Family Empowerment
It has been said that the best social program is a strong family. School-linked support efforts must help families fulfill their responsibilities for nurturing their children. Problems confronting parents often affect their children - and the converse can be true as well. Even multiple services offered to and individual may not be helpful if the needs of other family members go unmet. (Council of Chief State School Officers 1992)
Changes in our society have increased the difficulties that families face. Mobility has reduced the availability to extend families that might help with parenting and childbearing. Patterns of increasing two-parent participation in the paid work force, the increase in divorce rates and out-of-wedlock birth, growing numbers of single parent families and teenage parents - all these and others impact on the nation's families' abilities to ensure that young children have the experiences they need to prepare them for school and to give older children the support they need to benefit optimally from educational opportunity. When parents are themselves adolescent students, their own and their children's prospects are bleak indeed.
For too many families, poverty is a critical barrier to providing their children with needed supports. Certainly, children who come to school with key health and social needs unmet are not afforded an equal opportunity to learn. Lack of prenatal care, inadequate nutrition, lack of immunization and preventive care, exposure to violence, drugs or abuse, fetal alcohol abuse syndrome, and the emotional and mental disorders of early childhood are but some of the poverty-linked barriers to learning that no curricular or pedagogical reform alone can remove (Novello, Degraw and Kleinman, 1992).
Any serious and committed effort to create equity of educational opportunity must include a comprehensive approach to empowering families, addressing the health and social environment barriers that limit their effectiveness as children's first teachers, best caretakers and most committed defenders (National Health/Education Consortium 1990; National Commission on the Role of the School and the Community in Improving Adolescent Health 1990). As the Committee for Economic Development has warned:
No matter how much money you pump into schools, no matter how well you pay the teachers, fine-tune the curricula, or enrich the programs, you do not address the critical needs of a substantial segment of students unless you also concern yourself with nutrition, health, care, housing, and family functioning - the factors that determine the early development of the child. If children are hungry or abused, if their minds are paralyzed by fear, or if they live in cramped squalid tenements, it is unlikely they will do will in school (Hewlett 1991).The dimensions of the national need for family empowerment should sober anyone who has ever expressed concern about "international competitiveness". The Carnegie Corporation (1994) reports that:
Compared with most other industrialized countries, the United States has a higher infant mortality rate, a higher proportion of low-birthweight babies, a smaller proportion of babies immunized against childhood diseases, and a much higher rate of babies born to adolescent mothers. Of the twelve million children under the age of three in the United States today, a staggering number are affected by one or more risk factors that undermine healthy development. One in four lives in poverty. One in four lives in a single-parent family. One in three victims of physical abuse is a baby under the age of one.The Council of Chief State School Officers (CCSSO) has become a strong voice for family empowerment. It notes that within strong, supportive families, children develop a range of skills and competencies essential for meeting the responsibilities of adulthood - competencies related to health and well-being, personal and social functioning, cognitive and creative development, vocational choice and pursuit, and citizenship. Families in distress may need assistance to provide basic care, comfort, and nurture for their children - assistance that may include financial and other help in providing basic necessities such as shelter and medical care. Children and youth may also suffer illness, or mental disabilities, learning disorders or behavioral problems requiring individualized interventions.
As educators, we share responsibility for preparing our nation's youth for adulthood with families and numerous agencies and organizations. These groups include public and private human service agencies, the public health system, private health care providers, the courts, religious organizations, institutions of higher education, and other national and community-based nonprofit organizations. We believe that working jointly to support the development of children and youth is the most effective strategy for the prevention of youth problems and the achievement of our educational goals. (CCSSO 1992)Family empowerment is not a simple goal. Together, schools and communities must seek ways to address many facets of empowerment to support and strengthen the positive influence of the family. The following outlines some ways that families may be empowered so that the futures of all children and youth will be more hopeful.
