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Interagency Partnerships February 2013 0. Intergency Partnerships: Goals & Strategies Goals Healthy development and growth for the children of the Commonwealth.

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Presentation on theme: "Interagency Partnerships February 2013 0. Intergency Partnerships: Goals & Strategies Goals Healthy development and growth for the children of the Commonwealth."— Presentation transcript:

1 Interagency Partnerships February 2013 0

2 Intergency Partnerships: Goals & Strategies Goals Healthy development and growth for the children of the Commonwealth Long term learning success, including reading proficiency for all children by 3 rd Grade Strategies Establish a coordinated system of care for children and families Ensure that all state agencies & state agency partners that touch young children & their families have policies and staff that support the healthy growth & development of children Approaches across agencies Screening Cross-agency training Data sharing 1

3 Young Children Served by EEC’s Partners Total number of children under the age of 6 in Massachusetts: 443,000 (2010 U.S. Census) DCF Serves 1,300 children <3 y.o. in placement, 1,000 children 3-5 y.o. in placement Serves 5,300 children <3 y.o. not in placement, 5,200 children 3-5 y.o. not in placement DHCD currently serving 3,000 children under the age of 6 in its Emergency Assistance (shelter) program DMH CBHI conducts avg. of 112,000 behavioral health screenings/yr. for children <3 y.o. CBHI conducts avg. of 50,000 behavioral health screenings/yr. for children 3-6 y.o. DPH Early Intervention providers serve 31,000 children under the age of 3 annually WIC serves 40,000 infants and 117,000 children ages 1 – 5 annually Growth and Nutrition Clinics serve 1,000 children birth – 6 annually 2

4 Race to The Top Early Learning Challenge: Leadership Retreats 1 st Leadership Retreat held 5/14/2012 – “Fulfilling the Promise: Building Strong Inter-Agency Partnerships for the Success of Young Children” Purpose: Engage state leadership and initiate planning 55 participants from 16 state agencies Discussion topics: Universal engagement of families and communities Workforce development Assessment and screening Strengthening inter-agency data systems. Outcomes/Recommendations: 1. Advance cross-agency data sharing by adopting a universal informed consent form 2. Begin work on creating cross-agency professional development opportunities for staff at state agencies that serve children & families w/ children 3

5 Race to The Top Early Learning Challenge: Leadership Retreats 2 nd “Fulfilling the Promise” Leadership Retreat held 10/24/2012 Purpose: Move cross-agency collaboration forward 46 participants from 16 state agencies Discussion topics: Identification of common principles and practices across agencies that are aligned with supporting the positive development of children. Use of states' early learning standards for child development and learning outcome goals The role of state services to families and children to support children's growth Outcomes/recommendations: 1. Begin creating & rolling out cross-agency professional development opportunities for staff at all partner agencies, starting w/ topics such as brain development & impact of early relationships. 2. Explore formal connection or joining of EOHHS Family Access/Resource Center initiative with Race to The Top-related work 4

6 Accomplishments to Date Planning for cross-agency professional development underway – first 3 training opportunities being developed, rollout begins spring 2013 (DPH, EEC, DCF, DMH, ORI, DHCD & DTA participating in planning process) DCF and EEC have held three regional meetings bringing together regional & local DCF and EEC staff with Supportive child care providers; State-wide pool of Supportive child care slots now in development Series of joint trainings held for staff from DHCD’s homeless shelter providers and homeless child care providers 5

7 Collaboration on Cross-Training EEC collaborating w/ Dept. of Public Health (DPH), Dept. of Mental Health (DMH), Dept. of Children and Families (DCF), Dept. of Transitional Assistance (DTA) & Office for Refugees and Immigrants (ORI) Goal: Develop & roll out a suite of professional development opportunities for front-line staff serving young children and their families, so that staff are better equipped to support families’ efforts to help their children develop, learn and grow Training topics include: Building Capacity to Support the Early Learning and Development of Massachusetts’ Children Social and Emotional Competence of Children Concrete Support in Times of Need 6

