Strategic Financing for Tested, Effective Programs

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Transcript of Strategic Financing for Tested, Effective Programs

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Today’s Presenters

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Thaddeus Ferber,

The Forum for Youth

Investment (Host and moderator)

Ayo Atterberry, The Annie E. Casey

Foundation

Margaret Flynn-Khan,

Mainspring Consulting

Rebecca Boxx,

Providence Children

and Youth Cabinet

Elizabeth Gaines,

The Forum for Youth

Investment

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We’re recording! We’ll share the webinar and slides early next week.

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• Type questions for the panel at any time during the webinar.

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Communicating During the Webinar

Evidence2Success and Strategic Financing

Ayo Atterberry

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The Annie E. Casey Foundation develops solutions to build a brighter future for children, families and communities.

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Governance structure

including public systems and community

Strategic use of data

Comprehensive financing strategies

Implementation of tested, effective programs

Performance measures

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The Evidence2Success Framework

Build public systems’ capacity to partner with communities to implement evidence-based programs and practices through use of the Evidence2Success framework

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The Evidence2Success Process

Youth Experience

Survey

Fund-Mapping Tool

and FinancingStrategies

Blueprints Database of Evidence-

Based programs

Implemen-tation

Dashboard

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Previous Webinars

Preventing Problems Before They Start (April 28)

Concepts of Prevention Science and Finding Proven Programs

Listen to the recording: http://www.aecf.org/blog/webinar-recording-experts-prescribe-prevention-science-to-keep-kids-on-right-path/

Identifying Community Priorities (July 21)

Gathering data from the Youth Experience Survey and working together to choose priority outcomes

Listen to the recording: http://www.aecf.org/blog/recorded-webinar-available-identifying-community-priorities-for-child-well-being/

The Using What Works Webinar Series

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Q. Have you attempted any of the following? Select all that apply.

A. Putting together a children’s budget or fiscal mapB. Drafting a comprehensive financing planC. Blending or braiding funding to support new approachesD. Creating a dedicated funding stream that invests in evidenceE. Funding evaluations of programsF. Investing in evidence-based programs G. None of the above

Answer in the polling area to the right.

Answer the Poll!

Investing Smarter For Greater Returns

Margaret Flynn-Khan

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• Build public agency and community capacity to make investment decisions based on well-being data and evidence of what works

• Shift investments so that more funding is invested in tested, effective programs

• Shift investments from remedial interventions toward prevention services

• Support more coordinated investments in shared priorities

• Scale up and sustain partnership infrastructure and programs

Investing Smarter for Greater Returns

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How Do You Invest Smarter for Greater Returns?

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$54,890,000 annual spending for children and families in one

community

Program Total Investment(per year)

Incredible Years BASIC

$127,386

Promoting Alternative Thinking Strategies

$50,773(for 3 years)

Life Skills Training $14,280

Functional Family Therapy (FFT)

$287,100

Nurse Family Partnership (NFP)

$103,631(for 2 years)

Total shift in spending $583,170

Redirect 1 percent to proven programs

• Guide to completing steps in developing a collaborative strategic finance plan

• Piloted in Evidence2Success sites ─ Providence, Selma, Mobile and Salt Lake County

• One component of broader engagement process and set of tools in Evidence2Success

• Most appropriate for cross-sector partnerships focused on achieving shared outcome goals

• Foundation for ongoing work to align resources in dynamic funding environment

Finance Toolkit: Background and Purpose

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Developing a Strategic Financing Plan

What are your financing goals?

What resources do you have?

What financial resources do you

need?

What financing strategies will

support your goals?

How will you work together to secure needed resources?

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Developing a Strategic Financing Plan

What are your financing goals?

• Use data to agree on priorityoutcomes and programs

• Identify infrastructure needed tosupport priority programs

• Set specific scale goals basedon data on eligible population

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Developing a Strategic Financing Plan

What financial resources do you need?

• Three-year budget estimatesfor programs andinfrastructure

• Start-up and ongoing costs• Purveyor start-up and

ongoing fees

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Developing a Strategic Financing Plan

What resources do you have?

• Review current investments infamilies and children

─ How do investments align with priority outcomes?

─ How much is invested in prevention versus remediation?

