Transcript Interagency Partnerships

Interagency Partnerships
February 2013
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Intergency Partnerships: Goals &
Strategies
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Goals
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Healthy development and growth for the children of the
Commonwealth
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Long term learning success, including reading proficiency
for all children by 3rd Grade
Strategies
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Establish a coordinated system of care for children and
families
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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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Young Children Served by EEC’s
Partners
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Total number of children under the age of 6 in Massachusetts:
443,000 (2010 U.S. Census)
DCF
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DHCD currently serving 3,000 children under the age of 6 in its
Emergency Assistance (shelter) program
DMH
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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
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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
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
Race to The Top Early Learning
Challenge: Leadership Retreats
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1st Leadership Retreat held 5/14/2012 – “Fulfilling the
Promise: Building Strong Inter-Agency Partnerships for the
Success of Young Children”
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Purpose: Engage state leadership and initiate planning
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55 participants from 16 state agencies
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Discussion topics:
 Universal engagement of families and communities
 Workforce development
 Assessment and screening
 Strengthening inter-agency data systems.
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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
Race to The Top Early Learning
Challenge: Leadership Retreats
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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
Accomplishments to Date
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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)
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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
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Series of joint trainings held for staff from DHCD’s
homeless shelter providers and homeless child care
providers
Collaboration on Cross-Training
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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)
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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
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Training topics include:
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Building Capacity to Support the Early Learning
and Development of Massachusetts’ Children
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Social and Emotional Competence of Children
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Concrete Support in Times of Need
Collaboration with DCF: Areas of
Focus
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Embed early childhood developmental knowledge
and support throughout DCF & its networks
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Enhance parents’ understanding of their child’s
development through access to screening
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Enhanced procedures for connecting DCF-served
families w/ young children to needed services
and supports
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Provide access to behavioral health evaluation
and services when there are concerns
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Improving access to/utilization of Supportive
child care
Collaboration with DHCD: Areas of
Focus
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Embed early childhood developmental knowledge
and support throughout DHCD and its provider
networks, including HomeBASE
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Enhance homeless & formerly homeless parents’
understanding of their child’s development
through access to screening
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Support access to high-quality early education
for homeless and formerly homeless families
Collaboration with DMH: Areas of
Focus
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Joint oversight of the Early Childhood Mental
Health Program
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Expand capacity of the Mass. Child Psychiatry
Access Project MCPAP
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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
Collaboration with DPH: Areas of
Focus
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Provide leadership & assistance in embedding health
guidance and support across multiple programmatic
systems
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Support creation of universal system of socialemotional screening for children birth – 5 with
linkages to community resources
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Help child care providers access annual health care
practices consultation required by QRIS
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Support families & children transitioning from Early
Intervention to Special Education
Appendix
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DCF: Key Collaborative Efforts
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Race to the Top/Early Learning Challenge Grant
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Early Education and Care
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Integrating early childhood development and brain science across
DCF programs, policies, practices and professional development
Enhancing collaboration with EEC to maximize access to
Supportive Child Care
Early Intervention
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Automatic referrals to Early Intervention for all children under 3
who are subject of a “supported” allegation of abuse and/or
neglect
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Family Resource Centers
 Joint Procurement with Department of Mental Health
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Cross-Over Youth
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Caring Together
Collaboration with the Department of Youth Services to improve
services to children served within child welfare and juvenile
justice
DCF
A LOOK FORWARD: 2012 – 2015
OUR TRANSFORMATION JOURNEY
FOCUSES ON
IMPROVEMENTS
INNOVATIONS
INTEGRATION
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DCF: Highlights of Improvements &
Innovations
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Strengthen Basic Core Practices (Home visits,
visits with children in foster care, interviewing children)
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Managing with Data
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Kinship First
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Fatherhood Engagement
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Placement & Educational Stability
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Child & Family Wellbeing
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Family Engagement/Family Voice in Policy
and Management (Senior staff, management
meetings, Area Boards)
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Massachusetts Child Trauma Project
2008 – 2011 DCF Accomplishments:
Better Responses / Better Results
Our RESPONSES are BETTER.