- Parenting Education and Programs
- Early Childhood Education
- Collaborative Services
- Empowerment Through Leadership and Team Development
- Barriers and Impact Points
Parenting Education and Programs
Too often, as a society, we seem to assume what clearly is untrue; that the biological ability to produce a child ensures an ability to provide for the child's needs. Parenting and providing nurture for a child's development is a complex, demanding and critical task. As Hamburg (1992) has pointed out, the prenatal months and first five years of a child's life are characterized by "rapid growth, specific environmental needs, maximum dependence on caretakers, great vulnerability and long-time consequences of failures in development." This initial phase of a child's development has a strong impact on his/her entire future life. In this period, a child not only forms attachments that shape his or her possibilities for human relationships and social skills but also the building blocks for learning skills (Hamburg 1992). Frederick Goodwin (1993), Director of the National Institutes of Mental Health, asserts that the quality of parenting and early stimulation during the first five years can modify the child's IQ by as much as 20 points. The consequences of early childhood damage are seen, especially in poor communities, across the nation.
Most parents of all groups want their children to succeed in their learning activities. But many are unaware of the simple, but powerful and inexpensive, things they can do to further their children's development. We can make a major contribution to educational equity and to the economic and social well-being of the nation by ensuring that all parents can prepare their children for school and have the knowledge, skills and resources to support them adequately in their education.
Adolescent parents are especially in need of support, counseling and knowledge to meet their infants' and their own needs. Adolescent fathers too often stumble in to fatherhood with no preparation or clear sense of responsibility. Too often, as well, they are the inheritors of gender biases and stereotypes that prevent their assumption of any meaningful role as a parent and that increase, rather than reduce, the problems faced by their female partners.
Adolescent mothers are at risk for giving birth to babies that are low birth weight, addicted to drugs or who have AIDS (Mid-Atlantic Equity Consortium and The Network 1993). Equally tragic is the risk that bearing a child currently poses for an adolescent mother's own quality-of-life expectations, since the age at which she bears her first child is closely related to her chances of living in poverty and becoming dependent of welfare (Child Trends 1992). This is particularly urgent when we realize that less than 3 percent of adolescent pregnancies result in placements for adoption (Bachrach et al. 1992). We must greatly improve and increase the availability of programs that meet the needs of adolescent mothers, as persons in their own right, as well as the health and well-being needs of their babies.
Several states and localities already provide parenting programs that foster empowerment. For example, Missouri's Parents as Teachers Program provides health screening, home visits, consultations, classes, parenting education during pregnancy to any individual or family regardless of income level, and referrals to other services. It provides strong evidence of the value of integrating parenting education with health care and social stimulation. Sound and effective parenting programs ensure (Hamburg 1992):
- Comprehensiveness:
- Parenting education services need to include health care, social and other family support services (e.g., family planning, day care and substance-abuse programs) and should give serious attention to convenience of access to services.
- Continuity:
- Each child should have continuing relationships with professionals who know him/her, know his/her family, and know the family's background.
- Coordination:
- School, preschool, social services and health care should be connected to provide a "seamless web" of services.
- Accessibility:
- Outreach is essential. Many of the children most in need of health, social and educational services are not receiving them now; their parents do not know what they are, where they are or how to make use of them. Services must be accessible , and service providers must be able to deal with clients' linguistic and cultural diversity.
- Accountability:
- Quality control is an essential element of parenting programs that meet high professional standards for both practice and prevention. Successful parenting programs not only meet an immediate need for services, but also establish a foundation of prevention that will reduce future problems and costs.
Early Childhood Education
Early childhood education programs foster children's physical, social, and language development and general learning. Today, a majority of young children are served by some type of early childhood, pre-kindergarten programs provided by public and private resources and implemented through a variety of approaches. A consistent finding of research on early childhood programs is that while all groups of children benefit form them, poor children benefit the most, receiving stimulation and experiences that they may not find at home.
Increasing numbers of public school have extended their services in response to the needs of three- to five-year olds. Their programs include Head Start, fee for service programs, tax supported programs, and programs funded by philanthropy. They can make a difference for children, especially when they are high-quality child development programs. While there will always be a need for diversity of providers of preschool education, public schools need to continue to extend services to this area, since there is strong evidence that quality preschool programs contribute to current learning potential and future outcomes. Benefits to society include increased participation in education, reduced crime and delinquency, improved work skills and productivity, reduced welfare dependency and better health (Taylor and Piche 1991; CCSSO 1992; Melaville 1991). Early childhood education is not only an effective tool for individual and family empowerment; it is also a worthwhile community and social investment. Mandatory full-day kindergarten and increased funding for early childhood programs such as Head Start would be a good beginning.
