HOUSTON — When Jefferson Early Learning Center first opened on the corner of a busy intersection in the city’s west side in 2022, school officials started receiving calls from irritated residents.
Residents wanted to know, “‘Why aren’t you cutting the lawn?’ ‘Why aren’t you keeping the grounds?’” recalled Hilda Rodriguez, the assistant superintendent of support services for the Alief Independent School District, home to Jefferson and nearly 50 other schools west of Houston.
Although Jefferson’s neighbors didn’t know it, the tall grass surrounding the early learning center was part of a larger strategy to mitigate climate-related issues in a county where a major flood occurs nearly every two years and the number of days at or above 95 degrees has increased significantly over the past 25 years.
In addition to choosing durable, impact-resistant materials to help the school building withstand natural disasters, Jefferson’s designers focused on the surrounding land. They chose to restore much of the ground’s nearly 20 acres to native prairie lands and wetlands, creating a habitat for more than 200 plant and animal species.
A sign at the front of Jefferson Early Learning Center teaches children about the surrounding land, which was designed to withstand floods and heat. Credit: Jackie Mader/The Hechinger Report
That sort of habitat is especially beneficial in an area vulnerable to climate change events such as the torrential rains that regularly hit the city, said Melissa Turnbaugh, senior principal at PBK Architects, which designed Jefferson. “By putting in native prairies and grasses, we can now actually absorb three to four times as much water as if we had manicured grass,” she said.
Experts who study early learning and climate science say there is growing demand for solutions like these to address challenges related to climate change, such as floods, fires and hotter temperatures. Angie Garling, a senior vice president at the Low Income Investment Fund, which runs initiatives to help build and improve early learning facilities, said that when her organization solicited applications from child care programs needing facilities improvements, the vast majority had to do with climate.
“They were asking for things like HVAC systems, misting systems, air filtration systems, shade structures, turf … because they couldn’t maintain their lawn anymore because the cost of water was too high,” said Garling. Due to the extreme level of climate-related need, LIIF recently partnered with other organizations to launch a program to help fund renovations for child care providers in Harris County, where Houston is located.
Alief officials have already noticed benefits from the unconventional use of the school land. During the school year, students can walk on trails that weave through the prairie, learning about insects, plants and flowers. The native plants can withstand Houston’s infamous summers, when the average temperature sits above 90 degrees. That saves work, time and money for Alief’s maintenance team, which rarely needs to mow or water the land at Jefferson.
Over the next few years, Turnbaugh, the architect, hopes the presence of the prairies and grassland — rather than concrete or other surfaces that are known to reflect heat — will pay long-term dividends in “an overall heat-challenged area.”
“I think we’re going to see that we’re actually cooling the neighborhood,” she said. “I think there’s not only good carbon capture, but we’re actually being good neighbors.”
Over time, Jefferson’s neighbors have seemed to realize that, said Alief’s Rodriguez. The calls, for the most part, have stopped. “Once they understood, it became very clear to them that this was purposeful.”
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The Hechinger Report provides in-depth, fact-based, unbiased reporting on education that is free to all readers. But that doesn’t mean it’s free to produce. Our work keeps educators and the public informed about pressing issues at schools and on campuses throughout the country. We tell the whole story, even when the details are inconvenient. Help us keep doing that.
HOUSTON — Jefferson Early Learning Center bears little resemblance to elementary schools many adults recall attending in their earliest years. The classrooms have child-sized boats and construction vehicles children can play on, and ceilings painted to resemble outer space. There are no desks — all space is devoted to learning through play. Windows are low to the ground so children can easily look outside. The gym floor is made of “pre-K friendly” layered vinyl, rather than hardwood, to cushion inevitable trips and falls. Hallways are lined with a corrugated plastic for wiggly fingers to touch as children transition to other locations.
Children love coming to the building, said teacher Cathy Delamore. “They feel like they own it.”
Alief Independent School District, which serves about 40,000 children in west Houston, is one of a growing number of districts across the country to pump money into creating a building that is tailor-made for pre-kindergarteners. Its new facility cost about $21 million and enrolls nearly 400 4- and 5-year-olds. By making the investment, school leaders are trying to avoid some of the pitfalls of placing young children in buildings designed for older students, including lost learning time when tiny feet have to meander down long hallways to bathrooms and cafeterias. Research suggests that when designed well, buildings can contribute to better outcomes for children. Creators of the Reggio Emilia approach to early learning, an educational philosophy that emphasizes child-led learning, even refer to the environment as the “third teacher” in a classroom.
A Gulf Coast themed classroom at Jefferson Early Learning Center. The themed classrooms reflect local careers and locations to help children connect what they learn with their local environment. Credit: Jackie Mader/The Hechinger ReportThe “Space City” classroom at Jefferson Early Learning Center is an homage to the local NASA space center. Credit: Jackie Mader/The Hechinger Report
Over the past few years, educators have grown aware of the benefits of a personalized pre-K environment, said Melissa Turnbaugh, a senior principal at the architecture firm PBK, which has designed more than 240 elementary schools nationwide, including Jefferson and several others in Texas. “There’s an openness and willingness to rethink these sites,” Turnbaugh said.
Related: Young children have unique needs and providing the right care can be a challenge. Our free early childhood education newsletter tracks the issues.
Nationally, districts of all sizes have embraced the trend over the past few years, including the Troy School District in Michigan and New York City Public Schools. In some cases, building a specialized facility helps a district with limited resources get “the biggest bang for their buck,” while meeting enrollment needs, said Turnbaugh. Some states and cities are also dedicating money to the efforts, including Illinois, Detroit and San Mateo, California.
