model of inclusion

Growing approach helps kick preschool expulsion habit

PHOTO: Ann Schimke
Teacher Dee Gilmore talks with two preschoolers at the Bal Swan Children's Center about tools.

Last year at preschool, Elena would stomp her foot when she got upset. When her teachers sternly told her there would be no foot-stomping in the classroom, she simply stomped harder.

It was a power struggle with no victors.

Elena, who has autism, was miserable at school. Her teachers were frustrated— ultimately telling Elena’s mother, Kristin Miesel, that the girl might have to be physically removed from the classroom if her emotions continued to escalate.

Miesel, a school psychologist at a Jefferson County elementary school, chokes up remembering that moment.

“It’s like, ‘Really? You need to physically remove my child because she’s stomping her feet or getting upset like that?’” she said.

Fast-forward a year. Four-year-old Elena now attends preschool at Bal Swan Children’s Center in Broomfield and Miesel has finally breathed a sigh of relief.

“This place is like heaven,” she said.

The center, where about one-third of children have special needs, uses an approach that Miesel and school leaders credit with creating a welcoming environment for every kind of child—even those who elsewhere might get kicked out for biting, hitting or other behaviors.

This 2011-12 data is from The U.S. Department of Education's Office of Civil Rights.
This 2011-12 data is from The U.S. Department of Education’s Office of Civil Rights.

It’s called the Pyramid Plus Approach and launched six years ago at four demonstration sites in Colorado, including Bal Swan. Today, it’s used at around 200 centers and preschools in the state.

While the program has grown slowly but steadily since 2009, it’s getting a closer look in light of recent state and national conversations about the alarming frequency of preschool expulsions.

Colorado Pyramid Plus Demonstration Sites

  • Bal Swan Children’s Center, Broomfield
  • Creative Options Center for Early Education, Denver/Aurora
  • Primetime Early Learning Center, Norwood
  • Fremont County Head Start, Canon City

Not only are preschoolers expelled at higher rates than their K-12 counterparts, a 2014 report from the U.S. Department of Education revealed that boys and minorities are disproportionately expelled from preschool.

Geneva Hallett, director of the Pyramid Plus Center at the University of Colorado Denver, said getting expelled at 3, 4 or 5 often leads to a lifetime trajectory that includes more of the same.

Bal Swan director of education Patti Willardson calls preschool expulsion her hot-button issue. She finds it frustrating that the default response to challenging children at some local centers is to send them to Bal Swan.

“We take as many kiddos as we can,” she said. “But I just keep telling other administrators, ‘You can’t depend on one school in the whole area to take these kids. You all need to learn to help them yourself.’”

A Full Toolbox

The Pyramid Plus Approach was created in Colorado, building off a free national framework for early childhood social emotional practices called the Pyramid Model. More than 24 school districts have adopted that model over the last eight years with support from the Colorado Department of Education.

The “Plus” in Pyramid Plus refers to its emphasis on including children with disabilities in early childhood classrooms.

Pyramid Plus includes an 18-session training and follow-up coaching. The idea is to give early childhood staff a full set of tools for teaching young children social-emotional skills and managing challenging behaviors.

Speech therapist Melissa Cain talks to a preschooler at the Bal Swan Children's Center.
PHOTO: Ann Schimke
Speech therapist Melissa Cain talks to a preschooler at the Bal Swan Children’s Center.

For example, teachers might learn when to ignore bad behavior so as not to reinforce it with a burst of attention. Or how to use puppets to demonstrate toy-sharing or teach students to be aware of their own emotional state.

At Bal Swan, you won’t typically hear admonishments like “no,” “stop,” or “don’t.” Correction is rephrased in a positive way. You’ll also see teachers using the same social skills they tell students to employ, like getting someone’s attention with a tap on the shoulder.

Pyramid Plus also includes a series of parent classes—called Positive Solutions for Families—that offer many of the strategies and tools that teachers use in the classroom. Miesel said even with her background as a psychologist, she’s learned a lot from the sessions.

