Joint Committee on Children, Youth and Families

1
The Childrens Cabinet The Governors Office
for ChildrenPromoting the well-being of
Maryland's children

• Joint Committee on Children, Youth and Families
• Healthy Children Hearing October 16, 2007
• Catherine J. Motz, Interim Executive Director
  (Chair), Governors Office for Children
• T. Eloise Foster, Secretary, Department of Budget
  Management
• Catherine A. Raggio, Secretary, Department of
  Disabilities
• John M. Colmers, Secretary, Department of Health
  and Mental Hygiene
• Brenda Donald, Secretary, Department of Human
  Resources
• Donald W. DeVore, Secretary, Department of
  Juvenile Services
• Nancy S. Grasmick, State Superintendent of
  Schools,
• Maryland State Department of Education

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What Are We Trying to Achieve?
Marylands Results for Child Well-Being
Children Completing School
Babies Born Healthy
Children Safe in Their Families Communities
Healthy Children
Stable Economically Independent Families
Children Enter School Ready To Learn
Children Successful In School
Communities that Support Family Life
The 2007 Maryland Results for Child Well-Being is
available at www.goc.state.md.us or by contacting
GOC (410-767-4160). Jurisdictional-level data are
available on the website under Results and
Indicators.
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Healthy Children

• The Result Area Healthy Children contains
  the following indicators
• Immunizations (the percentage of children fully
  immunized by age two)
• Injuries (the rate of child injuries that require
  hospitalization)
• Deaths (the rate of child fatalities among
  children one year of age and older) and,
• Substance Abuse (the percentage of public school
  students6th, 8th, 10th, 12th gradewho report
  using alcohol, tobacco, marijuana).

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Healthy Children Immunizations How is Maryland
doing?
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Immunizations Story Behind the Data Related
Measures Significance

• Related Measures
• School immunization compliance rate (2006 99)
• Vaccine-Preventable Disease rates (at historic
  lows)
• of vaccine providers serving low income
  children (increasing)
• Significance
• High immunization coverage rates equate to
• Low disease morbidity and mortality and
• Children entering school ready to learn
• Increasing of vaccine providers equate to
  children being served in their medical home
• HEALTHY KIDS FREE FROM DISEASE

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Immunizations Story Behind the
DataConsiderations and Forces at Work What
Works to Increase the Rate

• Increasing complexity of immunization schedule
• What works to improve the immunization rate
• Utilization of immunization registry to track
  delayed children
• Ongoing education at all levels of importance of
  timely immunizations
• Effective vaccine provider reminder/recall
  systems
• Ensure adequate supply of vaccines and vaccine
  providers
• Licensing requirements for family day care homes
  and child care providers regarding compliance
  with immunization schedule
• Increasing cost of vaccines needed by age two
  219 public 405 private
• What works to improve the immunization rate
  Provision of free vaccines to low income children

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Immunizations Partnerships Key Recommendations

• Ongoing collaboration between DHMH and MSDE
  regarding immunization requirements for children
  in child care and preschool programs
• Maryland Vaccines for Children Program
• Maryland Childhood Immunization Partnership
• Support for local initiatives, including home
  visiting programs

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Healthy Children Immunizations

• Questions Answers

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Healthy Children Injuries How is Maryland
doing?Unintentional Injuries (Accidents)
Date Source HSCRC and Maryland Department of
Planning
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Healthy Children Injuries How is Maryland
doing?Injuries Due to Assaults
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Healthy Children Injuries How is Maryland
doing?Self-Inflicted Injuries (Attempted Suicide)
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Injuries Story Behind the Data Related Measures

• Leading Causes of Unintentional Injuries
  Injuries due to Assault
• Leading Causes of Unintentional Injuries
• 0-9 year olds Falls, Motor Vehicle Traffic
  Injuries Poisoning
• 10-19 year olds Motor Vehicle Traffic Injuries,
  Falls, Struck by or against a person or object,
  and poisoning
• Leading Causes of Injuries due to Assault
• Struck by or against a person or object,
  Cut/Pierce, and Firearms
• (2005, Source DHMH, HSCRC)
• Suicide Attempts and Completions
• Overall completed suicides in youth are
  decreasing in Maryland,
• Maryland youth suicide rate is one of the lowest
  in the country.
• Recent national study documented two trends- one
  a decrease in the use of prescription
  antidepressents in youth, and the other an
  increase in youth suicide nationwide.

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Injuries Story Behind the Data Significance of
the Data

• Injuryas opposed to illness or diseaseis the
  leading cause of death for Marylanders ages 1 to
  44
• In 2003, Marylanders spent about 500 million on
  injuries
• Unintentional injuries are related to motor
  vehicles, falls, fires, poisonings, choking and
  drowning
• Intentional injuries include assaults and self
  inflicted
• Lost productivity and premature mortality cost
  approximately 1.6 billion in 2003
• Injuries may result in lifelong disabilities
  including spinal cord injuries (SCI) and
  traumatic brain injuries (TBI)
• First year cost of care for SCI ranges from
  220,000 to 740,000.
• Average lifetime cost of severe TBI ranges from
  600,000 to 1.9 million

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Healthy Children Deaths How is Maryland doing?
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Child Deaths Story Behind the Data Related
Measures
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Child Deaths Story Behind the DataConsiderations
Forces at Work

