1. 1 CAPTA Webinar Jessica Brady Michigan Department of Education Lori Irish Michigan Department of Community Health Dawn Ritter Michigan Department of Human Services March 13, 2008

2. 2 CAPTA Legislation Child Abuse Prevention Treatment Act of 2003 (CAPTA) - guiding human services to make referrals to early intervention services under the Individuals with Disabilities Education Act (IDEA) of 2004.Child Abuse Prevention Treatment Act of 2003 (CAPTA) - guiding human services to make referrals to early intervention services under the Individuals with Disabilities Education Act (IDEA) of 2004.

3. 3 IDEA Legislation IDEA 2004 - guiding early intervention programs to accept referrals of children 0-3 who have been substantiated on for abuse/neglect.IDEA 2004 - guiding early intervention programs to accept referrals of children 0-3 who have been substantiated on for abuse/neglect.

4. 4 Definitions Category I is defined as a case of child abuse and neglect that the Department of Human Services (DHS), Children’s Protective Services (CPS) has found to be substantiated for abuse and neglect requiring court involvement. This is the most serious category of abuse and neglect.Category I is defined as a case of child abuse and neglect that the Department of Human Services (DHS), Children’s Protective Services (CPS) has found to be substantiated for abuse and neglect requiring court involvement. This is the most serious category of abuse and neglect.

5. 5 Definitions Category II is defined as a case of child abuse and neglect that the DHS, CPS has found to be substantiated for abuse and neglect and CPS must work with the family to remediate the safety concerns.Category II is defined as a case of child abuse and neglect that the DHS, CPS has found to be substantiated for abuse and neglect and CPS must work with the family to remediate the safety concerns.

6. 6 Definitions Referral is defined as the process by which the local Part C agency is notified of a suspected developmental delay or established condition for an infant or toddler, birth to age three. This notification of a suspected developmental delay or established condition begins the federal timeline. (Michigan State Plan, Part Three, Section V)Referral is defined as the process by which the local Part C agency is notified of a suspected developmental delay or established condition for an infant or toddler, birth to age three. This notification of a suspected developmental delay or established condition begins the federal timeline. (Michigan State Plan, Part Three, Section V)

7. 7 Referral Requirements Step 1 The family has become involved with DHS due to a case of abuse and/or neglect where DHS has found a preponderance of evidence.The family has become involved with DHS due to a case of abuse and/or neglect where DHS has found a preponderance of evidence.

8. 8 Referral Requirements Preponderance of evidence is Michigan’s equivalent of substantiation.Preponderance of evidence is Michigan’s equivalent of substantiation. The preponderance of evidence is found in cases that are categories I or II.The preponderance of evidence is found in cases that are categories I or II.

9. 9 Referral Requirements Step 2 Early On ® child find systems shall accept all referrals made by DHS that have sufficient information to contact the family.Early On ® child find systems shall accept all referrals made by DHS that have sufficient information to contact the family. This begins the federal timeline requirements.This begins the federal timeline requirements.

10. 10 Referral Requirements Step 3 Early On ® systems shall follow all procedures outlined in the current Michigan State Plan and Code of Federal Regulations with regard to any child referred to Early On.Early On ® systems shall follow all procedures outlined in the current Michigan State Plan and Code of Federal Regulations with regard to any child referred to Early On.

11. 11 Rationale Research has shown that families involved in abuse and neglect have a much higher likelihood of having a child become involved with the special education system.Research has shown that families involved in abuse and neglect have a much higher likelihood of having a child become involved with the special education system.

12. 12 Rationale Through participation with Early On, families can begin to understand their child’s development.Through participation with Early On, families can begin to understand their child’s development. This understanding has been proven to help prevent abuse and/or neglect as parents begin to have more realistic expectations around child development.This understanding has been proven to help prevent abuse and/or neglect as parents begin to have more realistic expectations around child development.

13. 13 Possible Barriers Families are often difficult to locate and engage in the system.Families are often difficult to locate and engage in the system. Deciding who can consent for evaluation and services.Deciding who can consent for evaluation and services. Instability of location, moving frequentlyInstability of location, moving frequently across county lines. across county lines.

14. 14 DHS Roles CPS workers and foster care workers can aid in locating families as they are having contact regularly.CPS workers and foster care workers can aid in locating families as they are having contact regularly. Local office Memorandum of Understandings are encouraged and a higher level of participation with Early On is encouraged, but not required.Local office Memorandum of Understandings are encouraged and a higher level of participation with Early On is encouraged, but not required.

15. 15 DHS Roles Future activity around the referral process will focus on the Child Assessment of Needs and Strengths (CANS) that CPS workers complete.Future activity around the referral process will focus on the Child Assessment of Needs and Strengths (CANS) that CPS workers complete. The CANS focuses on physical, educational, and mental health needs. DHS will have a special CANS specific to 0-3 year olds that flows with the five areas of development.The CANS focuses on physical, educational, and mental health needs. DHS will have a special CANS specific to 0-3 year olds that flows with the five areas of development.

