A Rare Collaboration in Pediatrics: How Integration Became Friendship, and Friendship Became Force

How Integration Became Friendship, and Friendship Became Force | When a handful of program coordinators first came together in 2019, they didn’t set out to create a movement. They simply wanted to help each other expand their programs — HealthySteps, Reach Out and Read, Community Navigation, and The Basics Guilford — into more pediatric practices.

What began as practical monthly meetings has grown into something far more powerful.

They call themselves the Pediatric Integration Team. “Our goal was straightforward,” said Pam Bacot, Senior Program Manager with Reach Out and Read. “If one program was in a clinic, we would work together to bring the others in.”

What they didn’t anticipate was the strength of the relationships they would build, relationships that have evolved from professional coordination into friendships, thought partnerships, and networks of support that multiply the impact of each program.

“We don’t just work side by side. We amplify each other,” said Natalie Tackitt, North Carolina Coordinator for the HealthySteps National Office at ZERO TO THREE. “This level of collaboration makes an incredible difference.”

Building Something Bigger

This collaboration didn’t stay small. It led to the creation of the Medical Home Advisory Team (MHAT), which brings together program champions, practice administrators, and support staff. MHAT has become the bridge between service providers and medical homes, offering insights into clinical flow, communication styles, and the realities of busy pediatric practices.

Through MHAT, the team has learned how to integrate seamlessly into medical settings, not as add-ons, but as part of the fabric of patient care.

The Role of Ready for School, Ready for Life

Behind the scenes, Ready for School, Ready for Life (Ready Ready) has served as the backbone organization. They’ve handled logistics like organizing meetings, scheduling, and note-taking, but the impact has been deeper. By creating space and structure, they’ve allowed the Pediatric Integration Team’s collaboration to flourish into something no one predicted.

“MHAT became a really unique space for all of these different providers serving families,” said Danielle Deshazor-Tabb, Routes to Ready Lead at Ready Ready. They really needed a space that is just dedicated to trading information about resources for families and how to integrate these more holistic programs into the medical practice.”

“Relationships are built at the speed of trust,” says Rev. Jennifer Bailey of Faith Matters Network, “and social change happens at the speed of relationships.”

That truth is evident here. What started as colleagues trading contacts has become a rare ecosystem of mutual support and innovation. Together, these programs now reach thousands of families in Guilford County, giving children a stronger start and parents more tools to nurture them.

The beauty of the story is not only in the outcomes, but in the way it happened: through trust, shared purpose, and a belief that working together makes everyone stronger.

 

Cone Health System Supports Community Alignment Work

CONE HEALTH SYSTEM SUPPORTS COMMUNITY ALIGNMENT WORK | Community Alignment is a new term to many, but it is an integral part of the work of Ready for School, Ready for Life. It is the process of connecting with new partners, vetting local and state programs that could help children and families, and keeping referral information up-to-date for Routes to Ready partners like Children’s Home Society, GenerationEd and Guilford County.

The Community Alignment work serves as a catalyst for coordination for young children and families in Guilford County. If a family without stable housing connects to the Routes to Ready system through one of our partners, they’ll get access to updated, vetted resources that can help. If a new mother needs postpartum support, the Agency Finder or public-facing Community Portal will offer a range of helpful referrals. Ready for School, Ready for Life helps power the data sharing that makes it possible for families to get the resources and referrals they need.

By keeping the Agency Finder up-to-date and using it with other data, Ready Ready can see what is working well and what families still need in Guilford County. As a collective impact backbone non-profit, Ready Ready will also share helpful information with other groups so we can work together to solve big challenges families face.

Ready Ready received a recent grant award from Cone Health System to support and expand our community alignment work. We are honored to receive this important support and grateful to have a philanthropic partner that wants to invest in helping families with young children overcome health and developmental obstacles in order to make sure children are ready to start school strong. Community Alignment is a driving force behind the Routes to Ready system of care—and it transforms how families experience support in our community.

 

Resilient Together: Child First Strengthens Vulnerable Families

2021 was a year of firsts for families and children in Guilford County. The year prior, Nurse-Family Partnership and Child First had merged nationally to better meet the needs of families – spanning prenatal health, early childhood development and mental health for mom, child and the entire family. As a two-generation, home-based and evidence-based mental health model coming from an established organization, Child First was a natural fit for Ready for School, Ready for Life (Ready Ready).

“We felt that Child First could be a game changer for vulnerable children and families in our area,” commented Ready Ready Director of Analytics and Insights, Christina Dobson. “After getting key community feedback from entities like the Department of Social Services who see families cycle through trauma and crisis and from families themselves who expressed a desire for this type of in-home mental health support, we felt confident that we wanted to find partners to implement Child First locally,” continued Dobson.