Collaborative Services
The fragmented state of child and family health, social services, education, job training and assistance program,s is a growing concern among educational policy makers, scholars and communities. When strict boundaries exist among schools, human service agencies, the private sector and other important elements of the community, they too often foster a competitive climate (particularly where fund raising is concerned) and produce duplicative, fragmented and disconnected services to a fragmented and bewildered client population. Efforts to remedy this wasteful state of affairs have produced a variety of approaches, from the "Safeway" school of one-stop services, to the learning community with schools as the hub of services to all ages, to partnership programs, and to integrated programs and centers for health, education, social services, recreation and adult education. For many, finding a way to link the school with other community entities in a network of support for families on behalf of children makes good sense. As the Council of Chief State School Officers (1992) puts it:
The notions of school-linked and community-based support systems are not inherently in conflict. A wide range of agencies, organizations and citizen groups must contribute the expertise and resources to better support children and families. In addition to the school's unparalleled access to students and families, there are other advantages to the school's substantial involvement in such efforts. For example, where school facilities are under-used, they can be used to meet other community needs. Moreover, providing certain services at or near the school site - day care for teen parents for example - can help keep young people in school. Making support services available to all students at or near the school site can also lessen any stigma associated with seeking assistance, thereby increasing access to and use of prevention services.Breaking the usual pattern of isolation between education and social services at the highest level, the U.S. Department of Education and the U.S. Department of Health and Human Services recently joined efforts to address the connections between family needs and children's prospects for school success. The result of their collaboration was a document titled Together We Can: A Guide for Crafting a Profamily System of Education and Human Services, Which states:
A pro-family system will eventually benefit the entire community and the many neighborhoods where children and families live. Creating such a system will require the united efforts of many partners - key leaders from different sectors who come together to find solutions to shared problems... a collaborative is a group of community leaders who have agreed to be partners in addressing shared problems. The collaborative undertakes an initiation - a series of interrelated activities designed [to] solve these shared problems and create a new system of services for children and families. How far these partners move beyond the status quo will depend on whether they choose a cooperative or collaborative strategy to guide their planning and action. (U.S. Department of Education 1993)Table I, "A Continuum of School-Community Partnerships" provides a comparative look at three models for school-community linking:
- Institutional One-On-One (direct partnership between one school/one community entity or organization);
- Cooperative Agreements (one or more schools agree with one or more community partners to cooperate in pursuit of individual goals);
- Comprehensive Collaboratives (school/schools community partners collaborate to establish common goals and agree to use their personal and institutional power to achieve them).
The value of the comprehensive collaborative model is that it seeks to bring about systemic, community change rather than to achieve the more limited goal of coordinating available programs. While any of the approaches noted above can make a difference for children and their families, approaches to systemic change are likely to be more effective and have greater impact. Its key elements include:
- Easy access to a wide array of prevention, treatment and support services;
- Techniques to ensure that appropriate services are received and adjusted to meet the changing needs of children and families;
- A focus on the whole family and its cultural meanings and traditions;
- Agency efforts to empower families within an atmosphere of unconditional respect for families and their cultures; and
- An emphasis on empowerment and improved outcomes for children and families.
As shown in Table I, the comprehensive collaborative model's integration of services addresses the needs of the whol child based on a commonly defined vision and long-term institutional commitment, offering more broad-based service than either one-on-one or cooperative partnerships. The comprehensive collaborative model is based on personal accountability within the community. Change comes when those in need and those who can help relate to each other as human beings with shared values and a common investment in the future of the community. When each child and parent, every care provider, and each member of every supporting institution feels personally accountable for the commonly defined vision and accepts a share in bringing it into being, true collaboration is possible. A comprehensive collaborative that is a school-linked, community-based partnership also brings about institutional change, and permanent change in the fabric of community is the inevitable result.
