Medical services for uninsured and underinsured children and/or pregnant people via the provision of standard well- and sick- visits with a qualified licensed medical professional.

Mobility Mentoring is a participant-directed coaching model and tools provided by EMPath. Mentors are partnered with participating parents/caregivers to support them in attaining the resources, skills, and long-term behaviors necessary to reach and preserve economic independence.

A credentialed music therapy professional uses music as an intervention to achieve individualized child-focused goals in a therapeutic setting.

Financial assistance paid on a direct per child basis for the purpose of enhancing the NC Pre-K rate for children enrolled in and being served through NC Pre-K and whose families are not eligible for Temporary Assistance for Needy Families (TANF) eligible or the Child Care and Development Fund (CCDF). Data will be reported as directed by DCDEE. Does not include wrap-around care. For children who also receive wrap-around care, the additional subsidy is funded under PSC 2347. Expenditures in this activity do not count towards the LP's TANF/CCDF expenditure mandate requirement.

Financial assistance paid on a direct per child basis for the purpose of enhancing the NC Pre-K rate for children enrolled in and being served through NC Pre-K and whose families are eligible for Temporary Assistance for Needy Families (TANF) eligible or the Child Care and Development Fund (CCDF). Data will be reported as directed by DCDEE. Does not include wrap-around care. For children who also receive wrap-around care, the additional subsidy is funded under PSC 2340 or 2341.

Financial assistance will be paid on a direct per child basis for the purchase of care for children attending preschool in an NC Pre-K classroom, but who are NOT enrolled in NC Pre-K. Additionally, assistance is paid only for children who are not eligible for Temporary Assistance for Needy Families (TANF) or the Child Care and Development Fund (CCDF). Data will be reported into DCDEE's Smart Start Reporting System on a monthly basis. Does NOT include wrap-around care. For children who also receive wrap-around care, the additional care is funded under PSC 2347. Expenditures in this activity do not count towards the LP's TANF/CCDF expenditure mandate requirement.

Financial assistance paid on a direct per child basis for the purchase of care for children attending preschool in an NC Pre-K classroom, but who are not enrolled in NC Pre-K. Additionally, assistance is paid only for children who are eligible for Temporary Assistance for Needy Families (TANF) or the Child Care and Development Fund (CCDF). Data will be reported into DCDEE's Smart Start Reporting System on a monthly basis. Does not include wrap-around care. For children who also receive wrap-around care, the additional subsidy is funded under PSC 2340 or 2341.

Nurse-Family Partnership (NFP) is a community health program designed to provide first-time moms with a supportive, caring relationship with their nurse through regular home visits from pregnancy to their child’s second birthday. NFP strives to improve pregnancy outcomes, child health and development, and the economic self-sufficiency of the family.

Nurturing Skills for Families is an expansive, competency-based model of the Nurturing Parenting Programs (NPP) that combines information from other NPP models to provide flexibility to meet the needs of families with children ranging in age from prenatal to 19 years old (note that Smart Start funds are limited to the prenatal to 5 age range). This model uses a preliminary assessment to identify family needs and develop a customized program that meets their unique needs.

Nurturing Parenting® Program (NPP) Parents & Their Infants, Toddlers, & Preschoolers is a prevention-treatment program designed for families referred for parenting education by social services for child abuse, neglect, and/or family dysfunction. NPP is designed to prevent recidivism of abuse and neglect in families receiving social services, stop the intergenerational cycle of child abuse by teaching positive parenting behaviors, and lower the rate of multiple teenage pregnancies through intensive group sessions. This is a tertiary prevention program.

Nurturing Parenting® Program (NPP) Parents & Their Infants, Toddlers, & Preschoolers is a prevention-treatment program designed for families referred for parenting education by social services for child abuse, neglect, and/or family dysfunction. NPP is designed to prevent recidivism of abuse and neglect in families receiving social services, stop the intergenerational cycle of child abuse by teaching positive parenting behaviors, and lower the rate of multiple teenage pregnancies through intensive home visiting. This is a tertiary prevention program.

Dental services for uninsured and underinsured children and/or pregnant people via the provision of standard dental care practices with a qualified licensed dental professional.

Behavior management program for families with young children experiencing behavioral or emotional difficulties. Assists parents/caregivers in building stable, positive relationships with their children through decreasing problem behaviors, increasing pro-social behaviors, and helping improve the parents' confidence in working through behavioral issues with their children.

ParentChild+ One-on-One (formerly known as ParentChild+ Core) is an intensive home-visiting model that promotes parent-child interactions and positive parenting practices to enhance children’s cognitive and social-emotional development and prepares participants for pre-k and kindergarten. ParentChild+ One-on-One enhances adult-child interaction, increases child social-emotional and early language and literacy skills, builds the skills necessary for school readiness, and helps parents/caregivers maintain a positive learning environment at home.

