Know and Grow Oklahoma Family Care Provider Survey Question Title * 1. What kind of care do you provide for children and families? Home Visitor Parent or childbirth educator Childcare provider or early childhood educator Doctor, PA, or NP Clinical specialists such as OT, PT, or speech therapist Mental or behavioral health professional Social or human services provider Basic resource provider (e.g., public assistance, housing, food assistance) Child protective services worker Law enforcement Domestic violence or safety services provider Other (please specify) Question Title * 2. How has the number of children and/or families you serve changed since mid-2019? Much larger caseload now Somewhat larger caseload now No change Somewhat smaller caseload now Much smaller caseload now Caseload went up early in the pandemic and is back to pre-pandemic level Caseload went down early in the pandemic and is back to pre-pandemic level Question Title * 3. Many kinds of adults serve in a parenting role. In your experience, are adoptive parents, foster parents, and grandparents and kin who stepped into a parenting role since mid-2019 getting the same level of support and services as they did before the pandemic? These adults in a parenting role get: Great support than pre-pandemic The same support a pre-pandemic Fewer supports than pre-pandemic Question Title * 4. To what degree have you noticed changes in the financial well-being of the families you serve since mid-2019? Much higher stress now Somewhat higher stress now No change Somewhat lower stress now Much lower stress now Stress went up early in the pandemic and is back to pre-pandemic level Stress went down early in the pandemic and is back to pre-pandemic level Question Title * 5. To what degree has parent’s worry or anxiety changed mid-2019? Much more worry now Somewhat higher worry now No change Somewhat lower worry now Much lower worry now Worry went up early in the pandemic and is back to pre-pandemic level Worry went down early in the pandemic and is back to pre-pandemic level Question Title * 6. Compared to parents before the pandemic, are newer or first-time parents managing stress in healthy ways? New parents have a healthy approach to stress management, such as exercise Earlier and current parents handle stress about the same Newer parents need greater mental health supports New parents have an unhealthy approach to stress, such as alcohol use, drug use or anger/aggression. Question Title * 7. In your experience, how much family, social, or community support have adults who have welcomed a new child since mid-2019 received? More thank enough social support Adequate social support Less thank adequate social support Very little or no social support Question Title * 8. How would you say families that welcomed a new child since mid-2019 are developing on the following measures: Well Typically Poorly Unknown Bonding & Attachments Bonding & Attachments Well Bonding & Attachments Bonding & Attachments Typically Bonding & Attachments Bonding & Attachments Poorly Bonding & Attachments Unknown Adjusting to parenting tasks Adjusting to parenting tasks Well Adjusting to parenting tasks Adjusting to parenting tasks Typically Adjusting to parenting tasks Adjusting to parenting tasks Poorly Adjusting to parenting tasks Unknown Engaging in adequate self-care Engaging in adequate self-care Well Engaging in adequate self-care Engaging in adequate self-care Typically Engaging in adequate self-care Engaging in adequate self-care Poorly Engaging in adequate self-care Unknown Engaging in adequate stress management Engaging in adequate stress management Well Engaging in adequate stress management Engaging in adequate stress management Typically Engaging in adequate stress management Engaging in adequate stress management Poorly Engaging in adequate stress management Unknown Resolving conflict in the family Resolving conflict in the family Well Resolving conflict in the family Resolving conflict in the family Typically Resolving conflict in the family Resolving conflict in the family Poorly Resolving conflict in the family Unknown Devolpmentaly appropriate demands on childr(en) Devolpmentaly appropriate demands on childr(en) Well Devolpmentaly appropriate demands on childr(en) Devolpmentaly appropriate demands on childr(en) Typically Devolpmentaly appropriate demands on childr(en) Devolpmentaly appropriate demands on childr(en) Poorly Devolpmentaly appropriate demands on childr(en) Unknown Question Title * 9. How would you say that children born since mid-2019 are developing physically? Early Typically Late Unknown Height, weight, Cranial circumference Height, weight, Cranial circumference Early Height, weight, Cranial circumference Height, weight, Cranial circumference Typically Height, weight, Cranial circumference Height, weight, Cranial circumference Late Height, weight, Cranial circumference Unknown Gross motor Gross motor Early Gross motor Gross motor Typically Gross motor Gross motor Late Gross motor Unknown Fine motor Fine motor Early Fine motor Fine motor Typically Fine motor Fine motor Late Fine motor Unknown Question Title * 10. In what areas are you making more referrals for interventions or services than you have in the past (choose all that apply): Nutrition/Failure to thrive Evaluation for chronic disease Evaluation for physical disability Gross motor delay Fine motor delay None – referrals have remained the same There is no one in our community to refer to Not relevant to the services I provide Question Title * 11. How would you say that children born since mid-2019 are developing social-emotionally: Early Typically Late Unknown Signaling needs through differential cries Signaling needs through differential cries Early Signaling needs through differential cries Signaling needs through differential cries Typically Signaling needs through differential cries Signaling needs through differential cries Late Signaling needs through differential cries Unknown Recognizing caregivers Recognizing caregivers Early Recognizing caregivers Recognizing caregivers Typically Recognizing caregivers Recognizing caregivers Late Recognizing caregivers Unknown Showing preferences for