States Have A Role To Play in Helping Kids Access Inclusive Pre-K

States Have A Role To Play in Helping Kids Access Inclusive Pre-K

This article written by Aaron Loewenberg at New America and shared with permission highlights how collaboration between school districts and community partners can be improved by states.

A distinctive hallmark of publicly funded early education is the fact that it’s offered in a variety of settings. In order to preserve parental choice and increase capacity, many states have adopted mixed delivery systems in which pre-K is offered not only in public elementary schools but also in community-based settings, such as child care centers and Head Start. There are a variety of reasons why a parent might prefer one of these settings over a school setting, such as closer proximity to their home or place of work, full-day hours that better correspond with a parent’s working schedule, or because it’s where other family members already attend.

But while a mixed delivery system of pre-K has many advantages, it can present significant challenges for students with disabilities when it comes to accessing early childhood special education (ECSE) services, such as those provided by occupational therapists, physical therapists, and speech-language pathologists. A nationwide shortage of special education teachers can make the task even more difficult. Despite guidance from the federal government that emphasizes that the requirements of the Individuals with Disabilities Education Act (IDEA) apply to both school and non-school settings, in many districts these services are only provided in school-based settings, forcing families to make difficult decisions.

Families might be forced to choose between staying in a child care center and receiving no services or leaving the program to attend the school-based option that will offer ECSE services. Alternatively, families might be able to stay at their community-based setting but the learning day is disrupted by the need to take a bus in the middle of the day to receive services at the school district site. Neither of these options are optimal, and both go against a child’s right to be served in the “least restrictive environment,” a point recently emphasized in a 2023 federal policy statement. That statement makes clear that, “Families should not have to choose between remaining in their existing early childhood program and receiving early intervention or special education services after children are identified with a disability.” It also emphasizes the benefits of children with special needs learning in inclusive settings alongside typically developing children.

Since both Head Start rules and IDEA make clear that it’s the responsibility of local education agencies to conduct evaluations and deliver special education services, much of the work of delivering these services to young children in community-based settings happens at the local level and under the purview of the school district. And while there are several examples of communities across the country engaged in this work, there are fewer examples of state systems working across sectors to ensure that children are supported in accessing special education services across the mixed delivery system. However, there is an important role for the state to play here. In fact, the recent federal policy statement offers 10 recommendations for state actions to better serve children with disabilities in early childhood programs, ranging from establishing a cross-sector state leadership team to implement a shared vision to raising public awareness about the benefits and importance of inclusion.

Illinois is one state that has been engaged in this work for many years. “We really need to start from the presumption that the family has made a choice about where to enroll their child, and we need to think about how to keep them there and help that student thrive,” says Kayla Goldfarb, policy manager in Illinois policy at Start Early. To meet this goal, the state has established a cross-sector, interagency leadership team focused on increasing inclusive opportunities for young children with disabilities. The team’s work is guided by Indicators of High-Quality Inclusion that address inclusive policies and practices at multiple system levels: state, community, local programs, and the environments where children receive care. “Part of the reason it is so important is because the issue of inclusion for preschoolers is a cross-sector issue since there is no universally accessible pre-K system nationally. So, if we want to address inclusion, we have to not just have our school district and Illinois State Board of Education partners on board; it also has to include community-based providers, including child care and Head Start partners,” says Goldfarb.

The state has partnered with the Early Childhood Technical Assistance Center to provide technical assistance for implementing, sustaining, and scaling-up inclusive pre-K programs. District-based community inclusion teams consisting of community partners, education agencies, and parents meet monthly across the state to build awareness of the importance of early childhood inclusion. In Collinsville, a city located just east of St. Louis, the school district and a Head Start program were able to enter into a collaboration where an itinerant special education teacher from the district travels to the Head Start site to provide services that are embedded in the activities of the day. This arrangement means that children no longer have to take a bus in the middle of the day to the school to receive their services.

Illinois is also using funds from the federal Preschool Development Grant Birth through Five (PDG B-5) program to improve the availability of services in community-based settings. The funds have been used to pilot different service model options for providing special education services in community settings, such as one in which itinerant services are provided within a regional co-op to children who reside out-of-district and are enrolled in community-based organizations. Several community inclusion teams have been awarded funds to receive technical assistance, professional development, and help in implementing the itinerant service model in their communities.

