Funded through the Department of Health and Human Services, - PowerPoint PPT Presentation

Funded through the Department of Health and Human Services, Administra:on for Children and Families, Children’s Bureau, Grant # 90CO1058 1

Background on Project Broadcast • Grant from the Administra:on of Children and Families (ACF). First year was a planning year and began in nine coun:es. • Five year $3.2 million grant to NC DHHS (2011 – 2016). • Partnered with the Center for Child and Family Health (CCFH), a Na:onal Child Trauma:c Stress Network Site and the University of North Carolina at Chapel Hill. Funded through the Department of Health and Human Services, Administra:on for Children and Families, Children’s Bureau, Grant # 90CO1058 2

Project Broadcast Strategies • Develop a trauma-informed workforce • Increase the number of clinicians trained in trauma-informed, evidence-based treatments • Increase access to trained clinicians (NC-CTP) • Increase the ability of child serving partners to share data • Develop trauma-informed prac:ces and policies Funded through the Department of Health and Human Services, Administra:on for Children and Families, Children’s Bureau, Grant # 90CO1058 3

Alleghany Northampton Vance Gates Granville Warren Ashe Surry Stokes Caswell Rocking-ham Person Hertford Halifax Wilkes Watauga Orange Alamance Yadkin Forsyth Guilford Bertie Franklin Avery Durham Caldwell Alex- Nash Davie Yancey ander Edgecombe Madison Iredell Martin Wake Davidson Dare Chatham Randolph Burke Wilson Buncombe McDowell Catawba Rowan Pitt Beaufort Johnston Hyde Swain Cleveland Greene Lincoln Cabarrus Lee M Rutherford Hender- e Harnett c Wayne Graham k Stanly son Gaston Mont-gomery Moore Polk l e n Transyl-vania d Lenoir Craven b n Pamlico u Macon Richmond a r l Cherokee g r e Clay b Hoke Jones m Sampson Anson Union u C Duplin Scot Onslow land Carteret Robeson Bladen Pender New Columbus Hanover 2013 BUNCOMBE, CRAVEN, CUMBERLAND, HOKE, PENDER, Brunswick PITT, SCOTLAND, UNION AND WILSON 2014 ALAMANCE AND CHATHAM, ROWAN (screening through Partnering for Excellence) 2015 CABARRUS, FORSYTH AND HENDERSON 4

NaLonal Context ACF Research on Safety, Permanency & Well-Being hYp://www.acf.hhs.gov/sites/default/files/cb/ im1204.pdf SAMHSA, ACF and CMS CollaboraLon hYp://www.medicaid.gov/federal-policy-guidance/ downloads/SMD-13-07-11.pdf 5

NaLonal Context • In 2011, Public Law 112-34 en:tled the Child and Family Services Improvement and Innova:on Act amended Title IV-B - State’s plan must include: o How we will monitor and treat emo:onal trauma associated with a child’s maltreatment and removal, and o Protocols for the appropriate use and monitoring of psychotropic medica:ons 6

State Context Project Broadcast is just one of many statewide ini:a:ves… • The Governor's Task Force on Mental Health and Substance Use (Execu:ve Order 76) • NC Crisis Solu:ons Ini:a:ve (crisissolu:onsnc.org) • Youth Mental Health First Aid (mentalhealthfirstaid.org) • Fostering Health NC (ncpeds.org) • North Carolina Child Treatment Program (NC-CTP) 7

State Context • Child and Family Services Plan (CFSP) – 5 Year Plan • CFSP is a Strategic Plan for Child Welfare System • Annual Progress and Services Report (APSR) • Expanding Project Broadcast is in NC’s CFSP Not to be confused with the CFSR (Child and Family Services Review) which is a periodic review of our child welfare system by our Federal partners on our conformity to regula:ons so they can determine what is happening with children and families as they engage the system and assist states to achieve posi:ve outcomes. 8

