interagency partnerships
DESCRIPTION
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 PresentationTRANSCRIPT
Interagency Partnerships
February 2013
1
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
2
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
3
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
4
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
5
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
6
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
7
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
8
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
9
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
10
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
11
Appendix
12
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
13
DCF
14
A LOOK FORWARD: 2012 – 2015OUR TRANSFORMATION JOURNEY
FOCUSES ON
IMPROVEMENTS
INNOVATIONS
INTEGRATION
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
15
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
16
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
17
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%
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
19
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
20
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
21
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
22
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)
23
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
24
DMH: MCPAP Phone Consultations with Primary Care Practicioners
25
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