Child Development Clinical Trial
Official title:
Assessing Models of Coordinated Services for Low-Income Children and Their Families
The purpose of the Assessing Models of Coordinated Services for Low-Income Children and Their Families (AMCS) project is to understand how states and local communities are coordinating services across sectors to most efficiently and effectively serve low-income children and their families. These coordinated services approaches vary along a range of dimensions, including their number and types of partners, funding streams, target populations, goals and objectives, locations, services provided, and monitoring processes. This qualitative study aims to fill gaps in our knowledge by identifying and describing the features of state and local approaches to coordinating early care and education services with family economic security and/or other health and human services.
The purpose of the Assessing Models of Coordinated Services for Low-Income Children and Their
Families (AMCS) project is to understand how states and local communities are coordinating
services across sectors to most efficiently and effectively serve low-income children and
their families. Policymakers and program leaders across the country are experimenting with
innovative approaches to combine early care and education, family economic security, and
other health and human services (Hulsey et al. 2015; Ross 2018; Sama-Miller and Baumgartner
2017). This qualitative study aims to fill gaps in our knowledge by identifying and
describing the features of state and local approaches to coordinating early care and
education (ECE) services with family economic security and/or other health and human
services.
The AMCS study has six primary research questions:
1. How do state and local coordinated services approaches coordinate partnerships and
service application and delivery? What are the experiences of those involved with these
coordinated services approaches?
2. How do coordinated services approaches intend to reduce barriers and road blocks for
families to access services? Are there federal barriers to implementing such approaches?
3. Are approaches that combine ECE, family economic security, and/or other health and human
services able to address other child development factors beyond ECE?
4. What have we learned from efforts to integrate enrollment and eligibility processes for
health and human services?
5. Are states and/or localities examining service delivery dynamics across ECE programs to
assess availability of care slots and services to meet the needs of eligible families?
How are they using data to understand service delivery dynamics?
6. How is public and private ECE funding targeted to meet the needs of at-risk children and
families? Are there differences in the families that are able to access services?
The study has three primary ways of collecting information: model profile creation and
confirmation for up to 76 coordinated services approaches; telephone interviews with
leadership from 20 approaches; and site visits to six coordinated services approaches. Site
visits include interviews with staff at the coordinated services approaches and focus groups
with parents served by the approach.
The information collected in this study will improve federal, state, and local policymakers',
practitioners', and other stakeholders' knowledge and understanding of approaches to
coordinating services to support low-income children and their families. Findings will be
used to inform the federal government and support their work to set program and evaluation
priorities; to inform researchers and others in the field about the state of coordinated
services; and finally, to inform practitioners who are currently developing, updating and
implementing coordinated services approaches.
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