This report was written by Kelly Maxwell, Donna Bryant, Amee Adkins, Brian McCadden, and George Noblit, although it is based on observations and input from all evaluation team members over the course of our first months working with counties. A list of evaluation team members is attached.
The original Smart Start legislation calls for both summative and formative evaluations of Smart Start. The Smart Start evaluation team has spent the past eight months obtaining information and formulating ideas for both types of evaluation. For the summative evaluation regarding the outcomes of Smart Start, the evaluation team has been designing an evaluation plan that will appropriately address the various county initiatives. The evaluation plan will be submitted in a separate report to the State. The purpose of this report is to provide a formative evaluation of the Smart Start process that can inform the current state-level decision-making processes for future Smart Start efforts.
The conclusions in this report are based on the Smart Start evaluation team members' thoughts and experiences regarding the first year's process, as each of us has worked with an individual county. Information for this report was based primarily on notes from our interactions with local Smart Start teams. Members of the evaluation team had regular contact with local Smart Start team members through phone conversations, site visits, and statewide county collaboration meetings. Information for this report was also obtained from notes of the DHR core team meetings we attended and from documents created by local teams (e.g., original application proposals, short- and long-term plans, articles of incorporation, needs and resources assessment summaries). To prepare this report, three team members reviewed all notes and coded statements into various categories. From this analysis, the major categories became the 7 emerging themes discussed in this report. An additional level of analysis was conducted to examine patterns within each category. These patterns provided the outline of the discussion and recommendations in this report.
This report represents the evaluation team's perspective
of the first year of Smart Start. The perspectives of team leaders, executive
directors, and county collaboration coaches was obtained in the form of
feedback to this report and has been summarized in the appendix. The themes
and lessons learned are organized under the following seven headings: organizational
structure, focus, planning process, decision-making process, state-county
relations, local team diversity, and technical assistance.
Organizational Structure
Counties formed a planning team during the application phase of Smart Start. This planning team is evolving into a local partnership board with 17 of the membership slots required by the State to be employees of specific organizations (e.g., schools, social service agencies) or representatives of specific groups (e.g., parents, child care providers). In the start-up phase between being selected as a Smart Start pilot project and implementing the short term plan, counties differed in their initial organizational structure. Some county Smart Start teams operated independently during the start-up phase and never allied themselves with a particular public or non-profit agency. Other counties temporarily allied themselves with an already existing agency that assumed responsibility for some day-to-day operations, such as secretarial support and office expenses, as the county completed the steps necessary to become an independent non-profit organization. One county formally tied its partnership to an existing non-profit organization by adapting the board of the existing organization to meet the Smart Start board structure requirements, rather than creating a new non-profit, tax-exempt entity. At least one other county considered this option of formally aligning itself with an existing non-profit organization.
Operating with an existing non-profit may provide advantages as enumerated by some advocates of this approach. Space, utilities, and supplies could be shared. The people most interested or qualified to be on the partnership board might already be serving on the existing board. The direction and momentum already established by the existing board could be built upon by the new Smart Start partnership board. However, despite these possible advantages, county Smart Start partnership boards that are tied to another organization may not be as independent as stand-alone partnership boards. Some Smart Start partnership board members may feel compelled to respond to the needs of the other organization as well as to those of young children and families. Conflict of interest issues could also arise if the existing organization is considered for Smart Start funding. This joint board structure could mean that there are more constraints, less flexibility, and less creativity in Smart Start decision-making.
Determining the focus (or major foci) of Smart Start has been an evolutionary process. Initially, Smart Start was described very broadly. Gradually, some limits and therefore some focus evolved. For example, some teams needed clarification that children under 5 and their families were the intended recipients, rather than all children.
Aspects of Smart Start are sometimes described as child-focused (i.e., efforts to improve early childhood care and education), family-focused (i.e., efforts to provide family support services through family resource centers), or systems-focused (i.e., efforts to integrate services), as if those are separable foci. Children, families, and systems are each critical components of the Smart Start initiative, yet they are difficult "targets" to address simultaneously. Some local Smart Start teams have appeared to be primarily "child-focused," although they still must deal with family and systems issues. As the team chooses strategies most likely to result in changes in children's lives, their plan might well include programs such as parenting education and transportation system improvements. Are the most effective strategies aimed toward the service delivery system, families, or children themselves? Which strategies will most likely lead to the most improvements in children's lives? Teams have struggled with these issues and decisions.