That embrace is in part because of a growing recognition nationwide of the importance of play for young children, as well as reports that play time has been increasingly squeezed out of the early grades. States are also seeing record high enrollment in state-funded preschool programs. During the 2022-23 school year, investment in state-funded preschool reached an all-time high. Spending on the programs increased in 29 states, buoyed in part by Covid relief funds. Between 2022 and 2023, for example, Texas saw more than 21,000 additional 3- and 4-year-olds enroll. The state also slightly increased pre-K funding and, beginning in 2019, started requiring districts to offer full-day pre-K programs. The full-day programs have been rolling out in districts since 2020.
Scores of districts are “adding this new grade of 4-year-olds,” said Shelly Masur, vice president of advisory and state policy for the Low Income Investment Fund, which runs an initiative focused on creating and improving high-quality facilities for early learning programs. “They have to figure out where those kids are going to go.”
A facility built for their needs, like Jefferson, is exactly where young children should go, some experts say. The children seem to agree.
On a sunny fall morning, joyful screams could be heard as children chased each other up and down gentle hills on a large playground with natural-looking features meant to replicate the highlands and lowlands of Texas. Pre-K students in elementary schools don’t always have age-appropriate playgrounds, and structures are often designed for children who are older. But Jefferson has multiple large playgrounds and play courtyards, all designed for pre kindergarteners, featuring natural structures and textures, like logs and grass.
A playground at Jefferson Early Learning Center. Credit: Jackie Mader/ The Hechinger Report
In Alief, where more than 83 percent of children qualify as economically disadvantaged, more than 20 percentage points higher than the state average, residents voted in 2015 to approve a property tax increase to help pay for full-day pre-K programs in the district. After touring the Mansfield Independent School District’s early learning facility, Alief’s district leaders decided they wanted to invest in an early learning building with immersive, themed classrooms, instead of simply adding on or repurposing classrooms in elementary schools around the district. Jefferson opened in 2022 as one of two new early learning facilities in the district. About 6 miles away, the second, Maria Del Carmen Martinez Early Learning Center, which has a similar design, serves around 400 students.
A growing body of research shows that not all pre-K classrooms, or the facilities they’re housed in, are appropriate for young kids. Early learning settings in particular should have a warm, homelike environment with ample natural light, research shows. There should be spacious classrooms that allow children to move their bodies and play in a variety of spaces around the room. Facilities should have playgrounds that are appropriate for the littlest learners, and provide ample opportunities to experience and explore nature.
There are also practical details to keep in mind for preschoolers, like having bathrooms adjacent to classrooms, child-sized furniture, tiny toilets, and sinks low to the ground so children can practice routines like hand washing independently. “When we make things more accessible to them, they start to learn the independence that we need them to develop over time,” said Masur. This type of setting isn’t always present in elementary schools, which are built to accommodate a much wider age range of children and are typically designed for instruction rather than play.
Facilities can have a surprisingly large impact on the experiences of teachers and young children. A study of a preschool program in West Hartford, Connecticut, for example, found the amount of children’s time spent interacting with an adult caregiver increased from 3 percent to 22 percent after the program moved from a crowded basement room to a larger classroom with bathrooms, sinks, storage space and phones inside the classroom. Although all other factors remained the same, the teachers reported their students had fewer tantrums, something they attributed to having a larger, brighter and more organized space.
A facility can even affect how satisfied early educators are with their jobs. Delamore, the Jefferson teacher, who has worked in the district for 18 years, said the bright, spacious rooms and hallways help keep her from feeling “confined” during the day. While aimed at 4-year-olds, the building’s “calming atmosphere” helps her enjoy being at work, she said.
A student builds with blocks in a classroom at Jefferson Early Learning Center. The facility was built with 4- and 5-year-olds in mind and unlike elementary schools, revolves mostly around play.
Certain aspects make more sense for children at this age, she added, like the spiral shape of the building, which makes it easier to keep students together as they transition. Students eat family-style meals around circular tables, creating a sense of community, Delamore said, a contrast to the long, rectangular tables often seen in elementary school cafeterias.
Buildings that are not designed to meet childrens’ needs, or that are cramped and outdated, can impede development and learning, experts say.
One of the most recent examples of this comes from a 2016 study of Tennessee’s public preschool classrooms, which are mostly housed in existing elementary schools. That study, conducted by researchers at Vanderbilt University, found 25 percent of each school day was lost transitioning children to another activity, including walking to bathrooms and lining up to go to lunch.
When designing Jefferson, Turnbaugh and her team tried to “think of the campus through the eyes of a 4-year-old.” Delamore, at Jefferson, said the intricately-designed classrooms motivate students to go deeper in their play. On a recent morning in the “veterinary” classroom, a dozen 4- and 5-year-olds busied themselves around the room, immersed in play or small group work with a teacher. Children drew pictures of animals, read books and played animal-themed card games beneath large, colorful pictures of dogs and cats painted on the walls.
On one side of the room, 4-year-old Jaycyon had donned a white lab coat and was inspecting a fluffy gray and white toy cat lying on the counter in front of him. The cat was hurt, Jaycyon announced, likely from a sharp corner of the cage he was kept in.
“I have to give him a shot,” he said bravely. Jaycyon dipped a clear, plastic syringe into an orange medication bottle and confidently injected invisible medication into the cat.
At the end of three weeks, Jaycyon and his classmates will transition to a new classroom, such as “Tinker Town,” where they will learn about construction, or “Space City,” an homage to the nearby NASA space center.
On a daily basis, students have access to one of several outdoor spaces called a “back porch,” where families can also come and eat lunch together. These spaces also act as surrogate back yards for students, many of whom don’t have yards at home or access to parks. Students also have access to a sensory room with toys and soft mats, where they can take a break when they are overstimulated and practice skills to calm down.
Jefferson sits on nearly 20 acres of land, accessible via trails for students to explore with their teachers. (Alief returned the surrounding land back to its natural prairie state to help with climate-change related flooding.)