─ To what extent are investments supporting proven programs?

─ How do costs per participant compare to known evidence-based alternatives?

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What would it cost to reduce risk and improve outcomes?

Review of Current Investment Example

If 43 youth (15 percent)currently served in group homes were moved to treatment foster care…

You would reduce spending on group homes by $2.3 million

• Provide 43 youth with proven therapeutic foster care• Invest in a portfolio of prevention programs for children and families

43 youth X $266 per day X 200 days per year = $2.3 million

Example: What could $2.3 million buy inproven programs for youth?

TargetGroup

Eligible Pop

Outcomes Program Unit Cost Total Investment(per year)

Return on Investment (per

dollar spent)

0 - 12 1,129Urban Core

Reduced child maltreatment, conduct problems, depression.

Increase in positive relationships with parents.

Incredible Years Parent

$2,072Aiming to serve 30% of target

group(n=339)

$702,408 $1.20

5 -11 11,559All K-5

Reduced violence, delinquency and criminal behavior, substance use, and sexual risk behaviors

Life Skills Training $34Aiming to

serve 90% of target group (N=10,403)

$353,702 $37.52

11 - 14 884High

Risk in Middle School

Reduced delinquency and criminal behavior, illicit drug

use, truancy

Behavioral Monitoring and Reinforcement

Program

$1,276Aiming to

serve 30% of target group

(N=442)

$338,140 $1.56

12 - 18 289Youth in Group Homes

Delinquency and criminal behavior, illicit drug use,

and truancy

MultidimensionalTreatment

Foster Care

$21,840 (aiming to

serve 15%), n=43)

$939,120 $4.95

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Developing a Strategic Financing Plan

What financing strategies will support your

goals?

• Share information and engage in groupprocess to identify and prioritizefinancing strategies

─ Improving the use of existing public funds

─ Allocating state or local general funds

─ Maximizing federal funds─ Creating public-private partnerships─ Using debt financing─ Using social impact bonds─ Generating new revenue

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Developing a Strategic Financing Plan

How will you work together to secure needed

resources ?

• Develop work plan─ Tasks and

responsibilities for pursuing financing strategies

• Continue to convene financeplanning group toimplement, monitor andupdate plan

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Strategic Finance Planning: Process Considerations

• Shared vision and trust among partners critical• Finance committee of a larger partnership lead• Identified staff person who can prep materials and

facilitate discussion• Neutral facilitator if possible• General guideline: 5 – 6 meetings over 3 – 5

months

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Strategic Financing in Providence

Rebecca Boxx

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• Fund Mapping – gave us the data showing imbalance inprevention investments

• Finance Committee – brought together finance leads fromseveral agencies and sectors in unprecedented fashion

• Strategic Finance Plan – lays out options for creativefinancing, outlines commitment of multiple agencies

• Finance Tools – allow local leads to have scale and costestimates at the fingertips

Financing Tools Being Used in Providence

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Complex Financing for Collective ImpactComplexFinancingfor CollectiveImpact

USSubstanceAbuseandMentalHealth

ServicesAdministration(SAMHSA)

CityofProvidence(HealthyCommunities

Office)

ProvidencePublicSchoolDepartment

CommunityDevelopmentBlock

Grant(CDBG)

RIDepartmentofHEALTH

ProvidencePublicSchoolDepartment

CognitiveBehavioral

InterventionforTraumain

Schools(CBITS)

ChildrenandYouthCabinet

PositiveAction

Classroom

IncredibleYears

Parent

ChronicAbsenteeism

Anxiety,Depression

EmotionalRegulation

Delinquency

FamilyManagement

AntisocialBehavior

CommunityDisorganization

Commitmenttoschool

FamiliasUnidas

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• Build ownership and accountability across systems,champions and stakeholder groups

• Begin with ‘easier’ finance strategies: redirection, raisinggrant and new funds

• Continue to lay groundwork for more institutional shifts

• Identify neutral intermediary with capacity to navigatecomplex financing systems

Lessons Learned

Growing Interest in Investing in Proven Programs

Elizabeth Gaines

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Lessons from a dozen years with the Children’s Cabinet Network:• Budgets and Partnerships are like peanut butter and jelly

• Vertical and horizontal alignment of policies and resources– Federal, State, Local– Education, Human Services, Health, Justice, Labor, Housing, etc.