Struggles at the local level have been exacerbated because similar conversations regarding the goals and focus of Smart Start have occurred simultaneously at the state level. Leadership for Smart Start efforts has come from three sources within DHR--the Secretary's office and the Divisions of Child Development and Family Development. Direction has also come from the Governor's office and the Legislature, first through the enabling legislation as well as through ongoing oversight and interest in Smart Start, as well as from the NC Partnership for Children. With so many different individuals urging and hoping that Smart Start efforts will meet certain needs, it has been difficult for county teams to get a sense of the main direction of Smart Start.
Realizing that Smart Start cannot be all things to all people, the Department eventually delineated (in March, 1994) a set of components that must be a part of each partnership's plan: providing services for low-income families who do not need or want child care for their children, raising the amount of child care subsidies, and demonstrating collaborative efforts within the county. The "must haves" list (as it is being called) appeared to be a reaction to the widely disparate ideas proposed by counties and an attempt by the State to focus local efforts.
Although local partnerships are discussing children, families, and systems, efforts appear to be focused primarily on services. Almost all of the county plans involve expanding or supplementing already existing services and programs, with relatively few plans directed toward linking services into a cohesive system or creating a unique, non-agency sponsored solution to a problem. This focus on already existing services is not surprising, given that local partnerships are comprised of several agency personnel and money is usually tied to particular agencies or programs. However, local leaders must expand their perspectives beyond existing services if they are to maximize the improvements in children and families' lives. Teams must begin thinking simultaneously about the end results (i.e., outcomes) as well as the means to the end (i.e., particular strategies/plans/programs). With the immense task of developing both short-term and long-term plans, it is easy to become overly focused on the strategies to achieving outcomes and lose sight of the intended outcomes.
Local Smart Start teams have spent the first months developing their short-term plans for spending the first year's fiscal allocation while simultaneously planning for the long term. Working on both activities at the same time has been challenging for counties and seems to have made some decisions more difficult. Although first-year funding may be necessary to bring county leaders together and to provide immediate, needed support for county services, it also hinders the ability of teams to plan for the long term. For example, teams have had to make decisions about spending this year's funds before they have developed and prioritized their own goals. Thus, some decisions made earlier in the year may not match a county's current goals, and some early funding decisions may overly influence a county's later decisions about long-term goals.
Developing the short-term and long-term plans within the state timelines has been an enormous activity for local teams. Most teams have broken the activity into smaller, more manageable pieces. In some instances, counties have developed task forces or subcommittees for various topics (e.g., family support services, child care) and have assigned tasks to each subcommittee. Dividing tasks among team members can be a useful, productive strategy for accomplishing tasks as long as a large number of team members are involved in the process. The tasks remain enormous if the same team members are on several subcommittees. This approach to the work distribution also contributes to the segmentation of the plan and the emphasis on already existing services rather than systems.
As difficult and time-consuming as it is to develop short- and long-term plans, the first year of local planning also requires community outreach and collaboration building. Smart Start clearly intends to bring community members together to address the needs of young children and their families. However, bringing people with diverse ideas together to make decisions--often for the first time--can be a difficult, time consuming process in and of itself. This aspect of Smart Start has been a lower priority compared to the immediate need for counties to decide how to best use this year's financial allocation.
The timeline of implementation of Smart Start has also been a major challenge for the DHR Smart Start staff. A large project like Smart Start in which state staff are trying not to do "business as usual" requires careful, long-term planning and preparation for themselves prior to local implementation. Local team members have been urged to collaborate, yet state agencies have not combined or streamlined their own program-entry paperwork or overcome confidentiality barriers that would support local level collaboration. Unfortunately, DHR staff had little time to plan and prepare adequately for Smart Start before it was implemented. Instead, state-level staff have primarily had to "think on their feet" about policies and procedures regarding Smart Start. Without planning time, state-level Smart Start staff have primarily reacted to problems rather than acted proactively to prevent problems. Implementation has proceeded remarkably well, given these limitations, but more planning time at the state level (and more staff) would have facilitated the start-up process.