The educators at Alief say the district’s investment in a facility that encourages play-based learning has paid off. “What I see as a major difference is the children’s self-regulation, but also their confidence,” said the school’s principal, Kim Hammer, now in her 16th year leading an early childhood center. “A traditional pre-K setting is more teacher led and teacher directed,” she said. “Here it’s more teacher facilitated, so you see more of the children taking more initiative,” she added. “Children have autonomy, and children have much more choice.”
Two students play in a veterinary-themed classroom at Jefferson Early Learning Center. Each classroom is designed with a specific theme to encourage deeper play. Credit: Jackie Mader/ The Hechinger Report
There is evidence that the new facility may be helping children progress. During the 2023-24 school year, 49 percent of students came in meeting vocabulary benchmarks. By the end of the year, 73 percent were at that level, Hammer said, a higher rate than previous years when the district’s pre-K programs were in traditional elementary schools. School officials say the themed classrooms help enhance children’s language skills, as children learn the vocabulary specific to that room. Attendance rates are high and holding steady, something that is uncommon in pre-K.
Despite the success and benefits of programs like Jefferson’s, educators agree there are challenges. A pre-K only facility adds an extra transition for students who, in traditional programs, might otherwise attend pre-K at their home elementary school.
Without more funding, revamped pre-K facilities are unlikely to spread fast. Many districts lack the money, partly because state and federal funding for pre-K is often less than for other grades. In Texas, for example, although the state now requires districts to offer full day pre-K, it only provides funding for half a day of pre-K. Alief has to cover the rest from local funds.
Although sustaining the building will be financially challenging in the long run, educators are determined to find a way to make it work for the benefit of the kids.
Back at the veterinary center on that fall morning, Jaycyon finally had a breakthrough. He had discovered something alarming about his patient, or “kitty,” as he had been named by the pre-kindergarteners, that would direct his next veterinary tactics.
The Hechinger Report provides in-depth, fact-based, unbiased reporting on education that is free to all readers. But that doesn’t mean it’s free to produce. Our work keeps educators and the public informed about pressing issues at schools and on campuses throughout the country. We tell the whole story, even when the details are inconvenient. Help us keep doing that.
A late-night directive from the White House budget office Monday that appeared to freeze streams of federal dollars that pay for everything from school lunches to university research is facing immediate legal challenges — after first stunning the education world.
“There is no question this policy is reckless, dangerous, illegal, and unconstitutional,” said New York Attorney General Leticia James, one of the first to announce a lawsuit against the Trump administration freeze. “When Congress dedicates funding for a program, the president cannot pull that funding on a whim.”
After widespread confusion, the administration clarified that some education aid would not be affected, specifying Pell Grants and federal student loans. In addition, according to Education Department spokeswoman Madi Biedermann, the pause does not affect Title I funding that supports K-12 schools with many low-income students, IDEA grants for students with disabilities or other so-called formula grants.
Many questions are still unanswered, however. What triggered the confusion: a two-page memo sent to government agencies late Monday by Matthew J. Vaeth, acting director of the White House Office of Management and Budget. It said federal agencies must pause distributing grant or loan money until after they review that spending to ensure it does not run afoul of the executive orders President Donald Trump has issued since he took office last week. Agencies have until Feb. 10 to report back on spending that runs counter to the executive orders, “including, but not limited to, financial assistance for foreign aid, nongovernmental organizations, DEI, woke gender ideology, and the green new deal.”
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White House spokeswoman Karoline Leavitt later said federal money sent directly to individuals — in the form of Medicare, Social Security benefits, food stamps and welfare benefits, among other aid — also would not be affected by the pause.
Biermann, the Education spokeswoman, said the department “is working with OMB to identify other programs that are not covered by the memo.”
The Hechinger Report is working to decipher some of the effects of the pause. This article will be updated. Send your questions to [email protected].
Is Head Start affected?
The federal grant that funds early childhood programs for low-income children is not at risk under the freeze, according to a memo issued on Tuesday by the Office of Management and Budget and reported by Bloomberg News and other outlets. The clarification ended several hours of speculation and fear among advocates and program officials that the federally-funded early learning program would be cut off from funding.
Still, several Head Start providers who logged into their payment system Tuesday morning found a message that warned payments could be delayed due to “potentially unallowable grant payments,” according to The Huffington Post. But later Tuesday, the National Head Start Association said “Head Start agencies are not included in the list of federal grants and loans whose funds are frozen. Agencies have been able to access funds through the Payment Management System.”
What does this mean for Child Care and Development Block Grants (CCDBG)?
It is unclear whether the block grant — which provides federal funding for states to improve child care quality and run subsidy programs to help low income families pay for care — will be touched by the freeze. The Administration for Children and Families did not address the question in response to a request for comment.
Some early childhood experts suspect the grant will be affected, which could have repercussions for the children and programs that rely on those funds. “Trump and his administration are going out of their way — even circumventing the law — to deprive children and the people who care for them the resources they need to ensure safe and nurturing environments for our kids,” said Julie Kashen, director of women’s economic justice and senior fellow at The Century Foundation, in a statement.
Read more: The Hechinger Report examined how child care block grant funds are stretched too far to help all the families that are eligible.
What about school lunch?
School cafeterias rely on monthly payments from the federal government to cover the cost of food labor and supplies. It isn’t clear whether those payments will be affected, the School Nutrition Association, an organization that represents people who work in school cafeterias, said. It was hoping for more clarity from the U.S. Department of Agriculture. Grants do pay for other types of school food programs, such as the Farm to School Program, which incorporates local foods into school meals.
Does the pause affect student loans or Pell grants? What about federal Work Study?
Loans and Pell Grants are not affected by the funding pause because their funding goes directly to individual students, according to Biedermann, the U.S. Department of Education spokeswoman.
But Ted Mitchell, president of the American Council on Education, which represents more than 1,600 colleges and universities, told the Boston Globe that his team believes that work-study programs are included in the freeze. Many students rely on these programs to earn money to help pay for college.
