model of inclusion

Growing approach helps kick preschool expulsion habit

PHOTO: Ann Schimke
Teacher Dee Gilmore talks with two preschoolers at the Bal Swan Children's Center about tools.

Last year at preschool, Elena would stomp her foot when she got upset. When her teachers sternly told her there would be no foot-stomping in the classroom, she simply stomped harder.

It was a power struggle with no victors.

Elena, who has autism, was miserable at school. Her teachers were frustrated— ultimately telling Elena’s mother, Kristin Miesel, that the girl might have to be physically removed from the classroom if her emotions continued to escalate.

Miesel, a school psychologist at a Jefferson County elementary school, chokes up remembering that moment.

“It’s like, ‘Really? You need to physically remove my child because she’s stomping her feet or getting upset like that?’” she said.

Fast-forward a year. Four-year-old Elena now attends preschool at Bal Swan Children’s Center in Broomfield and Miesel has finally breathed a sigh of relief.

“This place is like heaven,” she said.

The center, where about one-third of children have special needs, uses an approach that Miesel and school leaders credit with creating a welcoming environment for every kind of child—even those who elsewhere might get kicked out for biting, hitting or other behaviors.

This 2011-12 data is from The U.S. Department of Education's Office of Civil Rights.
This 2011-12 data is from The U.S. Department of Education’s Office of Civil Rights.

It’s called the Pyramid Plus Approach and launched six years ago at four demonstration sites in Colorado, including Bal Swan. Today, it’s used at around 200 centers and preschools in the state.

While the program has grown slowly but steadily since 2009, it’s getting a closer look in light of recent state and national conversations about the alarming frequency of preschool expulsions.

Colorado Pyramid Plus Demonstration Sites

  • Bal Swan Children’s Center, Broomfield
  • Creative Options Center for Early Education, Denver/Aurora
  • Primetime Early Learning Center, Norwood
  • Fremont County Head Start, Canon City

Not only are preschoolers expelled at higher rates than their K-12 counterparts, a 2014 report from the U.S. Department of Education revealed that boys and minorities are disproportionately expelled from preschool.

Geneva Hallett, director of the Pyramid Plus Center at the University of Colorado Denver, said getting expelled at 3, 4 or 5 often leads to a lifetime trajectory that includes more of the same.

Bal Swan director of education Patti Willardson calls preschool expulsion her hot-button issue. She finds it frustrating that the default response to challenging children at some local centers is to send them to Bal Swan.

“We take as many kiddos as we can,” she said. “But I just keep telling other administrators, ‘You can’t depend on one school in the whole area to take these kids. You all need to learn to help them yourself.’”

A Full Toolbox

The Pyramid Plus Approach was created in Colorado, building off a free national framework for early childhood social emotional practices called the Pyramid Model. More than 24 school districts have adopted that model over the last eight years with support from the Colorado Department of Education.

The “Plus” in Pyramid Plus refers to its emphasis on including children with disabilities in early childhood classrooms.

Pyramid Plus includes an 18-session training and follow-up coaching. The idea is to give early childhood staff a full set of tools for teaching young children social-emotional skills and managing challenging behaviors.

Speech therapist Melissa Cain talks to a preschooler at the Bal Swan Children's Center.
PHOTO: Ann Schimke
Speech therapist Melissa Cain talks to a preschooler at the Bal Swan Children’s Center.

For example, teachers might learn when to ignore bad behavior so as not to reinforce it with a burst of attention. Or how to use puppets to demonstrate toy-sharing or teach students to be aware of their own emotional state.

At Bal Swan, you won’t typically hear admonishments like “no,” “stop,” or “don’t.” Correction is rephrased in a positive way. You’ll also see teachers using the same social skills they tell students to employ, like getting someone’s attention with a tap on the shoulder.

Pyramid Plus also includes a series of parent classes—called Positive Solutions for Families—that offer many of the strategies and tools that teachers use in the classroom. Miesel said even with her background as a psychologist, she’s learned a lot from the sessions.

“The language they use here has been educational for us,” she said.

The Pyramid Plus Approach is not the only program aimed at cultivating healthy social-emotional development in young children—or the only one cited as a remedy to preschool expulsions. Another evidence-based program called The Incredible Years, run by the Denver-based Invest In Kids, provides similarly themed trainings to teachers and parents.

Early childhood mental health consultants, who are typically called in to help teachers work with the highest needs students, represent another expulsion prevention strategy, but their ranks are relatively small in Colorado.

