-Website user 

Since its inception in 2001, the Centre of Excellence for Early Childhood Development (CEECD) has worked relentlessly to pursue its mission of providing parents, practitioners, service planners and policy makers with the most relevant, high quality, scientifically-based information on early childhood development. In a little over a decade, the CEECD has published in its online Encyclopedia on Early Childhood Development close to 400 papers on 47 different topics, while always insuring that the information was available in various formats and literacy levels to meet the needs of a variety of readers.  

With its priority to address topics that are relevant to its readers and to organizations that support its work, the CEECD was enthusiastic when The Lawson Foundation proposed and agreed to financially support the development of a new entry in the Encyclopedia focusing on physical activity in young children (0-5 years).

While there are increasing concerns over the rising prevalence of overweight, obesity and lack of physical activity among adults, adolescents and school children in Canada, there is a real dearth of knowledge concerning preschool children. In response to this worrying situation, and to provide the best scientific information, CEECD gathered and synthesized the latest international research on physical activity to inform and better equip parents, practitioners, service planners and policy makers with the most up-to-date information available.

With the support of The Lawson Foundation and a grant of $41,000, the CEECD was able to develop a high quality entry on physical activity in young children, release related resources and disseminate them to a variety of audiences.

Over a twelve-month period, using a thorough and rigorous process to identify the best international experts in the field, the CEECD published in its Encyclopedia six original papers on physical activity —all short syntheses of the most recent research— covering the most important aspects of the topic using a life-cycle approach to capture both the development and service perspectives. From these six experts’ papers, a three-page journalistic synthesis was written, answering three fundamental questions: How important is physical activity for young children? What do we know about it? And what can be done in term of services and policies to enhance and promote physical activity in young children? A bulletin and two leaflets, one for parents and practitioners and one for Aboriginal communities, were also developed, published and widely disseminated during the course of the project.

The process used to gather the best scientific information allowed us to capture the actual scientific consensus (importance, effects and guidelines) and to identify additional research activities that still need to be done in this area.

This project has had many positive outcomes for CEECD. Since the launch of this topic, readers have been providing very positive feedback and have already asked for numerous printed copies of the resources. Requests have come from child care and early years centres, schools and school health networks, family resources programs, Regional Health Units, pediatricians, federal and provincial governments, midwives associations, Band Councils from many provinces and Aboriginal centres and associations.

Material gathered throughout this project has also offered the CEECD new opportunities to share its knowledge with groups of experts who are providing recommendations and guidance on public policies related to screen time for young children.

This project has helped to raise awareness and respond to a need for reliable information on the topic of physical activity in early childhood. CEECD believes that parents and those working closely with young children should have access to relevant and high quality information and we will continue to promote and share this knowledge with those who need it most.

-Recipient of the Healthy Living Toolkit for Professionals

Fifteen percent of British Columbia’s (BC) youth suffer from psychiatric disorders, and many of these youth will be treated with second-generation (atypical) antipsychotics (SGAs). Over the past few years, prescription of SGAs to youth has increased substantially. In British Columbia between 1996 and 2010, a 4.5-fold increase in SGA prescriptions was observed for boys aged 13 to 18 years, accompanied by a similar 3.5-fold increase for females aged 13 to 18 years. Serious adverse metabolic side effects, including weight gain, diabetes, hyperlipidemia, hypertension and metabolic syndrome have been reported in adults taking SGA medications. In recent reports, these metabolic effects have also been found in adolescents, with some studies suggesting that adolescents may be at a higher risk than adults for developing SGA-related metabolic side effects. These findings highlight the need for education, guidelines and tools for health care providers prescribing SGAs, and educational resources for youth taking SGAs. 

The Why Weight research team worked collaboratively with mental health professionals and other community-based partners across BC, as well as with youth with mental health conditions and their parents/guardians/caregivers, to evaluate the metabolic risks of SGA medications and develop guidelines, tools, and educational resources to mitigate the potential metabolic impacts associated with SGA use among children and youth. The research team implemented an innovative, community-based participatory research methodology among community mental health teams throughout BC as part of a naturalistic prospective study. This research informed the development of tools and resources that promote awareness about the potential risks associated with SGA use in youth, provide standardized clinical assessment, monitoring and management guidelines, and link to healthy living resources that reflect the unique needs of youth with mental health conditions.