Decision-Making Process
Local partnerships have developed formal as well as informal decision-making processes. When local teams incorporated, their partnership board became the formal decision-making body. However, many counties have a planning team and/or subcommittees that are very involved in developing initial proposals and making recommendations to the board regarding particular decisions. In some counties, subcommittee recommendations are approved by the board with minor discussion; in others, board members discuss at length each recommendation before voting. These different approaches can create tension between those team members who want to make decisions efficiently by relying on subcommittee recommendations vs. those who want all members to be involved in the consideration of all decisions at all levels.
Although the formal decision-making process is relatively easy to identify since it follows the organizational structure, the informal decision-making process is much more difficult to discern. For instance, there are key people on teams who clearly play critical roles in making decisions, but the way they influence the formal decision process is unclear. There are also team members who seem to have little say in decision-making. Low-income parents, for example, often comprise only one or two board positions, and may be less likely to challenge leaders' recommendations.
Both the formal and informal decision-making processes impact teams.
Although these processes are present in every team, several questions regarding
the effects of particular decision-making processes remain unanswered at
this time: Can teams continue making decisions like they have made them
during this past year? Which, if any, decisions can be "un-made" in the
future (e.g., can teams fund projects in the short term without funding
them in the long term)? Are low-income parents and front-line service providers
involved in the decision-making process? How are new people brought into
the decision-making process? This latter question has been particularly
important recently as the partnerships have hired their executive director,
who may not have been involved in the initial 6-8 months of planning.
State-County Relations
State leaders involved in Smart Start have described it as being a "bottom-up" rather than "top-down" approach; the State is not making decisions for a county but rather is recognizing the county's ability to make its own decisions. During the initial months of Smart Start, state officials repeatedly assured team members that they would be allowed to make their own decisions. However, in reality, the State is making some decisions about Smart Start, and the counties are making other decisions. For example, at the end of March (six months into the effort) a "Must Haves" list, summarizing a "few key expectations for Smart Start long-term plans" from the Department of Human Resources, was circulated to county team leaders.
This delayed refinement of State expectations illustrates the changing rules of Smart Start over time. From the local perspective, these changing rules are very frustrating because of the mixed messages they send. For example, team members can infer from the "must haves" list that the State did not really mean that counties would be allowed to make decisions, yet counties were making various decisions during the initial months of Smart Start with very few guidelines from the State, even though they had requested guidelines. The change in rules at the end of the first year has damaged the trust between the counties and the State. Local team members are likely to doubt the State's sincerity of creating a "bottom-up" approach for Smart Start and to continue wondering about other, hidden expectations of the State.
Another issue affecting state-county relations is the contract process necessary for counties to receive funds to implement their Smart Start initiatives. Specifically, county partnerships have to submit written plans and budgets for each project, which must be reviewed and approved by the State before a formal contract can be made between the State and the county. Once a contract has been established for a project, the county can receive funds for that project. The number of contracts required for each county is much larger than anticipated--and is much greater than the number of contracts DHR usually processes. To cope with the burgeoning number of Smart Start contracts (over 200 for the first year), state-level staff have tried to shorten the time required to review and approve county plans by placing pressure on the state contracting system. On occasion, dozens of staff members have been pulled away from their other responsibilities to help reduce the backlog. However, the number of steps in the contracting system has not been drastically shortened. This pressurized system cannot sustain itself. The need for adaptation becomes especially critical if additional counties are going to receive Smart Start funds during the upcoming years. Adapting the current state system will require shortening the contract process, reorganization, and/or additional Smart Start staff with DHR.
Two other options have been mentioned as possible solutions to the contract problem. The first option requires the local partnerships to be responsible for contracts within their county. This would shift the contract burden from the State to the counties, seemingly solving the State's problem but creating a significant problem for the counties. The local partnerships do not have the personnel, financial resources, or legal and accounting expertise needed to write and monitor contracts. If counties were required to write their own contracts, the State would have to provide technical assistance. The expense of providing the level of technical assistance necessary to ensure that counties followed legal contracting guidelines would most likely outweigh the benefits to the State. Even if counties were able to follow the legal guidelines, the potential conflict of interest inherent in having team members contract with local agencies and organizations would always be problematic.