Examples of Comprehensive Collaborative Programs
A number of currently functioning programs are modeled on the comprehensive collaboration framework. Those presented in Table II illustrate that different entities may take lead roles in the initial development and long-term operation. Comprehnsive collaboration models' common characteristics include:
- Involvement of a variety of entities to provide health and social services to children and their families, both biological and community;
- Inclusion of the total community in service provisions;
- Provision of services both within and outside the school environment.
The emphasis in these pages is to explore comprehensive collaborative programs as vehicles through which schools and communities can bring a broad range of resources within the reach of families that need them (Chira 1994), rather than focusing on any one need. However, a closer look at how New jersey's School Based Youth Services Program (SBYSP) addresses adolescent pregnancy addds significant dimension to the telegraphic listing of services provided on this program in Table II's "Brief Description," and suggests the depth of intervention that school-community collaboration can make possible. Typically, New Jersey's twenty-nine SBYSP projects provide pre- and post-natal health care, counseling, job and employment development, academic help, parenting groups and funds to supplement child care. They improve the school context for their pregnancy programs through schoo-wide group substance abuse programs (including programs for students whose parents abuse substances), anger management and social problem solving programs, conflict mediation, personal growth, and Girl's Clubs and Boy's Clubs. Prevention programs are provided to prevent illness, pain and accident; to develop responsible sexual decision making; and to learn skills for making decisions in tough situations. Two specific adolescent pregnancy programs illustrate the possibilities within New Jersey's SBYSP.
- Pinelands School provides a coordinated program of preventive personal counseling and prenatal care that has reduced the number of pregnancies among young high school women and has assured healthy, full birth weight babies for the pregnancies that have occurred. During the program's first year (1988-89), thirteen babies were born to Pinelands students: all were full birth weight and healthy; all mothers continued their education. SBYSP ensured access to prenatal health care, family and personal counseling, preparation for birth, parenting after birth and continued school for mothers. During the second year (1989-90) there were no births requiring SBYSP intervention. The reduction in pregnancies is ascribed to personal, therapeutic counseling intervention at the time of students' confusion and concern - that is, before the conception of a child.
- Plainfield High School's pregnancy prevention program is supported by a consortium of two corporations, four foundations and five social agencies to provide counseling and educational programs that encourage young people to postpone sexual intercourse until a later time in their lives. It also provides an accredited course in parenting skills, a life management program that includes employment preparation, and a child care program located in the school. An important element of the program involves the parents of the adolescent mothers in a coordinated effort to provide life styles that include education and appropriate work. The project's records show that SBYSP has reduced repeat pregnancies and increased adolescent mother's school completion.
Empowerment Through Leadership and Team Development
Several key processes are needed to implemetn the comprehensive collaboration model and to empower its members to act. Gene Maeroff (1993) states:
Educaiton might be improved by the formation of a nucleus of committed people prepared to take risks inside and outside their own classrooms.Teams of committed risk-takers can take advantage of the strength of collective thought and collective skills to empower traditional and nontraditional families. They can promote the integration of educational, health and human services. Such teams would assume ownership of new ideas and strategies and work vigorously for their implementation. An effective community would include members from the medical, educational, social services, housing, nursing, legan, allied health and possibly religious sectors. It could assess issues from health to daily survival needs that impact families. Its members can be trained to generate resources to support system reform, drawing on public funds to develop programs and to sustain reform.Of the programs presented in Table II, "Cities In Schools" (CIS) provides an interesting example of broad-based community collaboration in a school-linked partnership. Repositioning human service agency staff at the school site is the key to a successful CIS program based on the collaboration of:
- Health agencies for direct services and health education programs;
- Public and private human service agencies for various counsiling and other services;
- Parks and recreation departments for recreational and cultural enrichment activities;
- Business for mentors, tutors, career awareness, field trips, internships, and employment;
- Universities, for student internships;
- The Private Industry Council for pre-employment job training and part-time employment opportunities.
