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• 1. [Article] Testing the Effectiveness of Healthy Start-Healthy Families Oregon: Outcomes and Cost-Benefits

  Objectives. This study was designed to achieve several specific objectives: (1) to conduct a large-scale randomized study of the impact of the Healthy Families Oregon (HFO) program, a home visitation program ...

  Citation × Citation Citation Abstract Copy Title: Testing the Effectiveness of Healthy Start-Healthy Families Oregon: Outcomes and Cost-Benefits Author: Green, Beth L., Tarte, Jerod, Sanders, Mary Beth, Waller, Mark S. Year: 2016 Objectives. This study was designed to achieve several specific objectives: (1) to conduct a large-scale randomized study of the impact of the Healthy Families Oregon (HFO) program, a home visitation program using the Healthy Families America model, on child welfare system involvement, access to self-sufficiency resources, and use of preventive and other medical services; (2) to conduct a comprehensive and detailed cost-benefit study of the HFO program; and (3) to develop and disseminate a web-based tool to support home visiting program managers, funders, and others to better understand and develop readiness for conducting program cost analysis and cost-benefit research. Approach. 2,727 eligible first-time parents were randomly assigned to receive the HFO program or a community services-as-usual control group. The research team obtained 2 years of postenrollment follow-up data on all study participants from Oregon’s child welfare system, selfsufficiency services, and medical assistance programs. Additionally, a 1-year post-enrollment telephone interview was conducted with a random sample of 803 study participants (403 program, 400 control). Analyses were also conducted to examine whether program impacts varied for subgroups of families with different demographic and baseline risk characteristics, and to explore the relationship of program fidelity and dosage to outcomes. Finally, a detailed program cost analysis was conducted and administrative data outcomes were used in a cost-benefit analysis. Results/Benefits. 1-year follow-up interviews with parents found that HFO families were significantly more likely (compared to controls) to read to their young children frequently, to provide developmentally supportive activities, and to report lower parenting-related stress as measured by the Parent Stress Inventory (PSI). These effects appeared to be strongest for families with four or more risk factors (two factors more than the threshold for “at risk”). Administrative data outcomes at 2 years post enrollment found that families were no more likely to have a founded child abuse report than were controls (6.3% vs. 6.0%), but were significantly more likely to have an unfounded report (9.7% vs. 7.9%). HFO families, compared to controls, were also significantly more likely to have been enrolled in TANF services for the first time, received more days of Supplemental Nutrition Assistance Program (SNAP), and were more likely to be enrolled in substance abuse treatment services. There were no significant differences between groups in terms of use of or access to publicly funded health insurance or health-related services. Consistent with other cost-benefit analyses of home visiting and early childhood programs, results of the cost-benefit analyses did not support short-term cost savings associated with receipt of the HFO program. A web-based tool, The Home Visiting Cost Tool, was posted to the following web address: www.homevisitcosts.com. Title: Testing the Effectiveness of Healthy Start-Healthy Families Oregon: Outcomes and Cost-Benefits Author: Green, Beth L., Tarte, Jerod, Sanders, Mary Beth, Waller, Mark S. Year: 2016 Objectives. This study was designed to achieve several specific objectives: (1) to conduct a large-scale randomized study of the impact of the Healthy Families Oregon (HFO) program, a home visitation program using the Healthy Families America model, on child welfare system involvement, access to self-sufficiency resources, and use of preventive and other medical services; (2) to conduct a comprehensive and detailed cost-benefit study of the HFO program; and (3) to develop and disseminate a web-based tool to support home visiting program managers, funders, and others to better understand and develop readiness for conducting program cost analysis and cost-benefit research. Approach. 2,727 eligible first-time parents were randomly assigned to receive the HFO program or a community services-as-usual control group. The research team obtained 2 years of postenrollment follow-up data on all study participants from Oregon’s child welfare system, selfsufficiency services, and medical assistance programs. Additionally, a 1-year post-enrollment telephone interview was conducted with a random sample of 803 study participants (403 program, 400 control). Analyses were also conducted to examine whether program impacts varied for subgroups of families with different demographic and baseline risk characteristics, and to explore the relationship of program fidelity and dosage to outcomes. Finally, a detailed program cost analysis was conducted and administrative data outcomes were used in a cost-benefit analysis. Results/Benefits. 1-year follow-up interviews with parents found that HFO families were significantly more likely (compared to controls) to read to their young children frequently, to provide developmentally supportive activities, and to report lower parenting-related stress as measured by the Parent Stress Inventory (PSI). These effects appeared to be strongest for families with four or more risk factors (two factors more than the threshold for “at risk”). Administrative data outcomes at 2 years post enrollment found that families were no more likely to have a founded child abuse report than were controls (6.3% vs. 6.0%), but were significantly more likely to have an unfounded report (9.7% vs. 7.9%). HFO families, compared to controls, were also significantly more likely to have been enrolled in TANF services for the first time, received more days of Supplemental Nutrition Assistance Program (SNAP), and were more likely to be enrolled in substance abuse treatment services. There were no significant differences between groups in terms of use of or access to publicly funded health insurance or health-related services. Consistent with other cost-benefit analyses of home visiting and early childhood programs, results of the cost-benefit analyses did not support short-term cost savings associated with receipt of the HFO program. A web-based tool, The Home Visiting Cost Tool, was posted to the following web address: www.homevisitcosts.com. 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• 2. [Article] Early Childhood Mental Health Consultation: An Evaluation Tool Kit

