Transcript CATCH Child Assessment & Treatment Center for Health

City of Alexandria, Virginia
CATCH
Child Assessment & Treatment
Center for Health
Joanna Hemmat, MSN, MPH
[email protected]
Peggy Stypula, MSW, LICSW
[email protected]
Alexandria Is “CATCH-ing”
Kids Early!
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City of Alexandria, Virginia
What Is Alexandria CATCH?
A collaborative effort between multiple agencies to
provide comprehensive health and developmental
screenings for children who are at risk of abuse or
neglect, in foster care, or who are homeless.
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City of Alexandria, Virginia
National Statistics
2006
6 million children were reported to the child
welfare system
1 million children had substantiated abuse
& neglect
76.6% of fatalities from abuse & neglect
were children 5 & under
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City of Alexandria, Virginia
CATCH History
Originated in response to the 2003
Child Abuse, Prevention &
Treatment Act (CAPTA)
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City of Alexandria, Virginia
Why CATCH?
• Capitalize resources
• Coordinate shared clients
• Maximize expertise
• Improve access to care
• Efficient assessments
• Enhance communication
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City of Alexandria, Virginia
Who Provides Alexandria
CATCH Services?
• Department of Human Services
• Alexandria Health Department
• Community Services Board
– Early Intervention Services
• Alexandria City Public Schools
– Child Find
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City of Alexandria, Virginia
City of Alexandria
expanded CAPTA
definition for
situation,
age and
service
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City of Alexandria, Virginia
Alexandria Statistics
Children under age 5 comprise the
largest and most rapidly
expanding group in child welfare
• Currently 24% of all children in
foster care are under age 5
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City of Alexandria, Virginia
State of Virginia
Child Protective Services
Fatality Summary 2006
– 83% of child fatalities were under age 4
• 7% of the fatalities were in the
City of Alexandria
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City of Alexandria, Virginia
What Is Provided?
Comprehensive screenings:
1. Medical conditions
2. Dental needs
3. Immunization status
4. Nutritional status
5. Social-emotional needs
6. Cognitive development
7. Psychosocial Assessments
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City of Alexandria, Virginia
When Is Service Provided?
• Upon referral for Child Protective or Family Support
Services
• Within 30 days of foster placement, change in
placement or after run-away
• Annually for foster youth
• Referred by shelters
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City of Alexandria, Virginia
How Do We Reach an Understanding
of Each Discipline?
Agreed shared goals
Joint multi-level trainings
Staff in-services
Multi-disciplinary team and
case management meetings
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City of Alexandria, Virginia
Keys to Successfully Merging
Nursing and Social Work
Clear role delineation
Respect each discipline
Listen to perspectives of
other experts
Confidence in expertise
of colleagues
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City of Alexandria, Virginia
Shared Issues
Under-served Children
Foster Youth
Resource Limitations
Federal Mandates
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City of Alexandria, Virginia
Benefits to Cross-disciplinary
Case Management:
• Assuring Early Intervention
• Prevention of further neglect and/or
maltreatment
• Maintenance of family unity
• Reduction of chance for multiple foster
placement changes
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City of Alexandria, Virginia
CATCH Indicators
2008
• 100% of children with founded CPS cases
are referred for Early Intervention services
• 94.7% of Stakeholders surveyed
expressed satisfaction that CATCH
effectively ensured the physical, mental
and developmental health of referred
children
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City of Alexandria, Virginia
Closing Remarks:
More effective outcomes are possible
for vulnerable children
when collaborating partners
share a common vision and commitment.
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City of Alexandria, Virginia