Enter Family Solutions into this story of success. Family Solutions is a growing private counseling agency serving Guilford and surrounding counties. Using measurable, research-based approaches in their work with children and families is a guiding value for their practice, so the Child First program was a natural fit. “The pattern that we were seeing repeated with vulnerable children was that in the course of delivering child mental health services, especially in our mental health consultation in child care settings, we could only work with the child. It was difficult to get caregivers involved,” said Anita Faulkner, co-owner of Family Solutions. “We were missing the total picture of what the child was experiencing when we were only able to serve the child through our outpatient services. Child First was an opportunity to help families more holistically with an evidence-based approach.”

After receiving seed funding from the Duke Endowment, with implementation monitoring overseen by Ready Ready, Family Solutions is in the middle of its third year administering the Child First approach to fidelity. So far, they have served around 200 families with this powerful two-generation approach to child and family mental health. Referrals come from pediatric offices through the HealthySteps program (Children’s Home Society), DSS, and other local non-profits/agencies. Often families are experiencing hardships such as housing instability, maternal substance use or post-partum depression, food insecurity, exposure to violence or overdose, and incarcerations. In most cases, families are working and sometimes children are in kinship care with relatives.

Child First allows a paired team of a clinician and family resource partner to spend a year on average with vulnerable children (ages 0-5) and their caregivers, providing psychotherapy to parents and children together in their homes, and connecting them with the services they need to make healthy child development possible. The first five years of a child’s life are critical years for an intervention like Child First. Early experiences and relationships play a vital role in shaping brain development, laying the groundwork for emotional and physical health, learning, and long-term success. Yet, many parents face overwhelming challenges at the very time their children need stability and support the most. Growing up in stressful environments—marked by violence, neglect, or untreated mental health issues—can disrupt healthy brain development, with lasting impacts on a child’s health and ability to thrive.

One of the best parts of the Child First story in Guilford County and in the six other states where it is operating is that assessments show that it is incredibly effective. Locally, 80% of families showed improvement in at least one area of identified concern. National data cites information such as a 64% decrease in depression or mental health problems in mothers, a 64% decrease in language problems in children, and a 42% decrease in aggressive and defiant behaviors in children receiving the Child First intervention.

“We know that supports that help families form strong, nurturing relationships that protect children from the effects of trauma and stress are critical for school readiness,” commented Ready Ready CEO, Teshanda Middleton. “Getting Child First in Guilford County took the commitment of funders, agencies like DSS, and a truly excellent provider in Family Solutions. It’s these kind of success stories that Ready Ready is working to accelerate locally so that more children can be on track to read on time and that will ultimately dramatically improve outcomes for families, for schools, for communities, and our entire workforce,” continued Middleton.

New Initiative to Measure and Strengthen School Readiness in Guilford County

June 30, 2025 – With funding support from the Bryan Foundation, Ready for School, Ready for Life (Ready Ready) and Guilford County Schools (GCS) have launched a major initiative to help ensure more children enter school ready to thrive. The two organizations are partnering to implement the Early Development Instrument (EDI), a research-based tool that provides a population-level snapshot of how young children are developing in key areas such as social competence, emotional maturity, language, and physical health.

“This is a game-changer for our county,” said Teshanda Middleton, CEO of Ready Ready. “For the first time, we can measure the school readiness of all children—and that insight gives us the power to act. Thanks to our strong partnership with GCS, we will now have a baseline to drive smarter investments and targeted support where it’s needed most. The data from these questionnaires will guide our community to ensure many more children enter school ready to learn. School readiness isn’t just an education milestone—it’s a critical predictor of lifelong success and upward economic mobility.”

In April, Guilford County kindergarten teachers completed EDI questionnaires, offering observations across five developmental domains. The data will be analyzed by the Center for Healthier Children, Families, and Communities at UCLA and reported back to the community this fall in both table and map form. These localized insights will help identify trends and opportunities at the neighborhood level, driving informed investments and interventions.

The EDI complements Ready Ready’s broader effort to build a connected, data-informed early childhood system in Guilford County. The findings will be used not just by schools, but by community leaders, service providers, and funders working across the prenatal-to-age-eight continuum.

The EDI process will be repeated every 2–3 years to track progress, inform planning, and strengthen collective impact strategies across the county.

