At first glance, the price tag for the transformative investments in early childhood care and education included in the American Families Plan looks steep: $450 billion. And with the significant federal spending, policy scope and potential for tax increases included in President Biden’s $3.5 trillion economic package, we should be having conversations about whether this is where we want to invest our tax dollars.

This June, economists Jorge Luis García, Frederik H. Bennhoff, Duncan Ermini Leaf and Nobel laureate James Heckman released a National Bureau of Economic Research (NBER) working paper that demonstrates these investments in early learning and care could produce incredible returns.

The paper returns to the Perry Preschool Project, an intervention in the 1960s where a randomized group of students who received two years of preschool sessions on weekdays and weekly teacher home visits, beginning at age 3. Because the study has followed participants into their 50s, economists can now examine the impacts the program had on the siblings and the children of the original participants, who are now well into their adulthoods.

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Their conclusion: the Perry Preschool Project produced dynastic benefits within the first generation (intragenerational) and across multiple generations (intergenerational). The life-cycle benefits of the program include increases in labor income, reductions in crime and in the cost of the criminal justice system. The program also led to improved health and health behaviors. In addition, because the siblings and children of the original participants had higher incomes, they also were able to focus on health and actually logged higher medical expenditures.

As a result of these dynastic benefits, these economists revised the return on investment of the Perry Preschool Project, now estimating that for every $1 invested in the Perry Preschool Project generates $9 in returns to society.

The research makes the proposed federal investments in quality early childhood and care an even smarter investment. Starting early benefits all of us, as it sets children, families and communities up for success for generations to come.

More Like This

In this blog, Amanda Stein, director of research and evaluation, discusses new research with Start Early, NORC at the University of Chicago and the University of Chicago Consortium on School Research. Read the full report.

Current Opportunities

Coming off the heels of the pandemic, the massive influx of federal spending on early childhood care and education (ECCE) offers systems, district and program leaders an opportunity to intentionally design and implement equity-focused policies and practices that ensure families and children — especially young children living in marginalized, under-served or otherwise vulnerable communities — have access and are engaged in high quality early learning experiences.

Young children, their families, and our broader society are unable to reap the benefits of quality ECCE programs if children and families are not able to access them. Existing research evidence shows that differential access is an important contributing factor to inequities in enrollment. There is an enormous body of work about the long-term benefits associated with quality care and education in a child’s earliest years, including the recent research evidence coming out of Boston, that makes disparities in access to programming particularly concerning.

Prior Research Findings

Our previous work in Chicago found that after major policy changes focused on reallocating pre-K classrooms to specific schools and neighborhoods throughout the city and increasing the overall number of full-day, pre-K classrooms — both access and enrollment improved for high-priority student groups (students of color, students speaking a language other than English and students living in neighborhoods with lower income and higher unemployment). Furthermore, we found a persistent link between access to and enrollment in full-day, school-based pre-K. In other words, living closer to a school with full-day pre-K increased a child’s likelihood of enrolling, especially for high-priority student groups.  Learn more about our earlier research findings.

Newest Research Findings: Evidence of Improved Student Outcomes Linked to Policies Focused on Equity in Preschool Access
Recent research from Start Early with NORC at the University of Chicago and the University of Chicago Consortium on School Research examines if and how these pre-K policy changes intended to increase access and enrollment to full-day pre-K are related to later student outcomes. We found that these equity-centered policies at the pre-K level in Chicago created a pathway to higher test scores and grades in second grade. Specifically, these policy shifts were related to higher kindergarten entry skills and ultimately better academic outcomes in second grade, particularly for high-priority students. Reading test scores in second grade also increased among Black students and students in the lowest income group. Importantly, the pathway from full-day pre-K to better second grade outcomes proved especially strong among Black students, students in the lowest-income group, and students living in mostly-Black neighborhoods.

Policy Implications and Directions for Future Research
Overall, the study provides evidence that the geographic placement of school-based, full-day pre-K classrooms is an important mechanism for advancing equity in pre-K access and enrollment and for improved academic achievement in early elementary school, especially for high-priority student groups. In particular the pathway from full-day pre-K to better second grade outcomes proved especially strong among Black students, students in the lowest-income group, and students living in mostly-Black neighborhoods.

Not unexpectedly, the long-term increases in outcomes following Chicago’s access-focused pre-K policy changes account for a relatively small portion of the overall disparities in academic outcomes between student groups. In other words, point-in-time policy changes at the pre-K grade level alone cannot fully address the effects of long-standing systemic inequities within and beyond the educational system. We must work toward building a comprehensive, equity-centered ECCE system that acknowledges the infrastructural role that early care and learning play in the overall economy.