Oregon has also been working to assist local communities in providing inclusive services for children in community-based settings through the work of the state’s Early Childhood Inclusion Initiative. “Oregon didn’t necessarily have a state strategy to move the needle on this, and so now we are getting technical assistance to build a state strategy for advancing inclusion,” says Dana Hepper, Director of Policy & Advocacy at Children’s Institute. Like Illinois, the state is using the Indicators of High-Quality Inclusion to guide work at the state and local levels and has organized cross-sector community inclusion teams that examine barriers to authentic communication between school districts and community-based settings.

In Lincoln County in Western Oregon, a community inclusion team made up of partners from across the early learning community has been using coaching to build staff capacity in three community sites, develop shared professional development, and identify interagency agreements with districts that will help sustain inclusive practices. Other community teams have focused on ensuring that all early education providers, regardless of setting, have access to high-quality training and coaching on practices that target the full inclusion of young children with disabilities.

For her part, Hepper sees a definite benefit to states stepping up to help lead this work around how to best provide services to young children regardless of whether they attend pre-K in an elementary school, Head Start classroom, or child care center. “It feels very inefficient for every community to have to figure these things out on their own. There are some common, proven practices grounded in research and experience that we should be sharing with each other and utilizing,” says Hepper.

Both Oregon and Illinois offer examples of the importance of states helping and funding local communities to do this often difficult, cross-sector work. It will take continued cooperation between local and state governments to ensure that children with disabilities receive the services to which they’re entitled in the setting that works best for their families.

This work is attributed to Aaron Loewenberg, senior policy analyst with the Education Policy program at New America.. The original version can be found here.

Key Findings from the Oregon Early Childhood Health Summit, Report

Key Findings from the Oregon Early Childhood Health Summit, Report

 

This year, Children’s Institute and Trauma Informed Oregon (TIO) co-hosted the Oregon Early Childhood Summit. This event brought together cross-sector partners from early childhood, health and behavioral health, education and special education, advocacy, and philanthropy to build a shared vision and plan for early childhood social-emotional health, and to ensure all children are included in education and care.

We know that early childhood experiences set a foundation for a lifetime of well-being and success. That’s why it is critically important to prioritize social-emotional health during the earliest years of a child’s life. With this in mind, the summit focused on exploring strategies for enhancing social-emotional support for children and families.

The summit also aimed to unearth effective practices, innovative ideas, and systemic changes needed to ensure that all children have the opportunity to thrive.

Following this event, Children’s Institute and TIO produced a social-emotional health report, informed by focused sessions and conversations from participants who attended the gathering.

 

Oregon Early Childhood Summit Report

SEH Report_CI+TIO_2024 by Children's Institute

Key Findings

Vision for Children’s Social and Emotional Health

  • Attendees shared a comprehensive vision for promoting children’s social-emotional health, rooted in child-centered care, community support, social-emotional learning, equity, inclusion, and trauma-informed care.
  • This holistic vision emphasizes the importance of creating environments where children feel safe, supported, and empowered to express themselves authentically.
  • By prioritizing the well-being of children and families, stakeholders envision a future where every child has the opportunity to reach their full potential.

What is Working for Children and Families?

  • Transparent communication, cultural responsiveness, community collaboration, equity initiatives, trauma-informed care, and family-centered approaches emerged as effective strategies for supporting children and families.
  • Participants highlighted successful programs and initiatives that foster trust, partnership, and family empowerment.
  • By leveraging community strengths and centering families’ voices and experiences, stakeholders identified promising practices for promoting social-emotional health and resilience.

Untried Ideas, Changes in Policy or Practices

  • Proposed solutions included advocating for equity and access, enhancing community engagement, investing in professional development, driving systemic change, implementing trauma-informed care, and empowering families.
  • Stakeholders explored innovative approaches to address systemic barriers and promote the well-being of children and families.
  • By challenging the status quo and embracing new ideas, attendees identified opportunities for transformative change in early childhood systems and practices.

Actions to Move Forward

  • Participants called for increased funding, collaboration, equity initiatives, professional development opportunities, policy reform, family engagement efforts, and systemic change.
  • These actions reflect a shared commitment to building more inclusive, supportive early childhood systems that prioritize the needs of children and families.
  • By advocating for bold action and mobilizing resources, stakeholders aim to create lasting impact and positive change in early childhood care and education.

Prioritizing Children is Oregon’s Path to a Brighter Future

Prioritizing Children is Oregon’s Path to a Brighter Future

Oregon’s children and families face immediate challenges in housing and behavioral health that require urgent attention. Underlying these visible crises are hidden traumas often rooted in early childhood experiences.  

