Starting early

Why boosting mental health for the youngest children is attracting federal — and private — investment

John Hicks, co-facilitator of a parenting class called "The Incredible Years" listens as participants discuss setting rules for their kids.

At dinnertime on a Tuesday night, nine parents sat in a Commerce City preschool classroom discussing the difficulty of setting rules for their small children.

Some said they bark orders too often and are trying to cut back. One mom said she wished one blanket rule — “just love each other” — would cover it. But inevitably she finds a dozen more specific things to list off: Don’t bite, don’t hit and so on.

Over the next hour, the parents and two facilitators talked through more effective approaches, including giving kids fewer direct orders, defining “non-negotiables” and letting little things go.

The parenting class was part of a federally-funded initiative called Project LAUNCH that aims to help parents, preschool teachers, pediatricians and other adults in Adams County boost mental health in young children. It reflects growing national awareness that children stand a greater chance of succeeding in school and life if they get mental health support in their earliest years.

“We have so many kids with social and emotional needs,” said Lisa Jansen Thompson, executive director of the Early Childhood Partnership of Adams County. “It is just increasing.”

The Project LAUNCH work in Adams County is a five-year, $2.6 million effort funded by a federal grant program that pays for similar efforts in states and tribal areas across the country.

Getting kids reading well by the third grade used to be the “north star” for many early childhood advocates, Jansen Thompson said. But now, abundant data show the need to start earlier — well before kids enter school. That’s when key lifelong skills develop, such as the ability to form close relationships and manage strong emotions.

And if that development hits a roadblock, a new set of problems can crop up, like kids getting suspended in preschool or having pitched battles at home.

Competition was stiff for Colorado’s Project LAUNCH funding. Eleven communities submitted letters of interest within a 48-hour period. The Adams County proposal, which focuses on Spanish-speaking families in the southern portion of the county, ultimately won out.

But the story didn’t end there. The outsized interest in early childhood mental health — along with the success of an earlier Project LAUNCH site in Weld County — inspired a first-of-its-kind effort by eight private funders to replicate the program in four other Colorado communities.

That initiative — called LAUNCH Together — last fall awarded a total of $8 million to grantees in Denver, Pueblo, Jefferson County and, working as one team, Chaffee and Fremont counties. The private funders include seven foundations and one health care provider.

“We were not trying to prove that a privately funded model could do this better,” said Colleen Church, director of programs for the Caring for Colorado Foundation, one of the funders. “We were really building off what had worked.”

She said interest in early childhood mental health had been growing among funders for several years, elevating it to the level of traditional child health priorities such as ensuring kids have access to medical care and are fully immunized.

The funders hired a Denver-based organization called Early Milestones Colorado to lead the privately funded effort.

While the details differ in the five communities participating in Project LAUNCH and LAUNCH Together, the primary strategies are the same. They involve special training for preschool teachers, parents and the staff of home visiting programs, which send professionals to work with parents of babies or young children. The idea is to help the adults with whom children interact learn how to foster social and emotional skills in kids, and spot red flags that might require outside help.

There are also efforts to get new mothers screened for depression and to make sure children are routinely screened for developmental milestones at doctor check-ups — and if problems arise, give families quick access to mental health services.

Janine Pryor, coordinator of the Chaffee County Early Childhood Council, said because of the LAUNCH Together funding, “We’re sending people to trainings that no one here could ever afford.”

Leaders of the various LAUNCH efforts say their goal is not just to alter the experience that kids and families have now at preschools, doctor’s offices and in their homes, but to make systems-level shifts that ensure changes continue after the grant money runs out.

At the same time, they want to raise public awareness about the importance of early childhood mental health and reduce the stigma that so often accompanies it.

“We’re going to try in our region to really get the word out and develop messages that will resonate with everyone,” Pryor said.

(Very) early education

Helping expectant and new mothers can lead to health and education gains for children, new paper says

PHOTO: Ann Schimke
A toddler at Loveland's Teaching Tree Early Childhood Learning Center, draws on an outline of his foot.

A new paper released Monday identifies health and educational benefits for children whose mothers participated in a home visitation program that provides medical assistance and early childhood development.

The Nurse-Family Partnership program begins in prenatal stages and ends when the child turns 2. The program offers care to disadvantaged, first-time and single mothers. Registered nurses visit the women’s homes and assist both with medical needs and early education.

University of Chicago Professor James Heckman, in tandem with four other professors and researchers at major American universities, analyzed a Nurse-Family Partnership program in Memphis, Tennessee. The paper concludes, among other things, that Nurse-Family Partnership programs improve cognitive skills for babies of both genders by age 6, and specifically social and emotional skills for girls. At age 12, males whose mothers were involved in Nurse-Family Partnership program perform better academically.

It is very important to provide a strong start early in life,” said Maria Rosales-Rueda, a professor at the University of California, Irvine and one of the paper’s authors. “We have seen several research children arrive to school already with big gaps between low socioeconomic status and high socioeconomic status. Programs like Nurse-Family Partnership target low income very disadvantaged families, first-time mothers, sometimes teenagers, by helping them to invest in their children.”

Nurse-Family Partnership receives federal funding from the Maternal, Infant and Early Childhood Home Visiting Program. The funding expires Sept. 30. If Congress does not reauthorize the program, Nurse-Family Partnership and other early childhood programs could lose crucial federal dollars, said Fran Benton, a spokesman for the program’s national office.

Rosales-Rueda said she hopes the paper will help raise awareness about the effectiveness of Nurse-Family Partnership.