  For states, communities, agencies and programs investing in early childhood mental health consultation and committed to quality data. This web-based resource combines a brief review of the literature and ...

  Citation × Citation Citation Abstract Copy Title: Early Childhood Mental Health Consultation: An Evaluation Tool Kit Author: Hepburn, Kathy S., Kaufmann, Roxane K., Perry, Deborah F., Allen, Mary Dallas, Brennan, Eileen M., Green, Beth L. Year: 2007 For states, communities, agencies and programs investing in early childhood mental health consultation and committed to quality data. This web-based resource combines a brief review of the literature and current research addressing the effectiveness of early childhood mental health consultation with guidance for designing and implementing program evaluation. It will help states, communities, and programs increase their capacity for high-quality evaluation of early childhood mental health consultation in community-based settings. Researchers, policy makers and program evaluation teams will find: A brief review of the evidence base, current issues, and questions; Defining characteristics of early childhood mental health consultation; Components of high quality evaluation and sample logic models; Evaluation tools to measure both process and outcome, including outcomes for children, families, staff and programs; and Guidance for using evaluation data for program improvement and communicating outcomes. Title: Early Childhood Mental Health Consultation: An Evaluation Tool Kit Author: Hepburn, Kathy S., Kaufmann, Roxane K., Perry, Deborah F., Allen, Mary Dallas, Brennan, Eileen M., Green, Beth L. Year: 2007 For states, communities, agencies and programs investing in early childhood mental health consultation and committed to quality data. This web-based resource combines a brief review of the literature and current research addressing the effectiveness of early childhood mental health consultation with guidance for designing and implementing program evaluation. It will help states, communities, and programs increase their capacity for high-quality evaluation of early childhood mental health consultation in community-based settings. Researchers, policy makers and program evaluation teams will find: A brief review of the evidence base, current issues, and questions; Defining characteristics of early childhood mental health consultation; Components of high quality evaluation and sample logic models; Evaluation tools to measure both process and outcome, including outcomes for children, families, staff and programs; and Guidance for using evaluation data for program improvement and communicating outcomes. Close

• 3. [Article] Evaluation of the Kindergarten Readiness Partnership & Innovation Grants

  In July 2014, Oregon’s Early Learning Division provided first-time funding for sixteen communities across the state to implement Kindergarten Readiness Partnership & Innovation (KRPI) projects. The KRPI ...