To create more equitable opportunities now and prevent challenges in the future, Oregon must invest in strategies that support children from prenatal through age five, and their families. Some of this work is underway, including investing in early literacy, Early Intervention/Early Childhood Special Education (EI/ECSE), and supporting the CHIPS Act child care fund.  

But Oregon urgently needs to prioritize children prenatal to age five in housing and behavioral health initiatives. Children’s Institute and other childhood advocates urge Oregon leaders to double-down on these efforts so that every child receives the love, care, and education they need. 

Early Childhood: A Foundation for Success 

We know that early childhood is a critical period for brain development. Investing in children from birth to age five has profound implications for their future success, and the overall wellbeing of our state. Oregon has an opportunity to make sure that young children have what they need to thrive. Focused efforts in several key areas can move Oregon forward: 

  • Education and early literacy: Invest in early literacy from birth and address funding issues for EI/ECSE services to help bridge achievement gaps and support children with developmental disabilities and delays.  
  • Cross-agency coordination: Ensure that support for young children is accessible, coordinated, and family-centered across various state agencies, which promotes better governance and more effective outcomes. 
  • Strategic budget investments: Allocate funds specifically for early childhood initiatives — this can yield high returns on investment, benefiting society and the economy, overall. 

Education Initiative Opportunities 

Early learning investments are the most cost-effective way to close opportunity and achievement gaps, support families, and strengthen child care availability. The case is strong for early childhood programs, with research showing that for every dollar invested there are double-digit returns. Priorities include: 

  • Inclusion in preschool and child care: Ensure effective implementation of programs that prevent suspension and expulsion, prioritizing childhood mental health, and resources for children with disabilities. 
  • Full enrollment in preschool programs: Address under-enrollment in state and federally funded preschool programs to ensure that all eligible children have access to early education opportunities. 
  • Quality across preschool settings: Enhance support and monitoring for preschool programs and ensure they meet high standards. 
  • Pathways into the early childhood workforce: Create accessible and equitable pathways for individuals to enter the early childhood workforce. 
  • Maximize the Child and Adult Care Food Program (CACFP): Maximizing how Oregon uses CACFP funding will help with child care quality, financing, and address food insecurity for children and families.  

Behavioral Health Initiative Opportunities 

Early relational health—the emotional bond between a baby and their caregiver—is a major factor in a child’s development. Addressing the root causes of childhood trauma and making sure young children receive services at the right time, prevents challenges later in life. Priorities include: 

  • Expand access to birth and postnatal doula services: Making sure that more moms and babies have access to culturally specific doula services improves health outcomes, especially in reducing health disparities.  
  • Adopt and implement the social emotional health metric: The birth to five social emotional health metric holds coordinated care organizations accountable to ensure young children have access to proven social-emotional health programs. 
  • Substance use disorder treatment: Stabilizing and scaling successful programs that integrate prenatal care, behavioral health, and peer support can significantly reduce the need for foster care and improve outcomes for high-risk moms and their babies. 
  • Create a cross-agency system of home visiting services: Developing a coordinated system of home visiting services supports parent-child relationships and family stability, providing crucial early intervention. 

Housing Initiative Opportunities 

The effects of homelessness on young children are acute and have lifelong impacts. Safe, predictable housing provides foundational stability. Priorities include: 

  • Multi-bedroom units in housing developments: Building affordable housing units with multiple bedrooms can accommodate the diverse needs of Oregon families. 
  • Family-centered housing support: Prioritizing families in housing support strategies, including rent subsidies and shelters designed for family units, can provide the stability needed for healthy child development. 
  • Co-location of child care and housing: Building child care facilities into affordable and workforce housing can support working families and improve access to early childhood education. 

Investing in young children and families is the most important equity and anti-poverty decision we can make. Oregon has an opportunity to prioritize young children, as a cornerstone of its future success. These priorities not only address the immediate crises but focus on building a stronger, more equitable foundation for generations to come. 

 

Inclusive Early Childhood Classrooms Support All Children

Inclusive Early Childhood Classrooms Support All Children

This image features our podcast guest Liane, who has short grey brown hair and is wearing a black and white checked shirt while sitting in front of the mic to record

 

This week, the CI communications team visited the Hillsboro Early Childhood Center in Hillsboro, Oregon. The goal? To meet with Liane Chappell, principal and former instructor in the Early Intervention and Early Childhood Special Education program located at the Northwest Regional Education Service District (NWRESD).  