A number of relevant and evidence-based tools, resources and guidelines have been developed for health care providers and educational resources for youth and their families. Members of the research team co-led the development of the first Canadian clinical practice guidelines for metabolic monitoring (i.e. the CAMESA guidelines), and developed the Metabolic Assessment, Screening & Monitoring Tool. In addition, resources were created to provide health professionals and youth taking SGA medications with strategies to prevent and mitigate SGA-related metabolic side effects. For example, the Healthy Living, Healthy Minds Toolkits for health professionals and families provide healthy living (e.g.,healthy eating, physical activity) resources for children and youth taking SGA medications, and have been disseminated across the province to health professionals and families.

Through partnerships with BC’s Child & Youth Mental Health Teams, family advocacy groups (e.g., F.O.R.C.E. Society for Kids’ Mental Health), Child Health BC, and the Provincial Health Services Authority, health professionals and families will have ongoing access to the screening protocols, assessment tools, and educational resources both online and in print. For example, the CAMESA clinical practice guidelines, Metabolic Assessment, Screening and Monitoring Tool (MMT), and Healthy Living Toolkits are available on a provincial child and youth mental health website, the Kelty Mental Health Resource Centre website. The project will also be sustained and further expanded through integration of the MMT into a provincial database that will have the capacity to collect data on youth taking SGA medications in BC. Furthermore, the CAMESA guidelines and MMT are integral components of an Online Metabolic Monitoring Training Module for health professionals, currently being developed by our team.

The healthy development of young children has been at the heart of The Lawson Foundation’s grantmaking for 20 years, bridging two generations of family leadership. Parenting has been of particular interest, propelled by the alarming findings of Canada’s National Longitudinal Survey of Children and Youth, which showed that nearly 30% of infants and young children have a cognitive and/or behavioural problem,[i] often related to a lack of high quality parenting. [ii]

The Foundation began a broad, thoughtful and informative review of opportunities to support early child development. Over this period, the Foundation funded Invest in Kids, a Canadian charity dedicated to improving outcomes for all children by supporting their parents, to investigate research questions to inform the review, including: What are the important early issues from fetus to age five?; What is known about key moments when an intervention will have a lasting impact on the kind of parents people become?; What parenting education opportunities are available in Canada for first-time parents?

Invest in Kids also conducted its own National Survey of Parents of Young Children. The survey results showed parents, regardless of income or education, evidenced low knowledge about child development, felt acutely unprepared for parenting and too many lacked positive parenting behaviour.[iii]

These findings provided the impetus to embark on the Parenting Initiative, an Invest in Kids project, funded by The Lawson Foundation, to create and test a new community-based parent education program.

The purpose of this initiative was bold: to transform the way Canada prepares and educates parents to attain the knowledge, confidence and skills they need for their most important role – raising a child. The objectives of the Parenting Initiative were to:

• Increase parents’ knowledge, confidence and skills in parenting and child development.
• Promote sensitive, responsive and warm parent/child and parent/parent relationships.
• Foster parents’ sense of support for their role.

The Parenting Initiative was an evaluation-driven project of three phases:

Phase I – exploration and discovery. Invest in Kids conducted an environmental scan of parent education programs and organizations, key informant interviews of leading parent educators, and focus groups of expectant/new parents and seasoned parent educators and completed literature reviews on parenting and parent education. Based on the results, The Parenting Partnership program model was created.

The Parenting Partnership is a comprehensive prenatal and parent education program to prepare and educate couples expecting their first baby. The program uniquely blends 73 online and 20 classroom sessions, beginning prenatally and lasting until the child’s 14^th month of life. Each group of five to 10 couples is led by a trained two-person Parent Educator team with substantial experience in prenatal/parent education and counseling.

This program is committed to engaging both mothers and fathers as a parenting team. The emphases are on preparing parents for coping with their pregnancy and childbirth, increasing parents’ knowledge, confidence and parenting skills, building the couple relationship and ability to “parent as a team” and to feel supported in their parenting role. Program content is timed to the baby’s development and the family’s changing needs. Topics cover the gamut from pregnancy, labour, delivery and recovery to shifted priorities in the couple relationship, finances and self-care; caring for the physical health of their child including health, safety and nutrition; and guiding behaviour and supporting children’s healthy social, emotional and intellectual development through positive parenting. 

