Title: Infusing Mental Health Into an Early Childhood System of Care
1Infusing Mental Health Into an Early Childhood
System of Care
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3Early Childhood Mental Health
- The Social, emotional and behavioral well-being
of young children and their families - The developing capacity to
- Experience, regulate, and express emotion
- Form close, secure relationships
- Explore the environment and learn
- Adapted from ZERO TO THREE
4Values and Principles
- INFUSE Mental Health in early childhood natural
settings where kids are
Supports for care givers, parents, services for
children and families
- USE PUBLIC HEALTH MODEL (intervention is not
enough)
- Promotion - for healthy social emotional
development of all kids and families - Prevention - focus supports for at risk children
and families - Intervention - services to kids with diagnosis
- ACCEPT THAT THIS IS A CULTURAL EXCHANGE PROCESS
Engaging and involving families, caregivers,
early childhood providers, mental health
providers, and community at large.
5Strategic Planning
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7- We know more now about the importance of early
life experience than we ever have. - We know more now about what works than we ever
have. - We know more about strengths of families
than we ever have. - We know more about the power of
community than we ever have. - The time to invest in the future is now.
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9- The Department of Developmental and Mental Health
Services applied for and received from the Center
for Mental Health Services - Services Initiative Grant
- 5.7 Million Dollars
- Five Years Duration
10 STRATEGIC PLANNING
11Vermont Early Childhood System Work Group
Children Families
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13Regional Planning Process
- Management team
- Priority needs and services
- Budgets
- Fiscal agent
- Local outcomes
14Who participated?
- Family members
- Early childhood System of Care (including health)
- Systems of Care for Children with Emotional and
Behavioral Challenges (school-ages) - Other community agencies and leaders
15 Identified Top 3 Community Survey and Forum
Priorities
- Parenting and child care training opportunities.
- Behavioral consultation in child care settings
and school settings. - In-home direct therapeutic and consultation
services.
16State Outreach Team
- Family members
- and
- Representatives from
- Agency of Human Services
- Department of Developmental and Mental Health
Services - Department of Health
- Department of Social Welfare, Social and
Rehabilitation Services (child welfare) - Department of Education
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19SERVICES AND SUPPORTS
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21Regional Services 26 FTEs hired statewide
22DIFFERENT SERVICES
- Consultation without identified client
- Cross training of early childhood caregivers
DIFFERENT PLACES TO SERVE
- Childcare
- Parent Child Centers
- Pediatric practices
23PREPARED WORKFORCE
24Learning Team Commitments
- Operate as learning organization
- Strengthen existing skills, knowledge and systems
of care - Build competent workforce
- Strive for meaningful family participation
- Make community priorities our priorities
- Address needs of under-served families
25CUPS Learning Team Initiatives
- Coordinate with early childhood initiatives
- Provide philosophical leadership
- Identify core competencies
- Address local training priorities
- Conduct statewide learning series
- Collaborate with Family Consortium
- Facilitate network for reflective supervision
- Provide training scholarships
- Explore higher education and in-service training
opportunities
26Early Childhood Mental Health Knowledge and
Practices Document Includes
A description of the field of early childhood
mental health.
A set of Guiding Principles underlying all
services, supports and practices in the field.
Core Competencies organize into four domains
Child
Family
Community
Interpersonal relationships and teamwork
A Personal or Team Summary
27CUPS HANDBOOKFINDING HELP WITH
SOCIAL-EMOTIONAL-BEHAVIORAL PROBLEMS FOR YOUNG
CHILDREN THEIR FAMILIES
TABLE OF CONTENTS
Introduction 1. Families in the 21st.
Century2. Assessment as Discovery3. Early
developmental delays and differences4. Teen
parenting5. Trauma to the child including
sexual and physical abuse6. Domestic violence
witnessed by the child7. Neglect of the
child8. Challenging behaviors 9. Parent
substance abuse and chemical addictions10. Parent
psychosocial/developmental challenges11. Environ
mental stressors APPENDIX I Legal
Definitions APPENDIX II General Resources,
State-wide (Vermont) APPENDIX III General
Resources, National International
28Financing
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30BIG QUESTIONS
- How to leverage Federal dollars for these
services that dont identify a specific client? - Promoting public health model.
- Consulting and providing Technical Assistance to
early childhood providers. - Screening all children for social and emotional
issues.
31FINANCING
- How?
- Many new partners, many new opportunities to
blend resources. - Early Childhood providers fear of Medicaid and
diagnosis. - Use of V codes
- Use of treatment planning
32Evaluation
- 134 parents of children ages1 to 6 participated
in the evaluation - Significant positive changes were reported after
six-months of services they appear to have been
maintained after one year. - Childrens emotional problems decreased.
- Parents stress was reduced.
- Parents were more satisfied with their
childrens progress than before service.
33Key Findings
- Parents felt that services helped their family.
- Parents were satisfied with their childs
progress. - Children demonstrated improved social and
emotional outcomes.
34 35Risk and Protective factors
- Resilient children tend to have had environments
that are supportive in critical ways and the
capacity for resilience develops over time in the
context of environmental support (Egeland,
Carlson Sroufe,1993)
36Protective Factors
- Positive self-esteem
- Active style of responding to stress
- Ability to elicit positive attention form adults
37EARLY CHILDHOOD MENTAL HEALTH SYSTEM OF
CARE Fosters the social and emotional well-being
of infants toddlers, preschool-age children and
their families
Services and Supports
VALUES Family Voice Child and Family
Centered Relationship Based Culturally
Competent Infused into Natural Settings and
Services Grounded in Developmental Knowledge
Supports for Parents and Families
Supports for Other Caregivers
Services for Children and Families
Building Blocks
Strategic Planning, Policies, and Procedures
Maximized and Flexible Funding
Prepared Workforce
Interagency Partnerships
Outcome Evaluation
Developed by Roxane Kaufmann, GUCCHD
38Promotion
- Dissemination of information promoting healthy
social-emotional development - Developmental screening
- High quality child care
- Use of an evidence-based curriculum
39Prevention
- Home visiting
- Mental health consultation
- Family mentors
- Social skills curricula
- Family supports
- Caregiver supports
40Intervention
- On-site mental health consultation
- Crisis teams
- Wraparound services
- Relationship-based therapy
- Hotlines for families
- Behaviorally-based programs provided in a variety
of settings - In-home treatment
41Achieving System Reform Goals
- Work together
- Emphasize shared values
- Learn from differences
- Engage key stakeholders
- Focus on the philosophy and values
42Charlie Biss, DirectorChild, Adolescence
Family UnitPhone (802) 652-200Fax (802)
652-2005e-mail cbiss_at_vdh.state.vt.us
- Division of Mental Health
- 108 Cherry Street
- PO Box 70
- Burlington, VT 05402-0070
- Website www.HealthyVermonters.info
- Click on mental health
- Click on mental health again to get to DMHS
- You will then click on research publications
- Once you get to publications, click on child
adolescent - Click on CUPs handbook
- Then click on knowledge and practices