“Knowing what our children need before they come to school is critical to our strategic plan goals to accelerate learning and prepare students for the world,” says Jusmar Maness, chief academic officer for Guilford County Schools. “Using this data will allow us to work with our community partners to provide targeted support and give children the building blocks of learning more efficiently.”

As results are released this fall, Ready Ready and GCS plan to engage community partners in conversations around what the data reveals and how it can be used to improve outcomes for children and families across Guilford County.

About Ready Ready

Ready for School, Ready for Life is a 501(c)(3) nonprofit organization working to create a connected, innovative system of care for Guilford County’s youngest children and their families. This collective impact approach aligns key community efforts from prenatal through age five to ensure all children start kindergarten ready to learn. Learn more at www.GetReadyGuilford.org.

About Guilford County Schools

Guilford County Schools, the third largest school district in North Carolina and among the largest of more than 14,000 in the United States, serves nearly 67,000 PK-12 students at 120 schools. With approximately 9,800 employees, GCS works in partnership with parents, businesses, colleges and the community to deliver an education that connects student interests and skills with the careers and economy of our future here and around the world. We provide educational choices to meet individual student needs in a culturally diverse citizenship and new opportunities to help our students grow. For more information, visit the district’s website at www.gcsnc.com

Teshanda Middleton to Lead Ready Ready

Ready for School, Ready for Life Announces New CEO

April 7, 2025 – The Board of Directors of Ready for School, Ready for Life is excited to announce Teshanda Middleton as the organization’s next CEO. She will begin her post on April 7, 2025. Since 2019, Ready Ready has been focused on building a connected, innovative system of care for children beginning prior to birth to age 8. In her role as CEO, Middleton will guide this collective impact work to ensure that families are better connected to needed services, and that all children in Guilford County are healthy and are ready to succeed in kindergarten and beyond. 

“We are excited to welcome Teshanda Middleton to Ready Ready and to Guilford County,” said Terri Shelton, Ready Ready board chair and Executive Director of Spartan Strategies, Inc. “Her experience facilitating transformational community change will continue to propel the collective impact work Ready Ready is leading locally and will also help other communities transform how they support children and families for long-term success.”

Prior to joining Ready Ready, Middleton was the Chief Executive Officer of Communities In Schools of Memphis (CISM), a non-profit organization focused on empowering youth and families through community supports and cross-sector partnerships.

Middleton led CISM through significant expansion, enhancing the organization’s reach and impact. Her leadership focused on building strong partnerships, aligning strategies, and securing resources to drive mission success. She co-led efforts within the Communities in Schools TN Alliance to secure an $18M TANF grant supporting integrated student support services across the state, reflecting her ability to collaborate effectively for large-scale impact.

In previous leadership positions, Middleton has demonstrated a record of success delivering transformational growth and building strong organizational culture focused on equitable outcomes for underserved youth and families. She has played critical roles in multi-sector initiatives such as More For Memphis, where she led the Education and Youth Development anchor collaborative, bringing together nonprofit partners, community members, and stakeholders around a shared vision for collective impact.

“I have a deep personal commitment to advancing equitable opportunities for children and families,” commented Middleton. “As I come into the work of Ready Ready, my core beliefs are rooted in relationship-building, strategic alignment of community resources that support families and children, fostering inclusive environments, and advancing impactful policy initiatives,” continued Middleton. 

Teshanda Middleton holds a Master of Education degree in Curriculum and Instruction and is currently pursuing a second master’s degree in Leadership and Public Policy. She has recently relocated to Guilford County to lead Ready Ready in this critical role. She succeeds Laura Weber who served as Interim CEO since 2024. The Board thanks Laura and previous CEO, Charrise Hart for providing outstanding leadership to Ready Ready.

About Ready Ready

Ready for School, Ready for Life is a 501(c)3 nonprofit organization working to create a connected, innovative system of care for Guilford County’s youngest children and their families that will substantially increase the number of children who are ready to start school in the county. This collective impact approach aligns the work of key community programs that support families before the birth of a child through age 5, when that child begins kindergarten. Principal partners in this work are Children’s Home Society, GenerationEd, Guilford County, Guilford County Schools and many others. The Duke Endowment, in partnership with Blue Meridian Partners has been the principal funder of the Ready Ready systems building work and has been joined by other local and national funders. 

 

Stanford Center on Early Childhood: Ready Ready Guilford’s “circulatory system”

The Stanford Center on Early Childhood put a spotlight on Ready for School, Ready for Life, calling us the “circulatory system” for Guilford County’s early childhood data. This feature describes how we work with partners to connect and coordinate the flow of early childhood information and how that benefits the children and families of Guilford County. This approach is unique to the collaborative system of care Ready Ready is helping to build because, in the words of our Chief Operating Officer Jacqueline McCracken, “similar organizations are either linking data across partners to improve continuity of service or linking administrative and programmatic data sets for more of an analytic intention. But they aren’t doing both at the same time.”