8 Collaboration with DCF: Areas of Focus Embed early childhood developmental knowledge and support throughout DCF & its networks Enhance parents’ understanding of their child’s development through access to screening Enhanced procedures for connecting DCF-served families w/ young children to needed services and supports Provide access to behavioral health evaluation and services when there are concerns Improving access to/utilization of Supportive child care 7

9 Collaboration with DHCD: Areas of Focus Embed early childhood developmental knowledge and support throughout DHCD and its provider networks, including HomeBASE Enhance homeless & formerly homeless parents’ understanding of their child’s development through access to screening Support access to high-quality early education for homeless and formerly homeless families 8

10 Collaboration with DMH: Areas of Focus Joint oversight of the Early Childhood Mental Health Program Expand capacity of the Mass. Child Psychiatry Access Project MCPAP Provide training and education to EEC licensors, CFCE staff, and CCR&R staff on mental health issues in children: Recognizing signs of possible mental health issues Intervention strategies for non-clinical/first responders Access to specialized community resources 9

11 Collaboration with DPH: Areas of Focus Provide leadership & assistance in embedding health guidance and support across multiple programmatic systems Support creation of universal system of social- emotional screening for children birth – 5 with linkages to community resources Help child care providers access annual health care practices consultation required by QRIS Support families & children transitioning from Early Intervention to Special Education 10

12 Appendix 11

13 DCF: Key Collaborative Efforts Race to the Top/Early Learning Challenge Grant Integrating early childhood development and brain science across DCF programs, policies, practices and professional development Early Education and Care Enhancing collaboration with EEC to maximize access to Supportive Child Care Early Intervention Automatic referrals to Early Intervention for all children under 3 who are subject of a “supported” allegation of abuse and/or neglect Family Resource Centers Joint Procurement with Department of Mental Health Caring Together Cross-Over Youth Collaboration with the Department of Youth Services to improve services to children served within child welfare and juvenile justice 12


15 DCF: Highlights of Improvements & Innovations Strengthen Basic Core Practices (Home visits, visits with children in foster care, interviewing children) Managing with Data Kinship First Fatherhood Engagement Placement & Educational Stability Child & Family Wellbeing Family Engagement/Family Voice in Policy and Management (Senior staff, management meetings, Area Boards) Massachusetts Child Trauma Project 14

16 2008 – 2011 DCF Accomplishments: Better Responses / Better Results Our RESPONSES are BETTER. Implemented Integrated Casework Practice Model Implemented Differential Response Implemented Short Term Stabilization track Implemented standardized Risk Assessment Tool Improved core functions and incorporated innovations Established Clinical Approaches: Safety Organized, Trauma – Informed, Solution Focused Practices 15

17 2008 - 2011 DCF Accomplishments: Better Responses / Better Results Our RESULTS are BETTER. (FY 2011 compared to FY 2009) Fewer Children in Foster Care – More than 2,000 fewer children in the foster care system Child Safety – Absence of Repeat Maltreatment improved from 88.6% to 92% Fewer Child Victims – Fewer Child Victims entering Care 4,662 to 3,406 a 27% decrease Kinship First – The number of children placed with kin increased from 20% to 26% Fewer Children in Congregate Care – The number of children in congregate care decreased from 1,769 to 1,510 a 15% decrease Improved Reunification Rate – A 17% improvement in the number of children entering care within the past twelve months who reunified within 12 months 16

18 Massachusetts Department of Children and Families: 2011 Demographic Profile 51A Reports 80,875 % Investigations Supported60% % Initial Assessments with Finding of Concern45% Average # New Cases per Month 1,361 Average # Cases Closed per Month 1,436 Youth >18 voluntarily Signing back into Care 1,634 Children <18 in Caseload 34,954 Children < 6 12,906 Children 6 >12 10,181 # Clinical Cases 19,390 # Adoption Cases 1,805 Children <18 in Placement 7,355 % of Child Caseload in Placement 21% % < 6 32% % 6 <12 21%