people and toys Showing preferences for people and toys Early Showing preferences for people and toys Showing preferences for people and toys Typically Showing preferences for people and toys Showing preferences for people and toys Late Showing preferences for people and toys Unknown Self-soothing/emotion regulation Self-soothing/emotion regulation Early Self-soothing/emotion regulation Self-soothing/emotion regulation Typically Self-soothing/emotion regulation Self-soothing/emotion regulation Late Self-soothing/emotion regulation Unknown Learning to play (parallel, interactive, etc) Learning to play (parallel, interactive, etc) Early Learning to play (parallel, interactive, etc) Learning to play (parallel, interactive, etc) Typically Learning to play (parallel, interactive, etc) Learning to play (parallel, interactive, etc) Late Learning to play (parallel, interactive, etc) Unknown Imitating Imitating Early Imitating Imitating Typically Imitating Imitating Late Imitating Unknown Helping Helping Early Helping Helping Typically Helping Helping Late Helping Unknown Developing agency/will Developing agency/will Early Developing agency/will Developing agency/will Typically Developing agency/will Developing agency/will Late Developing agency/will Unknown Question Title * 12. In what areas are you making more referrals for interventions or services than you have in the past (choose all that apply): Infant mental health Toddler mental health Play Therapy Evaluation for sensory disorders Evaluation for autism None-referrals have remained the same There is no one in our community to refer to Not relevants to the services I provide Question Title * 13. How would you say that children born since mid-2019 are developing behaviorally: Early Typically Late Unknown Managing aggression Managing aggression Early Managing aggression Managing aggression Typically Managing aggression Managing aggression Late Managing aggression Unknown Sharing with other children Sharing with other children Early Sharing with other children Sharing with other children Typically Sharing with other children Sharing with other children Late Sharing with other children Unknown Tantrum/melt downs Tantrum/melt downs Early Tantrum/melt downs Tantrum/melt downs Typically Tantrum/melt downs Tantrum/melt downs Late Tantrum/melt downs Unknown Following simple directions Following simple directions Early Following simple directions Following simple directions Typically Following simple directions Following simple directions Late Following simple directions Unknown Question Title * 14. Have you excluded children born since mid-2019 from your service setting due to behavioral issues: More often than pre-2019 The same as pre-2019 Less than pre-2019 I do not exclude children, but have made more referrals than in the past I do not exclude children and have made fewer referrals than in the past Not relevant to the services I provide Question Title * 15. How would you say that children born since mid-2019 are developing with respect to language: Early Typically Late Unknown Tracks objects/people with eyes Tracks objects/people with eyes Early Tracks objects/people with eyes Tracks objects/people with eyes Typically Tracks objects/people with eyes Tracks objects/people with eyes Late Tracks objects/people with eyes Unknown Coos or babbles Coos or babbles Early Coos or babbles Coos or babbles Typically Coos or babbles Coos or babbles Late Coos or babbles Unknown Notices sound Notices sound Early Notices sound Notices sound Typically Notices sound Notices sound Late Notices sound Unknown Developing gestures like bye-bye Developing gestures like bye-bye Early Developing gestures like bye-bye Developing gestures like bye-bye Typically Developing gestures like bye-bye Developing gestures like bye-bye Late Developing gestures like bye-bye Unknown Developing words Developing words Early Developing words Developing words Typically Developing words Developing words Late Developing words Unknown Developing phrases like "all gone" Developing phrases like "all gone" Early Developing phrases like "all gone" Developing phrases like "all gone" Typically Developing phrases like "all gone" Developing phrases like "all gone" Late Developing phrases like "all gone" Unknown Enjoys books Enjoys books Early Enjoys books Enjoys books Typically Enjoys books Enjoys books Late Enjoys books Unknown Follows simple commands Follows simple commands Early Follows simple commands Follows simple commands Typically Follows simple commands Follows simple commands Late Follows simple commands Unknown Caregivers can understand speech Caregivers can understand speech Early Caregivers can understand speech Caregivers can understand speech Typically Caregivers can understand speech Caregivers can understand speech Late Caregivers can understand speech Unknown Question Title * 16. In what areas are you making more referrals for interventions or services than you have in the past (choose all that apply): Hearing test Treatment for chronic ear infection Evaluation/treatment for eyesight Speech therapy Evaluation for autism None – referrals have remained the same There is no one in our community to refer to Not relevant to the services I provide Question Title * 17. Because human development is built on experience, and we believe that the pandemic resulted in exceptional experiences for children and families, my organization is striving to (check all that apply): Notice the difference in needs among families today compared to a few years ago Tailor services to changes in need Partner with others in the community to meet the needs of children and families Share data with other care providers and leaders in the community Work in partnership Gather feedback from people who need or use our services Question Title * 18. To what degree have you prepared your workforce to notice and address emerging needs among children and families? Frontline workers have been trained Policies and procedures have been rewritten to ensure responsiveness Data systems are in place to support decision-making Strong partnerships allow us to work across silos, systems, and sectors Workforce has not received additional preparation Done