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Smart Start statewide early education system

Health Factors: Education
Decision Makers: Government - State, Schools
Evidence Rating: Some Evidence
Population Reach: 1-9% of WI's population
Impact on Disparities: Likely to decrease disparities

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Description

Smart Start is North Carolina's statewide early childhood initiative designed to ensure that every child arrives at school healthy and ready to succeed. This public/private partnership seeks primarily to improve access to high-quality educational childcare, but also includes health and family support services. Smart Start allows communities to determine and plan for themselves how to best serve the needs of their young children and families (PPN).

Expected Beneficial Outcomes

Increased school readiness
Increased child care quality
Increased access to child care
Improved child care and early childhood education centers
Increased access to health services

Evidence of Effectiveness

There is some evidence that Smart Start improves school readiness, especially for disadvantaged children (PPN). Additional evidence is needed to confirm effects.

Children who attend Start Smart centers appear better prepared for kindergarten than children who receive no child care. For low income children, Smart Start centers can increase school readiness (e.g., cognitive, language, social, and motor skills) more than other day care centers (PPN).

The quality of centers participating in Smart Start appears to improve over time, especially when centers adopt Smart Start's quality improvement strategies. Centers may increase kids' language, reading, and math skills as quality increases (UNC-Bryant 2003). Through Smart Start's health services, participating children are more likely to receive a DTP vaccination and to have a regular source of care than non-participants (Kropp 2001).

Research suggests that Smart Start partnerships work best when communities assess their baseline needs and develop plans locally, but set goals that can be evaluated by both communities and state officials. Communities can expect a multi-year collaborative process before they achieve measurable outcomes (Kroll 2000).

In Fiscal Year 2010-2011, Smart Start spent $176.8 million to serve approximately 84,000 kids. About 43% of those funds were used to subsidize child care for families in need (Huff 2011).

Implementation Resources

Smart Start - Smart Start & The North Carolina Partnership for Children, Inc. Accessed on June 23, 2012
Webpage: http://www.smartstart.org/
UNC-FPG - Bernier K, Boggs V, Bordeaux B, et al. North Carolina Smart Start evaluation notebook. Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill; 2002. Accessed on July 2, 2012
Webpage: http://fpg.unc.edu/resources/north-carolina-smart-start-evaluation-notebook

Citations - Description

PPN - Promising Practices Network (PPN). On children, families and communities. Accessed on May 7, 2012
Webpage: http://www.promisingpractices.org/programs_evidence.asp

Citations - Evidence

Huff 2011 - Huff O. Smart Start report to general assembly. Raleigh: Smart Start & the North Carolina Partnership for Children, Inc; 2011. Accessed on June 23, 2012
Webpage: http://www.smartstart.org/smart-start-information/smart-start-publishes-2010-annual-impact-report
Kroll 2000* - Kroll C, Rivest M. Sharing the stories: Lessons learned from 5 years of Smart Start. Raleigh: Early Childhood Initiatives in North Carolina; 2000. Accessed on June 20, 2012
Webpage: http://www.eric.ed.gov/ERICWebPortal/search/detailmini.jsp?_nfpb=true&_&ERICExtSearch_SearchValue_0=ED450871&ERICExtSearch_SearchType_0=no&accno=ED450871
Kropp 2001 - Kropp N, Kotch J, Harris S, UNC-FPG Smart Start Evaluation Team. The effect of Smart Start health interventions on children’s health and access to care. Chapel Hill: University of North Carolina FPG Child Development Institute; 2001. Accessed on January 16, 2013
Webpage: http://www.fpg.unc.edu/resources/effect-smart-start-health-interventions-childrens-health-and-access-care
PPN - Promising Practices Network (PPN). On children, families and communities. Accessed on May 7, 2012
Webpage: http://www.promisingpractices.org/programs_evidence.asp
UNC-Bryant 2003 - Bryant D, Maxwell K, Taylor K, et al. Smart start and preschool child care quality in NC: Change over time and relation to children’s readiness. Chapel Hill: University of North Carolina FPG Child Development Institute; 2003. Accessed on July 2, 2012
Webpage: http://www.fpg.unc.edu/resources/smart-start-and-preschool-child-care-quality-nc-change-over-time-and-relation-childrens-re

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Evidence Rating

Level of effectiveness based on a scan of academic literature and key recommendations of leading organizations.

  • Scientifically Supported Numerous studies or systematic review(s) with positive results
  • Some Evidence Research suggests positive impacts; further study may be warranted
  • Expert Opinion Recommended by credible groups*; research evidence limited
  • Insufficient Evidence Evidence limited or unavailable; further study warranted
  • Mixed Evidence Evidence mixed; further study warranted
  • Evidence of Ineffectiveness Research consistently shows program is detrimental or has no effect

Although many policies and programs are recommended by credible groups, we apply the rating ‘expert opinion’ only when policies are recommended but limited scientific evidence of effectiveness is available.

* The American Heritage Dictionary defines credible as 'capable of being believed; plausible.' and 'worthy of confidence; reliable.' To be considered an 'expert recommendation,' policies and programs must be recommended by one or more organizations that are recognized for their impartial expertise in the area of interest and have limited evidence available.

Potential Population Reach

Portion of Wisconsin's population likely to be reached by a policy or program if implemented statewide, based on its characteristics (e.g., target population(s), geographic limitations, and potential implementers).

<1%   20-49%
1-9%   50-99%
10-19%   100%

Potential Population Reach

Portion of Wisconsin's population likely to be reached by a policy or program if implemented statewide, based on its characteristics (e.g., target population(s), geographic limitations, and potential implementers).

<1%   20-49%
1-9%   50-99%
10-19%   100%

Potential Impact on Health Disparities

Likely impact of a given policy or program on racial/ethnic, socioeconomic, geographic or other disparities in Wisconsin based on its characteristics (e.g., target audience, mode of delivery, etc.) and best available evidence related to disparities.

  • Likely to decrease disparities
  • No impact on disparities likely
  • Likely to increase disparities