The Trauma-Informed Approach (SAMHSA) • REALIZE (the widespread impact and poten:al recovery pathways – “universal precau:ons”) • RECOGNIZE (the signs and symptoms of trauma) • RESPOND (fully integra:ng knowledge into policies, procedures and prac:ces) • RESISTS RE-TRAUMATIZATION (ac:vely!) 9

Respond to Trauma Trauma Training Trauma Training Trauma Trauma-Informed Screening and Trauma Screening North Carolina’s System of Care Assessment Vision for a Trauma-Informed Trauma-Informed Child Serving • Assessments System • Prac:ce Trauma-Informed Trauma-Informed OrganizaLonal PracLce • Placements Culture • Evidence-based Treatment • Organiza:onal Cultures Trauma-Informed Trauma-Informed Evidence-Based Placements Treatment • System of Care 10

Respond to Trauma Trauma Training • Mental and Physical Health Trauma Trauma-Informed Collabora:on Screening and North Carolina’s System of Care Assessment Vision for a • LME/MCO Scale-Up of Trauma-Informed Evidence-based Treatment Child Serving System • Oversight & Monitoring of Trauma-Informed Psychotropic Medica:on Trauma-Informed OrganizaLonal PracLce Culture • Preven:on of Primary & Secondary Trauma:c Stress Trauma-Informed • Policies & Data Sharing Efforts Trauma-Informed Evidence-Based Placements Treatment 11

WWW.NCCHILDTREATMENTPROGRAM.ORG ABC AYachment & Bio-Behavioral Catch-up CPP Child and Parent Psychotherapy PCIT Parent Child Interac:on Therapy TF-CBT Trauma-Focused Cogni:ve Behavioral Therapy SPARCS Structured Psychotherapy for Adolescents Responding to Chronic Stress ABC (6 – 24 months); CPP (0-5); PCIT (2½-6½); TF-CBT (3-18); and SPARCS (12-19) 12

ncchildtreatmentprogram.org 13

7,940 Screens Completed (9/30/15) on over 6,800 children. • Brief Screen by Social Workers Trauma • Trauma Exposure Screening and • Trauma Symptoms/Reac:ons • Over age 6 – Asks four ques:ons Assessment • Decision • Referral REASONS FOR SCREENING 1) HELP IDENTIFY CONNECTION BETWEEN TRAUMA EXPOSURE AND BEHAVIOR 2) HELP GUIDE PRACTICE AND PLACEMENT DECISIONS 3) HELP PRIORITIZE AND MAKE APPROPRIATE REFERRALS TO TREATEMENT

% of Screens % of All with Any Screens Exposure Exposure Type Number (N=7940) (n=4741) Exposure to domes:c violence 2314 29% 49% Exposure to drug/substance abuse or related ac:vity 2113 27% 45% Mul:ple separa:ons from/or changes in primary caregiver 1349 17% 28% Basic physical needs not met 1120 14% 24% Incarcera:on and/or witnessing arrest of primary caregiver 921 12% 19% Emo:onal maltreatment 822 10% 17% Physical maltreatment or assault 745 9% 16% Sexual maltreatment or assault/rape 609 8% 13% Trauma:c death of a loved one 545 7% 11% Homelessness 516 6% 11% Other 383 5% 8% Serious accident/illness/medical procedure 236 3% 5% Exposure to school violence and/or severe bullying 215 3% 5% Exposure to community violence 196 2% 4% Immigra:on trauma 36 0% 1% Natural disaster/war/terrorism 18 0% 0%

The Four QuesLons Yes Responses Domes:c violence 1173 723 Sexual abuse 487 Physical abuse 103 Other (new trauma:c event) 140 new informa:on, 18 new CPS referrals

Join the NC DSS Trauma Listserv! E-mail : Jeanne.Preisler@dhhs.nc.gov Funded through the Department of Health and Human Services, Administra:on for Children and Families, Children’s Bureau, Grant # 90CO1058 17

Thank You For All You Do For Children And Families! Funded through the Department of Health and Human Services, Administra:on for Children and Families, Children’s Bureau, Grant # 90CO1058 18