What about grants for HBCUs and MSIs (Minority Serving Institutions)?
The Education Department said the freeze will not affect grant programs for historically Black colleges and universities and predominantly Black institutions, the Washington Post reported. The federal government provides these colleges with money for a host of programs, including graduate education, science programs and infrastructure.
A department spokesperson told the Post that “the administration strongly supports HBCUs and MSIs [Minority Serving Institutions]. Funds flowing under those grant programs will not be paused, but we will work to ensure the programs are in line with the President’s priorities.”
The Hechinger Report provides in-depth, fact-based, unbiased reporting on education that is free to all readers. But that doesn’t mean it’s free to produce. Our work keeps educators and the public informed about pressing issues at schools and on campuses throughout the country. We tell the whole story, even when the details are inconvenient. Help us keep doing that.
LONDON — Participants at one of the world’s largest early childhood conferences late last year were eager to learn from each other, and notably collegial — until one of the final sessions of the event.
During a presentation about artificial intelligence in early childhood, a presenter suggested using an AI program to create artwork based on child prompts. Audience members were horrified. “Have you looked at what impact this might have on their imaginations?” one asked.
The role of artificial intelligence and technology in the early years was a popular topic at the conference, which featured more than 500 educators and experts from 43 countries. As I met with global educators and researchers over the course of several days, a few key themes emerged as ones to keep an eye on in the early childhood space this year:
1.Technology and AI in early childhood
In addition to the controversy over student artwork, presenters highlighted a host of ways they are using artificial intelligence already in early childhood classrooms, in far less controversial ways. These include writing culturally relevant lesson plans, automating report cards and helping translate communication with parents. AI was mostly presented as a way to relieve teachers of more rote tasks.
Apart from the brief flare-up, experts were careful to keep conversations focused on AI as this “smart assistant,” acknowledging that it can’t stand in for a strong, interactive teacher in the early years.
Presenters also highlighted stark differences between how preschool classrooms in different countries are using technology and the cultural gaps in attitudes about technology post-pandemic. Two researchers from University College London East, for instance, described how children in South Korean preschools regularly use nearly a dozen forms of technology, including smart televisions, robots, coding programs, virtual reality technology and tablets. Preschoolers in England, on the other hand, only have access to smart whiteboards at school for the most part, with British early educators reporting more wariness around technology in early ed classrooms.
2. Involving the rights of children — and more play — in early childhood systems
In Ireland, a new approach to early childhood is all about letting kids be kids. The country’s new early childhood guidelines were inspired by the United Nations Convention on the Rights of the Child and emphasize building loving, trusting relationships between children and caregivers. Several other countries, including Japan, Moldova, South Korea and Tanzania are also prioritizing the rights of young children, mainly by trying to bring more play into early childhood classrooms and systems.
3. Countries building out early childhood systems and investing more
Although global investment in early childhood is not at the levels experts would hope for, many are heartened by a few government-led efforts to inject more funding and strengthen standards. In 2018, for example, Saudi Arabia published a new curriculum for its early childhood programs, written in partnership with America’s National Association for the Education of Young Children (NAEYC). The curriculum is part of a larger movement to expand early childhood offerings in the country, including building hundreds of new public early learning programs by 2030 and creating more teacher training programs.
Meanwhile, in Ireland, leaders designated more than 546 million euros in new government funding for early childhood between 2022 and 2024. And in Austria, the government recently committed to provide more than 4.5 billion euros by 2030 to help parents pay for child care.
More on early childhood worldwide
In 2023, I traveled to Canada to see what America can learn from our northern neighbor’s rollout of a new national child care system.
This story by Rachel Cohen for Vox looks at the pros and cons of Germany’s universal child care system and the societal conditions that support that system.
Research quick take
During the 2021-22 school year, 370 preschool students were expelled and nearly 2,700 preschool students received one or more out-of-school suspensions, according to new data from the Department of Education. Black children, and especially Black boys, were disproportionately suspended and expelled. Black boys account for 9 percent of preschool enrollment but represented 30 percent of the suspensions.
A growing number of states are combining early learning programs, like home visiting and child care initiatives, under one agency or department in an attempt to streamline processes and more effectively administer early learning programs, according to a recent report by the Center for American Progress. The report found that consolidating programs into a single agency has helped states move faster when applying for funding, and with sending money out to parents and programs.
Iowa Gov. Kim Reynolds proposed codifying a program that provides free child care to the state’s child care workforce. She also wants to create a fund to raise child care wages through donations from businesses and community members, according to The Gazette.
Hawaii is eyeing charter schools as a way to help expand the state’s free preschool program, reports Honolulu Civil Beat.
This story about preschool trends was produced by The Hechinger Report, a nonprofit, independent news organization focused on inequality and innovation in education. Sign up for the Hechinger newsletter.
The Hechinger Report provides in-depth, fact-based, unbiased reporting on education that is free to all readers. But that doesn’t mean it’s free to produce. Our work keeps educators and the public informed about pressing issues at schools and on campuses throughout the country. We tell the whole story, even when the details are inconvenient. Help us keep doing that.
JOLIET, Ill. — After several challenging and stressful months in the neonatal intensive care unit, Karen Heath couldn’t wait to take her triplet sons home. The boys had been born severely premature at 25 weeks, each weighing a bit over a pound. In the early hours, doctors cautioned they would not survive long. The triplets, thankfully, proved the doctors wrong. But for about three months, Heath was not allowed to hold them, satisfying herself with photos, videos and kisses blown.
The long-anticipated discharge in the early summer of 2019 was joyful, but also rushed and, as Heath recalls it, somewhat cavalier. An hour before release, a physical therapist showed Heath how to help the babies gain strength by gently stretching their legs out. A nurse gave her a quick tutorial on how to use the oxygen tanks they would need for the next couple of months. And Heath gathered together basic necessities and a few mementos: diapers, pacifiers, blood pressure cuffs and tiny hospital bands.