19 How DHCD is Collaborating Across Agencies to Support Education of the Child/Whole Child Development EEC Referrals to homeless child care slots for families living in shelters/hotels Training for shelter and child care providers on developmental needs and risk factors for young homeless children Ages and Stages Questionnaire training for shelter providers DPH F.O.R. Families (Follow-Up Outreach Referral) – Home visiting and service referrals for DHCD-served families living in hotels DCF outreach and health & safety assessments Connections made to open cases Identification of cases where intervention may be needed ESE – Notification to school departments of families entering hotels with children who are age 2 and older Horizons for Homeless Children Playspace Programs in shelters, hotels, local state agency offices 18

20 DHCD: How Services Provided by and its Provider Network Impact Children Families with children who face a housing emergency are provided with temporary shelter and stabilization services Some shelter providers offer parenting classes and other child-focused activities to promote better outcomes for children DHCD’s Div. of Housing Stabilization (DHS) is working to engage fathers in their children’s development whenever possible 19

21 DMH’s Collaborative Efforts to Support Education of the Child/Whole Child Development – Existing Initiatives MCPAP—Massachusetts Child Psychiatry Access Project Regional children’s mental health consultation teams Support pediatric practices in meeting the mental health needs of their patients CBHI—Children's Behavioral Health Initiative Part of MassHealth, the Commonwealth’s Medicaid program Specialized behavioral health services for families and their children with significant behavioral, emotional, and mental health needs Pediatric Screening for mental health has increased from 15% to 67% in 4 years Department of Children and Families Consultation for preschool children in supported DCF care Clinical Consultation by DMH psychiatrists Connections to mental health systems of care when necessary and appropriate Design of shared delivery system for residential services to be implemented May, 2013 Interagency planning & care coordination for challenging youth with serious mental health issues 20

22 DMH’s Collaborative Efforts to Support Education of the Child/Whole Child Development – New Initiatives EEC’s Early Childhood Mental Health Consultation Program Technical assistance Program monitoring Mental Health Training and Consultation Massachusetts Child Psychiatry Access Project (MCPAP) and CBHI service teams Trainings for Early Education Program Staff First series: Statewide training program for preschool teachers Developing skills for working with parents who have mental health and substance abuse issues EEC’s Coordinated Family and Community Engagement Programs, Child Care Resource and Referral grantees, Licensor’s, and other EEC staff Statewide Community Crisis Intervention Project Involving DMH’s PPAL—Professional Parent Advocacy League 21

23 Young Children (<6 y.o.) Served by DMH Primary Diagnoses: Attention Deficit/Hyperactivity Disorder (ADHD) Post-Traumatic Stress Disorder (PTSD) Primary Age Range: 4 to 5 y.o. Primary Services Provided and Supported for Young Children Child Psychiatry Consultation Case Management Individual and Family Flexible Supports to DMH clients and to their siblings, including respite for families Therapeutic After School Programs Parent/Professional Advocacy League (PPAL): Group & Educational Forums for Parents Residential Services (limited) 22

24 DMH: How DMH Impacts Children Services and Supports for children with serious emotional disturbance and their families Practice Improvements and Research and Training at a systemic level Parent Support to any parent whose child is experiencing mental health challenges Clinical Consultation to staff at other child serving agencies 23

25 DMH: MCPAP Phone Consultations with Primary Care Practicioners 24

26 DMH: CBHI Data CBHI utilization by children 12 and under during FY11 ServiceTotals Intensive Care Coordination26,436 Family Support and Training21,011 In-Home Therapy35,216 In-Home Behavioral Services3,265 Therapeutic Mentoring18,315 Youth Mobile Crisis7,027 Total (duplicated) served111,270 Age GroupTotal VisitsTotal ScreeningsPercent Behavioral Health Need identified Under 6 months355,181104,6211.65% 6 months-2 year olds491,201287,8105.29% 3 - 6 year olds270,352174,33010.47% 7 – 12 year olds297,991199,95412.03% Totals1,414,725766,715(avg) 7.36% Behavioral Health Screenings for children <13 y.o. 1/1/2008 – 6/30/2011

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