Nonetheless, this research evidence demonstrates that access to full-day pre-K is an important policy strategy that ECCE systems and district leaders can leverage to advance more equitable access and improve academic outcomes in later years. Current ECCE systems and policy conditions are ripe with opportunity for cities and districts to expand full-day pre-K close to where historically underserved students live. It is also possible that the pandemic has led to changes in families’ needs and priorities for care and learning experiences for their children. Therefore, systems and district leaders should develop strategies to actively engage families about their needs, worries, and considerations in addition to location of full-day pre-k and to support families’ awareness and reduce barriers to enrollment in those options. And researchers should continue to study the effectiveness of those efforts. Other key policies beyond access to pre-K must be considered, including policies that support improved classroom quality and family engagement within pre-K settings, support preschool-to-3rd grade instructional alignment, and reduction of poverty and violence as multiple approaches that move us to a time and space where sociodemographic characteristics are not determinants of student outcomes.

Continue the Conversation
Join the Early Childhood Connector to learn from and collaborate with peers and experts in the ECE field, as we continue our work to improve access for our youngest learners.

The early childhood sector is celebrating unprecedented federal investments in our nation’s youngest learners, especially children and families from historically underserved populations. Rising to this unprecedented opportunity will require coordinated, coherent and collaborative action, and state, community and early childhood professionals know they must stay focused on quality and evidence-based decision making to meet the challenges and seize the opportunities of this moment in time. Two new publications featuring Start Early research offer leaders information about research-practice partnerships (RPPs) and embedded workforce development that they can use to navigate change confidently and collaboratively.

First, the most recent and final issue of the “Future of Children” focuses on how RPPs can strengthen early education. In our chapter, researcher Maia Connors and colleagues illustrate Start Early’s approach to RPPs; one that partners program implementation and research teams within our single organization to build capacity for “research within practice” and “practice within research.” Our “embedded” RPPs have assisted with evidence-based policymaking, data-driven decision making, continuous quality improvement, innovation, and overtime, stronger early learning outcomes for children and their families.

The Future of Children chapter highlights the importance of building strong infrastructure to successfully organize, conduct and sustain RPPs. It highlights Start Early’s organizational culture that values research evidence, sound measurement, and continuous learning, along with interdisciplinary expertise and teaming. We draw key insights from our experience conducting research and evaluation as part of two of Start Early’s longest standing RPPs: one focused on improving and scaling The Essential Fellowship (formerly Lead Learn Excel), a professional development program for early childhood leaders, and a second focused on implementing and improving outcomes of Educare Chicago, Start Early’s innovative early learning school serving infants, toddlers, preschoolers and their families on Chicago’s South Side.

Second, in a chapter in the forthcoming edited book from the Kenneth C. Griffin Applied Economics Incubator titled “The Scale-Up Effect in Early Childhood and Public Policy: Why Interventions Lose Impact at Scale and What We Can Do About It,” Start Early researcher Debra Pacchiano and colleagues discuss Start Early’s approach to professional development. This chapter examines how and why our approach equips early childhood leaders with a key antidote to the problem of declining impacts when interventions are implemented at scale. Specifically, it shares insights and evidence from the work of our embedded RPPs regarding innovative models and delivery of professional development for program leaders and supervisors, teachers and home visitors.

The challenges and realities of the early childhood workforce have compelled Start Early to reimagine workforce development as an emotionally supportive cycle of learning, embedded in the program and leader-facilitated, that nurtures staff well-being and results in staff commitment, persistence and skillfulness with evidence-based models and practices. In the Scale-Up Effect chapter, we define the key elements of embedded professional development and provide three case illustrations of how Start Early partners with leaders to use embedded professional development in their programs to achieve high levels of administration and implementation quality for their chosen evidence-based models and interventions.

These exciting new publications come at a pivotal time. Communities, states and early childhood programs across the country are seeking information and partnerships that empower them to navigate new opportunities and effectively lead change. Together these two publications provide actionable information on how:

  • RPPs can strengthen evidence-informed decision making to build and sustain strong early childhood policies, systems and programs; and
  • Leader-facilitated, embedded professional development can nurture staff well-being and capacity in the daily delivery of quality, high-impact early childhood experiences before kindergarten.

