This week as part of our study of comprehensive early childhood systems my colleagues and myself have been asks to create a hypothetical family and to think about how they would benefit from a comprehensive early childhood system.
The framework for a comprehensive early childhood system
"consists of four substantive components. These four components – health, mental health, and nutrition; early
learning; family support; and special needs/early intervention – themselves include a number of different
services and supports that young children and their families need to access and draw upon" (Bruner. C, n.d.). To have a true comprehensive system these four components must work interconnectedly by communicating, coordinating, and collaborating with
one another.
Below I am sharing the hypothetical family I have created as I move further into our assignment. It is my hope my colleagues will take a minute to read and provide me with any feedback they have to offer. Do I have enough detail? Is my story clear? Can I build the rest of my paper from this scenario?
The hypothetical family for this project
is a European American middle class dual income working family. As newly weds the couple moved across country
and do not have any nearby family. They
have friends who are all working hard just as hard as they are to make ends
meet. The mother in this family works in the local supermarket where she
receives an hourly wage with health benefits. Because her husband does not have
health benefits most of her paycheck is used to pay for the additional premium
to cover her family. Although it is helpful to have the health benefits the
deductible is $300 and the insurance only pays 80 % of the first $2500.00. Often the family chooses not to seek medical
treatment because they cannot afford the co-pay. The father in the family works in
construction and makes an hourly wage, which is used to cover the rest of the
family’s monthly bills including childcare expenses for their three and five
year old children. The construction
business where the family lives has been slow since the 2008 economic downturn
and the father has been temporarily laid off several times. To survive the lay-offs the family has used
all their savings to keep up with their bills.
Six months ago the family was surprised
to find they were expecting another baby.
Because the mother is over 35 it was recommended to her that she have an
amniocentesis for fetal chromosome testing. Upon completion of the test it was discovered
her fetus had Down syndrome. The family
was told, “all people with Down syndrome experience
cognitive delays, but the effect is usually mild to moderate. People with Down
syndrome also have an increased risk for certain medical conditions such as
congenital heart defects, respiratory and hearing problems, Alzheimer's
disease, childhood leukemia, and thyroid conditions” (National Downs Syndrome
Society, 2012).
From the perspective of a
comprehensive early childhood system this hypothetical family would benefit
from all three components health,
Early Learning and Development, and Family Leadership and Support. Because the new baby will be at risk for
increased medical conditions the family’s health care bills may increase
significantly. All three children need
access to affordable health care. The new child will need a consistent physician
who can help the family find the proper specialists and care as needed. The new baby as well as the other two
children will need access to affordable high quality early childhood care and
education programs in which to safely play and learn while their parents are at
work. The new child will need affordable
access to special early education programs and supports to make sure she
reaches her full potential. And finally
the family will need access to programs to teach them strategies to help with their
financial stress, the stress of raising a child with Downs Syndrome and the
stress of supporting their other two children.
References:
Bruner, C. (n.d.). A framework for state leadership and action in building the components of an early
childhood system. Retrieved August 1, 2011, from the Build Initiative website:
Syndrome/Down-Syndrome-Facts/