We arrived on a bustling Tuesday morning as educators and students emerged from classrooms, the children holding star-shaped links of a guiding rope as educators gently led them to their next learning station. Handmade art covered the walls, and the evidence of Valentine’s Day crafts and treats filled the air.  

Liane greeted us warmly in the main hall, leading us back to a playfully decorated office complete with a giant Harry Potter themed Lego set, and a collection of crocheted succulents. As we settled in and set up our recording equipment, we got to know our guest. Liane Chappel has been in the early childhood field for a long time, and her passion for teaching and caring for young children came through immediately.  

This image features an instructor and two students in an Inclusive classroom at NWRESD.

Chappell shared that the center’s goal is to serve kids who have delays and disabilities, and to help them make progress in the areas where they need support.  

“We’re looking to serve every kid in an inclusive, natural environment. Natural meaning, wherever that kid would usually be, that’s where we serve them—at home, in the classroom, or even on an errand with their family,” said Chappell.  

Often, the Early Childhood Center is a family’s first exposure to special education. Chappel also explained that, not only does the center collaborate with children, but it also works with caregivers and families to help them advocate for themselves and create the best outcomes possible during the earliest years of a child’s life.

this image features a young boy and a young girl student sitting at a table for snack time in an inclusive classroom at NWRESD.

“When we’re working with parents and caregivers, we’re helping them develop as advocates for their kids,” she said. “Helping families develop the skills to advocate for their child as they go on in their special education journey is really valuable. And at the same time, the preschool teachers and child care providers we work with are getting the opportunity to learn skills that will benefit many other kids down the road.” 

A lot of people realize that the school experience for kids comprises an important part of their healthy development. But not everyone knows how early this impact starts. As we talked with Liane about what brought her to this field, she shared more about the potential in young children and the value of early intervention.  

“EI/ECSE has been an overlooked field for a long time,” Chappell said. “But research keeps showing the importance of starting at a younger age and how it can positively impact children for the rest of their lives.”  

She continues, sharing that she’s always had a passion for inclusion – because kids with learning challenges or different abilities should be part of their communities like every other kid. “I’m working to see every kid be included and get the opportunities they deserve.” 

This image features Suze from the Comms team with recording equipment in an EI/ECSE inclusive classroom at NWRESD.

After our conversation, we toured one of NWRESD’s inclusive classrooms, where children of all abilities come together to learn. Beautiful, kid-made art, stations for practicing different developmental skills, and opportunities for curiosity to flourish filled the room. 

It was snack time, and the kids made joyful comments about the crackers and veggie straws on their plates. The instructors were smiling, asking questions, and handling the variety of emotions expressed with grace. It was a happy, safe space, and our team left the center smiling – both from being around the kids and from seeing these dedicated teachers soar.

We think you’ll want to hear the rest of Liane’s story. You can find it in our latest podcast: Inclusive Early Education for All Children on Spotify, Stitcher, Soundcloud, or wherever you get your podcasts.  

As the 2024 legislative session continues, we want to emphasize the importance of Early Intervention and Early Childhood Special Education opportunities for children across Oregon. EI/ECSE services are effective at increasing school readiness, reducing K-12 special education costs, and supporting families to foster life-long success.  

In 2022-23, over 15,000 children received EI/ECSE services. This represents 2-3% of infants and toddlers and 6-7% of preschool-age children in the state. But here’s the deal: EI/ ECSE programs need a minimum of $22M during the 2024 Legislative Session to maintain the current service level (CSL) for children ages 0-5 years with disabilities. 

Tell your representatives to fund EI/ECSE – because no child should be left out of quality, accessible early childhood education opportunities. 

Supporting a Strong Start for Children with Disabilities

Supporting a Strong Start for Children with Disabilities

We often talk about how investing in a child’s earliest years can set them up for long-term success. In a child’s first few years of life, more than one million new connections in the brain are formed every second, creating a foundation for the connections that form later. In order to build a strong foundation during this period of rapid brain development, it’s important to connect families with the tools needed to support their child’s development as early as possible.

New America’s newly launched blog series will examine early intervention and early childhood special education throughout the coming year.

 

Early intervention (EI) is a set of services available to families with young children. These range from physical therapy and occupational therapy to nutrition and speech and language services. Specifically, under Part C of the Individuals with Disabilities Education Act (IDEA), children from birth through age two with developmental delays or disabilities or who are at risk of having a developmental delay are entitled to EI services. In pre-kindergarten settings, these services are often referred to as early childhood special education (ECSE) and are administered under IDEA Part B Section 619 (see graphic below).