In support of the Every Child Ready Chicago initiative, Start Early began exploring the creation of a Chicago early childhood research consortium, which would bring together researchers, policymakers, practitioners, families, and community representatives across sectors in a robust, long-term research-practice partnership focused on helping Chicago achieve its vision for a strong early childhood system.

Access to relevant, actionable, and timely evidence and data that can guide the decisions of policymakers and program leaders is critical to the success of early childhood, and any other, systems-building initiatives. For an early childhood system as large and ambitious as Chicago, no one research partner or institution can provide these supports alone; a consortium of researchers and research institutions working together is key. Chicago already benefits from several research consortia, but none focus specifically on the city’s early childhood system.

Our exploratory report presents the findings of the initial inquiry phase: stakeholder interviews with 26 participants from 16 different organizations, including researchers, advocates, practitioners, leaders of community-based organizations, City of Chicago officials and staff, and other experts. The consensus that emerged was clear:

  • Chicago needs an early childhood research consortium to serve as a long-term, sustainable research partnership focused exclusively on Chicago’s cross-sector, systemwide early childhood priorities.
  • The research consortium should function as:
    • A neutral third-party without allegiance to, or conflicts of interest with, any City agency, office or department.
    • A trusted thought partner and capacity support for City agencies, offices and departments, as well as community and systems leaders.
    • A “hub” for researchers across institutions and disciplines.
    • An integrated complement to existing and emerging infrastructure, systems, consortia and partnerships; it should not duplicate or replace them.

The exploratory interviews also helped to specify a set of important strategic questions that remain unanswered. In the next phase of this work, it will be important to bring together potential partners for nuanced discussions regarding these recommendations, strategic questions and additional topics that emerge as this work progresses. We are excited to catalyze these conversations and facilitate this process for Chicago’s early childhood community.

Quality Rating and Improvement Systems (QRIS) have become a popular policy strategy for assessing, improving and communicating about the quality of early childhood education programs. Bolstered by federal grant requirements and significant investments of state dollars, nearly every state has established QRIS, and tens of thousands of programs have chosen to participate over the last 20 years. Research shows that most QRISs can distinguish between low- and high- quality programs and can help children access higher quality early learning experiences. While QRIS has significant potential, it is limited by the communities actually reached.

The reality is that access to high-quality early childhood education programs is currently inequitable—high-quality options are far more limited in under-resourced communities where many low-income families and families of color live. For QRISs to help correct economic and racial inequities, they must serve and support the programs in these communities. Most QRIS participation is voluntary, so to do this, it must be relevant and beneficial to a diverse array of programs.

So, which early childhood programs and communities do—and do not—participate in QRIS? In a recently-published study, Jade Jenkins and Jennifer Duer from the University of California at Irvine and I explored this very question. We learned that:

  • Approximately 1/3 of center-based early childhood education programs nationwide participated in QRIS in 2012 (the most recent year for which data are available)
  • Centers that blend multiple funding sources and those with state pre-K funding participated in QRIS at higher rates than other programs
  • Participation was more likely for programs in some communities than in others – 1) participation was higher among centers located in higher-poverty communities 2) participation was lower among centers located in communities with more Black residents.

These findings show that resources, supports and other benefits of QRIS have not been equitably distributed across communities. Our study cannot answer the question of why centers are more or less likely to participate in QRIS, but we do have some speculations. As mentioned previously, since QRIS participation is often voluntary, a center would likely only choose to partake if the benefits outweigh the burden of time and cost. Participating in QRIS requires an early childhood education program to invest money and staff time, which many simply cannot spare.

In addition, the calculus of costs and benefits may look different for different programs. For example, advocates have raised serious concerns about whether the measures, supports, incentives and processes that comprise QRIS are relevant to programs serving communities of color. In fact, advocates in California came to the devastating conclusion that their state’s “QRIS is racist.” If programs in Black communities do not see themselves or the families they serve reflected in QRIS standards, then what benefits would they gain from participating?

Our research helped to shine a light on the problem. If QRIS is going to advance its of goal of improving economic and racial equities in early childhood education, they must engage and support a diverse set of programs in a broader range of communities.

Policymakers, systems leaders and advocates have an important opportunity to make QRIS more equitable. Solutions will require careful examination of QRIS recruitment and outreach strategies, assessment tools, supports and incentives offered to programs, and barriers to participation. The process must include the voices of those programs and the families they serve in redefining quality and redesigning the system.

QRIS is a vehicle through which we can create change in early learning policy. We must steer it towards equity—now.