Phase II – process evaluation. Multiple research methods were employed over three pretests to create, and then to iteratively refine and optimize the program to the needs of parents, parent educators and communities. Through this phase, Invest in Kids affirmed The Parenting Partnership is a program that parents and parent educators find beneficial and that can be delivered with fidelity to the model across a range of sites.

“The topics addressed in the sessions spark great discussions between Wayne and me after the class ends, and it's great to feel that we're in this together as a couple and as well as part of a group of people going through the same thing.”

-Parent who completed the program

“When I first signed up to do this I had no idea what a wonderful experience this would be – not just for the parents, but for myself as well. I have taught many parenting groups over the years, but this one is unique.

-Parent educator

Phase III – dissemination. In September 2012, Invest in Kids transferred the ownership of The Parenting Partnership to The Phoenix Centre for Children and Families to continue the roll out of the curriculum. Working to meet the overall goal to transform the way Canada prepares and educates parents, the Phoenix Centre continues to reach communities across Canada and beyond through the website www.welcometoparenting.com. An impact evaluation is next, to examine the effectiveness of the program on parents who have completed the program.

The Lawson Foundation is proud to have supported this transformative work, with the hope that, over the long term, the curriculum created by the Parenting Initiative will evolve in a variety of forms to positively influence how parents fulfill their most important role – raising a child.

[i] J. Douglas Willms (ed), Vulnerable Children: Findings from Canada’s National Longitudinal Survey of Children and Youth, The University of Alberta Press and Human Resources Development Canada, 2002, p. 54, J. Douglas Willms, Ch. 3, “The Prevalence of Vulnerable Children”.  The percentages for the various age groups are 27.76% of infants, 26.06% of babies, 30.98% of toddlers and 29.54% of preschoolers.  These problems include social, emotional, language and intellectual problems, but exclude physical or mental handicaps, learning disabilities or health problems.

[ii] Ibid., p. 165. Ruth K. Chao & J. Douglas Willms, Ch. 8, “The Effects of Parenting Practices on Children’s Outcomes”

[iii] Lynn Oldershaw, A National Survey of Parents of Young Children, Invest in Kids: 2002.  Ch. 3, “What Parents Don’t Know”, pp. 33 – 50; Ch. 4, “Parents’ Confidence in their Knowledge,” pp. 51 – 53

“Since SWEET Talk, [I’ve] found [I’ve been] more assertive and [have] advocated for myself about my diabetes needs”                                                                

“I think the thought record has helped me not only for my diabetes but in other areas, interactions with people, other situations.”                    

-SWEET Talk Participants

Adolescents and emerging adults have an increased challenge of balancing the daily demands of diabetes with confounding developmental tasks, often resulting in a period of poor glycemic control with increased vulnerability to diabetes complications and/or psychosocial issues. It is also a time when many young people with diabetes are moving away from home for higher education, gaining independence from family, may have difficulty attending regularly scheduled appointments with their diabetes team, and have very hectic schedules.  Adolescence is consistently reported as the period of worst glycemic control (Frank, 2000).  A single percent increase in A1C levels results in a 45% increased risk of microvascular complications (DCCT, 1993).  Early intervention and aggressive glycemic treatment have long-term benefits, such as a 57% reduction in cardiovascular disease (EDIC, 2005).

Existing research suggests that diabetes self-efficacy, self-care and glycemic control can be enhanced with cognitive-behavioural strategies such as coping skills training. Therefore, we designed a program geared for young adults with type 1 diabetes to learn to use these techniques using a combination of face-to-face sessions and online web-based discussions which would allow for more flexible session planning. 

A facilitator manual, participant manual, a SWEET Talk Situation Analysis Record geared to the needs of this population as well as a series of trigger videos which demonstrate behaviours and trigger discussion were produced and used in the study. The program focused on the different ways of behaving/communicating, problem solving, making an assertive request as well as the link between thoughts, feelings, and ultimately one’s behaviour and diabetes self-care.

Additional video vignettes focusing on important day-to-day issues of young adults living with type 1 diabetes were produced after completion of the study for use with the program in the future.

While there were no statistically significant changes in diabetes quality of life and A1C, likely due to the small sample size, but some trends to using better ways of coping and self-efficacy were observed. Regarding program acceptability, participants were highly satisfied with the program, would recommend it to others and valued the peer support aspect of the program.

