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Social Emotional Work in Early Care and Learning Settings

Social Emotional Work in Early Care and Learning Settings. Working Toward a Systems Approach in Kansas. Presenters. Tiffany Smith, Part C Coordinator, Kansas Department of Health and Environment (KDHE) tsmith@kdheks.gov

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Social Emotional Work in Early Care and Learning Settings

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  1. Social Emotional Work in Early Care and Learning Settings Working Toward a Systems Approach in Kansas

  2. Presenters Tiffany Smith, Part C Coordinator, Kansas Department of Health and Environment (KDHE) tsmith@kdheks.gov Carol Ayres, Section 619 Coordinator, Kansas State Department of Education (KSDE) cayres@ksde.org Peggy Miksch, Technical Assistance Coordinator, Kansas Inservice Training System, University of Kansas pmiksch@ku.edu

  3. Objectives Participants will • Understand the historical framework for an emerging systems approach to promoting Early Childhood Mental Health (ECMH) • Identify goals, strategies, and barriers to implementation a strategic plan for ECMH • identify potential resources to build a systems approach to strengthening ECMH and social-emotional supports for children and families

  4. Agenda Historical Framework Strategic Planning Process & Current Status of Strategic Plan Interagency Partnerships & Social Emotional Initiatives Family Partnerships Pilot/Demonstration Projects Training Maximizing Funding and Sustainability Monitoring and Evaluation Lessons Learned

  5. Acknowledgements • National resources: GUCCD, CSEFEL,TACSEI, ITCA • State partnerships: KDHE, KSDE, KITS/TASN, University of Kansas, State ICC, SRS- Mental Health & Head Start Collaboration Office, Children’s Cabinet and Trust Fund- KECCS Plan, Emporia State University, KAIMH, KHSA, Kansas State University, KACCRRA

  6. Small steps, jumps and leaps True transformation to a public health approach to children’s mental health requires continuous and complex societal change that can occur through small steps…, a series of jumps…, and big leaps... Each strategy moves closer to a new way of thinking and doing. Miles, J., Espiritu, R.C., Horen, N., Sebian, J., & Waetzig, E. (2010), p. 33.

  7. Historical Frameworkfor ECMH in Kansas • Conference featuring Ghosts from the Nursery: Tracing the Roots of Violence : Robin Karr-Morse • Statewide Infant and Early Childhood Mental Health Collaborative Conference • RFP’s leading to formation of local Infant and Early Childhood Mental Health Groups • Development of Early Childhood Mental Health Project to ensure EBP • Federal Requirement for Reporting Early Childhood Outcomes • Development of Kansas Early Childhood Comprehensive Systems Plan

  8. Defining ECMH Early childhood mental health is the social, emotional, and behavioral well being of young children birth through five and their families. Kaufmann (2010)

  9. Kansas Early Childhood Comprehensive Systems (KECCS) Plan KECCS Mission Ensuring that Kansas is the Best Place to Raise a Child Background Through a two year strategic planning and collaborative building process, early childhood stakeholders from across the State partnered to develop a roadmap to guide the provision of services to young children and families. Purpose The KECCS Plan utilizes School Readiness as a bridging framework to create a state-wide, unified effort for investing in Kansas through investing in our children.

  10. Strategic Planning As part of Goal 2 (Mental Health/Social Emotional Development), a workgroup of KECCS partners developed the State's Early Childhood Mental Health Strategic Plan in 2008. Our Vision: Healthy social and emotional development of children, birth through age 5, supported by a system of promotion, prevention, and treatment within the context of the family and the larger community. http://www.keccs.org/~eccs/pdf/ECMH%20Strategic%20Plan%202009.pdf

  11. ECMH Advisory Council 2007 Behavioral Sciences Regulatory Board Bert Nash Center Butler County Community Mental Health Center Central Kansas Mental Health Center Crawford County Community Mental Health Center Early Head Start Emporia State University Family Life Center Family Service and Guidance Center Four County Mental Health Center Heartland Programs Independence Community College Kansas Association for Infant and Early Childhood Mental Health

  12. ECMH Advisory Council 2007 Kansas Association of Resource and Referral Agencies Kansas Chapter of American Academy of Pediatrics Kansas Children’s Cabinet and Trust Fund Kansas Children’s Service League Kansas Department of Health and Environment Kansas Department of Social and Rehabilitation Services Kansas Head Start Association Kansas Head Start State Collaboration/SRS Kansas Health Policy Authority Kansas Inservice Training System Kansas State Department of Education Kansas State University KVC Behavioral Health Care

