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Working Poor Families Project;
This policy brief reports on the first three years of an initiative to work directly with five WPFP state partners in AR, CO, GA, KY, and NC to enhance their state's commitment and ability to serve and support adults and children collectively as well as drive local programs to do so by reviewing the efforts of the five state partners. After first providing more background on Two-Generation efforts across the U.S. in recent years, this brief discusses: 1) the WPFP concept and approach to the initiative; 2) the work of the five state partners, including the state systems identified for this work and specific items identified for improvement within those systems as well as progress to date; and 3) lessons learned and observations of this work with a clear recognition of the challenges and complexities inherent in undertaking systems change work.
Police Executive Research Forum;
The Denver Police Department (DPD), Denver Public Schools (DPS), and community organizations in the Denver area have built a collaborative approach to school safety and positive youth development designed to combat the school-toprison pipeline. Together, these organizations advocate a comprehensive approach to safety in which schools' disciplinary policies avoid removing students from the classroom, social service providers are substantively included in ongoing safety efforts, and students within the juvenile justice system are included in youth engagement efforts. The goals are to establish positive relationships between students, faculty, school staff members, and school resource officers; prioritize student wellbeing; and involve police only as a last resort following efforts to de-escalate conflict.Early indicators show that Denver's approach is working: In the last five years, rates of student suspension, expulsion, and referral to law enforcement have declined despite a 6 percent increase in total student enrollment over the same period. From the 2012–2013 school year to the 2014–2015 school year, district-wide in-school suspensions declined by 35 percent, out-of-school suspensions by 15 percent, expulsions by 32 percent, and referrals to law enforcement by 30 percent. What's more, the total number of behavioral incidents reported to DPS declined by 9 percent over the same period, indicating that the number of potential safety risks to students has decreased following changes in policy and practice.Viewing these efforts holistically, this report identifies a number of promising practices and lessons learned thatpractitioners, policymakers, and researchers may consider when engaging with students around the country
W.K. Kellogg Foundation;
As the country becomes more diverse, schools that successfully engage all families will transform learning and leadership. This executive summary captures "takeways" from partnerships forged by the W.K. Kellogg Foundation (WKKF) to create environments where teachers, families and community members can effectively collaborate and share power.
Colorado Health Foundation;
This report is an annual update examining the current status of health, health care and health coverage in Colorado. The Health Report Card provides a benchmark for measuring progress on some of the state's most pressing health issues across 38 key health indicators and through five life stages. This year, we celebrate the Health Report Card's 10th anniversary and unveil 10-year trends on where we've made progress and challenges we continue to face. Learn how a decade of data can inform policy solutions to help make Colorado the healthiest state in the nation.
Corporation for Enterprise Development (CFED);
The Assets & Opportunity Scorecard is a comprehensive look at Americans' financial security today and their opportunities to create a more prosperous future. It assesses the 50 states and the District of Columbia on 130 outcome and policy measures, which describe how well residents are faring and what states are doing to help them build and protect assets. The Scorecard enables states to benchmark their outcomes and policies against other states in five issue areas: Financial Assets & Income, Businesses & Jobs, Housing & Homeownership, Health Care, and Education.
Mathematica Policy Research, Inc.;
An important question to ask about any health care system is how well it serves children in low-income families. In Colorado, as in many states, there are reasons to ask that question with optimism and concern. On one hand, the proportion of eligible Colorado children enrolled in Medicaid or the Children's Health Insurance Program (CHIP) increased from 70 percent in 2008 to 84 percent in 2013. The passage of the Affordable Care Act (ACA) in 2010, the reauthorization of CHIP in 2015, and earlier Colorado policies to expand Medicaid and CHIP help protect these gains. But uncertainty exists: although Colorado expanded Medicaid and established a state-run health insurance Marketplace, Medicaid's rapid growth in the state may become politically contentious,and the Marketplace faces a challenging transition from a start-up to a sustainable entity. Moreover, CHIP is funded only through 2017 and reauthorized until 2019; there are concerns about how Colorado would cover children if CHIP were eliminated. This issue brief was prepared as part of a small-scale qualitative study funded by the Colorado Health Foundation to convey recent policy developments, remaining unmet needs, and emerging issues in children's health care coverage and delivery, from the perspective of knowledgeable stakeholders. Issue briefs on children's health in California and Texas and a cross-state analysis are also available.