A second option is to contract with an independent, non-profit organization to process Smart Start contracts. This option is attractive because (a) neither the state-level Smart Start staff nor the local partnerships would be involved in the day-to-day contract process, and (b) a non-profit organization should be able to contract with counties more quickly than the State. However, if this option is pursued, the State would need to remain involved in the contracting process and retain accountability for the process. If problems arise in the contracting process, someone at the State must be able to take responsibility for solving the problems quickly. This solution does not totally eliminate the need for the State to reconsider its Smart Start budgeting process.
Initially, county frustrations about the Smart Start process (e.g.,
length of time needed to receive money from the State; number of steps
involved in approving plans and writing contracts; inconsistent answers,
both across counties and within DHR, about what types of proposals could
be funded) seemed to be primarily directed at state-level Smart Start staff.
However, over time, this somewhat adversarial relationship seems to have
evolved into an alliance in which state and local level Smart Start participants
are seen as being on the same "team" working together to change the bureaucratic
system. This "friend vs. foe" perception of the State vacillates over time,
typically with counties viewing the State as "foe" when they are feeling
most frustrated. It seems inevitable that the State will play a scapegoating
function in the process: counties need an outlet for their frustration
and the State is the easy outlet.
Local Team Diversity
Smart Start provides an opportunity for counties to bring together a diverse group of people to work toward improving the lives of young children and their families in communities. This opportunity is also a great challenge for teams. One of the initial challenges has been to bring together the state-prescribed board members, educate them about the Smart Start initiative, and enable them to see the importance of their active participation in the initiative. In forging these new relationships across the communities, teams are encountering problems ranging from general logistics (e.g., finding a time in which everyone can meet) to resistance (e.g., a key player may not see the importance of her participation).
Although diversity, including ethnic and professional diversity, is pursued by teams, members with the most decision-making power are often from similar rather than different backgrounds. For example, the State requires various agency representatives (e.g., health department, social services) to join the local partnership board. Although these agency representatives represent diverse services provided in the community, they share a relatively common knowledge, vocabulary, and culture (i.e., the agency culture) that other team members, such as parents, are less likely to understand. The agency representatives on the board are often community leaders as well, a status that may lead nontraditional stakeholders on the board to be unwilling to challenge their ideas. Nontraditional stakeholders may also be less able to influence board decisions because of lack of knowledge about team decision processes or sheer lack of numbers. Smart Start counties continue to pursue diversity on their decision-making body, but without a shared understanding, individual team members can have difficulty working together to make decisions about improving the lives of young children and their families.
By state mandate, the board members who represent agencies must have the authority to commit their agency to Smart Start efforts. Thus, most agency representatives on the partnership boards are agency directors. Although agency directors must be involved in decision making if long-term system change is to occur, their presence may mean the absence of other critical agency representatives. Direct service providers, such as front-line workers in child care, social services, and health professions, are important Smart Start stakeholders who may be outside of the decision-making process.
Some local teams are also dealing with the issue of diversity of geographic
location of board members. Because government offices and some services
are located in the county seat and many team members are selected because
of their affiliation with those agencies, many team members live and work
in the county seat. Other communities in the county may be under-represented
or not represented at all on the board.
Technical Assistance
The Smart Start initiative was designed to enable communities to decide the best strategies for improving the lives of young children and their families. Teams are being supported in their planning through the county collaboration process, which provides technical assistance regarding the process of working together as a team. Technical assistance regarding evaluation issues is provided by the Smart Start evaluation team. However, counties perceive that little technical assistance is being provided regarding the content of their plans. The original intention of enabling counties to make their own decisions may have overshadowed the potential usefulness of providing information to counties. For example, local teams may want to improve young children's developmental skills in order to better prepare them for school but may not know which particular strategy--home visiting programs, child care programs, or a combination of the two--would most likely lead to these improvements. At this point, counties must decide for themselves which strategies to use. Other topics that counties have struggled with--and asked for technical assistance about--include improving/starting transportation systems (especially for rural counties), streamlining the paperwork involved in proving eligibility for programs, including children with special needs in their child care quality improvement plans, and linking preschool efforts with public school efforts. Two-hour workshops at the county collaboration meetings were only a start for the counties to begin their efforts in these areas. They needed and wanted in their first year, and may continue to need and want, sources of "expert" help in specific areas.
