“Voices from the Field” Interview with Kate Roper and Eve Wilder, Massachusetts Early Childhood Comprehensive Systems Project

Eve Wilder and Kate Roper

Eve Wilder and Kate Roper

Kate Roper is the Assistant Director of Early Childhood Services in the Bureau of Family Health and Nutrition at the Massachusetts Department of Public Health (DPH). Roper oversees several state and federal grants, including Project LAUNCH and Early Childhood Comprehensive Systems (ECCS) grants, and co-leads the Massachusetts Pyramid Model State Leadership Team. Roper has been in the field of early childhood education since 1978 as an infant teacher, teen parent child care director, trainer, adjunct faculty member, and independent consultant and curriculum developer.

Eve Wilder is the ECCS Coordinator at DPH’s Bureau of Family Health and Nutrition. Wilder has managed early childhood projects at DPH through the state’s ECCS grant for over 7 years. She has worked to strengthen early childhood systems of care in a variety of capacities since 2005, from providing home-based services to young children with autism spectrum disorders, to policy and program development at the Massachusetts legislature and DPH.


ED: How did you begin your career in early childhood?

Kate: I’ve always had a passion for understanding why people become forces for good. So, in college, I ended up with a joint major in psychology and education. I became more interested in early childhood by spending time in the nursery school on campus. At first I thought focusing on kindergarteners was too old, and then I decided focusing on preschoolers was too old. In my first job out of college, I ended up as an infant teacher in a child care program that was focused on supporting families going back to work. Here I gained an understanding of the importance of working with the whole family. Later, I earned a master’s degree in human development and worked with high-school-aged young parents. I started working alongside social workers and guidance counselors, and became familiar with the family systems model, where the family is central to supporting healthy development in their young child. I also began adjunct-teaching at local colleges on early childhood development and started consulting with the Massachusetts Department of Public Health (DPH).This eventually led to a position working directly for the DPH Bureau of Family Health and Nutrition. In 2003, Massachusetts was awarded an Early Childhood Comprehensive Systems (ECCS) grant from the U.S. Department of Health and Human Services’ (HHS’) Health Resources and Services Administration (HRSA). I started working on the ECCS grant which, at that time, was very open-ended and focused on coordinating across systems of family support, parenting education, early education and care, health, and mental health. Eventually, in 2006, I became the director of our ECCS grant. That year was also the inaugural year of the Massachusetts Department of Early Education and Care (EEC) and we partnered with them to build a strong emphasis on mental health. In 2009, we received a Project LAUNCH (Linking Actions for Unmet Needs in Children’s Health) grant from HHS’ Substance Abuse Mental Health Services Administration (SAMHSA) and I took on leading that project as well.

Eve: My career in early childhood started in college. I volunteered at a family shelter where I helped to provide child care. There was a boy living with his mom at the shelter who, at the age of four, was diagnosed with autism. I was blown away by the lack of supports for him and his mom and the late age of his diagnosis. That really motivated me to learn more about the various systems in place to help children and families—health, education, and social services—and to identify and find solutions to cross-systems-level issues. After I graduated from college, I became a specialty early intervention provider under the Individuals with Disabilities Education Act (IDEA) Part C, where I worked for several years providing home-based services to young children with autism spectrum disorders (ASD). I learned first-hand how the family and community context impacts child development. I then had an opportunity to work as a legislative aide for a member of our state legislature. It was fascinating working on the policy side, helping draft bills related to early childhood health and development. Eventually I earned a master’s degree in public health. I became a Leadership Education and Neurodevelopmental Disability (LEND) program fellow, and was able to focus on systems and policy issues impacting children with special health care needs. I started at DPH as a graduate student intern working with Kate and came on as staff when a position opened up on the ECCS grant. I’ve been at DPH for seven years working on both ECCS and the state’s Early Learning Challenge (ELC) grant.

ED: What efforts have you and your organization been involved in to improve the quality of early childhood programs and services?

