauthorization and expanded funding levels, MIECHV-funded programs will have increased stability and resources to enhance existing services, reach new constituents, increase compensation for home visitors and continue to evaluate their impact on children and families.

Start Early is deeply proud and thankful to be a member of the National Home Visiting Coalition Steering Committee and for the Committee members’ partnership in advancing this critical funding source in Congress over the last several months. We join other Coalition members in thanking Congress and recommitting ourselves to partnering with the Department of Health and Human Services in support of MIECHV implementation in states and communities across the country.

In addition to reauthorizing and expanding MIECHV, the final package includes funding for a wide array of family-facing programs, including:

• The Child Care Development Block Grant (CCDBG), funded at $8,021,387,000 (a 30.1% increase over the FY 2022 level)
• The Preschool Development Grant (PDG), funded at $315,000,000 (a $25,000,000 increase over the FY 2022 level)
• The Individuals with Disabilities in Education Act (IDEA), funded at $420,000,000 for Part B (an increase of $10,451,000 over the FY 2022 level), $540,000,000 for Part C grants for infants and toddlers (an increase of $43,694,000 over the FY 2022 level), and $14.19 billion grants to states (an increase of $850,000,000 over FY 2022 level)
• Head Start, funded at $11,996,820,000 (an increase of $960,000,000 over the FY 2022 level)
• The National Child Traumatic Stress Initiative, funded at $93,900,000 (an increase at $12,000,000 over FY 2022 level)
• Child Care Access Means Parents in School (CCAMPIS), funded at $75,000,000 (an increase of $10 million over the FY 2022 level)

These comprehensive investments align closely with Start Early’s long-held belief that we must strengthen and expand the many, intersecting systems that serve children and families to create a continuum of support that meets their diverse needs. The suite of family-serving programs supported by Congress in their year-end spending bill supports the mental, physical and economic needs of caregivers and the early childhood workforce.

While we celebrate these major wins for children and families, we recommit ourselves in the new, 118th Congress to advocate for early childhood supports that were not included in the omnibus. The Child Tax Credit and Child and Adult Care Food Program (CACFP) are critical supports for families with low incomes, and Start Early is disappointed that these programs were not included in Congress’s year-end package. We call on the new Congress to partner with the early childhood field to extend and expand these critical programs in line with the new, approved investments and prioritize the health and success of children, families and the early childhood workforce.

Ahead of Illinois’ midterm and gubernatorial elections next month, in a recent survey, voters across the state made it clear that they want to see increased attention towards early childhood services. In fact, the vast majority of survey respondents believe that investing in early childhood education and care is a good use of taxpayer dollars – and most would even be willing to pay more in taxes to fund it.

Start Early conducted this latest survey on behalf of state advocates to measure the level of support for early education among voters. The results were unequivocal – Illinois voters value early childhood education and care and want to see government action.

Eight in 10 voters say investing in early childhood education and care is a good use of taxpayer dollars. Among key groups like Black voters (55%) and those in Chicago’s suburbs (53%), a majority believe it to be a very good use of tax dollars. A majority of voters (56%), including nearly 75% of Black voters, went even further to say they are willing to pay a little more in taxes if it meant the state had better services for families with young children.

While partisanship continues to divide voters in many other policy areas, the survey’s findings also demonstrated that the early childhood education and care discussion goes far beyond political lines: 90% of Democrats, 73% of Independents and 70% of Republicans support government action and investment in early childhood programs and services.

Home to approximately 800,000 children under age 5, Illinois has a prominent history of investing in early care and education, spanning four decades under leadership of both Republican and Democratic state administrations. As the state prepares for its midterm elections, most timely is the survey’s bipartisan finding that most voters (70%) would feel more favorably towards a candidate who prioritizes an increase in funding for early childhood services.

“While Illinois has long been at the forefront of early learning and care innovations and investments, our system, like that of most states, has its challenges and real shortcomings,” Start Early Vice President of Illinois Policy Ireta Gasner says. “Without decisive action by our elected Governor and state legislators, critical components of the system will collapse – leaving countless young children and those who care for them behind.”

Decades of research have proven that quality early childhood programs can help break the cycle of poverty for generations to come and can change the trajectory of a child’s life toward healthy development and success. Yet, families – particularly those in communities left under-served – continue to face impossible challenges in accessing such early learning experiences.