In an attempt to address the need for technical assistance, a loosely
knit support team of state, university, and county human services professionals
was brought together in the fall of 1993 to help counties plan and implement
their new efforts. However, it was implemented in a reactive fashion and
is not really an active "team" in its organization. County team members
are not clear about whom to call for help or what can be expected, and
have expressed frustration and sometimes disappointment over the responses
they have obtained. Support team members are quite knowledgeable and want
to be useful, but have few avenues for providing input, other than already
established professional contacts. A more coherent system of technical
assistance is needed.
Technical assistance regarding the content of local plans and strategies
should be provided in a systematic way. Occasional workshops
at county collaboration meetings are helpful but not enough to truly inform
and support change. Ongoing technical assistance is needed. This assistance
could not only provide information to teams but could also help maintain
each team's focus on the needs of young children and their families. Technical
assistance regarding the content and focus of local plans could be very
useful to local partnerships and could be provided without interfering
with their ability to make their own decisions about improving the lives
of young children and their families. The already established Smart Start
Support Team could more systematically assume responsibility for providing
technical assistance, but it would need to create an organized process
for doing so. This will be difficult because current members, each with
full-time commitments apart from Smart Start, are from a wide variety of
state and county agencies and universities. A single agency or organization,
such as the North Carolina Partnership for Children or the Division of
Child Development, could also be asked to coordinate and provide technical
assistance. To do so, the organization would need staff specifically assigned
to assimilate and disseminate information and expertise to counties.
Concluding Remarks
We have tried to summarize in this report the major challenges faced by Smart Start participants, at both the local and state level, in the first year of Smart Start planning and implementation. Although many of the challenges will continue into the second year for the already funded programs, one of the purposes of this report was to suggest modifications to the process that might benefit counties to be funded in the future. Another purpose was to help the currently funded counties focus on existing challenges. Those involved in the process will certainly recognize these issues. We hope that this report can be a springboard for county and state participants to discuss the challenges and possible solutions.
The Emerging Themes and Lessons Learned report was distributed in May,
1994, to local Smart Start team leaders and executive directors, team coaches,
and DHR staff. Approximately 45 people received the report and all were
asked for feedback which was to be incorporated into the final version.
Eight people provided feedback to the evaluation team: 3 coaches, 2 team
leaders, 2 team members, and 1 person from DHR. Some of the comments were
general (i.e., expressing approval of the report) and did not require revision
of the text; others pointed out factual errors in the report which we have
now corrected. Other comments will be mentioned briefly here in this appendix,
following the same organizational headings used in the report.
General Comments
Three respondents suggested that other topics be discussed in the report, including the County Collaboration process, strategic planning, the role of coaches, the role of the NC Partnership board, state-level staff preparation, and Covey Leadership Training. Several of these topics are being covered in 60 key informant interviews that are being conducted in the summer of 1994 (5 people in each of the 12 projects). The written report based upon these interviews will summarize opinions on these topics.
Some of the questions reflected a need or desire to know more specifically which county was being referred to in a given section. We have tried throughout our evaluation process and will always try to protect the anonymity of specific people, projects, and when possible, counties/regions. We believe that this improves our ability to gather honest information about the process and implementation, and it decreases the tendency for counties/regions to compete with each other.
One person thought that some of our statements were our opinions rather
than facts. We have tried to fairly report the differing procedures we
saw and opinions we heard in the counties implementing Smart Start. Based
on these observations, we have indeed stated here our opinions about the
plans, procedures, rules, regulations, successes and challenges of an effort
of this size and breadth. As we have all learned during this first year,
differing viewpoints and experiences are being melded into the final plan
within each county/region and the State.