Currently, its programs are widely available in Colorado, according to Michelle Neal, director of the program at the Denver-based organization Invest in Kids. While federal funding makes up a smaller portion of Nurse-Family Partnership’s revenue, Neal said if the federal funding is not reauthorized, Colorado’s program could be in jeopardy.

“In Colorado at least we have great support for the program in that we’re available in all 64 counties,” she said. “A (paper) like this can have an impact on our advocacy to have the federal funding be reauthorized because that’s up in the air. We need that funding to continue flowing after October 1.”

Correction: A previous version of this story misstated when federal funding for the Nurse-Family Partnership expires.

building blocks

Why a Colorado researcher believes preschool students should learn — and play — with math

PHOTO: RJ Sangosti, The Denver Post

What do preschoolers need math for? Doug Clements argues preschoolers use math everywhere from reading to play — and engaging early mathematics instruction can help better prepare young students for later learning.

Clements, the executive director of the University of Denver’s Marsico Institute for Early Learning and Literacy, has spent nearly his entire career studying and advocating for introducing math concepts in early childhood education. He and his wife Julie Sarama, Marsico’s co-executive director, developed preschool lessons and tests for teaching mathematics to early learners. Their hallmark program, Building Blocks, has taken hold in cities such as Boston and Buffalo, N.Y., where both Clements and Sarama have conducted research.

Clements took the helm at Marsico in 2013, where he and Sarama have worked on a new iteration of their math-focused early childhood curriculum that incorporates literacy, social-emotional learning and science.

In an interview with Chalkbeat, Clements shared memories from the classroom and the benefits — and fun — of teaching math concepts to preschoolers. This interview has been edited for brevity and clarity.

How did you become fascinated with early math education?

I served as a graduate assistant to a math (education) professor because I liked math as a student myself. We drove a big van around with 1960s curriculum from National Science Foundation and showed teachers this stuff.

When I started teaching kindergarten I was very sensitive to the fact that I wanted to do mathematics better, so I was always casting about for curriculum or ideas to teach mathematics. I was just skeptical these kids could do it, so I was hesitant many times to ask them to do these kinds of things. But lo and behold, they took to it. It surprised me. If you talk to (kids) about their strategies and what they’re thinking about the mathematics, it just reveals so much more competence than you’d normally think that really young kids had.

I just became more and more interested in pushing the  envelope of these kind of abilities kids had mathematically. Teachers often will say, “I got into preschool so I didn’t have to teach mathematics.” And instead we tell them, “We don’t want you to give kids the kind of experiences that led you to dislike mathematics.”

Do you have a specific examples or story of a time where you saw the benefits of early math instruction in action?

We were reading a book and the (students) noticed the hexagons in a beehive, and they came up with all these different reasons that bees would make hexagons. The kids had a delightful time thinking of different reasons. For example, one of the reasons was the bees saw the hexagons in the school and thought, “That’s a great shape. We should use that in our beehive.” And this boy happened to say, “I think they chose hexagons because they fit together real well.”

The kind of natural interest and competence they have in mathematics — if given the opportunities, the interactions with the teachers, the intentional teaching that the teacher does — leads to spontaneous use of mathematics throughout their lives.

We know from research kids who come from lower-resource communities don’t have a heck of a lot of those experiences so it’s really important that those schools we are working with, with kids with huge percentages of free and reduced lunch. All kids need better and more mathematics. It’s especially important for equity reasons, for those kids who have fewer resources in their homes and communities, to be able to go to a preschool where their kind of fire of interest in mathematics is provided by the teacher and the curriculum.

What are some of the key findings you have drawn from your research on the link between early math and early literacy?

Doing math with kids actually helps them build the ability to learn and use new vocabulary words even if those vocabulary words were not mathematical in content. They have to dig down deep to explain their own thinking and that really helped them build more complex grammatical structures, and that’s an outcome of the mathematics. And then they were more able to answer inferential questions.

Well-done mathematics doesn’t just teach mathematics, it’s cognitively fundamental and helps kids learn a variety of abilities.

How are these concepts integrated in the classroom?

What’s most effective is to combine methodologies. We don’t just do whole group, we don’t just do small group, we don’t just do learning centers, we don’t just do computer — we do all four of those. We keep it short, interesting. So, for example, kids will stomp around classroom marching and (counting alternately quietly and loudly).

What does it do? It builds, of course, the verbal counting strength. But look at what else — it builds the knowledge of one-to-one correspondence because they’re stamping per each count. Not only that, it builds intuition about pattern because we’re saying one quietly, two loudly. And then lastly they’re building intuition about even and odd numbers, because all the odd numbers are said quietly, all the even numbers are said loudly.

So you don’t have to do, sit down, look at the paper, write the number two, to be doing fundamentally interesting mathematics.

How many preschools are actually integrating early math concepts into their programs the way you think it should be done? Is there anything holding back programs from doing so?

Most people understand that the goal of literacy is to be able to read and write and think, but often people think the goal of math is to be able to compute accurately. That’s such a limited view of mathematical thinking writ large. So we have a lot of work to do to change people’s conception of mathematics as well as their skills in understanding the math, understanding the kid’s thinking and understanding how to teach to develop that kid’s thinking.

But it is coming along — there is more general knowledge and awareness at least, interest in it, and — this is important in early childhood the youngest years, the preschool years — less resistance to doing mathematics (because of the perception) that it’s developmentally inappropriate which it’s not. But still, in some circles (they say), “Kids should play, kids should be kids. Why would they do math? That should wait until later. Math is just school, boring stuff, and kids should be kids and play.”