• We who care about funding children’s programs must do more to:– Find: where does the funding come from? What does it go toward?– Align: how can we weave together a coordinated set of supports?– Generate: when resources aren’t sufficient how can we create more?– Evaluate: are we funding what works?

Children’s Cabinets and the Children’s Funding Project

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King County Dashboard of Spending by ages and outcomes

Primary OutcomeArea

Pre K (0-5) Total: $4.2 M

School Age (6-10)

Total: $6.9 MMiddle (11-14) Total: $13.8 M

High (15-18) Total: $13 M

Young Adult (19-24)

Total: $5.3 MFamilies

Total: $2.4 M

Academically Successful Total: $1.5 M $0.1 M $0 M $0.2 M $0.7 M $0.4 M $0.1 M

Vocationally Successful Total: $0.5 M $0 M $0 M $0.1 M $0.3 M $0.2 M $0 M

Healthy Total: $18.8 M $2.1 M $1.9 M $6.2 M $4.9 M $2.8 M $0.9 M

Safe Total: $17.5 M $1.2 M $4.1 M $5.4 M $5.2 M $1.1 M $0.5 M

Socially Engaged Total: $7.1 M $0.9 M $0.9 M $1.9 M $1.9 M $0.7 M $0.9 M

Civically Engaged Total: $0 M $0 M $0 M $0 M $0 M $0 M $0 M

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SOURCE:Margaret Dunkle

Children’s Services in Los Angeles CountyA Fragmented Set of Funding Streams:

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Generating Local Funding

Portland Seattle King CountySan Francisco Oakland

Lincoln Boone St. Charles St. Louis CountySt. Louis City Lafayette Franklin Jefferson

Miami-Dade Broward Palm Beach St. Lucie Martin Pinellas Duval Hillsborough Okeechobee

AspenBoulder CountyDenver

San Antonio

Communities throughout CA

Jackson and Clay Counties

Cincinnati

Baltimore

Philadelphia

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What is a Public Local Dedicated Funding Stream?

• Public – allocated by government

• Local – allocated at the county, city or school district level

• Dedicated – can only be spent on services to children, youth andfamilies

• Funding – specific amounts of money allocated in a budget process

• Stream – ongoing funding, as opposed to year-to-year

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Making Smart Investments

• Portland, Oregon – 95 cents of every dollar goes to proven, quality andcost-effective programs helping Portland’s children.

• San Francisco, California – 1 of every 3 children in San Francisco isserved by the fund.

• St. Charles County, Missouri – Truancy is down, graduation rate is up andthe county ranks #1 or #2 in the state every year compared to 86th beforethe fund took effect.

• Pinellas County, Florida – with the flexibility of a local fund and getting atroot causes they meet the needs of chronically homeless families andachieve permanent housing goals (and save money).

• Palm Beach County, Florida – Performing better than comparison groupsin studies.

• Miami Children’s Trust – Able to target investments to need usingsophisticated GIS mapping of data at the neighborhood level.

• Broward County, Florida – uses Results-Based Accountability and aprocess of continuous improvement and evaluation to track theirinvestments and outcomes over time.

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• Creating Local Dedicated Funding Webinar• Adding It Up Guide: Mapping Public Resources for Children,

Youth and Families Guide• Taking Bold Action to Fund What Matters Blog• Funding the Next Generation Website• Performance Partnership Pilots Hub Website• Using SIBs to Support a Bundle of Youth Interventions Webinar• Early thoughts on the value of SIBs Blog• Pay for Success Learning Hub Website• SIB Lab Website

Strategic Financing Resources

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Please use the Q&A function on your screen to submit questions.

A recording of this webinar will be sent to those who registered and posted at www.aecf.org/blog.

Questions?

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Review the previous webinars in our Using What Works series at www.aecf.org:

Preventing Problems Before They Start

Identifying Community Priorities for Child Well-Being

For additional information after this webinar: Kate Shatzkin, [email protected]

For supplemental materials and more information about Evidence2Success tools: Sign up for news at www.aecf.org/newsletters

Our Webinar Series

Developing solutions to build a brighter future for children, families and communities

www.aecf.org