BALTIMORE CITY’S INVESTMENTS IN CHILD REN AND …

BALTIMORE CITY'S INVESTMENTS IN CHILDREN AND FAMILIES: A REVIEW OF OUTCOMES,

BEST PRACTICES, AND FINANCING FOR

September 2014

Prepared by:

The Institute for Innovation & Implementation University of Maryland, Baltimore School of Social Work

Prepared for:

Baltimore's Promise

With support from:

The Annie E. Casey Foundation

Authors: Deborah S. Harburger, MSW, Senior Policy Analyst & Director, Fiscal Strategy David McNear, Independent Fiscal Policy Consultant Rhea Acu?a, MSPPM, Senior Research Analyst Sarah Nadiv, MA, Early Childhood Research Supervisor Elizabeth Greeno, PhD, LCSW-C, Research Assistant Professor Mathew Uretsky, MSW, MPH, Program Manager Michelle Zabel, MSS, Clinical Instructor & Director

Subject matter expertise, editing, and technical support were provided by The University of Maryland, Baltimore, School of Social Work: Richard P. Barth, PhD, MSW, Professor & Dean Becky Bertell Lieman, MSW, Health Educator/Policy Analyst John Cosgrove, MSW, Senior Research Analyst Jill Farrell, PhD, Research Assistant Professor Therese Hackford, MSW, Health Educator/Policy Analyst Jennifer Lowther, LCSW-C, Clinical & Quality Initiatives Director Lisa McGarrie, MSW, LIFT Local Project Director Jennifer Mettrick, MS, MPH, Director of Implementation Ryan Shannahan, MSW, Health Educator/Policy Analyst

Extensive input and guidance was provided by Tomi Hiers, Executive Director of Baltimore's Promise.

Additional subject matter expertise was provided by: Johns Hopkins University, Office of the President The University of Maryland, Baltimore, Office of the President The Baltimore Education Research Consortium (BERC)

The following agencies provided data and information in addition to what is publicly available online: Baltimore City Public Schools* Behavioral Health Systems of Baltimore Johns Hopkins University Maryland Department of Health and Mental Hygiene Maryland Department of Human Resources & Baltimore City Department of Social Services Maryland Department of Legislative Services Maryland Health Services Cost Review Commission Maryland State Department of Education The Family League of Baltimore City, Inc. University of Maryland, Baltimore

The following entities provided information on FY13 financial support on behalf of children and families in Baltimore City: The Abell Foundation Annie E. Casey Foundation The Associated: Jewish Federation of Baltimore Baltimore Community Foundation The Herbert Bearman Foundation Jacob and Hilda Blaustein Foundation Morton K. and Jane Blaustein Foundation Goldseker Foundation David and Barbara B. Hirschorn Foundation Hoffberger Family Philanthropies The Zanvyl and Isabel Krieger Foundation France-Merrick Foundation Joseph and Harvey Meyerhoff Family Charitable Funds Johns Hopkins University Open Society Institute-Baltimore Henry and Ruth Blaustein Rosenberg Foundation The Aaron and Lillie Straus Foundation T. Rowe Price Foundation United Way of Central Maryland Wal-Mart Foundation The Harry and Jeanette Weinberg Foundation Woodside Foundation Wright Family Foundation

The authors are grateful for the collaboration of so many in support of this report on behalf of Baltimore's children, youth and families.

Suggested Citation: Harburger, D.S., McNear, D., Acu?a, R., Nadiv, S., Greeno, E., Uretsky, M., & Zabel, M. (2014). Baltimore City's Investments in Children and Families: A Review of Outcomes, Best Practices, and Financing for Baltimore's Promise. Baltimore, MD: University of Maryland School of Social Work, The Institute for Innovation & Implementation

TABLE OF CONTENTS

Tab A: Framing the Work.................................................................................................................................. 1 Introduction & Background ......................................................................................................................... 2 Using an ecological framework and research on adverse childhood experiences and toxic stress to ground the work .......................................................................................................................................... 3 Health care reform....................................................................................................................................... 6 Racial & ethnic disparities............................................................................................................................ 7 Methods, Process, & Results-Based Accountability .................................................................................... 8

Tab B: Outcomes & Indicators for Baltimore's Promise ................................................................................. 10 Defining and Measuring Outcomes for Baltimore's Promise.................................................................... 11 Data Overview of Baltimore City Indicators & Risk/Protective Factors .................................................... 12 Outcome 1: Babies Born Healthy........................................................................................................... 223 Outcome 2: Children Enter Kindergarten Ready to Learn and Succeed .................................................. 40 Outcome 3: Children Achieve Grade-Level Reading and Math................................................................ 54 Outcome 4: Youth Graduate from High School prepared for College or Vocational Training .............. 677 Outcome 5: Youth Earn a Post-Secondary School Credential or receive Vocational Training and are Career Ready.........................................................................................................................................................84

Tab C: Baltimore City FY13 Fund Matrix & Maps ......................................................................................... 966

Tab D: Appendices.............................................................................................................................144

TABLES

Tab B Table 1: Outcome 1: Babies Born Healthy .................................................................................................... 12 Table 2: Outcome 2: Children Enter Kindergarten Ready to Learn & Succeed ............................................ 12 Table 3: Outcome 3: Children Achieve Grade-Level Reading and Math ...................................................... 13 Table 4: Outcome 4: Youth Graduate from High School Prepared for College or Vocational Training ..... 156 Table 5: Outcome 5: Youth Earn a Post-Secondary Credential or Receive Vocational Training and Are Career-Ready................................................................................................................................................ 167 Table 6: Percentage of Births that were Pre-Term (Gestational age ................
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