  Citation × Citation Citation Abstract Copy Title: Evaluation of the Kindergarten Readiness Partnership & Innovation Grants Author: Green, Beth L., Patterson, Lindsey Brianna, Morris, Mackenzie, Cochran, Lindsey Anne, Lambarth, Callie H. Year: 2015 In July 2014, Oregon’s Early Learning Division provided first-time funding for sixteen communities across the state to implement Kindergarten Readiness Partnership & Innovation (KRPI) projects. The KRPI projects share the common goal of improving children’s school readiness and, ultimately, improving school success and reducing the achievement gap. To achieve these goals, grantees were given considerable local flexibility to implement innovative approaches in one or more of the following areas: 1. Supporting kindergarten readiness skills and smooth transitions to kindergarten; 2. Increasing family engagement in children’s learning and connecting families and schools; 3. Providing professional development to early learning and/or elementary school professionals to improve knowledge and skills; and/or 4. Increasing alignment, connection, and collaboration in the prenatal to Grade 3 (P-3) system. All grantees were also expected to work toward addressing achievement gaps for underrepresented children, including those with special needs, Dual Language Learners, and/or children from low income or racial/ethnic minority backgrounds. Across the sixteen grantees, a variety of different strategies and interventions were selected and implemented. Portland State University was contracted to conduct an evaluation of the KRPI initiative, with a focus on documenting and describing the types of innovations delivered, early program outcomes, and lessons learned from the first year of implementation. The evaluation took a multi-level, mixed-methods approach that included: Developing web-based reporting tools, including: Service reporting tools to track the types of events and interventions used; Demographic and background characteristics of participants; and Frequency of participation by early learning and elementary school professionals, families, and community partners; Outcome tools designed to capture short-term outcomes for three primary types of interventions: Kindergarten Transition programs Cross-Sector Professional Development activities; and Family Engagement activities; Interviewing 28 key stakeholders representing the 16 communities to document key project successes, challenges, and lessons learned; and conducting five site-specific “mini evaluations” that allowed a more in-depth evaluation of selected grantee projects. Title: Evaluation of the Kindergarten Readiness Partnership & Innovation Grants Author: Green, Beth L., Patterson, Lindsey Brianna, Morris, Mackenzie, Cochran, Lindsey Anne, Lambarth, Callie H. Year: 2015 In July 2014, Oregon’s Early Learning Division provided first-time funding for sixteen communities across the state to implement Kindergarten Readiness Partnership & Innovation (KRPI) projects. The KRPI projects share the common goal of improving children’s school readiness and, ultimately, improving school success and reducing the achievement gap. To achieve these goals, grantees were given considerable local flexibility to implement innovative approaches in one or more of the following areas: 1. Supporting kindergarten readiness skills and smooth transitions to kindergarten; 2. Increasing family engagement in children’s learning and connecting families and schools; 3. Providing professional development to early learning and/or elementary school professionals to improve knowledge and skills; and/or 4. Increasing alignment, connection, and collaboration in the prenatal to Grade 3 (P-3) system. All grantees were also expected to work toward addressing achievement gaps for underrepresented children, including those with special needs, Dual Language Learners, and/or children from low income or racial/ethnic minority backgrounds. Across the sixteen grantees, a variety of different strategies and interventions were selected and implemented. Portland State University was contracted to conduct an evaluation of the KRPI initiative, with a focus on documenting and describing the types of innovations delivered, early program outcomes, and lessons learned from the first year of implementation. The evaluation took a multi-level, mixed-methods approach that included: Developing web-based reporting tools, including: Service reporting tools to track the types of events and interventions used; Demographic and background characteristics of participants; and Frequency of participation by early learning and elementary school professionals, families, and community partners; Outcome tools designed to capture short-term outcomes for three primary types of interventions: Kindergarten Transition programs Cross-Sector Professional Development activities; and Family Engagement activities; Interviewing 28 key stakeholders representing the 16 communities to document key project successes, challenges, and lessons learned; and conducting five site-specific “mini evaluations” that allowed a more in-depth evaluation of selected grantee projects. Close