• Local Departments of Social Services investigate
  child fatalities to determine whether child abuse
  or neglect contributed to the death of a child.
• 2005 65 investigations concluded on child
  deaths 27 due to abuse or neglect
• 2006 80 investigations concluded on child
  deaths 27 due to abuse or neglect

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Child Deaths What Works to Prevent Deaths

• Integration of Child Welfare and Substance Abuse
  Treatment Programs
• Drug Exposed Newborns Program
• Maryland Safe Haven Act
• Disclosure of Information Hospitals and
  Birthing Centers

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Considerations, Forces at Work, What Works to
Prevent Injuries Deaths

• Leading causes of unintentional injury include
  motor vehicle-related accidents
• What works Increase use of proper and
  appropriate child restraints in motor vehicles
• What works Positive youth development to enable
  teenagers to make positive life choices
• Factors affecting suicide attempts are complex
  require partnerships to help intervene
• What works Public awareness campaigns on
  depression and suicide prevention training on
  prevention, intervention and postvention of
  suicide attempts
• What works Youth crisis hotlines
• Violence plays a large role in preventable
  injuries and child deaths
• What works Positive Youth Development
• What works Peer Mediation, Violence
  Intervention, Intensive Adult Supervision, Parent
  Involvement, DJS Spotlight on Schools Program

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Partnerships Key Recommendations to Prevent and
Reduce Injuries Deaths

• State and Local Child Fatality Review Teams
• Family Therapy Programs to address family
  violence and substance abuse issues
• Functional Family Therapy
• Multisystemic Therapy
• Multidimensional Treatment Foster Care
• Support Positive Youth Development Programs

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Healthy Children Injuries Deaths

• Questions Answers

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Healthy Children Substance Abuse How is
Maryland doing?Cigarette Use
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Healthy Children Substance Abuse How is
Maryland doing?Alcohol Use
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Healthy Children Substance Abuse How is
Maryland doing?Marijuana Use
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Substance Abuse Story Behind the Data Related
Measures

• Age of First Use
• Most youth first try cigarettes between 11 and 16
  years of age
• Most 12th graders who have tried marijuana do so
  between the ages of 13 and 16
• First alcohol use often occurs between the ages
  of 13 and 16
• National Survey on Drug Use and Health (NSDUH)
  Data
• Maryland Adolescent Survey questions on other
  drug usage

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Substance Abuse Story Behind the
DataSignificancewhy does it matter?
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Substance Abuse Story Behind the
DataConsiderations Forces at Work
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Substance Abuse Forces Considerations What
Works to Decrease Usage

• Availability of Substances
• What works Public Policy Initiatives
• What works Enforcement of Underage Drinking Laws
• Opportunities for Substance Use and Abuse
• What works Positive Youth Development to assist
  in making healthy choices, including Tobacco Use
  Prevention and Cessation Programs
• What works After School Programming
• What works Evidence-Based Prevention Programs in
  School and Community-Based Settings
• Treatment, including Early Intervention
• What works Alcohol Drug Abuse Administration
  Adolescent Treatment Programs
• What works Problem Solving Courts Drug Courts,
  Teen Courts

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Substance Abuse Partnerships to Reduce Usage
Key Recommendations
Many of the partners actively engaged in
prevention and reduction of substance use and
abuse

• County Prevention Coordinators,
• College University Coordinators
• Governors Drug Alcohol Abuse Council
• Local Drug Alcohol Abuse Councils
• Alcohol Drug Abuse Administration (ADAA)

• Maryland Addictions Directors Council (MADC)
• Maryland State Department of Education/Safe
  Drug Free School Coordinators
• Maryland Association for Prevention Professionals
  Advocates (MAPPA)
• Local Management Boards
• Governors Office of Crime Control Prevention

Key Recommendations to Reduce Usage

• Continued funding and support for mental health
  initiatives that prevent and/or treat substance
  abuse
• Continued funding and support for initiatives
  such as HB 1372 (2007)Student Health-Inhalant
  Abuse-Awareness, Training, and Distribution of
  Materials

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Key Priorities Recommendations for the Future
Improving the Result Healthy ChildrenChildrens
Cabinet Priorities

• Prevention and positive youth development
• Improved coordination between child welfare and
  substance abuse treatment initiatives
• Access to quality health and mental health
  services for children in foster care
• Creating more opportunity compacts around the
  state
• Expansion and utilization of evidence-based
  practices
• Continued Increased Education on
• Immunizations the reduction in babies born with
  disabilities
• Helmet use when participating in sports the
  importance of the use of seatbelts
• The negative effects of drug alcohol use during
  pregnancy, particularly targeted for teens and
• Lead poisoning and its irreversible effects.
• Continued funding and support for mental health
  initiatives, both preventive and
  treatment-oriented

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Healthy Children

• Questions Answers

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The Childrens Cabinet The Governors Office
for ChildrenPromoting the well-being of
Maryland's children
Martin OMalley, Governor Anthony G. Brown, Lt.
Governor Catherine J. Motz, Interim Executive
Director 301 W. Preston Street, 15th
Floor Baltimore, MD 21201 410-767-4160 www.goc.sta
te.md.us