Early Childhood x Guilford County, NC
Advancing Community Solutions: A Spotlight
By Mark Swartz

New GCS Staffer is Helping Students in High Point Get Ready for Kindergarten and Life

Timaiya Stocks is a mother of two school-aged children, an educator, and a lover of her community. She is also the first Early Childhood to Kindergarten Transition Consultant at Guilford County Schools (GCS), working at two Title 1 schools in the High Point area – Allen Jay Elementary and Fairview Elementary. More than half of the families attending both schools experience economic challenges, and both schools have been identified by the state of North Carolina as needing additional support to enhance student achievement.

The Early Childhood to Kindergarten Transition Consultant position is the first of its kind in the district, created to enhance the experiences of children and families transitioning to kindergarten, and to strengthen alignment between early childhood programs and kindergarten classrooms.

Kindergarten is a critical year for children. As Ready Ready worked with GCS to look for ways to help more children start kindergarten ready to learn, creating a position like Timaiya’s was identified as a valuable early intervention to test. Only 38% of children in Guilford County are enrolled in licensed early childcare. As a result, 50% of children start kindergarten without critical skills needed to thrive, contributing to a negative trend where only 47% are reaching reading proficiency by third grade, a key indicator of future academic achievement and graduation rates.

Timaiya began her post in November 2024 and brings experience teaching pre-K, kindergarten and first grade in the High Point area. She spends her days developing relationships with parents, attending community events where parents are, and working with students and teachers at both schools. She is learning what the barriers are for parents trying to understand what their kids need to be ready to start kindergarten and reaching out to families who may already be struggling with absenteeism.

Stocks also assists with literacy small groups in kindergarten and school readiness groups in Pre-K. She provides one-on-one support for students practicing sounds, writing and reading decodable texts. Stocks works with students to practice academic concepts and to develop social skills in small groups. Both skill development areas will help students transition well to kindergarten. “I’m passionate about these students,” commented Stocks. “I love this community and want to do all I can to help our students have better outcomes,” she continued. 

Parents are experiencing the positive impact of her work. Latiesha Lipsey, Pre-K parent at Fairview Elementary commented, “I feel supported and informed with the efforts being made to support the kindergarten transition. I am not sure of where I want my daughter to go to school next year, however, I know that you’ve been helpful, and I love the school. I appreciate the help and resources. I love Fairview and the support makes me want her to stay.”

Ready Ready and GCS are exploring what it would take to add more Kindergarten Transition Consultants throughout the county in the future. GCS, in partnership with Shift_ed, Gen Ed, and Ready for School, Ready for Life has promoted strong kindergarten transition practices this year. These practices have had a major impact. After only one month of kindergarten registration, over 50% of projected rising kindergarten families have started the registration process – that’s 2,300 students already registered for kindergarten early in the spring!! To learn more, visit the kindergarten registration page for GCS.

Public Ed Works Features Ready Ready in Four Great Stories!

Public Ed Works featured Ready for School, Ready for Life in four great stories. These pieces highlight the amazing progress we, in collaboration with our partner organizations, are making toward building and maintaining a coordinated system of care for Guilford County’s youngest children and their families.

The first story, “Very Big Ideas for Early Childhood,” provides an overview of how the Ready Ready initiative works.

The second, “Listening to Parents,” emphasizes the importance of listening to parents’ voices as we build and implement the Routes to Ready system of care.

The third, “Will Employers Support Families?,” examines the role employers play in creating a community conducive to early childhood development.

The fourth, “Lessons,” covers lessons we have learned doing this groundbreaking work that could help similar initiatives working in their own communities.

Public Ed Works, connects with over 2.5 million people each year through social media, digital marketing, their website, and weekly newsletters. They also collaborate with top North Carolina education-focused organizations like the Public School Forum of North Carolina, BEST NC, Public Schools First NC, and Education NC.

Please take a moment to read these stories and share them with anyone who might be interested in learning more about our work!

Pritzker Children’s Initiative Awards Ready, Ready $500,000 for Early Childhood Care

 

 

 

 

 

January 8, 2024

Foundation’s ‘Guilford County Community Systems Grant’ Will Shine Spotlight on Local System of Care

GREENSBORO, N.C. – The Pritzker Children’s Initiative awarded Ready for School, Ready for Life (Ready Ready) $500,000 to spotlight the early childhood system of care in Guilford County, the organizations announced today. 