But no one at the hospital, one of Chicago’s largest, told Heath or her husband what she felt would have been the most helpful advice in the long run: The triplets’ low birth weight alone meant they were automatically eligible for what’s known as early intervention services, which can include speech, physical, occupational and other therapies.
“This should have been a conversation way before the boys were even released,” said Heath, who lives in Joliet, a city in the suburbs of Chicago. (She declined to identify the hospital to The Hechinger Report because her children still receive regular treatment there.)
Related: Our biweekly Early Childhood newsletter highlights innovative solutions to the obstacles facing the youngest students. Subscribe for free.
Doctors, and science more broadly, have made astounding gains in their capacity to save the lives of extremely premature babies, defined as those born before 28 weeks. In the 1960s, just 5 percent of premature infants with respiratory distress survived; now it’s about 90 percent.
Despite these encouraging gains, there’s an abysmal record across the country, exemplified by Chicago, of helping these babies after they exit the NICU, particularly with access to the therapies that most reduce their risk of needing intensive, and expensive, special education services as schoolchildren. Many children who receive early intervention do not require special education services in kindergarten, including slightly less than half of those with developmental delays, according to one 2007 study.
“We have so much information on early brain development now,” said Alison Liddle, a physical therapist in Chicago who is part of a team that studied access to early intervention in the city. One of the findings was that the system is difficult for parents to navigate. “Support systems have to catch up. We have a critical window to help families.”
Three of Vasquez’ four children received early intervention services as infants and toddlers. Credit: Camilla Forte/The Hechinger Report
Federal law says children with developmental delays, including newborns with significant likelihood of a delay, can get early intervention from birth to age 3. States design their own programs and set their own funding levels, however. They also set some of the criteria for which newborns are automatically eligible, typically relying on qualifying conditions like Down syndrome or cerebral palsy, extreme prematurity or low birthweight. Nationally, far fewer infants and toddlers receive the therapies than should. The stats are particularly bleak for babies under the age of 1: Just 1 percent of these infants get help. Yet an estimated 13 percent of infants and toddlers likely qualify.
“It’s like people being told at 65 that they are eligible for Social Security and a year later they are not on either Social Security or Medicare,” said Dr. Michael Msall, a neurodevelopmental pediatrician who has led efforts on early intervention access at the University of Chicago’s hospital system and is on the study team. “We’d have riots in the streets.”
The stakes are high for these fragile, rapidly growing babies and their brains. Even a few months of additional therapy can reduce a child’s risk of complications and make it less likely that they will struggle with talking, moving and learning down the road. In Chicago and elsewhere, families, advocates and physicians say a lot of the failures boil down to overstretched hospital and early intervention delivery systems that are not always talking with families very effectively, or with each other hardly at all. “They really put the onus of helping your child get better outcomes on you,” said Jaclyn Vasquez, an early childhood consultant who has had three babies of her own spend time in the NICU.
Hospitals use different processes for educating families about early intervention, which often occurs at an overwhelming time for parents. “That initial connection with the families is tricky because the families tend to be very busy when they take the baby home,” said Dr. Raye-Ann deRegnier, the lead physician on the study and director of the Early Childhood Clinic at Lurie Children’s.
At Lurie and Chicago’s Prentice Women’s Hospital, where deRegnier works, the physical therapists are generally responsible for informing families of early intervention. “I wouldn’t say that happens in every NICU,” she said. “Sometimes it’s discharge nurses, sometimes discharge coordinators, sometimes others.”
Under the current landscape, it’s helpful when physical therapists have conversations with families early and often, deRegnier said. But even when that happens, miscommunications can occur. The doctor said she recently made a point to talk to a mother about early intervention, and the woman said she had never heard of it. Yet the physical therapist had previously had a lengthy conversation with the mother about the program.
In Illinois three years ago, the state’s Legislative Black Caucus urged the creation of demonstration projects at neonatal intensive care units in hospitals, intended to model how to better connect families to services. The state’s General Assembly supported the idea, but no funding was attached to the recommendation, and it has not become a reality.
However, a coalition of therapists and hospital physicians, including deRegnier, has been working on a pilot study that included a look at barriers that families face after they leave the NICU at several of Chicago’s largest hospitals.
Their findings, published in late December, show that only 13 percent of the 60 families — all of them Medicaid eligible and with infants who automatically qualified for early intervention — were receiving those therapies three to four months after discharge. In Illinois, the therapies are overseen by the state’s Department of Human Services and its Division of Early Childhood. While the specific reasons varied, most of it came down to bureaucracy and bad communication, according to the study team.
“When you make the system so difficult to navigate, families give up,” Liddle said. “There were many families just waiting out there for services that they really need.”
Every weekday afternoon after play time, Karen Heath’s children, including her 5-year-old triplets, read books with their grandmother. Credit: Camilla Forte/The Hechinger Report
By the end of June 2019, Heath’s triplets were all at home along with their 1-year-old brother. Although her husband had to return to work, Heath’s mother was around to help. The family had little idea of how best to support their growth. Doctors had warned her that the boys might never be able to sit up, walk or communicate like other children. “My main focus for so long was on coming home,” she said. “Once we got home, I’m like, ‘Now what?’”
About two weeks after the homecoming, a nurse from the county stopped by to check in on the 6-month-olds. Heath can’t say for sure, but she believes that the woman must have made a referral to early intervention because several weeks later, in August, the family got a call saying that the triplets might be eligible for therapy. By that time, they were more than 7 months old.
Heath leapt at the opportunity, but the process moved slowly after the initial call. In October, when the boys were 9 months, Heath got word that they had been automatically eligible all along because of low birth weight. But it wasn’t until early 2020, after the boys celebrated their first birthday, that the therapy was scheduled to start.
