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Interagency Partnerships. February 2013. 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 - PowerPoint PPT Presentation

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Page 1: Interagency Partnerships

Interagency Partnerships

February 2013

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Page 2: Interagency Partnerships

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 3rd 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

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Page 3: Interagency Partnerships

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

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Page 4: Interagency Partnerships

Race to The Top Early Learning Challenge: Leadership Retreats

1st 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

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Page 5: Interagency Partnerships

Race to The Top Early Learning Challenge: Leadership Retreats

2nd “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

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Page 6: Interagency Partnerships

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

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Page 7: Interagency Partnerships

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

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Page 8: Interagency Partnerships

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

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Page 9: Interagency Partnerships

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

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Page 10: Interagency Partnerships

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

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Page 11: Interagency Partnerships

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

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Page 12: Interagency Partnerships

Appendix

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Page 13: Interagency Partnerships

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

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Page 14: Interagency Partnerships

DCF

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A LOOK FORWARD: 2012 – 2015OUR TRANSFORMATION JOURNEY

FOCUSES ON

IMPROVEMENTS

INNOVATIONS

INTEGRATION

Page 15: Interagency Partnerships

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

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Page 16: Interagency Partnerships

2008 – 2011 DCF Accomplishments: Better Responses / Better ResultsOur 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

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Page 17: Interagency Partnerships

2008 - 2011 DCF Accomplishments: Better Responses / Better ResultsOur 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

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Page 18: Interagency Partnerships

Massachusetts Department of Children and Families: 2011 Demographic Profile

51A Reports 80,875

% Investigations Supported60%

% Initial Assessments with Finding of Concern

45%

Average # New Cases per Month 1,361

Average # Cases Closed per Month 1,436

Youth >18 voluntarily Signing backinto Care 1,634

Children <18 in Caseload 34,954Children < 6 12,906Children 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%

Page 19: Interagency Partnerships

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

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Page 20: Interagency Partnerships

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

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Page 21: Interagency Partnerships

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

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Page 22: Interagency Partnerships

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

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Page 23: Interagency Partnerships

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)

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Page 24: Interagency Partnerships

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

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Page 25: Interagency Partnerships

DMH: MCPAP Phone Consultations with Primary Care Practicioners

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Page 26: Interagency Partnerships

DMH: CBHI DataCBHI utilization by children 12 and under during FY11

Service TotalsIntensive Care Coordination 26,436

Family Support and Training 21,011

In-Home Therapy 35,216

In-Home Behavioral Services 3,265

Therapeutic Mentoring 18,315

Youth Mobile Crisis 7,027

Total (duplicated) served 111,270

Age Group Total Visits Total Screenings Percent Behavioral Health Need identified

Under 6 months 355,181 104,621 1.65%

6 months-2 year olds 491,201 287,810 5.29%

3 - 6 year olds 270,352 174,330 10.47%

7 – 12 year olds 297,991 199,954 12.03%

Totals 1,414,725 766,715 (avg) 7.36%

Behavioral Health Screenings for children <13 y.o. 1/1/2008 – 6/30/2011