Early Childhood Mental Health ECMH in Kansas

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Early Childhood Mental Health (ECMH) in Kansas

• SRS HCP Mental Heath
• Prevention and Early Childhood Technical
  Assistance Coordinator

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Kansas Early Childhood Comprehensive Systems
Plan Recommendations to Expand Enhance ECMH
services

• 1. Enhance Kansas communities ability to
  support strengthen the social and emotional
  well-being of all young children and their
  families through increasing coordination of birth
  to 5 services at both the state and local levels.
  
• 2. Develop a coordinated system to screen and
  assess the social emotional needs of children
  birth to 5 and develop a consistent referral
  procedure for services in the context of family,
  culture and community.
• 3. Adopt train providers on the utilization of
  appropriate diagnostic criteria (DC-03).

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Recommendations Contd

• 4. Improve and expand mental health treatment
  options and interventions for children birth to 5
  and their families. This includes services such
  as professional mental health consultation.
• 5. Build a training infrastructure for ECMH in
  Ks. including front-line providers, early
  interventionists and early childhood mental
  health specialists.
• 6. Develop public policies that support the
  promotion of healthy social emotional
  development as well as prevention, early
  intervention, and mental health treatment
  services for children birth to age five and their
  families.

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Early Childhood Mental Health Consultation

• In FY 07, Kansas Legislature appropriated
  1,000,000 to SRS, Health Care Policy
  specifically for Childrens Mental Health
  Services. This funding will be focused on the
  Early Childhood Mental Health Consultation Model.
  
• http//www.srskansas.org/hcp/MHSIP/MHSIPRFPs.htm

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Program Guiding Principles

• Early Childhood Mental Health (ECMH)
  Consultation is a problem-solving capacity
  building intervention implemented within a
  collaborative relationship between a professional
  consultant with mental health expertise and one
  or more individuals with other areas of
  expertise- primarily child care professionals,
  early education child development professionals
  families.
• ECMH consultation aims to prevent, identify,
  treat reduce the impact of social/emotional/beha
  vioral concerns among children from birth through
  age 5.

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13 Agencies Funded for ECMH Consultation in
Kansas (22 Counties)

• Community Mental Health Center of Crawford County
• Family Service and Guidance Center- Shawnee
• Elizabeth Layton Center- Franklin, Miami
• Prairie View, Inc.- McPherson, Marion, Harvey
• Family Life Center- Cherokee
• Pawnee Mental Health Center- Geary
• Sumner County Mental Health Center
• Four County Mental Health Center- Montgomery,
  Chautauqua, Wilson, Elk
• Nurturing Families- Leavenworth County
• USD 305 Heartland, Saline
• USD 489 Hays, Russell, Rooks, Rush, Ellis
• Success by Six Coalition of Douglas County
• Marshall County Community Education and Resource
  Center

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Early Childhood Mental Health Advisory Council

• Create the Kansas Early Childhood Mental Health
• Strategic Plan
• Subcommittees
• Competency-Based Endorsement/License
• State to Local Liaison communication meetings
• Training for Early Childhood Mental Health

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Michigan Association of Infant Mental Health
(MI-AIMH)

• SRS HCP Mental Health Purchased License and
  Technical Assistance for Endorsement in Kansas
• MI-AIMH Defined Professional Competency-Based
  Endorsement to assist with establishing a
  comprehensive system
• Plan identifies four levels of ability among
  professionals
• Infant Family Associate, Infant Family
  Specialist, Infant Mental Health Specialist,
  Infant Mental Health Mentor

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State to Local Liaison Meetings

• The State-to-local liaison group will look at
  creating a pyramid of services/programs across
  the state for early childhood mental health.
• The group will also plan a series of regional
  meetings to help facilitate collaboration between
  early childhood and mental health.

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State to Local Liaison Meetings

• Six regional meetings in the state
• The community mental health centers in each area
  would be asked to host the first meeting and
  include community partners and early childhood
  providers.
• Meetings will be scheduled initially every 6-12
  weeks
• The agenda for the regional meetings may
  include.
• Information about the infant mental health
  endorsement process
• KECCS
• Legislative update
• Updates/changes in Medicaid how changes impact
  each agencys work
• List of statewide resources that are available
• Promoting the idea of child care involvement
  (involve RRs)
• PBS whats happening in schools
• Social-Emotional Screening Tool (SEST) overview