In this blog, Amanda Stein, Start Early director of research and evaluation, shares findings and takeaways from our latest research study of pre-K access and enrollment policies in Chicago which aimed to remove obstacles and drive engagement for children and families in underserved neighborhoods.

Equity-Focused Research and Policymaking
At this poignant time, a public health crisis is both holding a magnifying glass to and further exacerbating racial and economic disparities and systemic injustices for young children and their families. The need for equity-focused policy making and research has never been more pronounced. And the field of early care and education (ECE) is no exception.

The National Association for the Education of Young Children (NAEYC), in their 2019 position statement on advancing equity in ECE, defines equity as “the state that would be achieved if individuals fared the same way in society regardless of race, gender, class, language, disability, or any other social or cultural characteristic.” This means eliminating “differences in educational outcomes as a result of who children are, where they live, and what resources their families have.”

The Value of Early Care and Education
Given the well-established body of research evidence, there is no doubt that the type and quality of ECE experiences children receive both inside and outside of the home have an impact on their short-term learning and development and later life success. Furthermore, public investments in early education and intervention programs generate savings that benefit the economy long-term.

Yet children, their families, and the broader society are unable to reap the benefits of high-quality ECE programs if children and families are not able to access them. Existing research evidence shows that differential access is an important contributing factor to inequities in enrollment. The long-term benefits associated with strong care and education in the early years make these disparities particularly concerning.

A Focus on Pre-K Access and Enrollment in Chicago
Recently, Start Early partnered with a group of researchers from NORC at the University of Chicago, UChicago Consortium on School Research and policymakers in Chicago to explore whether and how policy efforts in the city helped to create more equity within the district’s early education system for high priority students. We examined access and enrollment to school-based pre-K in Chicago Public Schools (CPS), before and after significant policy changes that began in 2013-14, with a focus on re-allocating pre-K classrooms to schools throughout the city and increasing the number of full-day pre-K classrooms.

The overall goal was to improve access and enrollment for high-priority groups to help them better prepare for success in kindergarten and beyond – including students of color, students speaking a language other than English and students living in neighborhoods with lower income and higher unemployment.

Adopting A Neighborhood-Centered Approach in Chicago
In addition to examining changes in pre-K access and enrollment, we used a “neighborhood-centered” method to explore patterns of access and enrollment based on the neighborhood where students resided.

Our methodology resulted in a concise set of five neighborhoods groupings focused on the characteristics of residents and variations within communities, which is critical to informing policy decisions about how to most equitably allocate services, supports, and resources.

What We Learned: Evidence of Greater Equity
Prior to Chicago’s policy changes in 2013-14, White students and students living in the highest-income neighborhoods had the greatest number of full-day pre-K classrooms nearby and were most likely to enroll in full-day pre-K.

We found evidence of improvements following the policy changes:

  • A larger portion of CPS elementary schools offered full-day pre-K, students lived an average of 0.6 miles closer to a school with at least one full-day pre-K and full-day pre-K enrollment rates grew nearly four-fold during the study.
  • Enrollment tripled in school-based full-day pre-K among Black students and students living in lowest-income neighborhoods.
  • Latinx students were more likely to enroll in full-day pre-K, at slightly lower levels than other groups.

Watch the Webinar Recording

To further explore what we learned, check out the recording of our webinar, Advancing Equity in Pre-K Access and Enrollment in Chicago: A Conversation with Researchers, Policymakers and Parent Leaders.

Key Learnings for Future Policy and Research
Although the COVID-19 pandemic impacted Chicago’s post-policy progress and resulted in decreased enrollment rates, our study illustrates how increasing access to school-based, full-day pre-K may be an effective policy strategy for increasing enrollment among high-priority students and making pre-K opportunities more equitable. It is a prime example of research informing policy and vice versa.

However, to truly address equity in ECE we need to rethink our systems, advance research and policy agendas that ensure sociodemographic characteristics do not predict a child’s outcomes, and integrate these efforts into the comprehensive services and supports we provide young children and families.

Continue the Conversation
Join the Early Childhood Connector to learn from and collaborate with peers and experts in the ECE field, as we continue our work to improve access for our youngest learners.

Maia Connors, director of research and policy initiatives at Start Early recently spoke to WTTW about findings from “Closer to Home,” a report by education researchers at Start Early, NORC at the University of Chicago and the UChicago Consortium on School Research.

Overall, the report found policy changes launched in 2013 enabled greater equity in both access to and enrollment in Chicago Public Schools’ full-day, school-based pre-K.