As Illinois works to mitigate these challenges, often brought on by systematic inequities, voters reported that funding services for children experiencing homelessness and for children with disabilities or developmental delays should be priority focus areas of the state. Voters also ranked early childhood services as the second most important way to address the root causes of crime, a traumatic reality for far too many young children.

Start Early and its advocate partners across the state are passionately working to advance transformational change of the early childhood system in order to reach families and those who provide early learning services. This powerful survey data reaffirms that Illinois voters share advocates’ desires, and offers policymakers a renewed opportunity this upcoming legislative session to redouble efforts to make early learning a reality for all young children.

Conducted in partnership with Global Strategy Group, the survey of 609 registered voters in Illinois took place between September 8 – 12, 2022, and an intentional focus was placed on ensuring diverse demographic and geographic representation among voters. Interviews were conducted over the phone and text to web.

Each year the Illinois General Assembly passes legislation that can have an impact on families, or the organizations in our communities providing early childhood or related supportive services to families. Start Early leads on some of these legislative changes, often in coalition with others, and in other cases we contribute our early childhood lens and expertise to support the efforts of another lead organization. The 2022 Legislative Summary provides a listing of those bills that became law in the spring 2022 session that we thought would be relevant to families with young children and the field.  We hope that this is a resource you will download and share with colleagues and families alike. We are happy to provide additional information about any of these initiatives or connect you with other advocates where needed. Initiatives that were led by Start Early are marked “*”. 

The 2022 Illinois Policy Accomplishments report details progress we helped the state achieve toward advancing our Illinois Policy Agenda. In some places, Start Early may have led a charge, in other places we contributed research and advocacy to help advance shared goals of many stakeholders. While many challenges remain to be solved in our fragmented early learning system, this year’s report details the many ways that tangible progress is being made to improve the experience of families and children and providers.

In Illinois, Start Early engages on a variety of topics of importance to the well-being of expecting families, infants, toddlers, their families and professionals who support their healthy development.

Advocating with state agencies, elected officials, and working in partnership with providers, fellow advocates and parents, we work to advance our Illinois Policy Agenda. Work is currently underway for a refresh of our policy agenda to reflect our priorities for the next four years. More updates to come on this exciting work underway at Start Early.

We are excited to publish and offer two new resources relating to policy changes and progress toward longer-term changes that were achieved in Fiscal Year 22.

As the largest federal investment in evidence-based home visiting services, the Maternal, Infant, and Early Childhood Home Visiting program (MIECHV) is a key pillar in the continuum of services and systems that strengthen the parent-child relationship and connect families to vital community resources to support long-term healthy development and well-being. The MIECHV authorizing statute – the law that describes and authorizes the distribution of federal funds to states, territories, and Tribal grantees by the federal government – expires on September 30, 2022. Now more than ever, advocates need to reach out to their Representatives to elevate the importance of the program in Illinois and urge Congress to reauthorize MIECHV before it expires.

In Illinois, MIECHV funds are critical to the state’s robust home visiting system, enhancing decades of local and state investments in home visiting services. MIECHV funds direct services for nearly 3,000 parents and children in Illinois annually. These high-quality home visiting services help families achieve stronger outcomes in maternal and child health, family economic self-sufficiency, and school-readiness domains.

MIECHV also strengthens the broader Illinois home visiting system by supporting high-quality training and professional development opportunities for home visitors and doulas, promoting coordination across the various funding streams that support home visiting, and supports innovative approaches to improve the ability of home visiting services to support families with child welfare involvement, families experiencing homelessness, pregnant and parenting youth in the care of the child welfare system, and other priority communities.

MIECHV has benefited from robust, bi-partisan support in Congress, including the leadership of Illinois’ Congressman Danny Davis (7th Congressional District) who has been a staunch advocate for MIECHV since the program’s inception in 2013 in his role as Chairman of the Worker and Family Support Subcommittee on the House Ways and Means Committee, which has legislative authority over the program.

