MHSA Prevention and Early Intervention
HEARTS for Kids Program Sacramento County Mental Health Services Act Steering Committee March 17, 2011 1
HEAR...
HEARTS for Kids Program Sacramento County Mental Health Services Act Steering Committee March 17, 2011 1
HEARTS for Kids
Health Exams
Assessments
Referrals and
Treatment Services
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Target Population
HEARTS for Kids serves children in Sacramento County from birth to age 5 that have been placed into protective custody by Child Protective Services HEARTS serves foster parents – from Foster Family Agencies (FFA) and County – and relative caregivers who become foster parents 3
Collaborative Partnership
First 5 Sacramento Commission
Department of Health and Human Services (DHHS), Child Protective Services (CPS)
Children’s Specialists Medical Group of Sacramento, Inc. (CSMGS)
Children’s Receiving Home of Sacramento (CRH)
DHHS, Division of Public Health – Public Health Nurses
DHHS, Division of Behavioral Health Services – Early Interventionist (EI)
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Funding
Along with MHSA PEI funding, the HEARTS for Kids Program is funded by the First 5 Sacramento Commission which uses Prop 10 (tobacco tax) funds to support the healthy development of children 0-5 Additional information about the First 5 Sacramento Commission is online at www.first5sacramento.net or (916) 876-5865
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Program Services CSMGS Physicians Provide: (First 5) Medical clearance examinations, including dental screening and health insurance screening DPH Public Health Nurses Provide: (First 5) Home Visits Developmental screenings Prevention and education services Medical services follow up and documentation 6
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Program Services (cont’d) DBHS Early Interventionists Provide: Assessments Referrals Coordination with CPS Training
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DBHS Early Interventionists
Licensed mental health professionals
Trained in early childhood development
Knowledgeable about community resources for linkage and referrals 8
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Assessments
Assess developmental, social and emotional needs of the child Assess child’s transition into the foster home and stability of placement
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EI Assessment Considerations
What are the developmental needs of the child?
What are the attachment and emotional needs?
What challenges does the caregiver face that could impact their capacity to parent? What resources are available to enhance healthy development and prospects for permanency? 10
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EI Referral Services
Assist in making early intervention referrals for services such as speech, language or occupational therapy Referral to the Mental Health Access Team for treatment services as needed
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Collaboration
Keep CPS social worker informed of concerns
Attend Team Decision Making (TDM) meetings as requested by CPS
Assist with a child’s transition to a new placement and/or back to their biological parents home
Monthly partnership meeting between CPS, Behavioral Health and Public Health
Attend a monthly case conference to review cases needing additional follow-up between partners (CSMGS, Public Health, & CPS) 12
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Coaching and Training DBHS Provides: Coaching and support to caregivers regarding the socialemotional development of young children Training to Foster Parents on how to interpret and understand the unspoken language of infants and children who have experienced trauma and loss
CPS Provides: Training on nutrition, dental health, and caring for medically fragile children 13
Evaluation Process
Begins with the PHN who completes the Ages and Stages Questionnaire (ASQ) EI does the ASQ-SE Questionnaire (social-emotional component) Upon termination, EI, re-administers ASQ to evaluate child’s overall progress 14
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Anticipated Outcomes
Increase foster child resiliency Decrease trauma and attachment disruption in children by stabilizing and minimizing placement disruptions Increase in appropriate services for children to prevent further long term emotional and developmental problems 15
Where we are today
165 children are currently open and being served in HEARTS for Kids 50 cases have been processed and closed To date, HEARTS has served 200 children and caregivers 16