Kate: For the first eight years of our ECCS grant we mostly functioned as a convening and development office that served any of the state’s early childhood collaborative projects and technical assistance (TA) opportunities. For example, we worked with the Children’s Trust to bring Strengthening Families to the state; and with EEC to being implementing the Pyramid Model. We convened a state leadership team for Pyramid Model implementation. We also used our convening power to develop an Early Childhood Mental Health Strategic Plan, which led the state to apply for and receive a SAMHSA systems of care grant and our Project LAUNCH grant. Our efforts were really focused on working with other state agencies to develop initiatives that benefit young children. It worked out nicely that during this phase, EEC invited us to the table when they applied for and were awarded the ELC grant. As one of four agencies within the state to receive ELC funding, we helped lead efforts to develop coordinated TA focused on trauma-informed care and family mental health. We also helped bring more of a health focus to child care in the state by building capacity in regional offices and by hiring regional nurses.

Eve: Prior to the ELC grant and regional nurses, our ECCS grant built capacity for health consultants supporting early learning and care programs. These consultants provided basic information when it came to working with children with complex medical needs or addressing the outbreak of a virus. When we put four regional nurses into the field, it was great because they provided direct medical support around medication administration (including asthma and severe allergies), worked with young children with diabetes, helped address the obesity crisis, and more. Unfortunately, when the ELC grant ended, we were not able to find a way to sustain this health work, including funding for the nurse positions. We have, however, tried to maximize the resources that were developed under ELC through TA and train-the-trainer approaches. We’ve had to be creative and adaptable in partnering with colleagues within DPH and across the early education field to sustain many components of the work.

ED: How has your ECCS project evolved over time?

Eve: In 2012, HRSA changed the guidance for ECCS and increased its emphasis on infants and toddlers. For our grant, we chose to address and mitigate toxic stress on the development of infants and toddlers in two local communities, Springfield and Chelsea. The first phase of this work had fewer defined parameters so our two communities did a lot of relationship building, including identifying a common vision for addressing toxic stress. We are now in the later phase, known as the ECCS Impact Project, which has additional structure, a focus on measuring our impact, and increased funding. As an ECCS grantee, we are part of a Collaborative Improvement and Innovation Network (CoIIN), which is a multidisciplinary team of federal, state, and local leaders working together to tackle a common problem. HRSA supports CoIINs that address a range of topics. We participate in the ECCS COIIN. The primary aim of the ECCS grant is to show a 25-percent increase in age-appropriate developmental skills among our participating communities’ 3-year-old children. With our two communities and our state-level partners, we discussed and defined what that means for us. Once we did this, the CoIIN guided us through using a Plan-Do-Study-Act methodology to impact change.

When we first convened our teams in Chelsea and Springfield, we focused on identifying where the needs were in these communities. We found that we have a strong IDEA Part C system, relatively high levels of developmental screening, and nearly universal health insurance coverage for children. However, we are still challenged by persistent inequities in health and development outcomes for young children of color and those living in poverty. Through a partnership with a local United Way program’s developmental screening initiative, we are training parents from the communities on how to use the Ages and Stages Questionnaire (ASQ), a developmental screening tool, and how to reach out to families that are not connected to existing programs. We do this through local institutions and establishments such as libraries, parks, and laundromats. This approach is focused on building connections to isolated or not-yet-engaged families, talking with them about their child’s development and, if there are any concerns, helping these families connect to resources and services.

Another exciting piece of this ECCS grant is a coordinated database for ASQ that we are building in partnership with the United Way. Parent screeners enter screening data into the database, and then other programs (with a data sharing agreement) can see the data at the aggregate community level. The goal is to begin to identify trends in the community. We have found this to be particularly helpful in Boston. When we were completing the ECCS grant application, we realized that we didn’t have a consistent health and development measure for young children at the population level, and this ASQ database has been our first step towards developing one. We are also exploring how we might build on some data integration efforts that DPH is undertaking, including a community-level dashboard that includes aggregate data, as well as ways to use de-identified but matched data across data sets. This allows us to look at aggregate data from various data sets (and keep individual data private) so we can identify areas of risk and the outcomes of interventions. The final piece of our ECCS grant that we’re trying to accomplish is to make more of a collective impact in the state, across agencies and funders, by building processes and networks that sustain the work.