Organizational Structure
Several comments concerned nontraditional stakeholders. Some reviewers wanted us to provide a specific number of nontraditional stakeholders (e.g., parents) that would be sufficient to increase their decision-making power on the board. Although we, too, wish that there was a magic recipe to follow for ensuring adequate, truly participatory involvement of low-income parents and other non-traditional stakeholders on policy-setting or decision-making boards, neither research or practice gives us information with which to recommend a particular number. The involvement of nontraditional stakeholders seems to vary by their history of involvement in a given county, level of effort made by the team to listen to and include parents, skills and experiences of the parents involved, and the ability of the first few parents to enthusiastically and actively help in the recruitment of others. Most counties acknowledge the need to make more concerted efforts in this coming year to reach out to low-income parents.
We agree with the reviewers who suggested that increasing the numbers
of nontraditional stakeholders would not necessarily lead to increased
power and that additional training and support would be needed. Our section
on decision-making also addressed this topic.
Focus
Some concern was raised about our statement that children, families, and systems are difficult "targets" to address simultaneously. Legislation authorizing various programs, both state and federal, often requires programs and systems to serve different units (children or families), with different eligibility qualifications and reporting requirements. People who primarily work with families or primarily with young children are often trained from different backgrounds, for example, social work or early childhood education. Staying focused on one problem area sometimes occurs at the expense of addressing another. Methods of evaluating family, child and system progress are often quite different. Finally, different advocacy groups, to maximize their impact, tend to focus on specific constituencies with less thought given to the entire family unit within the social and community system. These are many of the reasons that maintaining a broad focus for the county plans has been difficult. In addition, the practical point of view that "we have to start somewhere" and that all the ills of society cannot be cured with Smart Start funding has lead some teams to begin where they know to begin, with plans to build on early work and gradually or rapidly expand, depending on their early successes and ongoing community commitment.
One person suggested that local-level agency personnel receive training
and support for interagency collaboration. Part of the support must come
from state-level agency staff; funding regulations need to be more flexible
if local collaboration is to occur.
Planning Process
Comments made to this section reiterated the importance of reducing
the options for spending the first year funds because those efforts not
only impeded the development of a collaborative team and its need to effectively
plan for the long-term but also contributed to burn out.
Decision-Making Process
One respondent highlighted the need to include more parents on the board
because their opinions are essential for innovation and effective decision-making.
In general we believe this to be true and hope that our comments about
non-traditional stakeholders in the sections on Organizational Structure
and County Team Diversity also sufficiently reflect this view.
State-County Relations
There were more comments made to this section than any other, 6 in all. We believe that this reflects the fact that the reviewers, like most people within the Smart Start network in the first year, were frustrated by the sometimes adversarial nature of the state-county interactions. Most people perceived this as stemming from the perception of team members at the county level that the state-level Smart Start staff sent mixed messages to the teams. To many the Smart Start decision-making process seemed "top-down" rather than "bottom up." One respondent believed that the state-county relationship was influenced by factors other than frustration about the Smart Start process. People in state and county agencies have had a long history of working together and have developed stereotypes of "the state" and "the county," which may also promote an adversarial relationship. State-level staff within all agencies, not just DHR, may need training and ongoing supervision that emphasizes their role as collaborators with local partnerships.
One respondent thought that local teams could be responsible for processing
their own contracts if the state provided adequate support. Legal support
would need to be provided by someone at the state-level who was familiar
with Smart Start; local lawyers could provide inconsistent advice to teams
because they are unfamiliar with Smart Start.
County Team Diversity
Additional suggestions about addressing diversity and building trust
were included by two respondents. One pointed out that reducing the time
required for the short-term plan should free some time for increasing team
diversity, in terms of diversity in people as well as opinions. Another
suggested that Covey training did provide help in this area, but that not
all team members could participate.
Technical Assistance
Supporting the need for more technical assistance, one respondent recommended
that technical assistance be provided by someone who has (or can) develop
a personal relationship with local team members. If technical assistance
is offered on a "call if you need us" basis, it is likely to be underutilized
because team members are too busy and may not know what kind of assistance
is available or how best to access this assistance. However, if the person
providing technical assistance regularly interacts with team members, information
could be provided when issues arise.
Final Comments
We want to thank those who provided feedback to the initial draft of this report. We have used this appendix to relay their comments, along with out thoughts, about the issues raised in the report. All involved hope that the lessons learned during this first year of Smart Start will guide the State and local partnerships, both new and old, throughout the upcoming year.