“After these policy changes, these full-day opportunities were expanded greatly and Black students and students living in the lowest-income neighborhoods were the most likely to enroll in full-day pre-K,” Maia Connors, director of research and policy initiatives at Start Early, told WTTW News. “So I think that’s really a drastic change that shows that Chicago really was able to achieve greater equity.”

Connors also spoke to how this additional access to pre-K education can have a lasting impact on students’ lives.

“Prior research really shows that enrolling in high-quality pre-K is really critical for young children’s learning and that children really benefit a lot,” she said. “It can set them on a trajectory to greater academic achievement (and) longer-term positive outcomes as adults.”

Read the full story.

Policy changes to Chicago’s school-based pre-K system enabled greater equity in both access to and enrollment in full-day, school-based pre-K, according to a new study by education researchers at NORC at the University of Chicago, Start Early (formerly  known as the Ounce of Prevention), and UChicago Consortium on School Research. The study, Closer to Home: More Equitable Pre-K Access and Enrollment in Chicago, analyzes access to (distance and number of classrooms) and enrollment in pre-K from 2010-2016, both before and after policy changes occurred. Post-policy, high-priority student groups were up to three times more likely to enroll in full-day pre-K.

“Shifting where seats were located was a primary lever in the district’s policy strategy,” said Stacy Ehrlich, principal investigator and senior research scientist, NORC. “The concentration of full-day pre-K seats increased most on the West and South Sides of Chicago in neighborhoods where children have historically been under-enrolled in pre-K.”

Beginning in 2013, the City of Chicago launched major policy efforts to create more equitable enrollment in pre-K programs. The policies, including increasing the number of full-day pre-K classrooms and reallocating classrooms throughout the city, aimed to enroll more students from “high-priority” groups to help them better prepare for success in kindergarten and beyond. High-priority groups included students of color, students speaking a language other than English, and students living in neighborhoods with lower income and higher unemployment.

Pre-policy, the students most likely to enroll in the small number of full-day Chicago Public Schools (CPS) pre-K options (many of which required families to pay tuition) were White students, students living in highest-income neighborhoods, and students living in mostly-White neighborhoods. Post-policy, full-day pre-K opportunities expanded, and the students most likely to enroll in full-day pre-K were Black students, students living in lowest-income neighborhoods, and students living in mostly-Black neighborhoods.

“While Chicago significantly expanded enrollment in full-day, school-based pre-K, our study shows that there are still many age-eligible students who are not being served in full-day pre-K,” said Maia Connors, director, Research and Policy Initiatives at Start Early. “For example, the enrollment rate is only about 3 percent for Latinx students, so more work is needed to increase full-day pre-K opportunities for these families.”

“As school districts nationwide grapple with limited budget and capacity to expand full-day pre-K, this study offers an example of how to make evidence-based policy decisions to create more equitable and accessible enrollment opportunities for those students who are most likely to benefit,” said John Q. Easton, senior fellow, UChicago Consortium on School Research and former director of the Institute of Education Sciences, U.S. Department of Education. “The next step in our research will be to examine the relationship between increased pre-K access and enrollment and student outcomes in second and third grade.”

This study demonstrates that increased access was linked to increased enrollment, but access is just one policy lever that districts can use. Chicago implemented other policy changes simultaneously, including: a centralized pre-K application and enrollment process; prioritization of eligibility and placement of students with certain characteristics or experiences (e.g., lowest income); online information about pre-K options and quality; and local outreach efforts with families. “Policymakers may want to explore whether and how similar strategies may be effective in their districts,” said Ehrlich.

Research Questions and Key Findings

Question: Prior to policy changes, what was the association between students’ likelihood of enrollment and 1) their distance to the closest school with any pre-K/full day pre-K, and 2) the number of any pre-K/full-day pre-K classrooms close to their home?

Key Findings

  • Pre-policy, enrollment rates in any CPS pre-K were higher for students who lived closer to schools with pre-K and had more pre-K classrooms near where they lived.
  • Pre-policy, the associations of likelihood of enrollment in full-day pre-K with 1) distance to a school with a full-day pre-K classroom, and 2) number of full-day pre-k classrooms close to home were strongest for Black students and students living in lowest-income neighborhoods.
  • Pre-policy, the students most likely to enroll in full-day pre-K were white students and students living in highest-income neighborhoods.

Question: Post-policy, did access to any pre-K/full-day pre-K change for some or all students?