ED: What suggestions do you have for others interested in using systems-level work to improve early childhood services and programs?

Kate: Cross-systems work is really powerful, and having HRSA funding for the convening and systems-building work in our state has been extremely useful. We recommend you start with a small project; build trust; and learn about other agencies’ and partner organizations’ strengths, expertise, and resources. Sustainability is always a challenge, so bring it into the work from the very beginning. Try to be creative and intentional about bringing outside partners in to help.

The other suggestion we have is to keep showing up to meetings. Attend those meetings where at first you aren’t comfortable, but eventually you can learn the language of that other system. For example, the word “assessment” means something different depending on who you are talking to and about. As you bring together folks from different disciplines and programs, become a translator across systems. ECCS has allowed us to be like Switzerland, a neutral convener. And always remember the focus of this work that we’re doing: it’s about children and families.


Blog articles provide insights on the activities of schools, programs, grantees, and other education stakeholders to promote continuing discussion of educational innovation and reform. Articles do not endorse any educational product, service, curriculum or pedagogy.

Kate Roper
Posted by
Assistant Director of Early Childhood Services, Bureau of Family Health and Nutrition, MA Department of Public Health
Eve Wilder
Posted by
Early Childhood Comprehensive Systems Coordinator, Bureau of Family Health and Nutrition, MA Department of Public Health

“Voices from the Field”
Interview with Nancy Thompson and Janine Figiel

Nancy Thompson and Janine Figiel from Jolly Toddlers

Nancy Thompson and Janine Figiel from Jolly Toddlers

Nancy Thompson
Nancy is the owner and director of Jolly Toddlers, a thriving high-quality early education center. She opened this child care center in 1984 to meet the needs of local families looking for high-quality care. Nancy graduated from Fitzgerald-Mercy School of Nursing with a degree in nursing, becoming a registered nurse (RN). Later she attained an undergraduate degree in early childhood and elementary education, as well as a master’s degree in counseling from Gwynedd Mercy College. Nancy is the proud mother of four children, and grandmother to six beautiful grandchildren.
Janine Figiel
Janine is the Jolly Toddlers assistant director and the center’s facilitator of the Pyramid Model/PBIS. Janine graduated from Seton Hall University with a bachelor’s degree in psychology. After college, Janine worked as a human resource manager in her family’s business while raising her two children. Human interaction and positive reinforcement has always been one of her interests so when Nancy Thompson asked her to help facilitate the Pyramid Model/PBIS pilot program at Jolly Toddlers, she was thrilled. Janine has been at Jolly Toddlers since 2010 and has since received a Child Development Associate (CDA) certificate as well as a director’s diploma in early childhood education.

The Pyramid Model

The Pyramid Model, as referred to throughout this post, is a Positive Behavior Intervention and Support (PBIS) framework for young children. It is a tiered intervention model made up of evidenced-based practices. At the base (tier 1), are the universal supports for all children, provided through nurturing and responsive relationships and high-quality environments. The second tier (tier 2) is made up of prevention practices that target social and emotional strategies to prevent problems. The final tier (tier 3) consists of practices related to individualized intensive interventions for children with pervasive challenging behavior that need more than tier 1 and 2 supports and practices.

ED: How did you begin your career in early learning and development?

NT: I started my career as a nurse and was a visiting nurse for several years. When I had my own children, I became really interested in early childhood education (ECE). I knew how to physically take care of my children but didn’t know how to promote their learning and development. I decided to take some ECE classes and went back to school. I learned about the importance of the environment you create for young children and supporting social and emotional development. Eventually, I earned a degree in counseling. I thought it was critical to understand what is going on in children’s minds, what motivates children, and the best ways to support their growth and development. Then I decided to start my own business and opened a child care center to meet the needs of local women who were going back to work six weeks after having a baby. I was shocked because I couldn’t imagine, as a working mom, having to find care for a baby that young. I thought that with my background in nursing, education, and counseling I could create a child care center that would meet the needs of babies. We started out serving seven children and now, 33 years later, we have 25 employees and serve 110 kids ages 6 weeks to 6 years old.