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Implemented Integrated Casework Practice
Model
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Implemented Differential Response
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Implemented Short Term Stabilization track
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Implemented standardized Risk Assessment
Tool
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Improved core functions and incorporated
innovations
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Established Clinical Approaches: Safety
Organized, Trauma – Informed, Solution
Focused Practices
2008 - 2011 DCF Accomplishments:
Better Responses / Better Results
Our RESULTS are BETTER.
(FY 2011 compared to FY 2009)
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Fewer Children in Foster Care – More than 2,000 fewer
children in the foster care system
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Child Safety – Absence of Repeat Maltreatment improved
from 88.6% to 92%
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Fewer Child Victims – Fewer Child Victims entering Care
4,662 to 3,406 a 27% decrease
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Kinship First – The number of children placed with kin
increased from 20% to 26%
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Fewer Children in Congregate Care – The number of
children in congregate care decreased from 1,769 to 1,510 a
15% decrease
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Improved Reunification Rate – A 17% improvement in the
number of children entering care within the past twelve
months who reunified within 12 months
Massachusetts Department of
Children and Families: 2011
Demographic Profile
51A Reports
% Investigations Supported
% Initial Assessments with Finding
of Concern
Average # New Cases per Month
80,875
60%
45%
1,361
Children <18 in Caseload
Children < 6
12,906
Children 6 >12
10,181
34,954
# Clinical Cases
# Adoption Cases
19,390
1,805
Average # Cases Closed per Month 1,436
Children <18 in Placement
Youth >18 voluntarily Signing back
into Care
1,634
% of Child Caseload in
Placement
%<6
32%
% 6 <12
21%
7,355
21%
How DHCD is Collaborating Across
Agencies to Support Education of the
Child/Whole Child Development
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EEC
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DPH
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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
F.O.R. Families (Follow-Up Outreach Referral) – Home visiting
and service referrals for DHCD-served families living in hotels
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DCF outreach and health & safety assessments
 Connections made to open cases
 Identification of cases where intervention may be needed
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ESE – Notification to school departments of families entering hotels
with children who are age 2 and older
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Horizons for Homeless Children
 Playspace Programs in shelters, hotels, local state agency offices
DHCD: How Services Provided by and
its Provider Network Impact Children
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Families with children who face a housing
emergency are provided with temporary shelter
and stabilization services
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Some shelter providers offer parenting classes
and other child-focused activities to promote
better outcomes for children
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DHCD’s Div. of Housing Stabilization (DHS) is
working to engage fathers in their children’s
development whenever possible
DMH’s Collaborative Efforts to Support
Education of the Child/Whole Child
Development – Existing Initiatives
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MCPAP—Massachusetts Child Psychiatry Access Project
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CBHI—Children's Behavioral Health Initiative
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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
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Regional children’s mental health consultation teams
Support pediatric practices in meeting the mental health needs of their
patients
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
DMH’s Collaborative Efforts to Support
Education of the Child/Whole Child
Development – New Initiatives
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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
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Statewide Community Crisis Intervention Project
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Involving DMH’s PPAL—Professional Parent Advocacy League
Young Children (<6 y.o.) Served by
DMH
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Primary Diagnoses:
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Attention Deficit/Hyperactivity Disorder (ADHD)
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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)
DMH: How DMH Impacts Children
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Services and Supports for children with serious
emotional disturbance and their families
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Practice Improvements and Research and
Training at a systemic level
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Parent Support to any parent whose child is
experiencing mental health challenges
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Clinical Consultation to staff at other child
serving agencies
DMH: MCPAP Phone Consultations
with Primary Care Practicioners
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DMH: CBHI Data
CBHI utilization by children 12 and under during FY11
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%
1,414,725
766,715
(avg) 7.36%
Totals
Behavioral Health Screenings for children <13 y.o. 1/1/2008 – 6/30/2011
Service
Totals
Intensive Care Coordination
26,436
Family Support and Training
21,011
In-Home Therapy
35,216
In-Home Behavioral Services
Therapeutic Mentoring
Youth Mobile Crisis
Total (duplicated) served
3,265
18,315
7,027
111,270