Diminishing problems

Using Pyramid Plus doesn’t mean that aggressive or disruptive behaviors magically disappear. They may occur less often, but many Pyramid Plus advocates say the biggest transformation is in the level of confidence teachers display when problems do arise.

“When they have a plan and they know they can deal with these things. They don’t see challenging behavior as a problem anymore,” said Alyson Jiron, a Bal Swan counselor.

“It’s not like there’s kids that people are like, ‘Oh I don’t want that kid in my class,’” she said. “Truly, across the board now…everyone’s like, ‘We got this. We can do this.’”

The "calm box" is a place in the classroom where kids can go when they feel upset.
The “calm box” is a place in the classroom where kids can go when they feel upset.

When a child recently jumped up on a table in the class Clarissa Villareal co-teaches, she ignored the behavior and instead focused her attention on a child nearby who had her feet on the floor. The table-stander soon got down on her own.

“A huge part of it is our reaction,” she said.

At Bal Swan and other centers that use the Pyramid Plus model, expulsion isn’t an option. In fact, providers sign an agreement beforehand stating they won’t resort to it.

Hallett said without that policy, expulsion could be a tantalizing option when the toughest cases rear up.

“That’s not a back door they can get out of…and that’s hard,” she said.

Slow build

While there are now 2,200 providers trained in the Pyramid Plus approach in Colorado, that represents only a fraction of the state’s early childhood workforce.

“It has been a slow steady build,” said Hallett. “The fact is this is very hard work.”

Pyramid Plus, which includes a 45-hour training costing up to $500 per person, can be a tough sell for time-crunched, cash-strapped childcare centers.

Elizabeth Steed, an assistant professor at the University of Colorado Denver, said she’s visited hundreds of preschool classrooms and many don’t have the budget, leadership or staffing flexibility to take on the program.

“They feel very stretched already,” said Steed, who is a member of a state policy team promoting the Pyramid Model and inclusion practices.

Bal Swan, named for a philanthropist who donated to the school, is perhaps better positioned than smaller, less stable centers to embrace an effort like Pyramid Plus. Most of the school’s 350 slots are tuition-based. In addition, class sizes are small and the pay is above average. Willardson said teachers with a degree typically start at $18 an hour and go up to $23—at many centers it’s closer to $13-14 an hour.

Thriving

These days, Miesel doesn’t brace herself for bad news when she picks up her daughter at the end of the day.

Even when Elena slips up, she knows its not a stepping stone to ultimatums or expulsion.

feelings wheel

Take, for example, a recent day when Elena bit a classmate.

There were no gasps or scoldings. Instead, a teacher consoled the injured child and then enlisted Elena’s help to get an icepack and deliver it to the girl. Instead of being punished for hurting her friend, she was praised for helping her feel better.

Miesel admits she was mortified when she found out what happened, but Elena’s teacher and Willardson counseled her against overreacting.

“Don’t feed into it,” they told her.

While such a low-key reaction from teachers and parents can feel counterintuitive, it’s effective, said Willardson.

That’s what she likes about the Pyramid Plus approach.

“It’s changed our teaching skills…It’s changed our understanding of who children are,” said Willardson.

hope on the horizon

With promise of new federal money, more low-income Colorado families could get help with child care

PHOTO: Meghan Mangrum

Thousands of additional Colorado families might be able to pay for child care if a federal spending bill due in March fulfills the pledge of a recently approved budget deal.

That’s because the deal, passed by Congress and signed by President Trump earlier this month, promised new money for a subsidy program that helps low-income parents pay for child care. In Colorado, the program is oversubscribed with more than 1,300 children on waitlists statewide.

While the spending bill won’t be finalized until March 23, advocates in Colorado say they think there’s a good chance the new child care money — $2.9 billion for the whole country over two years — will survive the negotiation process.

“I think that we will see this go through,” said Bill Jaeger, vice president of early childhood initiatives for the Colorado Children’s Campaign.

“I don’t think that child care and the block grant will be the major point of contention,” he said, referring to the federal grant that helps fund the subsidies.

(Trump’s own budget proposal, released three days after he signed the budget deal, doesn’t include increased child care block grant funding, but some observers say the budget deal holds more sway.)

If the two-year spending bill passes with the new child care funding included, Colorado could gain around $35 million, according to an estimate from the national anti-poverty group CLASP. That’s on top of the $150 million Colorado would get over the two-year period if the program’s funding simply stayed flat.

Practically speaking, the additional $35 million could mean child care subsidies for an additional 2,700 Colorado children over two years, according to a separate CLASP analysis.