In 2013, The Colorado Trust began funding the Health Equity Learning Series (HELS). The purpose of HELS was to increase knowledge and awareness of the social determinants of health (SDOH) in Colorado. A series of speakers annually spoke in Denver, primarily to the local nonprofit community. At the same time, grants were awarded to nonprofit organizations in 65 communities around the state to host "viewing parties," giving others outside of Denver the opportunity to hear the speaker and have a discussion. Among the 65 organizations over the course of three years, seven were awarded grants all three years, thereby hosting community events for approximately 12 speakers. This report is based on qualitative interviews conducted with these seven grantees. The purpose of the interviews was to understand how these organizations and communities applied lessons from HELS speakers to their daily work, how HELS impacted their efforts and how they were able to implement informed action as a result.
Is Colorado ready to talk about the role of racism in health equity? This is one of the questions grantees raised and discussed at the end of the 2015 Health Equity Learning Series (HELS). To better understand the answer, and explore perceptions of racism and its role in preventing health equity in their communities, the 22 Colorado Trust grantees were interviewed by project evaluator Melanie Tran of the University of Colorado Denver.
Robina Institute of Criminal Law and Criminal Justice;
Prison and parole population rates are similar in Colorado compared to the states as a whole. However, parolees are more likely to be reincarcerated compared to the states as a whole. Just over one-quarter of parole hearings lead to a discretionary release, while the remaining hearings lead to a deferral of some type. Colorado currently practices discretionary release for the majority of offenders, including violent offenders, sex offenders, property offenders, drug offenders, and public order offenders.
Mathematica Policy Research, Inc.;
The Colorado Health Foundation (the Foundation) established a three-and-a-half year funding opportunity, the Team-based Care Initiative (TBCI), to support participating practices in optimizing their existing care teams to deliver high quality, coordinated care. In the planning phase, launched in February 2015, 30 practices received technical assistance to develop work plans and budgets for expanding team-based care (TBC). External coaches provided technical assistance and conducted assessments to support the practices and track progress. In the implementation phase, launched in June 2015, 20 of the 30 practices received funding to implement TBC. Technical assistance providers are delivering support to them through coaching, education, personal consultations, and learning forums.Mathematica is evaluating participating practices on their progress incorporating the five principles of TBC: shared goals, clear roles, effective communication, mutual trust, and measurable processes and outcomes (Mitchell et al. 2012). These five principles align with the five domains of the TBC success rubric: patient engagement, patient experience, team member experience, practice change, and sustainability. The success rubric and TBC principles informed our evaluation design and research questions, which structure this report.This is the first of three annual reports that focus on how practice teams plan for and change the ways they deliver care, the barriers and facilitators to change, how technical assistance supports change, and how changes are affecting clinician, staff, and patient satisfaction. This report focuses on practices' initial experiences during the implementation phase of TBCI, including their plans for change. Our analyses rely on data from the baseline survey of clinicians and staff (August 2015), baseline telephone interviews with practice leaders (November and December 2015), baseline and follow-up primary care team guide assessment (PCTGA; May 2015 and February 2016), and the baseline patient survey (May and June 2016). We thank the members of the participating practices, the Technical Assistance Provider team, the practice coaches, and Foundation staff for their contributions to this report.
Trusted Hand is a new approach to enrolling traditionally hard-to-reach children in public health insurance programs. While the most common locations for enrollment assistance are state and local social service agencies and health clinics, many states are increasing their network to include a variety of community-based organizations that typically have not been involved in public health insurance. This Issue Brief, prepared by researchers at the University of Colorado Denver, details the advantages, as well as the challenges of this promising new strategy.
Projects shortages of physicians, physician assistants, and advance practice nurses as well as dental and behavioral health providers and likely impact on state. Policy recommendations for 2011 include more funding for health profession education.