Changing Institutional Roles and Structures
A comprehensive, collaborative, school-linked, community-based partnership can change the roles and relationships of schools and other institutions in the community. Local schools can change their roles and relationships within their communities as capacity-building training and team-building training provide officials the opportunity to improve the functioning of comprehensive services. The governance roles and functions of school boards and superintendemts may be modified via recommendations to the school board. As teachers and other school professionals assume new roles and functions, they may have to enter new contractual arrangements with the school board and its community.
Other institutions will also find a need to redefine their roles and functions relative to the school and to each other as they assess and take responsibilty for needs broader than their own, and as they seek ways to make the fullest use of community resources to meet community needs. Some benefits are obvious - as in the financial and human energy economies achieved when shopping malls become community centers, when social services are situated at or clustered near schools, when under-used school facilitiesare used to meet other community needs, or when community-based health services maximaize both accessibility and effectiveness of programs and activities.
Barriers and Impact Points
Efforts to create school-linked,community-based partnerships for family empowerment need to take into account the barriers to comprehensive collaboration. Competition for scarce resources often leads agencies to turf battle, preventing them from viewing other institutions as allies. This poses the biggest barrier to change. When service providers focus only on what they themselves provide, rather than on discovering and responding to the needs of the community, they are unlikely to join forces with others. Collaborative thinking does not come easily, and years of competitive practives can erode the natural tendency toward cooperation. An apparent lack of knowledge and creativity on the part of th service individuals may be sigs of inflexibility in the structure of their organization or institution.
Other barriers result from regulatory processes and funding. For instance, incompatible funding streams, lack of flexibility in how to use corporate funds, lack of coordination between state/federal levels, and disputes over matching funds may slow the process of getting service to needy communities. Moreover, differences - even slight ones - in eligibility for the services of different agencies and programs can make it very difficult to work collaboratively (Clark 1992).
Success for the comprehensive collaborative comes from focusing on meeting the needs that exist in the community at the present moment. Fortunately, there is no need for each change-minded community to re-invent the techniques that foster collaboration. A number of national organizations have experience in the forging community-level partnerships on behalf of youth so that the comprehensive collaborative reflects the community in these processes; identifying its needs, selecting programs and services that best meet these needs, designing new activities and/or adapting old ones, and, finally, selecting the most appropriate, least comples structure for delivering services.
Creating school-linked, community-based partnerships such as the comprehensive collaboration model can be greatly strengthened by effective federal and state support. Three key impact points provide opportunities for the state and federal governments to empower families through the comprehensive collaboration model.
- Policy: State and federal policies supportive of comprehensive collaboration take the form of legislation, regualtion, budget priorities, bully pulpits, executive policies and priorities statements, and action task groups and / or interagency / intra-agency planning and collaboration committees.
- Promising Programs and Practices: The federal government can provide technical and financial assistance to state agencies to develop programs and models/centers, coordinate and deliver comprehensive school health education programs, and school-linked, school-based, comprehensive collaborative efforts at the national, state and local levels. Both state and federal governments can sponsor community-based program development, demonstration and dissemination activities.
- Research and Knowledge Base Surveillance: Both federal and state governments can systematically collect and disseminate quantitative and qualitative data and materials that describe the state of the are and effective programs and practices.
Agency Collaboration for Famlily Empowerment
Effective collaboration among health, education and social services is needed at the stated and national levels to provide leadership, models and support for school-based and school-linked family empowerment programs in local communities. Both federal and state governments need to act vigorously for the development of publci policy, collaborative programs and practices, and the collection and sharing of data and information if all American families - traditional and nontraditional - are to become empowered to assure their children's physical and psychological health as prerequisites for success in school. Since, at least in their board outlines, state and federal structures for social services and supports parallel each other, the actions urged below refer to both entities/agencies. We believe they are equally understandable as actions urged on the state. Major advocacy and special concern organizations derive their national stature and identify as coalitions os state-level organizations. Needed are:
- A person appointed by the President, Governor, or Mayor charged with focusing health, educaiton, and social services attention and resources on the empowerment of families through school-linked community collaboration programs and providing national leadership in accomplishing the actions presented below.
