Project LAUNCH An Opportunity for Tomorrow

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Project LAUNCHAn Opportunity for Tomorrow

• Roxane K. Kaufmann
• Neal Horen
• Kaufmanr_at_georgetown.edu
• horenn_at_georgetown.edu

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• What do we mean by early childhood mental health?

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Early Childhood Mental Health

• The social, emotional and behavioral health and
  well-being of young children and their families
• The developing capacity to experience, regulate,
  express emotion
• Form close, secure relationships
• Explore the environment and learn
• Adapted from ZERO TO THREE

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Early Childhood Mental Health

• An ecological approach that
• Promotes the behavioral/emotional well-being of
  all
• Strengthens well-being of children and families
  at risk
• Helps families address their own barriers
• Expands competencies of non-familial caregivers
• Ensures access to services for those w/
  atypical development
• Jane Knitzer

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Why Build a System?

• Early childhood policies and procedures are
  fragmented, with complex and confusing points of
  entry NRC/IOM Neurons to Neighborhoods, 2000
• The goal of system-building is to integrate
  multiple and diverse, formal and informal
  supports and services in ways that recognize the
  strengths of families and respond to their daily
  needs. Fenichel and Kaufmann, 1987

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CSEFEL
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Where is the leverage?

• ECCS
• EHS and HS
• Part C and 619
• TANF
• Home Visitation
• Maternal Depression
• Early Literacy
• Expulsion Prevention
• EBPs, e.g.PBS

• Foundation initiatives
• Universal Pre-K
• Bright Futures
• Child Care Quality set asides
• Child Abuse Prevention
• Adult Services
• School Readiness

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EARLY CHILDHOOD MENTAL HEALTH SYSTEM OF
CARE Fosters the social and emotional well-being
of infants toddlers, preschool-age children and
their families
Services and Supports
VALUES Family Voice Child and Family
Centered Relationship Based Culturally
Competent Infused into Natural Settings and
Services Grounded in Developmental Knowledge
Supports for Parents and Families
Supports for Other Caregivers
Services for Children and Families
Infrastructure Building Blocks
Strategic Planning, Policies, and Procedures
Interagency Partnerships and Governance
Maximized and Flexible Funding
Prepared Workforce
Outcome Evaluation
Developed by Roxane Kaufmann, GUCCHD
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CSEFEL
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A Public Health Continuum

• Levels and Types of Intervention
• Intervention/Targeted
• Prevention/Indicated
• Promotion/Universal

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Promotion

• Dissemination of information promoting healthy
  social-emotional development
• Developmental screening (including S/E) in
  multiple settings
• Child care health consultation
• High quality child care
• Use of an evidence-based curriculum
• Talking circles
• Screening for maternal depression
• Newborn home visits
• Warm lines
• Touch Points

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Prevention

• Home visiting
• Mental health consultation
• Family mentors
• Social skills curricula
• Family supports and training
• Canoe Journey
• Caregiver supports

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Intervention

• Intensive mental health consultation (PBS)
• Crisis teams
• Wraparound services
• Relationship-based therapy
• PCIT
• Behaviorally-based programs in a variety of
  settings (RIP, PEP)
• In-home treatment
• Multi-generational treatment

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Building Blocks

• Strategic Planning
• Interagency and Collaborative Partnerships
• Governance
• Policies and Procedures

• Family Involvement and Advocacy
• Maximized and Flexible Funding
• A Prepared Workforce
• Outcome Evaluation and Data Management

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State/Tribe and Local Responsibilities

• STATE/TRIBE
• Clear point of responsibility/accountability
• Committee on interagency collaboration at senior
  level/tribal council support
• Regular feedback from community and families
• Policy shifts related to funding and HRD
• State family coalition

• COMMUNITY/TRIBE
• Local cross-system team responsible for planning,
  policy development, resource identification,
  training, monitoring
• Strong family involvement on this management
  committee
• Interagency review mechanism
• System for facilitated referrals
• Evidence-based services/supports
• Family engagement and supports

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Lessons Learned

• Involve different catalysts and different
  leadership
• Involve partnerships and many stakeholders
• Emphasize promotion and prevention, not only
  treatment
• Involve different entry points

• Address culture and language
• Use existing and new data and evaluate outcomes
• Develop creative fiscal strategies
• Build on existing early childhood programs
• Work toward policy and systems change

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The Opportunity is LAUNCHED!