A graphic with the title Supporting Young Children with Disabilities Under the Individuals with Disabilities Education Act. Beneath the title are three boxes. The first box has the words Early intervention, birth through two years old, IDEA Part C. The next box has the words Early childhood special education, three through five years old, IDEA Part B Section 619. The third box has the words Special education, five through 21 years old, IDEA Part B. There are three images that show a crawling baby, a toddler, and an elementary-aged child. There is also a caption with the words This graphic shows the way in which we conceptualize IDEA for the purposes of this blog series. Age ranges and terminology may differ slightly in different states and circumstances.

New America

 
Strong support for both the child and family as soon as a disability or developmental delay is identified yields benefits that last a lifetime. Yet, families of young children with disabilities and developmental delays face challenges in accessing EI and ECSE services. Studies indicate that the percentage of children eligible for EI services is greater than the number served. Only four percent of the birth through age two population are served under Part C of the IDEA, while research suggests between 12 to 20 percent of this population would benefit from EI services. Moreover, children and families of color face the lowest rates of EI service use. One study found that Black children with developmental delays who were eligible for EI services were eight times less likely than similar white peers to receive them.
 

Children’s Institute

One reason for these challenges may be the shortage of EI service providers (think speech and language pathologists, physical therapists, occupational therapists) who are trained to conduct evaluations and provide services. In a 2022 survey conducted by the IDEA Infant and Toddler Coordinators Association, all 45 state respondents reported provider shortages, with more than 80 percent experiencing shortages of speech and language pathologists and physical therapists. This theme came up in roundtable discussions we held earlier this year with 19 stakeholders* working at the intersection of disability and early childhood across the United States. The roundtable participants—which included EI providers, pediatricians, service coordinators, state Part C coordinators, and researchers—discussed how the current workforce crisis impacts families’ experiences navigating the referral and evaluation process, such as long waitlists for appointments and whether their concerns about their child’s development are taken seriously. The participants noted how addressing staffing shortages must be done in tandem with efforts to improve the cultural, linguistic, and racial diversity of the EI workforce. Participants also suggested expanding reflective supervision to support staff retention.

Funding was another theme that came up during the roundtables. Currently, funding dictates how many children receive access to EI—from the frequency, duration, and location to whether the service is available at all. Participants emphasized how the opposite should be the goal: a reality where service delivery—or the number of children eligible for and receiving services—is not constrained by the amount of funding that is invested. Participants touched on the need to fund proactively toward long-term, systems-building components, such as community health workers to support families navigating care and services for their children or ongoing training for service providers in all settings (e.g. district, state-contracted agency, private practice).

While participants were eager to discuss the challenges, there was an even stronger desire to focus on solutions. State leaders meet often with local practitioners and have gained a keen sense through the years of how these issues impact EI service providers and families in their state. Roundtable participants were largely in agreement over the major issues facing young children with disabilities and their families. However, there remains a gap between awareness and action, and participants wondered what state and federal policy levers could be valuable in meeting the mandate of IDEA Part C and ensuring equal protection under the law.

A photo of an infant with brown hair, smiling and wearing a white t-shirt under a dark vest and light colored bottoms. The infant is being held by an adult wearing a blue shirt and a necklace, whose face is outside of the frame, and being passed to a second adult who is also wearing a blue shirt. The background is blurred.

Shutterstock/New America

In our ongoing examination of meeting the educational needs of young children with disabilities and developmental delays, we are excited to launch an ongoing blog series in 2024 where we plan to tackle several questions, such as: What can states do to make EI and ECSE more equitable for children of color and children from families with low incomes? How can policymakers address challenges in meaningful ways? How can we better connect awareness to action? The series will address themes from the roundtable and include recent research.

If early childhood systems are to be designed to meet the needs of all children and families, EI and ECSE need to be recognized as key parts of that system. You can find New America’s growing body of work focused on disability policy on our disability resource page.

*For the roundtables, we were intentional about having representation across states, political contexts, and communities, but we acknowledge that these participants’ perspectives represent only a subset of those working to improve access and outcomes for young children with disabilities.

This work is licensed under Creative Commons (CC BY 4.0). It is attributed to Carrie Gillispie and Nicole Hsu. The original version can be found here.