Transcript Mental Health Manual GIM Revisions

Mental Health
Manual GIM
Revisions
PY 15-16
Developmental Screening
• In close collaboration with all parents/legal
guardians, the DA/CCP must annually
administer the ASQ-3™ and ASQ:SE no
earlier than 45 calendar days prior to and
no later than 45 calendar days of the child’s
start date.
• Once administered, the screening
questionnaire is to be scored and the results
and any follow-up plans discussed with the
parents/legal guardians within 14 calendar
days of the administration date.
Developmental Screening
(cont.)
• All content area coordinators must track,
monitor, and follow up on the ASQ-3 and/or
ASQ:SE screening results are followed up within
14 calendar days of the date the needs are
identified.
• When the ASQ-3 or ASQ: SE has been
administered prior to the start of the program
year, parents are to be provided with age
appropriate developmental and social-emotional
intervention activities (See ASQ User’s Guides),
as a means of exposing their children to
developmentally stimulating activities.
Developmental Screening
(cont.)
• At a minimum, follow up is to include providing
the child with developmentally stimulating
activities at home and at school and rescreening the child, using a new ASQ form in its
entirety within 60 calendar days of the initial
administration date.
• Annual ASQ training is to be developed using the
appropriate ASQ User’s Guide.
• Use the Greenspan Social-Emotional Growth
Chart to complete the behavioral screening and
re-screenings, as indicated, for infants who upon
starting an Early Head Start program are ages
0-3 months.
Developmental Screening
(cont.)
•
(Note: This process must not delay a referral to the Lead
Educational Agency, when a child is clearly in need of a special
education assessment or when a special education assessment
has been requested by the parent/guardian.)
•
When through the screening process a child with an IEP/IFSP
has a developmental area identified as “at-risk”, that is not
addressed by the current IEP/IFSP, at minimum the follow up
is to include providing developmentally stimulating activities to
the parent for use at home, individualizing in the classroom,
and making the IEP/IFSP team aware of the new area of
concern.
•
When the screening process of a child with an IEP/IFSP has an
area of development identified as concerning that is being
addressed by the current IEP/IFSP, at minimum follow up is to
include providing developmentally stimulating activities to the
parent for use at home.
Prenatal/Post-Partum
Screening for Early Head Start
• Once properly trained in the administration
and scoring of the PHQ-9, the MHSC or
licensed nursing staff must conduct prenatal
and/or postpartum mental health screenings
for all pregnant women and new mothers
(with children less than six months old)
enrolled in EHS programs.
Timely and Effective
Intervention
•
The Devereux Early Childhood Assessments for Infants
(DECA-I), Toddlers (DECA-T), and Preschoolers
(Second Edition) (DECA-P2) will be used to measure
program/intervention effectiveness and outcomes for
children who have received mental health services to
address identified mental health needs.
•
The MHSC or consultants will administer the
questionnaire, which can be completed by parents
and/or teachers. An initial questionnaire (pre-test)
will be administered, as a part of the assessment
process within 30 calendar days of the referral date.
A follow-up questionnaire will be administered at
closure (post-test).
Parent Consent
• The MHSC or consultant must also sign the
consent form, verifying that the elements of
informed consent and confidentiality have
been discussed with the parent/legal
guardian.
Multidisciplinary Team Process
•
The DA/CCP has 14 calendar days to schedule the
staff-parent conference at which time the signature
of the parent/legal guardian will be secured on the
Intervention Planning form.
•
Outside Referrals: …the initial follow-up to
determine if the referral met the family’s need must
be conducted within 30 calendar days of the date the
outside referral was made.
•
A minimum of 3 follow-ups are required, unless a
parent has declined services or where confirmation of
services has been received or disclosed during the first
follow-up. Monthly follow-up is to continue until the
child/family is linked or the program year ends.
On Site Availability
•
Moreover, the MHSC or consultant(s) must conduct classroom
observations for each class session (e.g., am/pm/twilight vs.
full-day) at least twice during a school year—once in the fall,
and again in winter/spring. This should be “class” to account
for classrooms with am/pm
•
Based on observations, any corrective actions that need to be
taken must be completed within 14 calendar days of the
finding (e.g., missing mental health resources, missing postings).
The MHSC or consultants must clearly document any corrective
action that would require additional time for completion.
•
The MHSC or consultant(s) must also review available
Classroom Assessment Scoring System (CLASS) results, using
available ChildPlus reports, to ensure the classroom
environment and staff-student interactions are
developmentally appropriate and promote the social and
emotional well-being of children.
On Site Availability (cont.)
• The MHSC or consultants must confer with
education/child development service area
staff as appropriate to address concerns
raised either through review of CLASS
results or direct observation.
• To document the on-site availability of a
mental health professional, the DA/CCP
MHSC and any consultants must use the
Staff/Consultant Sign-In/Out form when
visiting sites.
Parent and Staff Education
• No Changes
Tracking of Services and
Record Keeping
• File contents:
• Copy of the ASQ-3/ASQ:SE Information
Summary
• Confidential mental health files must be
reviewed at least twice each program year,
once within 30 calendar days of the date of
the referral and at closure.
Qualifications
• Finally, the DA/CCP is to verify the
qualifications of all consultants prior to the
beginning of the program year and/or prior
to the delivery of any direct mental health
service by the consultant.
Qualifications (cont.)
•
The following documentation must be maintained at the
administrative office by the MHSC and kept at the DA/CCP for
verification of consultant and staff qualifications:
•
1) current copies of contract/agreement;
•
2) license/certification (i.e., copy of the original and a current printout
from the governing body confirming the license is in good standing);
•
3) resume/curriculum vitae;
•
4) documentation of relevant professional development hours, acquired
during the previous program year, along with university agreement;
•
5) Responsibility Statements from clinical supervisiors and supervision
logs;
•
6) transcripts (for trainees/interns),
•
7) proof of liability insurance, and
•
8) verification of fingerprint clearance.