Still, additional advocacy is needed to ensure every Member of Congress is ready to support MIECHV reauthorization. Key priorities for reauthorization are:

• Pass an on-time, five-year reauthorization for the program
• Increase funding by $200 million each year over five years, to reach more families and better support the workforce
• Double the Tribal set-aside
• Continue to allow virtual home visiting with model fidelity as an option

^*MIECHV data provided by the Health Resources & Services Administration. HRSA is an agency of the U.S. Department of Health and Human Services.

Last month I had the pleasure of co-leading a session at the BUILD 2022 Virtual Conference: Building Systems, Improving Quality, Advancing Equity.

It was a joy to participate en una charla informal, a coffee talk, with my good friend, and colleague Miriam Calderon. We discussed and unpacked the strength and determination required to lift ourselves, our families, and our communities up in the unforgiving world of policy and politics.

BUILD has been a leader in providing spaces and opportunities for Latine professionals and leaders in the early childhood space to come together both informally and formally to talk and hear about what the Latine community wants and needs.

The Latine community is strong. We know that across this country it is Latinos and Latinas who pick, cook and serve our food, clean our houses and hotel rooms, care for our children, elderly and sick and are part of the backbone of the economy in countless ways.

As I joined with other Latine leaders throughout the week at BUILD and listened to their stories, I was stuck that today in 2022, many still talked about “imposter syndrome”, including me. I have had the privilege and opportunity to sit at many tables at the local, state, and national level but I am sure when I opened my mouth to share a recommendation or idea, there was some eye rolling in the room.

At Start Early, we share a commitment to racial equity and have been working diligently to provide individual staff with the support they need and want to grow and contribute to the early childhood field. For my part, I will be leading and providing a space for Latine individuals to participate in a mentoring circle where we will take time to understand our history as a community in the United States, our personal journeys and culture and how systems impact our progress as individuals and a community.

A common theme we explored was that we need mentorship – ongoing mentorship from people that look like us and understand our culture and values. As I have been reflecting on my own journey, it’s clear that each of has a responsibility to support and mentor the next generation of Latine leaders.

My hope is that through mentorship and in our daily work to change systems, Latine professionals and leaders will sit at any table and confidently speak their truth, represent the needs of their children and communities, despite the eye rolls.

The Challenge

At Child Care Associates in Texas, the central office team noticed that, after a period of gains, its CLASS evaluations of childcare and Head Start/Early Head Start providers had plateaued.

System leaders decided it was time to change how they approached outcomes improvement and they made three important decisions:

• Shift ownership of CCA’s education vision from the central office to campus instructional leaders.
• Recommit to using family experience as a critical performance measure.
• Implement The Essential 0-5 Survey across 25 campuses to provide leaders with a unified framework to move program improvement forward.

Read Full Case Study

The Impact: Energized Leaders Re-shaping Daily Practice to Improve Outcomes and Equity

Karin Scott, Chief Performance Officer, outlines four key outcomes the CCA team experiences with their annual Essential Survey implementation:

• Outcome One – Our entire team now uses a common framework to talk about improvement.
  “We transformed campus director meetings to bring people together who are working on common problems of practice – to share out what’s working, lift up people getting better outcomes, and talk about pivots when something doesn’t work.”
• Outcome Two – We are reducing leader & teacher overwhelm by focusing on where they CAN have impact.
  “It can get overwhelming when you’re dealing with deep root causes to early childhood issues, like a national labor shortage or systemic racism. The Essential Survey toolkit’s root cause analysis allows us to dig down to root causes and build strategies to affect the most change with limited resources.”
• Outcome Three – Staff at all levels are making proactive, positive changes in daily practice.
  “The Essential Survey got teams into the practice of reviewing data. They’re taking it into their own hands to make easy, accessible processes for people. They’re rethinking how they use their time.”
• Outcome Four – We have more data to help us drive equity for families of color.
  “There is a huge equity piece to the Essential Survey work. We serve majority families of color and we need to know how they’re feeling about the services they are receiving, as well as how we can improve. This is a great tool to do that.”

Looking Ahead

The Child Care Associates team is committed to implementing The Essential 0-5 Survey annually to sustain a culture that values and supports leaders. “It was important before the pandemic, but now more than ever we need to know how people are feeling,” says Karin Scott. “Our long-term hope is that our staff are supported and feel motivated to do their best work, which in turns leads to better interactions with children and teachers and better outcomes for families.”