Then the pandemic hit, so the initial physical and developmental therapy sessions with three near-toddlers were all attempted over Zoom. “The boys were uninterested,” their mother recalled. “Try doing therapy on an iPad with triplets and (a toddler) hanging around.”
It wasn’t until the summer, when the children were 18 months, that they got their first in-person therapy. “The hospital should have had something in place so these kids could have gotten the services as soon as they came home,” Heath said. “I really feel like they dropped the ball. No one can blame the pandemic because they came home way before Covid started.”
Family photos, including from her triplets’ lengthy stays in the hospital, line the walls of Karen Heath’s living room. Credit: Camilla Forte/The Hechinger Report
The families participating in the multihospital pilot study had a leg up on Heath: They were at least told about early intervention, with an initial referral made before leaving the NICU. But even that was not enough for most of them to connect successfully with help. A lot of the struggle came down to “logistical and technological barriers,” said Zareen Kamal, a policy specialist in Illinois for Start Early, which advocates on early childhood issues.
The early intervention system in Illinois is decentralized, with 25 coordinating offices across the state. Caseloads are supposed to be capped at 45, but due to underfunding and short staffing, average much higher, with some reports of service coordinators juggling over 100 families. Many of the offices rely on fax for communications, with no statewide electronic system in place. Incoming phone calls to families from the coordinators often register as spam. And most of the offices don’t staff the phones in the evening or weekends, when working parents are most likely to reach out.
All this means that case workers sometimes remove families from their list as “uninterested” when, in fact, the parents are unaware, or unsure how to take the next step.
The state is currently taking steps to ensure equitable access to early intervention, said a spokeswoman for the Department of Human Services in an e-mail. That includes updating the standardized referral form and exploring options for electronic referrals.
“We realize that technology needs to be modernized,” wrote Rachel Otwell, the spokesperson.
That said, phone and fax remain the primary means of communication due to privacy concerns, she said.
Otwell said the agency is engaged in ongoing surveys and focus groups with thousands of early childhood community members. The state has made progress with staffing vacancies in early intervention, she added, and remains focused on “lowering caseloads to recommended levels.”
As the early intervention system currently exists in many cities and states, inequities are baked into every step of the process. Lower-income families are less likely to receive timely referrals, get screened and approved expeditiously, and then connect with therapists available for in-person work. Families with private insurance can often bypass the multistep bureaucratic process by having the therapies covered through those benefits. Studies have shown that Black newborns for a host of reasons, including higher poverty rates and weaker early medical care on average, are five times less likely than white ones to receive early intervention services.
In addition to early exposure to critical therapies, Vasquez says that strong sibling relationships and support has helped her children to thrive. Credit: Camilla Forte/The Hechinger Report
For newborns there is pervasive confusion around who is automatically eligible, even among those who work in the early intervention system, Liddle says. “Some children are turned away from receiving services despite being autoeligible, because they do not show a delay on a specific assessment tool,” she said.
Complicating matters, states have different eligibility criteria: In some states, an infant with lead poisoning or a parent with a mental health diagnosis qualifies for the therapies, whereas in others they do not.
There’s also a disconnect between the medical and early intervention systems, said Msall, the University of Chicago-based physician. His colleagues in NICUs routinely fax referrals over to early intervention, he said, but the information disappears into the ether, with no follow up or technology in place for the physician to know if the connection was made or what an initial evaluation found. DeRegnier agreed that the follow-up process is complicated, partly because families may need to sign a consent form for information to be shared even with physicians.
In a nutshell, families too often have to navigate through the system entirely on their own — with only the most knowledgeable and well resourced likely to find their way to a successful outcome.
Vasquez felt immensely grateful her background as a special education teacher made it easier to supplement the work of overstretched hospital staff when her twin daughters were born at 27 weeks four years ago. The smaller of the two spent over a year so medicated in a Chicago NICU that she was essentially in a medical coma. But as soon as possible, Vasquez and her husband stepped in to help provide some early therapies. Following the advice of hospital therapists, they helped her sit up, roll over, learn to play with toys and regularly gave her full body massages. (She didn’t want to name the hospital because she believes any shortcomings were reflective of systemic issues, not specific to that hospital.)
Then, when the baby was finally released after 19 months in the NICU, Vasquez knew to call early intervention without delay. The family wasn’t more than five minutes into their drive home before she picked up her cellphone and rang them up from the back seat. “There was no second to lose,” said Vasquez, whose work as an early childhood consultant focuses on equity.
Within weeks of arriving home, the baby started upward of a half dozen different therapies, including speech, nutrition and mobility.
Partly because of the quick introduction to therapies, formal and informal, Vasquez’s daughter is thriving today at the age of 4. The girl had to spend only a few months in a self-contained classroom for children with severe disabilities before teachers said she was ready to join the “blended” class. It’s a milestone that seemed unreachable just a couple of years ago.
“After six months (in school), they said she is doing awesome,” Vasquez said. “I was told my child would need a wheelchair by kindergarten. She is running, dancing, chasing siblings, dancing on trampolines — all because of the amount of time we poured into therapies at a very young age.”
Jaclyn Vasquez plays outdoors with her children on a fall weekend afternoon. She says her background in special education made it easier to help with early therapies they needed. Credit: Camilla Forte/The Hechinger Report
Physicians, advocates and families all agree that parents shouldn’t have to wait until leaving the NICU to begin lining up services. The coalition of groups working on the study recommend staff embedded at the hospitals who can help families enroll in early intervention before discharge. Each family who is automatically eligible would also leave the hospital with a legal document entitling them to therapy. “Our ultimate dream is to have the connection between [early intervention] and families be completed before they go home, and have the therapist assigned before they leave,” said deRegnier.
Many advocates also believe that for those babies on an extended stay in the hospital, those therapies should be available in the NICU. “Early intervention is birth to 3 — it shouldn’t matter if you are living in the hospital or at home,” Liddle said. “You are still entitled to those services.”
