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Papers Topic - ECI Fiscal System Management Advancing Comprehensive Early Childhood Intervention P6.04 A Comprehensive Fiscal Analysis of Michigan’s Prenatal to Five System: Early On Addendum
Session 6
Presenting Author: Karen Rhinehardt (USA) Affiliation: Prenatal to Five Fiscal Strategies Co-Authors: Jeanna Capito, Tamela Mannes
Identifying the true cost of providing early intervention for young children and families is critical to addressing the chronic underfunding of the system. Michigan's early intervention system in the United States provides vital support for infants and toddlers with developmental delays and disabilities. This presentation will focus on the use of cost modeling to reveal the true costs of delivering comprehensive early intervention services across Michigan. Findings from the Comprehensive Fiscal Analysis of Michigan's Early Intervention System highlight how cost modeling identifies critical gaps between current funding levels and actual financial requirements. Participants will examine how cost modeling can inform strategic decision-making, policy reforms, and equitable resource allocation. Key recommendations include establishing unified eligibility criteria, optimizing Medicaid funding, and revising funding formulas based on actual service demands. Attendees will leave with practical insights into leveraging cost modeling to promote sustainable, high-quality early intervention services. P6.05 A Five-Year Finance Plan for New Mexico’s Prenatal to Five System Transforming early intervention systems requires strategically addressing the financial realities impacting service delivery and system infrastructure. This presentation explores how cost-based approaches, combined with deep program engagement, were used to analyze system needs, inform strategies to enhance early intervention service delivery and equity, and build multi-year fiscal projections. Presenters will illustrate how fiscal analyses and cost modeling reveal the true costs of comprehensive early intervention services, including workforce, infrastructure, and family access challenges. Participants will examine the state of New Mexico’s innovative approach to aligning financial resources with program needs, utilizing data- driven policy decisions and developing sustainable funding frameworks. A cost projection resource for multi-year implementation of both direct services and system-level infrastructure improvements will be shared. Attendees will gain insights into leveraging fiscal analysis and cost modeling to foster meaningful improvements within early intervention services, as well as enhancing system equity, stability, and long-term sustainability. Presenting Author: Jeanna Capito (USA) Affiliation: Prenatal to Five Fiscal Strategies Co-Authors: Jessica Rodriguez Duggan, Elizabeth Groginsky P6.06 Is Timely Early Intervention for Children Enough? The Impact of Socio-Economic Status and Caregiver Mental Health on Child Development The socio-economic status (SES) of families and caregiver mental health are two important external factors that can influence the brain development of the young child. This paper demonstrates the impact of family SES and caregiver mental health on child developmental, behavioral, and socio-emotional domains in 3 specific populations. From GUSTO (Growing Up in Singapore Towards Healthy Outcomes), Singapore’s first birth cohort study, results of the Ages and Stages Questionnaires, the Bayley’s Scale of Infant Development (BSID), and Child Behavior Checklist in 399 2 year old children were compared between high- and low-income groups and with maternal mental health. In the ANCHOR program for families with children with non-accidental injuries, the impact of caregiver SES and mental health on the above domains was studied in 187 children aged 2 – 48 months. In the Day One program, which supports the mental health of caregivers of children with special needs, the correlation between parents’ anxiety and depression scores and children’s emotional and behavioral difficulties was studied in 293 caregivers. Developmental milestone achievement, BSID scores, social emotional competence, and behavioral problems were significantly different in children from lower SES families, both in the GUSTO and ANCHOR cohorts. Caregiver mental health concerns were associated with increased child behavioral and emotional challenges in all the 3 cohorts. The success of timely early intervention can be impacted by low SES and caregiver mental health concerns. Both need to be addressed concurrently with early intervention for the child, for maximum success. Presenting Author: Padmini Sita Yeleswarapu (Singapore) Affiliation: KK Women's and Children's Hospital, Singapore Co-Authors: Pratibha Agarwal, Lourdes Mary Daniel
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