Key Findings

  • For most student groups, distance to a school with any CPS pre-K did not change substantially, and the number of pre-K classrooms available went down slightly.
  • In contrast to any pre-K, access to full-day pre-K increased following policy changes for nearly all student groups.
  • The portion of CPS elementary schools offering full-day pre-K quadrupled, from 10 percent to 41 percent.
  • The concentration of full-day pre-K seats increased most on the West and South Sides of Chicago in primarily Black neighborhoods and neighborhoods with lower income.

Question: Post-policy, when access changed, did enrollment change in corresponding ways?

  • Full-day pre-K enrollment rates grew nearly four-fold from 3.2 percent in 2010-2011 to 11.6 percent in 2015-2016.
  • Black students and students living in lowest-income neighborhoods were three times more likely to enroll in full-day pre-K following policy changes.
  • Latinx students were also more likely to enroll in full-day pre-K following policy changes, but at rates much lower than the city average (2.6 percent for Latinx students compared to 7.2 percent for all students).

Question: Following the policy shift, was access still related to enrollment in the same direction and with the same magnitude as it had been before?

Key Finding

  • Post-policy, access continued to predict enrollment in full-day pre-K. However, the association became stronger for Black students, lowest-income students, and for students living in mostly Black neighborhoods.

Cite as: Ehrlich, S.B., Connors, M.C., Stein, A.G., Francis, J., Easton, J.Q., Kabourek, S.E., & Farrar, I.C. (2020). Closer to home: More equitable pre-k access and enrollment in Chicago (Research Snapshot). Chicago, IL: University of Chicago Consortium on School Research, NORC at the University of Chicago, and Start Early.


About NORC at the University of Chicago

NORC at the University of Chicago is an objective, non-partisan research institution that delivers reliable data and rigorous analysis to guide critical programmatic, business, and policy decisions. Since 1941, NORC has conducted groundbreaking studies, created and applied innovative methods and tools, and advanced principles of scientific integrity and collaboration. Today, government, corporate, and nonprofit clients around the world partner with NORC to transform increasingly complex information into useful knowledge.

About Start Early

Start Early (formerly known as the Ounce of Prevention) is a nonprofit public-private partnership advancing quality early learning and care for families with children, before birth through their earliest years, to help close the opportunity gap. For nearly 40 years, Start Early has delivered best-in-class doula, home visiting and Early Head Start and Head Start programs. Bringing expertise in program delivery, research and evaluation, professional development and policy and advocacy, Start Early works in partnership with communities and other experts to drive systemic change so that millions more children, families and educators can thrive. Learn more at  StartEarly.org.

About the University of Chicago Consortium on School Research

\With the goal of supporting stronger and more equitable educational outcomes for students, the UChicago Consortium conducts research of high technical quality that informs and assesses policy and practice in the Chicago Public Schools. We seek to expand communication among researchers, policymakers, practitioners, families, and communities as we support the search for solutions to the challenges of school improvement. The UChicago Consortium encourages the use of research in policy action and practice but does not advocate for particular policies or programs. Rather, we help to build capacity for school improvement by identifying what matters most for student success, creating critical indicators to chart progress, and conducting theory-driven evaluation to identify how programs and policies are working.

While much attention and effort has been directed at addressing the widening opportunity gap in the United States, children growing up in communities that are under-resourced from decades of historical and institutional racism face an equally pervasive and related health gap. By and large, they have markedly worse health than their peers from more advantaged communities. This gap appears early in life and builds over time. Science suggests that adverse early life experiences and environments — prenatally and in a child’s first years — can contribute to the health gap, leaving biological imprints on the child’s developing body and brain that can have strong and lasting effects.

Fortunately, new and current research points us to a critical strategy in narrowing the health gap and giving all children a chance at good health over their lifetime: We can ensure that every child has access to high-quality early childhood programs, including early education and home visiting.

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Start Early to Support Social & Emotional Health

Our research team translates research and studies strategies and interventions that target social and emotional skills and development.

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Attachment ─ the security, confidence, and trust that infants and toddlers have with the adults responsible for their care ─ is the framework within which babies develop their growing ability to regulate emotions and behavior. Babies thrive when they are securely attached to their mother, father or primary caregiver who knows and responds consistently and reliably to their unique personalities. Infants and toddlers who are not securely attached are likely to become preschoolers who are unable to control their behaviors and kindergartners who have difficulty engaging in the process of learning.

Recognizing the importance of secure attachment, Start Early implements a continuity of care model in partnership with our network of early learning schools, the Educare Learning Network. This model minimizes the disruptions that children experience by keeping infants and toddlers with the same classroom team of teachers until they transition to preschool.

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