In Illinois, advocates say they hope to get funding to pilot a program at a few NICUs that would finally create the demonstration sites the Legislative Black Caucus called for years ago. If successful, the model could be expanded statewide. “Even if we are in one or two NICUs and can see how it turns out, that would be helpful,” says Illinois state Rep. Joyce Mason, who chairs the House committee focused on early childhood education.
In the meantime, too many families still find the crucial therapies to be elusive.
Even when Heath’s children finally started in-person therapy, it was limited in scope. The physical therapist, who Heath describes as an “angel,” quickly recognized that they should also be receiving other help as well, including speech and occupational therapy. Yet by the time the family worked through the bureaucratic machinery to get some of those in place, the boys were nearly 3 — close to aging out of early intervention. They received a few months of speech, but never got the occupational therapy they were entitled to.
If they had gotten the therapies earlier, “they would be in a different place at this point,” Heath says. The boys, who were diagnosed with cerebral palsy shortly before their fourth birthdays, struggle with speech and reading skills, in particular, with one of them requiring a device in order to express himself. “If you don’t know them well, it’s hard to understand what they are saying all the time,” Heath says. “If they had gotten all the services right off the bat, they wouldn’t be as far behind.”
Yet the triplets have long surpassed doctors’ early warnings that they might never sit up, walk or reach other developmental milestones. Newly arrived home from school on a clear fall afternoon not long before Halloween, the triplets, now in kindergarten and dressed as Spider-Man for “superhero” day, played exuberantly in a finished basement space. They cried out gleefully while zooming after each other in miniature bumper cars.
Heath is grateful her sons are progressing with the help of school, devoted family and the committed physical therapist, who still works with the boys. But she looks back at their first nine months and laments that, so focused on how to help the babies survive, no one in a vast team of doctors, nurses and social workers thought to discuss how the family could best help them thrive. “There was no next step for my family when we left the hospital,” she said. “It was all on us.”
This story about early intervention services was produced by The Hechinger Report, a nonprofit, independent news organization focused on inequality and innovation in education. Carr is a fellow at New America, focused on reporting on early childhood issues.
The Hechinger Report provides in-depth, fact-based, unbiased reporting on education that is free to all readers. But that doesn’t mean it’s free to produce. Our work keeps educators and the public informed about pressing issues at schools and on campuses throughout the country. We tell the whole story, even when the details are inconvenient. Help us keep doing that.
CHRISTCHURCH, New Zealand — Many students in New Zealand have a story to tell about “streaming” — being grouped into separate math classes based on their perceived ability to master the subject.
Manaaki Waretini-Beaumont, now 18 and an environmental science major at the University of Canterbury, learned about the downside of streaming when she enrolled in Avonside Girls’, a 1,000-student high school in Christchurch.
Avonside starts at Year 9, equivalent to eighth grade in the United States, and ends at Year 13, equivalent to 12th grade. Before the start of her Year 9 term, Waretini-Beaumont and her fellow students were divided up into groups to take tests in “maths,” reading comprehension, and patterns and shapes.
Afterward, the students were separated into lettered groups that spelled out the word B-I-N-O-C-U-L-A-R-S. Waretini-Beaumont was a “9-N” student in mathematics — as she describes it, “the top of the middle block.”
But she said she didn’t feel comfortable as one of the few Māori students in the class.
“I felt like I wasn’t good enough to be in that space,” said Waretini-Beaumont, whose iwi, or tribal affiliations, are Te Āti Haunui-A-Pāpārangi, Ngāti Rangi, Ngāti Apa, Ngāti Paoa. “If there was something I wasn’t understanding, I felt like I wasn’t able to say that, because I’m supposed to be in the smart class with all these smart people.”
So she shifted to another mathematics class with her Māori friends, who were in the “S” classes.
“Being in two different spaces, I could really see the change,” Waretini-Beaumont said. “At the top classes, the teachers’ language towards the students was always positive and it was always encouraging. And they really wanted students to learn and were trying to help them.”
Manaaki Waretini-Beaumont experienced the effects of “streaming,” or academic ability tracking, during her time as a high school student at Avonside Girls’ School in Christchurch, New Zealand. Credit: Image provided by Richie Mills/Ngāi Tahu
In the classroom where her friends were assigned, in contrast, the mathematics work mostly amounted to simple worksheets — “coloring pages and word find,” Waretini-Beaumont said.
For years, much like in the United States, New Zealand has worried about sliding student proficiency in mathematics, as captured by both national and international test scores. Later this month — the beginning of the New Zealand school year — the country is launching an overhaul of mathematics instruction that education leaders hope will reverse the trend.
But other groups in the country have been trying to approach the problem of academic achievement from a different angle. They believe that streaming is driving achievement gaps in the country, including in mathematics. Tokona te Raki/Māori Futures Collective, a think tank focused on youth, has been working since 2019 to persuade schools to voluntarily end the practice by 2030. The initiative is called “Kōkirihia”— Māori for “take action.”
Streaming is just one of many ways that schools group students by academic ability. Ability grouping can include separating students into vocational or university tracks at different schools as early as age 10, as is common in Germany and other Western European countries. But it could also include teachers creating informal and non-permanent groupings within their own classrooms to provide enrichment or extra support to students who need it.
In New Zealand, critics say streaming pushes two groups into so-called “cabbage,” or lower-level mathematics, at a disproportionate rate: Māori students, who are indigenous to New Zealand, and students who are Pasifika, the New Zealand term for people from Samoa, Tonga and other nations in the Pacific Islands.
In the 14th century, the Polynesian ancestors of today’s Māori migrated thousands of miles by canoe to what they called Aotearoa, the land of the long white cloud. Hundreds of years later, English settlers came to engage in trade and now represent the majority ethnic group in New Zealand. In 1840, the two groups signed the Treaty of Waitangi that established New Zealand’s bicultural identity.