16. 16 DHS Roles The assessment cues in CANS are much simpler for the worker. These will help workers identify areas of concern that will transfer to the Early On referral.The assessment cues in CANS are much simpler for the worker. These will help workers identify areas of concern that will transfer to the Early On referral. This process will take at least six months to change in the system, but hopefully referrals will be more complete.This process will take at least six months to change in the system, but hopefully referrals will be more complete.

17. 17 DHS Roles DHS will also be looking at enhancing the new worker trainings to help workers make more informed referrals.DHS will also be looking at enhancing the new worker trainings to help workers make more informed referrals.

18. 18 Early On Social Emotional Tools Pilot Purpose - determines implementation and coordination issues related to the use of the Devereux Early Childhood Assessment for Infants and Toddlers (DECA I/T) and the Attachment, Interaction, Mastery and Support (AIMS) as part of the evaluation process for qualification for Early On services.Purpose - determines implementation and coordination issues related to the use of the Devereux Early Childhood Assessment for Infants and Toddlers (DECA I/T) and the Attachment, Interaction, Mastery and Support (AIMS) as part of the evaluation process for qualification for Early On services.

19. 19 Early On Social Emotional Tools Pilot Early On Coordinators received Notice of Availability to participate.Early On Coordinators received Notice of Availability to participate. Six pilot sites were selected.Six pilot sites were selected.

20. 20 Early On Social Emotional Tools Pilot Early On Social Emotional Tools Pilot Benefits provided to the pilot service areas: 1. Receive free training on the DECA I/T and the AIMS. 2. Improve the identification of children with social emotional delays and disabilities in the service area.

21. 21 Early On Social Emotional Tools Pilot Benefits provided to the pilot service areas: 3.Assist with meeting CAPTA goals and responsibilities. 4.New tools aid in the measurement and reporting of social emotional status for measuring federally defined Child Outcomes.

22. 22 Early On Social Emotional Tools Pilot Six Pilot Sites Iosco (data not collected)Iosco (data not collected) HillsdaleHillsdale LapeerLapeer OaklandOakland St. JosephSt. Joseph WashtenawWashtenaw

23. 23 Early On Social Emotional Tools Pilot Pilot sites received training on DECA I/T and AIMS.Pilot sites received training on DECA I/T and AIMS. Data was collected from August 1, 2007 thru January 31, 2008.Data was collected from August 1, 2007 thru January 31, 2008. Site visits were made to the pilot sites.Site visits were made to the pilot sites. Data will be compiled and a final report will be presented to the Michigan Interagency Coordinating Council.Data will be compiled and a final report will be presented to the Michigan Interagency Coordinating Council.

24. 24 Detroit-Wayne County Community Mental Health Association (D-WCCMHA) Infant Mental Health (IMH) Demonstration Project Task Force Detroit-Wayne County Community Mental Health Association (D-WCCMHA) Infant Mental Health (IMH) Demonstration Project Task Force Task Force identified that: There were many more babies needing services than were receiving them. There were many more babies needing services than were receiving them.

25. 25 D-WCCMHA IMH Demonstration Project Task Force D-WCCMHA IMH Demonstration Project Task Force Funds were sought for an IMH Demonstration Project to significantly increase services.Funds were sought for an IMH Demonstration Project to significantly increase services. Goal: To expand services to 500 new families, beginning 10-01-06.Goal: To expand services to 500 new families, beginning 10-01-06.

26. 26 D-WCCMHA IMH Demonstration Project Begins D-WCCMHA IMH Demonstration Project Begins In December 2006, the IMH Demonstration Project officially began to: Expand services. Expand services. Evaluate and continuously monitor service effectiveness. Evaluate and continuously monitor service effectiveness.

27. 27 D-WCCMHA IMH Demonstration Project D-WCCMHA IMH Demonstration Project Identify and respond to workforce training needs to meet the increased service demand.Identify and respond to workforce training needs to meet the increased service demand.

28. 28 D-WCCMHA IMH Demonstration Project Partnership D-WCCMHA IMH Demonstration Project Partnership Has led to staff requirements for Michigan Association for Infant Mental Health Has led to staff requirements for Michigan Association for Infant Mental Health (MI-AIMH) Endorsement: Wayne County: Minimum Level II by 10.1.08 Wayne County: Minimum Level II by 10.1.08 Endorsement process recognized as an effective measurement of workforce competencies. Endorsement process recognized as an effective measurement of workforce competencies.

29. 29 Questions/Comments We will capture your comments and concerns.We will capture your comments and concerns. We will then be using them as we look at future policy and practice.We will then be using them as we look at future policy and practice.