State officials declined to comment on the federal budget proposal, saying in an email, “It is possible that, if approved, we could see an increase in services, but right now it’s all theoretical.”

Low-income parents who are working, looking for work, or in school make up the largest chunk of people eligible for child care subsidies, which are offered through the Colorado Child Care Assistance Program and administered by the state’s counties. About 31,000 children were served through the program last year.

In addition to child care subsidies, the federal block grant helps pay for a number of other programs, including child care licensing and the state’s child care rating system, Colorado Shines.

El Paso County officials say the new federal money could help them eliminate the waitlist for subsidies they had to start for the first time in January. There are 196 children on the list, and it’s growing steadily.

Julie Krow, executive director of the county’s human service department, said some parents may opt for unlicensed child care if they can’t get a subsidy, sending their children to stay with relatives or neighbors during the workday.

The quality of such care varies widely and is mostly unregulated by the state.

“We don’t want to see kids left in unsafe situations because of this,” Krow said, referring to the shortage of subsidies.

When early childhood programs are underfunded, she said, child abuse and neglect cases, which are also in her department’s purview, can rise.

The new federal child care dollars would help reduce or eliminate subsidy waitlists across Colorado, but wouldn’t completely satisfy the need. That’s because the number of children on waitlists represents only a fraction of those eligible for subsidies but not served.

For now, Krow is hopeful the new money will be approved and sent quickly to states and then to counties.

“It’s a program I really believe in,” she said. “As soon as those federal dollars come out, I’m hoping the state has a plan and they are out the door.”

testing ground

A giant leap: How one Colorado community plans to double its child care spots in three years

It sounds a little like a car race, but it’s more like a care race.

Child Care 8,000 is one Colorado county’s ambitious new effort to create thousands of new licensed child care slots and significantly improve the quality of its child care programs over the next three years.

The initiative in Mesa County has drawn interest and praise from early childhood leaders around the state, with some hoping it could serve as a model for other Colorado communities. At the same time, there are questions about the feasibility of such a lofty plan in a county that has lost scores of child care slots over the last year and that isn’t enjoying the same economic surge as the state’s Front Range.

One thing everybody agrees on is that child care is hard to find in the western Colorado county where Grand Junction is the county seat.

A national group that has examined child care supply in 22 states, including Colorado, has designated large swaths of Mesa County as a child care desert. That means the number of small children far exceeds the number of licensed child care slots.

For local leaders, Child Care 8,000 is also a way to tackle other pressing problems in the 150,000-resident county — everything from low elementary test scores and high suicide rates to workforce churn. The fix, they believe, is high quality early education.

On one hand, it makes sense. Some of the most respected researchers in the field have found that top-notch early childhood programs yield a better return than the stock market by improving children’s long-term education, health, and employment outcomes.

“This is a community that’s stepping out and saying we need to address this now,”
said Kathryn Harris, president and CEO of the Denver-based nonprofit Qualistar Colorado. Harris has worked with project leaders to develop the plan.

“I think a big county push like this that is putting quality at the forefront … is critical,” she said.

Bill Jaeger, vice president of early childhood initiatives for the Colorado Children’s Campaign, said, “Boldness attracts enthusiasm, and it’s certainly a bold goal.”

Practically speaking, Child Care 8,000 is a heavy lift. Half of its two-part goal is to increase licensed child care slots from the current 4,200 to 8,000 by the end of 2020. That means hundreds of new providers must be enticed into a field known for low pay, high turnover, and a raft of regulation.

While the project’s current focus is on creating new slots for children from newborns to 5 years old, creating new slots for school children ages 6-12 is also part of the plan. About half of the 3,800 new slots envisioned will be for the older age group.

Jeff Kuhr, executive director of the Mesa County Public Health department and a chief architect of Child Care 8,000, said the 8,000 slots represent about 60 percent of the county’s population of children ages 0-12 — the approximate proportion who need child care either because both parents work or their household is led by a single parent who works.

The second part of the Child Care 8,000 goal calls for 30 percent of providers caring for young children to earn ratings in the top three tiers of the state’s quality rating system. This means dozens of providers — both existing and new ones — will need to undertake an improvement process that has been described as time-consuming and onerous by some who’ve gone through it.

Currently, only 10 percent of Mesa County providers have ratings in the top three levels of the rating system, Colorado Shines.

Kuhr said his vision for the project grew out of a longtime interest in the potential for child care to improve many aspects of child and family well-being, and by extension, community well-being.

