1. Supporting the Social-Emotional Development of Infants and Young Children

2. Vision a continuum of funded infant and early childhood mental health services that support and strengthen the parent-child relationship and child’s relationships with others provided by competent infant and early childhood professionals

3. Early Childhood Mental Health VIRGINIA -- supports healthy attachment; –assists providers ; –supports parents; –prevents expulsion from childcare settings;

4. Early Childhood Mental Health VIRGINIA –supports young children in foster care; with a history of trauma; of parents with mental illness & substance abuse;

5. Early Childhood Mental Health VIRGINIA to prevent mental health problems; to promote social and emotional well-being; to treat mental health disorders beginning in and continuing on throughout the early years of life (birth to age 8).

6. Infant & Early Childhood Mental Health: What is being done in Virginia?

7. PRACTICE Adoption of the Pyramid Model (CSEFEL/TACSEI) 7

8. 8

9. Project SEED Virginia (Social Emotional Education & Development) Promoting Competence of Infant & Toddler Providers in Virginia

10. Mission: To build a consistent family-centered professional development framework of evidence-based practices for providers* of infants & toddlers in order to strengthen the social and emotional development of children birth to age 3 in Virginia. *Infant and toddler provider is defined as a provider of children birth to 36 months.

11. Project runs from now until July 31, 2016 Collaborating Partners

12. Project SEED-Current & Past Activities (CSEFEL) Pyramid Model Ages and Stages Questionnaire-3 and Ages and Stages Questionnaire Social Emotional Screening 2 Infant Mental Health Endorsement

13. For More Information: ecmhva.org

14. PRACTICE Established Mental Health Endorsement System 14

15. For More Information: ecmhva.org

16. Possibilities Provide home-based IMH program to address attachment concerns that threaten development and/or to reduce incidence of abuse, neglect, developmental delay & emotional disorder (4 states Medicaid funded but 14 states doing it) Implement an ECMH Consultation model (6 states Medicaid funded but 12 states doing it)

17. Possibilities Behavioral Health Day Services for children 0-24 months or older experiencing emotional problems to prevent more restrictive placements (Florida) Therapeutic Behavioral On-Site Services (0-5) who have experienced trauma, failure to thrive due to emotional reasons, atypical development of temperament or behavior that interferes with relationships (Florida)

18. Possibilities Maternal IMH Program for moms at risk of psychosocial issues to promote healthy pregnancies and child development (Michigan) Childcare Prevention Expulsion Program services to childcare settings serving children 0-5 at risk of expulsion due to challenging behavior (Michigan) Integrated services for children of adults with mental illness to prevent MH disorders of children (Michigan)

19. Possibilities Provide individual aides for children with behavioral issues (Vermont) Provide therapeutic play groups (Vermont)

20. Possibilities reimbursemet for dyadic therapy for infants, toddlers and their families either throughMedicaid EPSDT that says parents may be involved (TX) OR Add definition such as “Individual & Family Therapy” (California, Florida, Michigan)

21. Questions???

22. Contact Information Jackie Robinson Brock, Project SEED Director robinsonjb3@vcu.edu Bonnie Grifa, State ECMH Coordinator bgrifa@vcu.edu