“The language they use here has been educational for us,” she said.

The Pyramid Plus Approach is not the only program aimed at cultivating healthy social-emotional development in young children—or the only one cited as a remedy to preschool expulsions. Another evidence-based program called The Incredible Years, run by the Denver-based Invest In Kids, provides similarly themed trainings to teachers and parents.

Early childhood mental health consultants, who are typically called in to help teachers work with the highest needs students, represent another expulsion prevention strategy, but their ranks are relatively small in Colorado.

Diminishing problems

Using Pyramid Plus doesn’t mean that aggressive or disruptive behaviors magically disappear. They may occur less often, but many Pyramid Plus advocates say the biggest transformation is in the level of confidence teachers display when problems do arise.

“When they have a plan and they know they can deal with these things. They don’t see challenging behavior as a problem anymore,” said Alyson Jiron, a Bal Swan counselor.

“It’s not like there’s kids that people are like, ‘Oh I don’t want that kid in my class,’” she said. “Truly, across the board now…everyone’s like, ‘We got this. We can do this.’”

The "calm box" is a place in the classroom where kids can go when they feel upset.
The “calm box” is a place in the classroom where kids can go when they feel upset.

When a child recently jumped up on a table in the class Clarissa Villareal co-teaches, she ignored the behavior and instead focused her attention on a child nearby who had her feet on the floor. The table-stander soon got down on her own.

“A huge part of it is our reaction,” she said.

At Bal Swan and other centers that use the Pyramid Plus model, expulsion isn’t an option. In fact, providers sign an agreement beforehand stating they won’t resort to it.

Hallett said without that policy, expulsion could be a tantalizing option when the toughest cases rear up.

“That’s not a back door they can get out of…and that’s hard,” she said.

Slow build

While there are now 2,200 providers trained in the Pyramid Plus approach in Colorado, that represents only a fraction of the state’s early childhood workforce.

“It has been a slow steady build,” said Hallett. “The fact is this is very hard work.”

Pyramid Plus, which includes a 45-hour training costing up to $500 per person, can be a tough sell for time-crunched, cash-strapped childcare centers.

Elizabeth Steed, an assistant professor at the University of Colorado Denver, said she’s visited hundreds of preschool classrooms and many don’t have the budget, leadership or staffing flexibility to take on the program.

“They feel very stretched already,” said Steed, who is a member of a state policy team promoting the Pyramid Model and inclusion practices.

Bal Swan, named for a philanthropist who donated to the school, is perhaps better positioned than smaller, less stable centers to embrace an effort like Pyramid Plus. Most of the school’s 350 slots are tuition-based. In addition, class sizes are small and the pay is above average. Willardson said teachers with a degree typically start at $18 an hour and go up to $23—at many centers it’s closer to $13-14 an hour.

Thriving

These days, Miesel doesn’t brace herself for bad news when she picks up her daughter at the end of the day.

Even when Elena slips up, she knows its not a stepping stone to ultimatums or expulsion.

feelings wheel

Take, for example, a recent day when Elena bit a classmate.

There were no gasps or scoldings. Instead, a teacher consoled the injured child and then enlisted Elena’s help to get an icepack and deliver it to the girl. Instead of being punished for hurting her friend, she was praised for helping her feel better.

Miesel admits she was mortified when she found out what happened, but Elena’s teacher and Willardson counseled her against overreacting.

“Don’t feed into it,” they told her.

While such a low-key reaction from teachers and parents can feel counterintuitive, it’s effective, said Willardson.

That’s what she likes about the Pyramid Plus approach.

“It’s changed our teaching skills…It’s changed our understanding of who children are,” said Willardson.

early intervention

Meet Colorado’s resident expert on early childhood mental health

Jordana Ash, Colorado's director of early childhood mental health

Jordana Ash holds a job that doesn’t exist in most states.

