Colorado And Early Childhood Mental Health Claudia A. Zundel, Director, MSW Workforce Development and Innovation,, Office of Behavioral Health and Office Of Children Youth and Families Colorado Department of Human Services Training Institutes July 2018
Key Strategies Use of Data Organize LEADERSHIP We began with little in place ….
PILOTS Early Childhood CONSOLIDATED CHILDCARE Mental Health System MENTAL HEALTH EARLY Organize INTERVENTION OFFICE OF EARLY CHILDHOOD Design, organize, collaborate and collect data
Resources and Approach Our mission is to weave family-centered, culturally competent and community based mental health supports and services into a seamless early childhood system of care that promotes health social-emotional development, identifies risk factors, intervenes early, and provides high quality services Blue Ribbon Policy Council For Children’s Mental Health
Executive Early Childhood Commission Implementation LEADERSHIP Level Local-Early Childhood Councils Blue Ribbon Policy Council, Early Childhood Commission, Office of Early Childhood. Early Childhood Funders, Collective Impact, Early Childhood Leadership Council
Team Work or Power Struggle? Thinking . • Leadership • Collaboration February 10, 2011 State of the State 2011 Claudia Zundel. MSW
http://www.earlychildhoodcolorado.org/early-childhood-colorado- framework/
Blue Ribbon Policy Council State Goals Professional Public and Workforce Engagement Development Funding and Program Finance Availability System of Care https://www.childrenscolorado.org/globalassets/community/ childrens-mental-health-policy-paper.pdf
Colorado’s Vision All children will reach their full social and emotional potential “Supporting Children to Be Happy, Healthy and Have Good Relationships with Others” http://earlymilestones.org/wp- content/uploads/2016/12/CO-ECMH-State-Plan.pdf Blue Ribbon Policy Council For Children’s Mental Health
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Cost of Failure/Return Use of Data on Investment http://www.kidconnec ts.org/uploads/Kid_Co nnects_Cost_Study.pdf Colorado Health Survey Children with challenging Behavior… http://hermes.cde.stat e.co.us/drupal/islando ra/object/co%3A1169 Risk, Reach and Resources Mapping
Blue Ribbon Policy Council State Goals Center for Social Professional and Emotional Workforce Competence and Development Inclusion Colorado DC:0- 5™ Endorsement Harris Fellowship 200+ COAIMH Colordo Foundations for Early Childhood https://earlylearningco.org/pdf/ELDG_Guidelines_English.pdf http://coaimh.org/endorsement-information/
Blue Ribbon Policy Council State Goals Program Mental Health Availability Consultation Program Screening Integration Ealy Childhood Clinicians
Population
Early Childhood Mental Intervention Health Services and Supports for Children and Their Families Parent Education and Support Prevention Programs/Services Promotion A Key Strategy in Colorado System of Care Values and Principles http://www.centerforresilientchildren.org/wp-content/uploads/Stainback-Tracy-2004.pdf
• Training and Technical Assistance-Hub • Model Programs Double the number of consultants • Child Care Rule Changes http://coloradoofficeofearlychil dhood.force.com/oec/OEC_Fam • Data and Evaluation ilies?p=Family&s=Social- Emotional- • 66% reduction in risk of Development&lang=en expulsion (Ash, 2018) • Bring together public and privately funded A Key Strategy in Colorado
Lessons Learned – Program Reach Providers Reached Children Reached 420 3,000 2,857 404 400 2,500 1,939 380 2,000 360 1,500 351 340 1,000 320 500 300 0 2011 - 2012 2012 - 2013 2011 - 2012 2012 - 2013 15% increase 47% increase
Program Need: SE Delay • Only a small percentage of children with delays: 12.2% 1,200 1,079 – 13.4%. 1,000 903 • Broader demonstration of 800 need for program is desirable. Screened 600 Possible Delay 400 200 132 121 0 2011-12 2012-13
Lessons Learned – Program Impact • PMHCS (Preschool Mental Pre Post Health Climate Scale) 4.5 4.15 4 3.77 – Changes seen on 9/9 scales 3.54 3.5 – Simple directions to 3.05 3 consultants 2.5 • Complete twice 2 • At least 4 months apart 1.5 1 – Consultation and 0.5 evaluation tool 0 Teaching Feelings Transitions and Problem Solving
Blue Ribbon Policy Council State Goals Other Programs System of Care Part C TANF Early Childhood ABCD Councils Launch Together
Early Intervention Colorado • Shared Plan using Wraparound Working on another Mountain Peak • 3R Eligibility • Shared Plan Using Wraparound • Social Work renamed Social /Emotional Interventions • DC:0-5 ™ Eligibility • Membership on Interagency Coordinating • Social Work Renamed Councils Social/Emotional Intervention • Pyramid Plus Training • Membership on Interagency Coordinating Councils
https://vimeo.com/202278211 http://earlymilestones.org/launch- together/
Blue Ribbon Policy Council State Goals Funding and Partners Finance Early Funding Childhood Matrix Councils TANF
Funding Matrix Purpose Eligibility Planning Funding Other /Service Process Delivery Primary Purpose Age Plan Source of Contact requirements Funding/funding cycle Laws and Eligibility How plan is Can dollars be Sources Regulations Criteria approved used for administrative purposes Who can Used with other provide services funding sources Examples of $ not being services utilized Match/MOE
TANF-Temporary Assistance to Needy Families Assisting needy families so that children can be cared for in their own homes Reducing the dependency of needy parents by promoting job preparation, work and marriage Preventing out-of-wedlock pregnancies Encouraging the formation and maintenance of two-parent families.
The Secret to Our Success
“The cost of failure to intervene early is far too high a price to pay when predictable negative outcomes can be prevented.” (Gould, 2000)
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