Many youth with Pacific Island backgrounds are descended from people who were encouraged to move to New Zealand after World War II to address a labor shortage.
Both Māori and Pasifika are a fast-growing, and young, population. By the 2040s, more than a third of children in the country are expected to identify as Māori, according to Stats NZ, the country’s official data agency.
The New Zealand Ministry of Education’s official stance discourages streaming, but the country’s more than 2,500 schools operate with a great deal of independence: Principals have similar powers and responsibilities as school superintendents in the United States, and each school has an elected board that sets policy and manages budgets.
New Zealand does not track streaming or ability grouping by race or ethnicity, but surveys show it is common: Eighty percent of students are in schools that group students by ability level in mathematics, according to a 2022 survey conducted by the Program for International Student Assessment.
Other data shows a wide academic gap among students of different ethnicities in New Zealand.
Students at May Road School in Auckland, New Zealand, work through a lesson on fractions. Credit: Becki Moss for The Hechinger Report
In the Auckland region, the country’s most densely populated of 16 regions in all, 76 percent of Asian students left secondary school with the highest of three levels on the country’s National Certificate of Educational Achievement in 2022. Like a high school diploma, the NCEA Level 3 is a minimum qualification to enter college in New Zealand.
About 66 percent of Pākehā, or white, students left school with that credential. About 46 percent of Pasifika students and 40 percent of Māori students did the same.
In comparison, the high school graduation rate by race and ethnicity in the United States in the 2021-22 school year was 94 percent for Asian American/Pacific Islander students, 90 percent for white students, 83 percent for Hispanic students, 81 percent for Black students and 74 percent for American Indian/Alaskan Native students.
Misbah Sadat, the newly appointed principal at Kuranui College, a high school 50 miles northeast of the capital of Wellington, began actively working to “destream” mathematics courses soon after emigrating to New Zealand in 2009 and becoming a teacher there.
As head of mathematics at a high school called Horowhenua College, she started by identifying promising Māori students on her own, moving them to higher level classes, and mentoring them, as described in a Ministry of Education newsletter.
Eventually she convinced her colleagues at Horowhenua to create mixed-ability classes rather than dividing the students. She continued the same work as deputy principal at Onslow College in suburban Wellington, where she worked before her new appointment.
The streaming practice comes from a patronizing mindset, said Sadat, who was also a math teacher in Montgomery County, Maryland.
Schools are telling parents that their children might be lost and overwhelmed in a more rigorous class. In actuality, “We have demoted some students to learn crap,” she said. “And then we are saying that at age 16, ‘You are dumb at maths.’ How dare we decide what a young person is capable of or not capable of?”
Students at Kaiapoi North School in suburban Christchurch, New Zealand, work through a multiplication problem in chalk on the playground blacktop. Credit: Becki Moss for The Hechinger Report
Both of New Zealand’s unions for elementary and secondary teachers signed onto the pledge to end streaming by 2030. In a newsletter to members, the elementary teachers union noted that its members have noticed “a sense of ingrained hopelessness that comes with being in the ‘cabbage’ classes.”
But in the same newsletter, another teacher said educators struggle with the mix of abilities in one classroom, along with managing behavior challenges.
David Pomeroy, a senior lecturer in education at the University of Canterbury in Christchurch, is studying schools that have committed to reducing their reliance on streaming.
It’s a difficult task, he said. So many teachers are accustomed to the practice, since they went through it in school themselves. Parents of students in high-level classes are worried their children will be shortchanged. Teachers also say that it is easier to work with students who are all roughly on the same skill level.
And then there is an emotional connection to the practice, Pomeroy said. Unlike in the United States, lower-level mathematics classes are often taught by teachers who have a lot of classroom experience and who express real fondness for their students, he said. Pushing students too hard is seen as setting them up for repeated failure, which teachers were reluctant to do.
Abby Zonneveld’s bulletin board at St. Clair School in Dunedin, New Zealand, asked students to describe their “tūrangawaewae,” or place where they feel a special connection. Credit: Becki Moss for The Hechinger Report
“Even if they accepted streaming wasn’t the right next step, they wanted to protect them from anything that could damage their confidence,” Pomeroy said.
For schools that have made a commitment to reducing or ending streaming, he said, one useful tool has been to bring mathematics teachers in different schools together so they can work through challenges, such as lesson planning, and share successes.
The research into the benefits or harms of academic tracking or streaming show mixed results. In 2016, a group of researchers compiled all the best U.S-based research on ability grouping and acceleration at that point, going back for a century. They found certain kinds of ability grouping, such as placing highly gifted students together, was a benefit to those students. But grouping students in high- or low-performing classes did not show any benefit or detriment for students.
The New Zealand Initiative, a right-of-center think tank, said that the country should conduct its own research on the effects of streaming in the country, rather than relying primarily on research done elsewhere and on qualitative reports that primarily capture feelings about the practice. “Research suggests that lowerstream students are often taught less engaging content by less experienced teachers. So, it may not be streaming itself that increases gaps in achievement but streaming done poorly,” the initiative said in a report.
But the efforts to reduce streaming voluntarily seem to be catching on.
When looking at all academic subjects, not just mathematics, principals on a 2022 PISA survey said 67 percent of students in New Zealand are grouped by ability into different classes for at least some subjects. That’s a drop from 2015, when 90 percent of principals reported that students were grouped into different classes in their schools.
The change is welcome, said Waretini-Beaumont, who works on social media for Tokona te Raki. Streaming “has more impact than just cutting off some opportunities and stopping someone from doing calculus,” she said. “Our grandparents have been streamed and they don’t know it was even a thing. They just thought they were dumb.”
The Hechinger Report provides in-depth, fact-based, unbiased reporting on education that is free to all readers. But that doesn’t mean it’s free to produce. Our work keeps educators and the public informed about pressing issues at schools and on campuses throughout the country. We tell the whole story, even when the details are inconvenient. Help us keep doing that.