“This investment from the Pritzker Children’s Initiative will allow us to expand our data-driven approach to building an integrated system of early childhood care, beginning prenatally, in Guilford County and share what we’re learning with other communities in North Carolina and beyond,” said Ready Ready CEO Charrise Hart. “The science is clear that prenatal to age three is a critical time for establishing lifelong health and development, making Ready Ready’s work, and the Pritzker Children’s Initiative’s grant, such a vital part of preparing our communities for a healthy and prosperous future,” Hart added.

The mission of Ready Ready is to build a connected, innovative system of care for Guilford County’s youngest children and their families. As a backbone organization, Ready Ready works with proven programs and community partners to ensure Guilford County families get the resources and support they need for healthy child development. Starting prenatally, dedicated family advocates meet with families to understand their strengths, needs, and goals. Then, the advocates facilitate connections to services, resources, or support for families, eliminating gaps and providing a seamless care experience.

Because humans form a disproportionately high percentage of neural connections by age three, the social, emotional, physical, and cognitive capacities built in the first three years are important for success in school, the workplace, and the larger community. Early support prepares children for kindergarten and success in school by third grade – the best predictor of high school graduation and lifelong learning.

About Ready for School, Ready for Life

Ready for School, Ready for Life is a collaborative effort to build a connected, innovative system of care for Guilford County’s youngest children and their families. As a 501(c)(3) nonprofit organization, our focus is ensuring all children in Guilford County and their families get the resources they need for healthy development. We want every child born in Guilford County from 2021 and beyond to enter kindergarten developmentally on track. Learn more about our work and mission at www.getreadyguilford.org.

Ready Ready Invests $250,000 in Continuous Quality Improvement (CQI)  to Strengthen Guilford County’s Early Childhood Support System

The grants empower local organizations to enhance services for families and children

(Greensboro, N.C., October 3, 2023) — Ready for School, Ready for Life (Ready Ready) is pleased to announce a substantial investment of $250,000 in grants to five distinguished programs across Guilford County, awarding each $50,000. These grants, part of Ready Ready’s Continuous Quality Improvement (CQI) initiative, underscore the community’s unwavering commitment to nurturing and supporting families with young children. These selected organizations and their programs will play a central role, under Ready Ready’s guidance, in strengthening and enhancing the Ready Ready continuum of early childhood support services.

The five selected organizations and their programs were chosen for the vital services they provide to Guilford County families. They are:

·       D-UP, Inc. — Well Centered ME

·       FaithAction International House — Immigrant Assistance Center

·       Reading Connections — Family Literacy Program

·       YMCA of Greensboro (Bryan YMCA, Hayes-Taylor YMCA, Spears YMCA, and Ragsdale YMCA) — Summer Day Camp

·       YMCA of High Point (Carl Chavis YMCA) — Child Care Center

Ready Ready CEO Charrise Hart emphasized how this investment transcends the boundaries of individual programs, stating, “As a backbone organization, we are proud to assist Guilford County organizations via our CQI program. Together, we foster collaboration among programs, uniting them in their mission to support families. By sharing insights, best practices, and innovative solutions, these organizations become more robust, resilient, and better equipped to navigate the ever-evolving challenges families face.”

Continuous Quality Improvement (CQI) is a team-based process that involves continuously collecting, analyzing, and using data to enhance service quality. It uses the Model for Improvement to provide a structured framework for experiential learning and improvement within organizations.

CQI cohort programs provide services that help pregnant individuals or families with very young children thrive by addressing children’s developmental, emotional, or behavioral needs, concrete family needs, and emphasizing the most referred or demanded services based on available information. Programs accepted into the Ready Ready CQI cohort demonstrate a commitment to building on family strengths and working with parents and caregivers as experts.

The grants provide unrestricted funding, allowing organizations to enhance program staffing, acquire necessary supplies, bolster family resources, develop effective marketing materials, and leverage cutting-edge technology. These programs can serve families more effectively and efficiently by fortifying these essential components.

“Ready Ready is committed to rigorously measuring the impact of this initiative,” said Kelli Crawford, Ready Ready CQI Manager. “Through comprehensive data collection, including pre-and post-assessments, monthly assignments, and final reports, we ensure that this investment yields tangible, real-world improvements for families across Guilford County.”

To date, 28 programs have completed Ready Ready’s CQI training as part of two earlier cohorts. Ready Ready’s CQI Cohort III program will commence in October 2023 and conclude in April 2024.

Media Contact: Stephanie Skordas, stephanies@getreadyguilford.org