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Kansas Training Contracts

• August 10 11, 2007 (Grantees only- August 22,
  23, 24)
• Promoting First Relationships NCAST-AVENUW
  http//www.son.washington.edu/centers/pfr/index.ht
  ml
• October 22 23, 2007
• ZERO TO THREE DC0-3R TOT
• Developmentally based approach to the
  classification of mental health and developmental
  disorders in the first four years of life.
  http//www.zerotothree.org/
• October 3 4, 2007
• Neurosequential Model of Therapeutics by Dr.
  Bruce Perry http//www.childtrauma.org/ctaServices
  /nmt.asp
• October 19, Salina November 2, Pittsburg
• October 26, Hays November 16, Leavenworth
• DECA- Devereux Early Childhood Assessment
  http//www.devereuxearlychildhood.org/index.html

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Other Contracts

• Contract with Kansas Association of Infant Mental
  Health (KAIMH) for two part time positions to
  assist with Endorsement Process
• Kansas Head Start Association to assist with
  Strategic Planning and Advisory Council
  facilitation
• KACCRRA- Request For Proposals for Infant/Toddler
  Mental Health Conferences with Local Resource and
  Referral Agencies in local communities.

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New Policies for Improvement

• SRS HCP has revised the current Medicaid service
  array. Many of the barriers to serving very young
  children have been removed Medicaid codes for
  the reimbursement of assessment and treatment
  will be available.
• More information available regarding Medicaid
  changes
• www.medicaidtraining.org
• www.kansashealthsolutions.org
• www.khpa.ks.gov
• https//www.kmap-state-ks.us/

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Kan-be-Healthy Mental Health / Behavioral Health
Services

• Definition
• Mental Health Behavioral Health Screening,
  Diagnosis, Treatment services for children ages
  0-5 years not included elsewhere in the plan.
• Limitations/Exclusions
• Two mental health assessments which include
  observation are authorized per calendar year.
• Allowed Mode of Delivery
• Individual, Family, On-site, Off-site

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Kan-be-Healthy Mental Health / Behavioral Health
Services

• Provider Qualifications
• MH Professional licensed to practice
  independently
• Licensed clinical marriage family therapist
• Licensed clinical counselor
• Licensed specialist clinical social worker
• Licensed clinical psychotherapist
• Licensed PhD psychologist
• And a MH Professional licensed to practice under
  supervision
• Licensed marriage family therapist
• Licensed professional counselor
• Licensed master social worker
• Licensed masters level psychologist

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KBH Reimbursement Coding

• Mental Health Assessment Limited (includes
  standardized assessments such as the ASQ-SE,
  ITSEA, CBCL, with interpretation report)10.29
  Per 15 min.
• Mental Health Assessment Extended (standardized
  assessment with interpretation report including
  clinical observation for more than 3 hrs)155.00
  Per Assessment
• Mental Health Service Plan development by an LMHP
  in conjunction with the family significant
  others with other systems of care such as early
  education, child care, child welfare--17.50 per
  15 min.

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Social Emotional Screening Tool (SEST)

• The SEST (0-5) is a brief screening tool
  designed to identify those children birth to five
  years old who most urgently need more thorough
  mental health screening or assessment.
• This tool is offered as a resource that can be
  used to quickly identify those children most in
  need of more intensive screening and assessment.
  It is advisable that local service systems
  develop, implement, and evaluate plans for the
  use of this tool.
• The tool was originally designed for use by
  those who do not have expertise in the area of
  early childhood mental health.

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Other Resources

• Kansas Association for Infant Mental Health
  (KAIMH) http//www.kaimh.org and send email
• kaimh-subscribe_at_yahoogroups.com to join list
  serve
• Kansas Early Childhood Comprehensive Systems
  Plan www.keccs.org
• A study of the Integration of Part C and
  Medicaid Behavioral Health Services for Infants
  and Toddlers http//www.fmhi.usf.edu/institute/pub
  s/pdf/ahca/2004-Berson_pa.pd

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• More Resources
• Compendium of Screening Tools for Early
  childhood Social-Emotional Development
  http//www.cimh.org/publications/child.cfm
• Infant Toddler Medicaid Funded Mental Health
  Services http//www.fmhi.usf.edu/institute/pubs/pd
  f/ahca/2002infant-toddler-mhs.pdf
• Technical Assistance can be found at SAMHSA
  http//www.samhsa.gov/ChildFamily/cfprogramstopic.
  aspxec

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Contact InformationTiffany Smith-Birk SRS
Division of Health Care Policy 915 Harrison
Street, 9 SouthTopeka, Ks 66612 (785)
296-3627tsmith-birk_at_srs.ks.org