JF: I graduated with a psychology degree and was thinking of applying to law school but decided to have children and work from home. I did this for many years while my children were young. I’m close friends with Nancy’s daughter and about eight years ago Nancy called me to see if I wanted to volunteer in her center and help her implement Pyramid Model/PBIS. I didn’t know anything about Pyramid Model/PBIS, but with my background in psychology it seemed like a good fit. I started out as a volunteer and loved it. I went back to school, took ECE courses, and earned my director’s diploma in early childhood education. Now, I am committed to our center and to implementing Pyramid Model/PBIS.

ED: What is the Pyramid Model/PBIS and why did you decide to implement it?

NT: For us, Pyramid Model/PBIS is all about being respectful to one another. You can walk into a center doing Pyramid Model/PBIS and it will take just a few minutes to realize that it feels different. Teachers are respectful to each other and the children, administrators are respectful to teachers, and staff are respectful to families. We actually teach children expectations and rules, and then we teach them strategies for sharing, making friends, and being kind. When I first learned about Pyramid Model/PBIS, I knew I wanted to implement it. There was an opportunity through our local early childhood intermediary unit to pilot Pyramid Model/PBIS. They offered to provide us with the initial training and a coach. We’ve been implementing with fidelity (the degree to which an intervention is delivered as intended) for 6 years. We’ve really seen it transform our center’s climate. There is much more collaboration and there is no gossiping; teachers really help each other out. Across the center we are clear and consistent about expectations of classroom rules and playground rules. We also use visual schedules to facilitate children’s understanding of what their day looks like.

JF: Nancy knew what she wanted to do, she just needed a name for it and some support. Pyramid Model/PBIS fits perfectly with her vision. Leadership is critical to implementation, so having her committed has been really important. Implementing Pyramid Model/PBIS isn’t easy; it takes about 3-5 years to get to a place where you are implementing with fidelity. It requires teachers being aware of how they talk to one another and to children. It is a tiered framework for figuring out how to support children in their social and emotional development. When implementing, centers must determine the specific strategies that will work best in their particular center. We have been focused on the bottom tier of creating a safe, warm, and nurturing environment. We have built in a lot of reward systems for the children; our goal is to catch them being good. Staff said they wanted a “reward” system too and soon the teachers started acknowledging one another, thanking each other, and recognizing accomplishments. Pyramid Model/PBIS really opened us up and bridged a gap we had with positive communication and collaboration across staff.

ED: How has your work with implementing Pyramid Model/PBIS improved the quality of early learning and development?

JF: We are a star 4 program (the highest quality) in our state’s quality rating and improvement system (QRIS), Keystone STARS. Implementing Pyramid Model/PBIS is a big part of why our rating is high. Children attending our center are happy; you don’t hear teachers yelling. The overall climate is wonderful. With Pyramid Model/PBIS, our teachers have been equipped with tools to meet the needs of all the children who attend. Twenty-five percent of our children are children with disabilities—our environment is an inclusive one. Pyramid Model/PBIS gave our teachers confidence to support all of the children, and to meaningfully collaborate with the therapists and special education professionals that come into our classrooms to work with the children with disabilities. Our teachers feel empowered to problem-solve and to figure out what works in an inclusive environment. In addition to the supportive climate we’ve created, our teachers take advantage of the great resources about implementing Pyramid Model/PBIS available online.

NT: Helping those with special needs is a priority for us and it has helped our overall quality improve. We regularly monitor children’s progress using the Ages and Stages Questionnaire (ASQ). Families don’t always catch when a child is struggling. We now have the tools to help parents, so if there is a real issue we can help families get the child the services they need. Pyramid Model/PBIS gave us a framework for understanding when a child may need more intensive intervention, and showed us the importance of monitoring children’s progress.