- An effective coalition of departments (e.g., Education, Health, Human Services, Housing and Urban Development) and entities, publci and private, already structured to function at the local, state and national levels (e.g., the National Organization of Women, the American Association of Retired Persons, the Mexican American Legal Defense and Education Fund, the National Association for the Advancement of Colored People) to:
- Identify needs, opportunities, resources and barriers to community collaboration for family empowerment;
- Develop plans and strategies for inter- and intra-agency collaboration of state and local health, educaiton and social services.
- Legislative acion giving high priority to authorizing and funding school-connected health services to the children of the nation's poorest families: Chapter 1 children, homeless and migrant children, children resident in public housing, children receiving Aid to Dependent Children, children receiving assistance for disabilities, and children in urban or rural areas of high poverty concentration.
- Action to make the eligibility criteria compatible between Health Maintenance Organizations (HMOs), Medicaid, Chapter 1, Head Start, etc., so that all students in schools saturated with children of the poor qualify to receive health and dental services through a comprehensive collaboration/integrated services model.
- Action to support school-linked, community-based partnerships for education, health and social services, which include:
- Legislation authorizing elementary and secondary compensatory education programs such as Chapter 1, Title VII, Chapter 2, Even Start, Migrant Education and the Drug-Free Schools and Communities Act (DFSCA);
- Mandates to the Department of Educaiton's Office of Educational Reasearch and Improvement (OERI);
- Legislation and programs to promote and support school improvement efforts;
- New legislation that will support comprehensive community collaboration for education, health, and social services. Such legislation could provide states with guidelines and incentives for developing collaborative inter-agency support teams, create authorities and mechanisms for integrating the administration and support of collaborative services at the state and community levels.
- Inclusion in the currently developing National Health Care Reform of support for collaborative community education, health and social services programs as part of an effective national preventive health care policy. Support schoul include funding of local community collaboration team activities and the redistribution of market incentives to give preventive health measures at least equal priority with treatment measures.
- State and local action to identify and recruit persons as effective agents of change for community collaborative program planning, needs identification, implementation and administration, drawing upon service modes already proven to be both effective and low-cost such as:
- The Junior ROTC (as a model of government incentives effective in putting key community figures to serve at minimal cost);
- Membership organizations of senior and retired people (e.g., the American Association of Retired Persons);
- Retiring military and civeil service personnel;
- The newly authorized National Service Corps of young people who will exchange public service for educational benefits.
- The developmetn of model Comprehensive School Health Program as a nucleus for school-based, school-linked collaborative community edcution, health and social services programs.
- A comprehensive school health program is an organized set of policies, procedures, and activities designed to protect and promote the health and well-being of students and staff. School policies and practices ensure a healthful school environment by protecting staff and student safety, regulating food service, and controlling substance abuse.
- Health education is an important component of a comprehensive school health program from preschool through grade 12, providing for education, promoting employee health and encouraging substance abuse avoidance. But school helath eudation must go beyond these: schools can be key agents in empowering families for children's health and well-being through the preventive effectiveness of a thorough children's health education curriculum that includes ciolence and accident prevention, community health, consumer health, environmental health, family life helath, mental and emotional health, nutrition, and personal habits. Health educaiton must include - for boys as well as for girls - gender-rights awareness, responsibel sexual and social decision making, and parenthood responsibilities as well as education to prevent unplanned pregnancy, venereal disease and AIDS.
- A comprehensive school health program will include a component within which school nburses of nurse practitioners provide triage, detect and address health problems, and provide/coordinate/ refer for immunizations, ear, eye, and dental screening and treatment, etc. Health services, guidence and counseling services, psychological services and social work are integrated within the comprehensive health program to provide linkages and cross referrals between the school and school-based or school-linked health clinics (private/HMOs/hospitals). School health professionals are also an important resource for schools' education/staff training efforts.
Wer strongly recommend federal, state and local support for school-linked, community-based family empowerment. The comprehensive collaboration model can be effective in school/community/family integration in the context of existing and new programs and initiatives and greatly increased children's opportunites for school and life success.
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