The project, “is truly addressing social determinants,” he said. “This ends up in a healthier community.”

Having spent the last few months pitching the project, Kuhr knows there are some doubts.

“We have some people say, ‘Well, that’s an impossible goal,’” he said. “You can always adjust, but you have to start somewhere … In my book, if you’re making progress, the goal is secondary.”

Word of the project is still trickling out. Some early childhood providers in the county said this week they hadn’t heard about it.

One of them was Kathy Laro, a licensed provider who watches four children in her Clifton home and leads the Mesa County Family Child Care Home Association. When told about the initiative, she laughed and said, “I didn’t know what that’s even about.”

A few minutes later, she said, “If they want more of us, they’re not doing their best to encourage it.”

Laro cited the red tape of licensing rules and what she and other veteran providers sometimes feel is disrespect from licensing specialists or other authorities.

At its heart, Child Care 8,000 is a collective impact effort — an approach to complicated social problems that relies on collaboration by numerous public and private groups. In Mesa County’s case, partners include county agencies, the school district, the local university, the early childhood council, community groups, businesses, and some statewide leaders.

Kuhr and other local leaders plan to deploy a wide range of strategies to increase child care slots and raise quality. These include expanding and subsidizing training for prospective providers, streamlining the licensing process, increasing provider wages, and making back-office tasks, such as purchasing and accounting, easier for providers. While some of these efforts are underway, many are still in the planning stages.

What’s not clear is how much it will cost to jump-start a large crop of what are essentially new small businesses. Leaders will apply for some grants, but for now, they say there are no plans to pursue the kind of voter-approved tax measures that have underpinned efforts to support early childhood programs in Denver, Boulder, and San Miguel County.

For years, a Denver sales tax has funded preschool subsidies for 4-year-olds, and a Boulder County property tax has funded a variety of safety net programs, including child care subsidies for low-income families. Last November, voters in San Miguel County in southwestern Colorado approved a property tax that will create new slots for infants and toddlers, fund child care scholarships, and boost pay for child care workers.

Mary Anne Snyder, who leads Colorado’s Office of Early Childhood, said in an email that state officials are excited about Child Care 8,000 but can’t provide financial resources to support it. (Some state early childhood funds already flow to Colorado’s counties, including Mesa.)

A big slice of Child Care 8,000 hinges on getting local businesses to invest in child care — possibly by subsidizing child care for employees, creating on-site child care facilities, or donating money to communitywide child care efforts.

This kind of push for business community involvement has gained traction in Colorado and elsewhere as child care is increasingly framed as a critical cog in employee recruitment, retention, and productivity.

Bernie Buescher, a former Colorado attorney general who is working with Kuhr and other local leaders on the project, said business owners are feeling the effects of the county’s child care shortage.

“They are coming to the realization that in Mesa County one of the things their employees struggle with is their kids not having child care, and that means sometimes parents can’t make it to work,” said Buescher, who leads the Mesa County chapter of the business group Executives Partnering to Invest in Children.

But Buescher and other project leaders also know that recognizing the problem isn’t enough.

Tracey Garchar, director of the county’s human services department, said getting active involvement from business leaders will be a major challenge.

It’s critical to find partners who are “willing to see the value in this and step forward from the business community,” he said. “If we’re successful in this, it could help everybody. There’s nobody who loses from having adequate, accessible child care in Mesa County.”

Since Kuhr came up with the concept of Child Care 8,000 about a year ago, the county has lost more than 100 licensed child care slots.

A few child care centers have closed, but more troubling to some early childhood advocates is a new state law governing how many children unlicensed providers can legally care for in their homes. The 2017 law raised the cap to four, prompting some home-based providers to let their licenses lapse, allowing them to continue doing what they’re doing mostly free of state regulation.

Holly Jacobson, co-coordinator of the early childhood council in Mesa County, said at least a half-dozen home-based providers have not renewed their licenses in recent months or are considering it specifically because of the new law.

Laro, the provider who cares for four children in Clifton, considered letting her license lapse but decided against it because moving to unlicensed status would reduce the daily payment she receives for one of her charges — a child in foster care who Laro watches more than 10 hours a day — from the current $32 to as little as $9.

While the number of licensed providers in Mesa County who have decided not to renew because of the new law isn’t large — a handful of providers representing maybe two dozen slots — it’s unclear whether the problem will intensify.

Despite such obstacles, Jacobson said Child Care 8,000’s aspirations are necessary.

“We’re shooting high” she said. “But we need to shoot high because there is significant need in our community.”