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Smart Start North Carolina

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

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Description

Smart Start is North Carolina’s statewide, comprehensive early childhood initiative. This public/private partnership provides access to high quality educational childcare, along with health and family support services. The Smart Start model allows communities to determine and plan how to best serve the needs of young children and families locally (PPN).

Expected Beneficial Outcomes

Increased school readiness
Increased vaccination
Increased access to health care
Increased access to child care
Improved child care quality

Evidence of Effectiveness

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

Children from low income families who attend Smart Start centers realize greater gains in school readiness (e.g., cognitive, language, social, and motor skills) than peers who attend other day care centers. Children from higher income families appear to receive equal benefit from participation in Smart Start or other child care centers. Overall, children who attend Smart Start centers appear better prepared for kindergarten than children who do not participate in child care outside the home (PPN). Smart Start participation is also associated with improved 3rd grade test scores in reading and math (Ladd 2014).

Through Smart Start’s health services, participating children are more likely to receive a DTP vaccination and to have a regular source of care than non-participants (Kropp 2001). Smart Start participation also appears to reduce the likelihood of special education placement in 3rd grade, which is associated with significant cost savings for the state (Muschkin 2015).

Research suggests that Smart Start partnerships work best when communities assess their baseline needs and develop plans locally, but set goals that can be evaluated by both communities and state officials. Communities can expect a multi-year collaborative process before achieving measurable outcomes (Kroll 2000). The quality of child care provided at Smart Start centers appears to improve over time, especially when on-going quality improvement efforts are used. Centers with high quality care are associated with greater improvements in children’s school readiness than centers with lower quality care (UNC-Bryant 2003). 

Implementation

United States

Smart Start was created in 1993. The program currently operates in all 100 North Carolina counties through the North Carolina Partnership for Children, with the support of 75 local partnerships (Smart Start-About). State legislation has authorized and supported the adoption and expansion of Smart Start over time (Smart Start). 

Implementation Resources

Smart Start - Smart Start & The North Carolina Partnership for Children, Inc. Accessed on September 28, 2016
UNC-FPG - Bernier K, Boggs V, Bordeaux B, et al. North Carolina Smart Start evaluation notebook. Frank Porter Graham (FPG) Child Development Institute, University of North Carolina at Chapel Hill; 2002. Accessed on September 28, 2016

Citations - Description

PPN - Promising Practices Network (PPN). On children, families and communities. Accessed on December 7, 2016

Citations - Evidence

Kroll 2000* - Kroll C, Rivest M. Sharing the stories: Lessons learned from 5 years of Smart Start. Raleigh: Early Childhood Initiatives in North Carolina; 2000. Accessed on September 28, 2016
Kropp 2001 - Kropp N, Kotch J, Harris S, UNC-FPG Smart Start Evaluation Team. The effect of Smart Start health interventions on children’s health and access to care. Chapel Hill: Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill; 2001. Accessed on September 28, 2016
Ladd 2014* - Ladd HF, Muschkin CG, Dodge KA. From birth to school: Early childhood initiatives and third-grade outcomes in North Carolina. Journal of Policy Analysis and Management. 2014;33(1):162–187. Accessed on September 27, 2016
Muschkin 2015 - Muschkin CG, Ladd HF, Dodge KA. Impact of North Carolina’s early childhood initiatives on special education placements in third grade. Educational Evaluation and Policy Analysis. 2015;37(4):478–500. Accessed on September 27, 2016
PPN - Promising Practices Network (PPN). On children, families and communities. Accessed on December 7, 2016
UNC-Bryant 2003 - Bryant D, Maxwell K, Taylor K, et al. Smart Start and preschool child care quality in NC: Change over time and relation to children’s readiness. Chapel Hill: Frank Porter Graham (FPG) Child Development Institute, University of North Carolina at Chapel Hill; 2003. Accessed on September 28, 2016
UNC-FPG - Bernier K, Boggs V, Bordeaux B, et al. North Carolina Smart Start evaluation notebook. Frank Porter Graham (FPG) Child Development Institute, University of North Carolina at Chapel Hill; 2002. Accessed on September 28, 2016

Citations - Implementation

Smart Start - Smart Start & The North Carolina Partnership for Children, Inc. Accessed on September 28, 2016
Smart Start-About - Smart Start, The North Carolina Partnership for Children, Inc. About Smart Start. Accessed on September 28, 2016

Page Last Updated

September 27, 2016

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