She’s Colorado’s director of early childhood mental health — a position created three years ago within the state’s Office of Early Childhood. A local foundation paid Ash’s salary for 18 months and then the state took over.

The addition of a high-level state job dedicated to the mental health of young children was a win for advocates, coming at a time of growing awareness about the long-term impact of childhood trauma. Ash said her role helps infuse both the Office of Early Childhood, where her unit is housed, and other state agencies with programs and policies focusing on child mental health.

Before coming to the Office of Early Childhood, which is part of the Department of Human Services, Ash ran a mental health consultation program in Boulder for 13 years.

We sat down with Ash this week to discuss her background, the state’s work on early childhood mental health and her thoughts on the recent defeat of state legislation that would have limited early childhood suspensions and expulsions.

The interview has been edited for clarity and length.

What sparked your interest in early childhood mental health?
My first job out of graduate school was in Alameda County, California and I was a child welfare worker. I didn’t have a lot of life experience at that time. I didn’t have children of my own. I didn’t know a lot about child development. But what I could really do is listen to families. We met families at the hardest times.These were families whose children were removed for suspicion of abuse or neglect.

Everybody has a story and if you spend time listening, you will hear about their hopes for their child, things that bring them joy in parenting. To me, it’s about the stories and what parents do every day to try to do better for their kids.

Can you put into context Colorado’s work on early childhood mental health compared to work in other states?
Colorado is really in a unique position compared to other states. My position was created three years ago with philanthropic dollars (from the Denver-based Rose Community Foundation, which is also is a financial supporter of Chalkbeat) looking to get a position in state government completely focused on early childhood mental health.

There are very few states that have a position of leadership in state government with (early childhood mental health) being their primary focus. Minnesota has a similar position, Connecticut has a coordinator position. A couple of states are coming along. Other states have recognized that it’s a wise investment to have a position where you can really institutionalize some of those important changes and policies for statewide reach.

Can you talk about the major efforts your unit is working on now?
Our two main initiatives are the mental health (consultant) program and Colorado Project LAUNCH. (See this story for more about Project LAUNCH.)

We are (also) studying the effects of parent adversity on child well-being. We were (also) selected to receive three years of technical assistance on infant and early childhood mental health consultation. We’re hoping that helps us finalize our system of consultation in Colorado so we are a premier program that other states look to.

Last year, the state doubled the number of early childhood mental health consultants available to help child care providers and preschool teachers manage challenging behavior. How is it going?
Our state-funded program of 34 full-time positions is one of the largest (in the nation). We’re working really hard on developing Colorado’s system of mental health consultation so it’s consistent — for state-funded positions, for positions funded by philanthropy for programs that have their own hired consultants — so everyone is working toward the same standard of practice.

Can you share an anecdote about how mental health consultation works?

I can think of a situation where a consultant provided support for a cook at a child care center. Her child was enrolled in the program. This was a 3-year-old with a lot of challenging behaviors. At first, (the mother) was really nervous to talk to the consultant. She confused the role of the mental health consultant with something like social services and wondered if she was going to be judged or somehow scrutinized about her parenting. She had never had contact with any kind of mental health service before.

In getting to know the consultant not only did she find some new ways to interact with her child so that he could be more successful in the classroom and at home, but she also had her first experience with a mental health professional. It reduced the sense of stigma (around) getting mental health help.

She found that she could get a better position at the child care center because her child was successful in his classroom. She wasn’t having to take him home because of his problems.

What advice do you have for child care providers or early childhood teachers who are at their wits’ end over a child’s challenging behavior and haven’t accessed a consultant? Take a deep breath. We want to understand that that child is telling us something. We might not understand what that behavior means but it’s our responsibility as adults to help figure that out.

We really encourage providers to access a mental health consultant or other support right away when they’re starting to be puzzled or concerned about a child’s behavior. It’s much easier to intervene if you have new ideas sooner in the process.