Parents as Teachers (PAT) is a home-visiting program that provides families with personal visits, child screenings, group connections, and access to a resource network to support parents as they help their child learn, grow, and develop to their fullest potential. PAT seeks to increase parent knowledge of child development, improve parenting practices, provide early detection of developmental delays and health issues, prevent child abuse and neglect, promote school readiness, improve parent, child and family health and well-being, improve family economic well-being, and strengthen community capacity and connectedness.

Parent-to-Parent (P2P) mentoring provides one-on-one connections with trained, experienced parent mentors to families of individuals with disabilities and/or special health care needs to ensure parents/caregivers have access to emotional support from a peer who understands what they are going through. P2P mentoring is provided in partnership with the Family Support Network of North Carolina (FSN NC) as the P2P USA Ally in NC.

Funding for developmentally appropriate preschool activities in part-day childcare, otherwise not eligible for subsidy. Part day child care is defined as 10-30 hours per week and is curriculum-based.

Brief one-on-one consultation for parents of a child with mild to moderate behavioral difficulties, focused on a specific problem behavior or issue.

The Child Care WAGE$ (WAGE$) Program is an education-based salary supplement program for teachers, directors, and family child care providers. Administered by Early Years (formerly Child Care Services Association). This program is exclusively administered statewide by Early Years and cannot be implemented by any other agency.

Mental Health services for uninsured and underinsured children and/or parents via the provision of therapeutic visits with a qualified licensed mental health professional.

Smart Start Public Awareness and Outreach activities increase NC residents’ knowledge and understanding of early childhood systems, services, and resources. This communication prioritizes specific populations and is goal oriented. Smart Start Public Awareness and Outreach has the following goals: 1) Informing audiences of key early childhood issues and opportunities and 2) Creating behavioral changes, leading to recruitment in Smart Start services.

Raising a Reader (RAR)’s Classic Red Book Bag Program helps families develop, practice, and maintain shared reading routines critical to early learning success. Through this program, children receive a Red Book Bag each week filled with high quality, culturally responsive books to take home.

Read and Grow with Me! (RGM) is a two-generational family literacy initiative by Reading Connections, designed to support families with children ages 0–5. It integrates adult English literacy education, early childhood development and parent-child engagement through culturally diverse books. RGM is grounded in the belief that parents are their children’s first teachers and aims to foster strong literacy habits and emotional bonds.

Water Safety and Swim Instruction build basic water safety skills for both parents and children under age 5. Access and participation in these programs have been shown to decrease the number of child drownings, promote children’s comfort in the water, and increase parent and child knowledge of water safety skills and foundational and survival swimming concepts.

Introduction to the positive parenting practices and Triple P through a series of seminars for parents who have one or two concerns with their child's behavior or development.

Speech therapy services for uninsured and underinsured children via the provision of therapeutic visits with a qualified licensed therapist.

Individual counseling for parents of children with severe behavioral difficulties who are in need of intensive support. Standard Triple P provides parents with broadly focused parenting support and intervention on a one-to-one basis. The program supports parents who have concerns about their child’s behavior or development across various settings (e.g. disobedience in community settings, fighting and aggression, refusing to stay in bed or eat healthy meals).

Designed to serve both fathers and co-parents/parenting figures to ensure continuity and whole family involvement. The goals include strengthening the father's involvement in the family, promoting healthy child development, and preventing key factors implicated in child abuse by strengthening the relationship between the parents.

Systems building refers to a process in which collaborative groups understand and take actions to shift interacting system root causes (e.g., mindsets, goals, decision-making, policies, connections, etc.) in ways that bring about improved outcomes and reduced disparities for children and families. The particular system root causes affecting a given set of child and family outcomes differ from place to place and require systems building/change strategies to be customized to fit the local context.

Technical Assistants use the Business Administration Scale (BAS) to support overall quality of business and professional practices in family child care settings and empowers childcare directors and other professionals in their work as entrepreneurs. Technical Assistance is the provision of targeted and customized supports by a professional(s) with subject matter and adult learning knowledge and skills to develop or strengthen processes, knowledge application, or implementation of services by recipients. Consultation is a collaborative, problem-solving process between an external consultant with specific expertise and adult learning knowledge and skills and an individual or group from one program or organization. Consultation facilitates the assessment and resolution of an issue-specific concern—a program-/organizational-, staff-, or child-/family-related issue—or addresses a specific topic. Coaching is a relationship-based process led by an expert with specialized and adult learning knowledge and skills, who often serves in a different professional role than the recipient(s). Coaching is designed to build capacity for specific professional dispositions, skills, and behaviors and is focused on goal-setting and achievement for an individual or group.