  13. ECMH Advisory Council 2007 Mental Health Center of East Central Kansas Nurturing Families, Inc. Parents As Teachers Prairie View, Inc. SEK-CAP SE Kansas Community Action Programs State Interagency Coordinating Council Success by Six Coalition of Douglas County Successful Connections Sumner Mental Health Center The Family Conservancy United Way of Topeka University of Kansas USD 489 Hays

  14. Where are we now? • Current Status of our Strategic Plan • Upcoming Review of Strategic Plan Facilitated by Dr. Neal Horen, GUCCHD

  15. ECMH Strategic Plan: Goal 1 Every community has access to well‐qualified early childhood professionals working with young children, families and providers. Measured by: Number of professionals 1) receiving endorsement at levels 1-4 and 2) participating in training activities by profession and employment site.

  16. ECMH Strategic Plan: Goal 2 A structured, coordinated communication system brings people and resources together. Measured by: Utilization of KAIMH web site; number and size of local/regional ECMH collaborative groups; participation of mental health professionals serving adults in early childhood mental health services

  17. ECMH Strategic Plan: Goal 3 High‐quality services are delivered in a multi‐tiered pyramid approach, including promotion, prevention and treatment. Measured by: Memoranda of Understanding and other collaborative agreements among systems.

  18. ECMH Strategic Plan: Goal 4 Young children and families have access to services in their natural environments. Measured by: number of referrals; number of children in treatment; number of children receiving services within early learning settings; expulsion rates; percent of children receiving IDEA services who demonstrate progress in social emotional skills and relationships

  19. ECMH Strategic Plan: Goal 5 The ECMH system will be sufficiently funded so that monies are available for project, program and policy identification; selection; design; implementation and evaluation, including research and other identified needs. Measured by: Level of funding; adoption of policies consistent with ECMH plan

  20. Goals • To encourage the realization that infancy is a critical period in the psychosocial/emotional development of individuals, • To disseminate knowledge to its members as well as to combat the sense of isolation of those disciplines working in the infancy field, • To provide information to the general public, which will enhance awareness and bring to public attention the psychosocial/emotional needs of children in the first years of life.

  21. Partnerships Formal Interagency Agreements or MOU’s • Part C & B619 Outcomes Web System for ECO Collaborative Agreement Association Partnerships • Kansas Association for Infant and Early Childhood Mental Health (KAIMH) • Kansas Early Learning Collaborative MOU KAIMH, KHSA, KDEC, KPATA, KACCRRA, KCSL Informal partnerships • Local Interagency Coordinating Councils (ICCs) • Community partnerships

  22. Family Focus Partnerships with Families: • Families Together Inc. (PTI) • Kansas Parent Information Resource Center • Beach Center on Disability - KU • Early Childhood Partner Parent Advisory Groups Recruitment: Early Childhood Partners focus on all populations. Many programs specifically target families with at-risk factors exhibiting high needs in social emotional area.

  23. Trainings/Technical Assistance Focus on Family Partnerships Recent KITS Summer Institutes: • Providing Appropriate Services to Infants/Toddlers and Young English Language Learners • Evidence Based Practices for Effective Collaboration with Families • Supporting Social Emotional Development in Young Children through Evidence Based Practices

  24. Additional Training/Technical Assistance With Family Focus • Promoting First Relationships • Evidence Based Practices/Coaching • Reflective Supervision • Responsive Parenting • Ages and Stages SE • Online modules focused on parent-professional partnerships (Beach Center)

  25. Tip of the Iceberg • Programs continue to strengthen identification of families in need of support in the area of early childhood mental health with focused effort on hard to reach families • Communities work to highlight the importance of early childhood mental health, prevention, promotion and intervention and to bring awareness to families as to where they can turn to for information and support.