A post program focus group done a year after completion illustrated the impact and durability of participation in the program. Participants were still using tools and skills learned to make assertive requests and challenge their automatic thoughts.

The SWEET Talk program is targeted for any older teen or young adult with type 1 diabetes between the ages of 17-25 years who is having difficulty achieving good glycemic control, difficulty coping, or interested in learning skills to enhance life with diabetes.

In June 2011, a two-day SWEET Talk train the trainer facilitator workshop was attended by 20 diabetes health care professionals working in pediatric and adult care. Another facilitator workshop is being planned for the fall of 2012.

The diabetes education team has incorporated the coping skills training techniques into their daily counseling of people of all ages with both type 1 and type 2 diabetes who face similar social and self-care behavioural challenges. Our team and patients thank The Lawson Foundation for their incredible support!

-Participant Cool Cooks

"(I had) the opportunity to develop new lesson plans, organize meetings, lead classroom discussions, volunteer in the community, create activities and be a role model."

"We really liked eating our way through the alphabet."  (Fruit or vegetables starting with each letter of the alphabet were presented with the intent of having the opportunity to try a variety of fresh fruits and vegetables).

-Peer Educators 

The project was designed to develop, deliver and evaluate a youth-driven “Diabetes Prevention Through Healthy Lifestyle” initiative involving community and school-based interventions to address diabetes prevention in school-aged youth. In the 2004-2006 context, the prevalence and impact of childhood obesity and unhealthy lifestyles were only beginning to be recognized.  Thanks to The Lawson Foundation's support of the process of developing this project, we were able to partner with youth and with our community to develop a project that was meaningful and relevant to the participants, reflecting the mission statement of the Youth Health Centre:  "We believe youth have the ability to define and determine their own capacities and needs.  We will foster and celebrate the positive mental, physical, emotional and spiritual health of youth through youth driven and youth centred approaches, which respect and reflect the diverse nature of our communities."

The project supported youth to identify and meet their own health needs with regards to healthy lifestyles.  This included interactive peer educator presentations in the classrooms, peer educators “leading by example” when it came to avoiding sugary beverages and increasing exercise, and partnering with Parks and Recreation and the School District to offer cooking programs for students and their families.

There were at least two levels of impact from this project. The community as a whole was impacted as awareness increased, and “bigger picture” programs began to be created by the provincial and federal governments.   The “Diabetes Prevention Through Healthy Lifestyle” initiative provided some creative ideas and programs for that effort, and capitalized on that energy to support our community to address the issues.

Additionally, the impact we have seen on our peer educators continues to surprise us and validate the important work we have done in partnering with them to address this health issue.  Almost 10 years later, these peer educators have gone on to become nurses, teachers, parents and community leaders, and stay in touch with us with often seemingly random messages that bring home that they are still making healthier choices and influencing others to do so as well.

Diabetes prevention and healthy lifestyles continues to be addressed in our peer education presentations in the classroom.

Because The Lawson Foundation enabled our community to be ready for provincial and national initiatives, we were able to reinforce the messages of daily physical activity and healthier nutrition in a way that was meaningful for youth.  We continue to support these “bigger picture” messages through our peer educator program and youth clinic.

-Program manager at one of the Extra Mural sites

“One of the participants wanted to say how much he enjoyed being part of the project. He thought it was great that Extra Mural nurses were not only doing research, but were also using technology during their home visits. He ended by emphasizing the important role Extra Mural plays in allowing him to remain in his home.”

-Program facilitator

New Brunswick’s Extra Mural Program was introduced in 1981 to provide comprehensive and coordinated home support services as an alternative to hospital admission. However, keeping up‐to-date with changing health care practices is challenging.  These home care providers must be generalists as they deal with patients with a multitude of health problems. Their practice is also becoming more complex due to the increasing proportion of Extra Mural patients whose management is complicated by chronic conditions. For example, patients with diabetes currently constitute more than one‐third of the Saint John Zone’s Extra Mural nursing caseload, and approximately 10% of the wound cases. Extra Mural nurses expressed concerns about their ability to effectively manage these cases and requested additional resources.

The initiative involved the development of standardized assessment tools to guide home care providers (i.e., nurses, dietitians, and occupational therapists) in the collection of relevant information about the wound and the patient’s diabetes and general health status. The tool was loaded on handheld devices to permit the entry of data during the home visit. Assessment data, including wound photographs, were downloaded to nurses with expertise in diabetes and wound management through a secure webserver.