The role of child care providers and teachers is critically important. So we are not in a position to judge or to evaluate what you’ve done. We’re in a position to partner with you and help you provide the best care you can.

To locate an early childhood mental health consultant, providers can call 303-866-4393.

What advice do you have for parents who know their child is acting up at preschool or child care and worry they could get counseled out or kicked out?
Reach out and connect directly with your child care program about the problem before you start feeling like your child may be at risk of being suspended or expelled. That partnership between parents and providers is the most powerful part of a solution.

I would also say you can talk to your child’s primary care physician as a start. Maybe there’s a developmental concern your physician can help figure out and that’s gonna be a really important piece of the puzzle.

Connecting with a mental health consultant in your area is a really good solution to start looking at the causes of those challenging behaviors and to start putting in place some interventions while other tests or other assessments are being done.

For help locating a mental health consultant, parents can visit: http://www.coloradoofficeofearlychildhood.com/ecmentalhealth

What are your thoughts on the bill killed during Colorado’s 2017 legislative session that would have limited suspensions and expulsions in preschool and kindergarten through second grade?

The fact that the bill made it as far as it did meant lots of people were invested, were having great conversations about this problem in a way we never (had) before. Stakeholders were for the first time …. considering issues of disproportionality and implicit bias in a way that was a first. We had never had that kind of visibility to the early childhood time period and this very complex issue that affects children’s trajectories way into their school years.

Would you like to see a similar bill pass next year?
As an office, we’d be super interested in whatever’s put forward.

Early education

Colorado gets good marks on preschool access for 3-year-olds, not so much on funding

PHOTO: Ann Schimke
Preschoolers play dress-up on a recent morning at Fairview Elementary in the Westminster school district.

While Colorado ranks near the back of the pack for state preschool funding, it gets relatively high marks for providing preschool access to the state’s 3-year-olds, according to a report released Wednesday by the National Institute for Early Education Research.

Colorado ranked 11th for 3-year-old access among 33 states offering preschool to 3-year-olds. The state-funded Colorado Preschool Program, which is for children with certain risk factors, served about 5,400 3-year-olds and about 15,700 4-year-olds last year.

PHOTO: NIEER
This chart shows the percentage of Colorado children served by state-funded preschool over time.
PHOTO: NIEER
This chart shows how Colorado’s per-pupil preschool funding has changed over time.

Colorado ranked 24th of 44 states for 4-year-old preschool access in the state-by-state report, slightly worse than last year. Seven states, including Colorado’s neighbors, Wyoming and Utah, don’t fund preschool at all.

Besides gauging preschool funding and access, the new report revealed that Colorado meets five of 10 benchmarks designed to judge preschool quality. Last year, the state met six of the benchmarks, but several benchmarks changed this year in what the research institute described as an effort to raise the bar.

State officials said that observers should take Colorado’s middling benchmark score with a grain of salt because while the state didn’t get credit for having certain standards enshrined in state policy, the standards are widely practiced by school districts that participate in the Colorado Preschool Program. One example is the benchmark that calls for vision, hearing and health screenings of preschoolers — Colorado didn’t check that box, but most districts conduct the screenings.

Two other benchmarks that Colorado doesn’t meet include a requirement for lead teachers to have a bachelor’s degree and assistant teachers to have a Child Development Associate credential.

Cathrine Floyd, program director for the Colorado Preschool Program and Results Matter Program at the Colorado Department of Education, said the degrees are highly encouraged by the state but not required. That’s because some state-funded preschool slots are offered at community-based preschools that would not be able to afford to pay teachers if they all had higher-level degrees, she said.

Among the five benchmarks Colorado meets on the revised list are two related to class size and staff-student ratio, one related to teacher training, one related to state early learning standards and one related to preschool curriculum.

Floyd and her colleagues described the annual report from the well-regarded National Institute for Early Education Research as a good starting point for conversation, but said the state’s annual Colorado Preschool Program report provides more detail and context about Colorado’s progress.