  26. How do Families/Children Access Services in Kansas? • Community Mental Health Centers • Community Developmental Disabilities Organizations • Early Childhood Partner Programs • Part B 619 Programs • Part C Programs

  27. Services and Supports Mental Health Consultation: Kansas Association of Infant and Early Childhood Mental Health (KAIMH) Smart Start Head Start Pilot Preschools Community Mental Health Centers

  28. Prepared Workforce • ECMH consultant training • Part C ARRA training • SRS/Social Emotional Screening Tool (SEST) • ASQ and ASQ-SE (ABCD Screening) • MI-AIMH and KAIMH endorsement www.kaimh.org

  29. KAIMH Endorsement • Membership in KAIMH or another IMH association • Training/Education/experience as specified and related to infants, toddlers, parents, other caregivers and families. There are five steps to the Endorsement (IMH-E®) process: • Inquiry • Preliminary Application • Preparation of a Portfolio • Documentation of Competencies • Endorsement • http://www.kaimh.org/

  30. What Pilot or Demonstration Projects are Planned or Underway? • SEK-CAP model – Program Wide Implementation of the Pyramid Model • TACSEI early intervention demonstration site • Responsive Parenting in Part C • Evidence Based Practice/Coaching in Part C • KDHE/KISN Early Intervention Autism Project

  31. Cultural Competence KITS Summer Institute 2nd annual KAIMH conference in 2010 was The Power of Language, Culture, and Relationships. New Resource National Center for Cultural Competence at Georgetown University for Child and Human Development has developed The Cultural and Linguistic Competence Family Organization Assessment Instrument (2010) • http://www.gucchdgeorgetown.net/nccc/clcfoa/

  32. Maximized/Flexible Funding and Sustainability Identify potential flexible funding for pooling/ blending/braiding Examples: Conference focused on blending and braiding funding among all EC partners RFP’s focus on collaborative relationships

  33. Monitoring and Evaluation: Where do we go from here? • ECO • KELC • KECCS • KSDE Longitudinal Study • CIF

  34. Lessons Learned • Concern for the social-emotional well-being of children, including their interactions and relationships with the adults and other children in their lives, brings a broad spectrum of talented, skilled, and passionate people to the planning table. • Part C and Part B/619 programs belong at the table for strategic planning for a systems approach to early childhood mental health • Strategic planning is more than a one day or even a one year process. It has to be continuous, and therefore requires an implementation plan, just like the goals and actions contained within it.

  35. Lessons Learned, Continued • Strategic plan goals need what Neal Huron calls “Champions”, the people or teams that will be responsible and accountable for implementation, including data analysis and reporting. • The strategic plan process is critical to creating a systems approach to addressing social-emotional needs of young children and families, and therefore worthy of funding by the systems involved. • But don’t wait for funding: start organizing and forming partnerships now

  36. References • Goode, T., Jones, W., Jackson, V., Bronheim, S., Dunne, C., & Lorenzo-Hubert, I. (2010). Cultural and Linguistic Competence Family Organization Assessment Instrument. Washington, DC: National Center for Cultural Competence, Georgetown University Center for Child and Human Development. http://www.gucchdgeorgetown.net/nccc/clcfoa/ • Kansas State Department of Education (2010) Report Card 2008-2009: State Race/Ethnicity. http://online.ksde.org/rcard/state_enr_race.aspx?org_no=D% • Kaufmann, R. (2010) Self-Assessment Guide. Georgetown University Center for Child Health and Development. http://gucchdtacenter.georgetown.edu/resources/Selfassessment%20guide%20for%20Appendix.pdf • State of Kansas Department of Social and Rehabilitation Services Children and Family Services (January 2008) Social Emotional Screening Tool (SEST). The original Mental Health Screening tool (MHST 0-5) was developed by the California Institute for Mental Health (CIMH) and was funded by a grant from the Zellerbach Family Fund. Revisions and format changes made by: Christopher L. Smith, PhD, KUCDD-Parsons, 2601 Gabriel, Parsons, KS 67357.

  37. Additional Resources Lyman, D., Holt, W., & Dougherty (2010). State case studies of infant and early childhood mental health systems: Strategies for change. The Commonwealth Fund. http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2010/Jul/1427_Lyman_state_case_studies_child_mental_hlt.pdf Technical Assistance Center on Social Emotional Intervention (TACSEI) Webinars Featuring Kansas Programs http://www.challengingbehavior.org/explore/presentations_workshops.htm#web • Carta, J., Hemmeter, M.L., Broyles, L., & Baggett, K. (September 2009) The Pyramid Framework within Early Intervention Programs: Promoting the Social Development of Infants and Toddlers • Fox, L., & Broyles, L. (January 2008) Implementing Positive Behavior Supports within Local Systems

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