ED: What are some of the challenges you’ve encountered with implementing Pyramid Model/PBIS and any strategies you’ve used to overcome them?

NT: When change comes to a center there are those that will resist. When we decided to implement Pyramid Model/PBIS, I told our coach that some of our staff may not stay working with the center. In order for this to work, you need to have staff buy-in and for both administrators and staff to truly believe this approach is the right thing to do. I was prepared to potentially lose staff, and we did, but long-term Pyramid Model/PBIS has actually reduced our teacher turnover rate. I believe it’s because the teachers are happy and love to come to work. When we bring on new staff, they are supported by the veteran teachers. For example, if a new teacher starts and doesn’t know how to set up a classroom to maximize positive social, emotional and behavioral development, our veteran teachers will work with them and discuss what works and what doesn’t with a particular age group.

JF: Another big issue for us has been when we have a child with significant needs, but that child hasn’t been identified as qualifying for special education. We need extra help to support the child, and this can add a lot of stress for our teachers. At times we have hired extra teachers to provide the support. We know that if this child receives the interventions and attention early, they will thrive, but it can be hard for us as a small business. Our teachers are great at being resourceful and problem-solving; they usually get online and try to find creative approaches.

NT: Janine is the internal coach at the center. She works really hard to support our teachers when we have a child with more intensive needs. We are still trying to figure out what this support looks like, particularly when we don’t have access to other professionals to help us problem solve. We are seeing more and more children with behavioral issues, born with drug addiction, and with parents in jail; the kids and parents in these situations are tired, and it takes a lot of energy to help and support them. One solution we’ve found involves working with and educating families. We have shared a lot of Pyramid Model/PBIS resources with our families. When a child is really struggling with behavioral issues, we will collect and share data about the child’s behavior with their family and then develop a plan with strategies that can be used at both home and school.

ED: What suggestions do you have for others interested in promoting positive social, emotional, and behavioral development in young children?

JF: My advice for a program interested in Pyramid Model/PBIS is to start small, with easy and concrete steps for teachers. Lay it out for them and incorporate their strengths. For example, our teachers were really visually creative and focused on making things pretty, so one of the first things we did was to work on posting rules and expectations visually, including visual schedules that helped kids know what was happening each day. Also, implementing Pyramid Model/PBIS is a process, so be aware that you will likely have to go back and make changes to what you are doing. It really does take 3-5 years, so start small. Some other things we implemented early were bucket-filling books and beginning to teach children to recognize and understand different emotions. These were concrete strategies teachers could begin to use in order to see positive change.

NT: Also be flexible as an administrator. You may need to move teachers around. For example, we had to move a teacher to a different age group. You also need to think about how you staff your classrooms. I know that I want a teacher in each classroom that knows those children every day, so we make sure that happens; we staff our classrooms intentionally. We don’t put all of our kids in one big room at the end of the day. It is critical for kids to have their “own” room, and for the teachers in that classroom to really know them. My final suggestion is to be thoughtful about communicating with families on a regular basis.

JF: Hold onto your vision but be flexible. Take staff buy-in seriously. This can take time, but once teachers see the positive impact of the new strategies, they become more engaged. Providing structure, establishing clear expectations for kids, redirecting and replacing behavior with something positive—these strategies give teachers the tools to support all children. It is powerful when they use the strategies with a child with challenging behaviors and they see that it works. Our teachers also now recognize the importance of teaching kids social skills. Some children need to be taught how to play, make friends, and behave, and our center now has the tools to do this! Another important thing to remember is that Pyramid Model/PBIS looks different in every classroom and every center. It is an overall feeling of positivity and support among staff, children, families, and administration. It’s building a welcoming atmosphere as opposed to completing a checklist of things you do every day.


Blog articles provide insights on the activities of schools, programs, grantees, and other education stakeholders to promote continuing discussion of educational innovation and reform. Articles do not endorse any educational product, service, curriculum or pedagogy.