Early Intervention and Child Abuse

1
Early Intervention and Child Abuse Prevention
Act (CAPTA)

• Marina L. Merrill (ODE)
• Stephanie Stafford (DHS)

2
CAPTA

• States receiving CAPTA funds must develop and
  implement provisions and procedures for referral
  of a child under the age of 3 who is involved in
  a substantiated case of abuse or neglect to early
  intervention services funded under part C of the
  Individuals with Disabilities Education Act
  106(b)(2)(A)(xxi).

3
IDEA 2004

• States must provide a description of the State
  policies and procedures that require the referral
  for early intervention services under Part C of a
  child under the age of 3 who is involved in a
  substantiated case of child abuse or neglect
  637(a)(6)(A)

4
What does this mean?

• Each Local Child Welfare office and county Early
  Intervention (EI/ECSE) program have an
  interagency agreement that ensures that child
  victims of abuse or neglect, birth to age 3, are
  referred to the EI/ECSE program in the county
  that the child resides.

5
Child Welfare Responsibility

• Local Child Welfare workers will refer children
  under the age of 3, who are victims of child
  abuse or neglect to Early Intervention services.
• The standard CAPTA Referral form (CPS Early
  Intervention Referral) designed for this mandate
  is required.
• Each Child Welfare office will use FACIS case
  notes to record all children referred to the
  EI/ECSE program.

6
EI/ECSEs Responsibility

• Minimally, each child must receive a valid and
  reliable developmental screening to determine
  eligibility for Early Intervention.
• County EI/ECSE programs may use developmental
  information provided by other agencies or
  providers as part of the screening process to
  determine need for conducting an evaluation.

7
CW EI Joint Responsibility

• Child Welfare Administrative Rule directs Child
  Welfare staff to refer ALL children who fall
  under this mandate to local EI/ECSE programs to
  refer each child within 30 days of the founded
  date.

8
Why implement links between child welfare and
Part C?

• Highest rates of abuse and neglect occur in
  infants and toddlers
• 16.1 per 1000 children under age 3
• High rates of developmental delay in this
  population
• 23-61 of children known to CW have delays in
  development, communication, behavior

9
What are EI/ECSE Services?

• EI provides access to individualized
  interventions at no cost to the family.
• To receive services through EI, children from
  birth to 3 years must meet eligibility
  requirements by either having a documented
  established condition, physical disability, or a
  developmental delay in one or more areas.
• EI performs multidisciplinary evaluation of the
  child to assess cognitive, motor, social,
  language, and adaptive functioning.
• EI develops plan for intervention (IFSP) and
  coordinates services to address child's needs.

10
EI Eligibility

• Children ages birth through two years of age with
  Significant Delays in one or more of the
  following domains
• Cognition
• Communication
• Physical including hearing and vision
• Social or Emotional
• Adaptive

11
CAPTA Referral Status in Oregon

• Data Suggests Under referral
• Approximately 21.29 of potential referrals made
• For further Information on Early Intervention
  Referrals visit
• http//www.oregon.gov/DHS/children/committees/capt
  a.shtml