Nurse experts reviewed the information plus electronically accessible lab values and then developed treatment recommendations with supporting rationale. Treatment recommendations were then transmitted to home care nurses and reassessments were conducted as required. All information became part of the patient’s health record.

As a result of this initiative, we were able to demonstrate the feasibility of implementing a more standardized, evidence‐based approach to the management of wounds complicated by diabetes. Findings provide preliminary evidence to support that such an approach can have a positive effect on patients (i.e., quality of life, A1C values, wound healing), staff (i.e., confidence in dealing with these complex cases), and the health care program (i.e., reduction in budget expenditures for wound and medical‐surgical supplies). However, further work is needed with a larger number of participants and a longer period of follow‐up to elucidate the actual impact of this initiative.

The cost savings observed at the program level and the strong endorsement by the program managers were sufficient to convince decision‐makers that a subsequent demonstration project was warranted. Continuation of the project is a significant accomplishment during a period when most departments are experiencing program and budget cuts. 

-Program participant

“We thank you for your time spent with us.  Even though we may be difficult at times, we appreciate all you’ve done for us.” 

-Parent of program participant

Type 2 diabetes was once considered a disease of adulthood (i.e., adult-onset diabetes). Over the past 20 years we have seen a growing number of children present to our hospital with type 2 diabetes. In 2011, approximately 200 children were being treated for type 2 diabetes in the province of Manitoba alone. Physical activity is a cornerstone for the prevention of type 2 diabetes in adults. However, little data exist to describe the role of exercise in the prevention of type 2 diabetes in children. 

We have designed a community-based exercise trial to study the effects of high versus low intensity exercise training on several risk factors for type 2 diabetes, including liver fat, insulin sensitivity and the metabolic syndrome. We have randomized 60 children to a 6-month program that consists of either high intensity training, low intensity walking or a wait-list control group. Three nights per week, youth are supervised by kinesiology students at local YMCA-YWCA locations around the city.

Though we are in the process of analyzing data, several students have experienced significant changes in lifestyle and have reduced their risk for type 2 diabetes considerably. Among five teenagers that presented with prediabetes, those who completed the first three months of the intervention lowered their blood sugars into the normal range, and to the best of our knowledge, none has progressed to diabetes. We have also learned that having high levels of fat inside the liver is a major risk factor for type 2 diabetes in adolescents.

We have received a grant from the Canadian Institutes of Health Research (CIHR) to extend the trial to 120 students and have enrolled 117 to date. This summer (2012) we plan to work closely with the YMCA/YWCA to develop an after-school healthy weights diabetes prevention program that we will offer to families with a history of type 2 diabetes. We are also in the process of creating a program to lower the risk of complications for adolescents already diagnosed with type 2 diabetes.

-Nicole and Trevor, new parents and program participants

As a society, we are beginning to realize the significance and scope of the universal need to better support parents in their role as parents. Children are not reaching their potential, parents are struggling – both of which have a real cost to society. Leading figures in health, education and economics have commented on the importance of parenting and early child development as a way to ameliorate these costs.

The Lawson Foundation had a sightline on this issue much earlier.

Over a decade ago an important relationship was born between The Lawson Foundation and Invest in Kids, a national charity dedicated to supporting parents and the healthy development of their children. Groundbreaking research conducted by Invest in Kids revealed Canadian parents truly value their role as parents – in fact the vast majority feels it is the most important job they will ever have.  However, they struggle with the knowledge, skills and confidence to do that job well.

And so with significant investment from The Lawson Foundation, Invest in Kids set forth on a course to design a comprehensive prenatal and parenting program to meet the unique needs of new parents. Through a comprehensive review of literature, over 30 focus groups, the oversight of a nationally renowned Advisory Group, and a series of three pretests based on the experiences and evaluations of 300 parents and their parent educators, a final blended curriculum of face-to-face and online classes was determined – a one-of-a-kind program called The Parenting Partnership (www.parentingpartnership.ca).

In 2011, the Ontario Trillium Foundation funded the delivery of this program to 4 communities.  And in that same year, based on the growing trends of Internet consumption, particularly in Canada, The Lawson Foundation funded the conversion of this original program to an online version, making it truly accessible for all. This project was undertaken by The Phoenix Centre for Children & Families, the organization assuming leadership for Invest in Kids’ assets upon its closing.  This version was launched to the world in December 2011 at www.welcometoparenting.com.

Economist David Dodge says, “We cannot afford to postpone investing in children until they become adults, nor can we wait until they become school age.” Support of all types to improve parenting during the early years is crucial!

The need for universal support was a foundational piece of Dr. Charles Pascal’s breakthrough report and recommendations Our Best Future: Early Learning in Ontario. The report not only embraces the principle of universal support for all children rather than only those identified as “high risk,” but also embraces the concept of universal parent support beginning during the prenatal period.

We believe by transforming the way we prepare and support parents in the most important undertaking of their lives, raising a child, we can be part of a momentous societal transformation. Because of the vision and commitment of The Lawson Foundation, and charities like Invest in Kids and The Phoenix Centre for Children & Families, we are confident the landscape of parenting and the healthy developmental outcomes for their children will be changed forever.

-Mother of "Over 10" Program Participant

“When we’ve tried our best and we’re still not able to help, it is so reassuring…so hopeful….to be able to refer these youngsters with chronically high A1c levels to the ACCESS Program at SickKids.  We’re not giving up, we’re not ‘passing the buck’… we are sending them to a program where there is a unique and specialized approach for teens who struggle the most.”

-Member of local pediatric diabetes team

Living with type 1 diabetes presents unique challenges for teens and their families.  While most of these youngsters manage to achieve reasonably healthy blood sugar control, a few experience persistently poor metabolic control with A1c levels exceeding 10%, for months or even years.  This is a big worry since research and experience show these youngsters to be at the greatest risk for developing the short and long term complications of diabetes.  And while it is true that this high risk group represents only 5-10% of our population, members of the pediatric diabetes team report that their care consumes 50-60% of their time, energy and angst. 

Our "Over 10" intervention was developed in response to the feelings of frustration and helplessness reported by the teens, their families and members of the diabetes team.  The program aimed to support the teen and family in achieving healthier blood sugar control.  A team of experts including a clinical nurse specialist, social worker, psychologist and pediatric endocrinologist from Toronto Sick Kids’ Diabetes Service came together to work with families to identify barriers to improved control and look for opportunities for change.  Through systematic evaluation, we quickly discovered that none of these youngsters wanted to be in poor control.  Rather, they experienced major impediments to healthy self-management.  For example, 80% had mental health issues such as weight and shape concerns, low mood, anxiety, fear of hypoglycemia and learning difficulties.  Virtually all reported significant family issues.  Armed with a better understanding of each teen’s struggles in achieving safe control, an individualized plan targeting the identified barriers was developed collaboratively with the family.  We negotiated small manageable goals and recognized and celebrated even tiny achievements. The plan was dynamic, subject to regular evaluation and renegotiated throughout the intervention which often lasted until the teen’s transition to adult care. 

On entry into the "Over 10" program, all of the teens were headed for disaster.  At 12-24 months more than half of the group had a clinically important improvement in A1c level – one that translated into reduced risk of complications. Furthermore, many teens learned more effective ways to interact with their diabetes and those who tried to support them.  Families and members of their diabetes teams report renewed hope and optimism.  The "Over 10" evaluation funded by The Lawson Foundation 2005-2007, allowed the SickKids diabetes team to become convinced of the program’s value.  Using the results of the study, we were able to advocate for permanent resources to support this high risk group.  The "Over 10" program is now institutionalized at SickKids and has evolved into the ACCESS (Adolescent Centred Care Encouraging Successful Self-Management) Program.  To date the program has served over 100 youth, a third of whom come from other centres in the Toronto area.  

Multiple requests for consultation suggest that the ACCESS Program has been a source of inspiration for other pediatric diabetes teams across the country and abroad.  But even though our program is theoretically based, replication has been a problem since the approach is so highly individualized. Now, after 5-6 years of experience, our own model is emerging – one which guides our “Over 10” assessment and choice of strategies in a particular situation. The model will allow for a more systematic approach to this challenging population and a more effective means of disseminating our strategy.  We are hopeful that the model will be published in 2012 and that other struggling teens and struggling teams will benefit.   And as the program advances and expands, we’ll never forget that it all started with our Lawson Grant in 2005!