EARLY CHILDHOOD EARLY CHILDHOOD SUPPORTS AND SERVICESSUPPORTS AND SERVICES

Tom Washington, Ph.D.Tom Washington, Ph.D.Behavioral Healthcare DirectorBehavioral Healthcare Director

Office of Mental HealthOffice of Mental Health

Department of Health & HospitalsDepartment of Health & Hospitals

December 7, 2004

EARLY CHILDHOOD EARLY CHILDHOOD SUPPORTS AND SERVICESSUPPORTS AND SERVICES

Designed to provide services and supports Designed to provide services and supports to young children ages 0-5 and their to young children ages 0-5 and their families who are at risk of developing families who are at risk of developing cognitive, behavioral and relationship cognitive, behavioral and relationship difficulties.difficulties.

SIX PARISHES 2002-2004SIX PARISHES 2002-2004

ST. TAMMANY PARISHST. TAMMANY PARISH

DESOTO PARISHDESOTO PARISH

EAST BATON ROUGE PARISHEAST BATON ROUGE PARISH

LAFAYETTE PARISHLAFAYETTE PARISH

OUACHITA PARISHOUACHITA PARISH

TERREBONNE PARISHTERREBONNE PARISH

St. Mary Parish expansion in 2004 - 2005St. Mary Parish expansion in 2004 - 2005

THREE NEW SITES IN 2004-2005THREE NEW SITES IN 2004-2005

DELTA PARISHESDELTA PARISHESEast CarrollEast CarrollMadisonMadisonRichland Richland West CarrollWest CarrollACADIANA PARISHESACADIANA PARISHESIberiaIberiaSt. MartinSt. MartinORLEANS PARISHORLEANS PARISH

Three Components of ECSSThree Components of ECSS

ECSS StaffingECSS Staffing

Emergency FundsEmergency Funds

Infant Mental Health ProgramInfant Mental Health Program

Multidisciplinary, Multi-agency Multidisciplinary, Multi-agency Collaboration ProjectCollaboration Project

Stakeholders include over 400 agencies, Stakeholders include over 400 agencies, not-for-profits, faith-based organizations not-for-profits, faith-based organizations and other groups committed to the and other groups committed to the wellbeing of young children and their wellbeing of young children and their families.families.

ECSS STAFFINGECSS STAFFING

Network members refer to ECSS based Network members refer to ECSS based on risk of child and familyon risk of child and family

Staffing is scheduled with family and Staffing is scheduled with family and Core TeamCore Team

Core Team meets 2x/month to Core Team meets 2x/month to determine needs of family and to determine needs of family and to develop comprehensive plan of care develop comprehensive plan of care

ECSSECSS

GoalsGoals– Risk Assessments for 2004 – 2005 = 1876Risk Assessments for 2004 – 2005 = 1876– Multi-agency Service Plans = 641Multi-agency Service Plans = 641– Infant Mental Health Referrals =320Infant Mental Health Referrals =320

TANFTANF

Temporary Assistance to Needy FamiliesTemporary Assistance to Needy Families

TANF GoalsTANF Goals

-- Children live with parents or relativesChildren live with parents or relatives

-- Promote job preparation, work, Promote job preparation, work, marriagemarriage

-- Reduce out of wedlock pregnancyReduce out of wedlock pregnancy

-- Promote formation and maintenance Promote formation and maintenance of of two-parent familiestwo-parent families

TANF EMERGENCY FUNDSTANF EMERGENCY FUNDS

Funds for non-recurrent, short-Funds for non-recurrent, short-term intervention term intervention

ExamplesExamples– Child CareChild Care– HousingHousing– School SuppliesSchool Supplies– UtilitiesUtilities– TransportationTransportation– Clothes, Food, Furniture, etc.Clothes, Food, Furniture, etc.

TANF EMERGENCY FUNDSTANF EMERGENCY FUNDS

Car Note

Car Ins.

Power

Phone

Gas

Car Repair

Car Parts

Shelter

Rent

Day Care

School

Water

INFANT MENTAL HEALTHINFANT MENTAL HEALTH

IMH TEAMIMH TEAM– Child PsychiatristChild Psychiatrist– PsychologistPsychologist– CliniciansClinicians– Case Managers Case Managers

Children ages 0 through 5 and caretakersChildren ages 0 through 5 and caretakersBehavioral difficulties, tantrums, aggression, Behavioral difficulties, tantrums, aggression, PTSD, enuresis, encopresis, sleeping, feeding PTSD, enuresis, encopresis, sleeping, feeding difficultiesdifficulties

Child Risk FactorsChild Risk Factors

Top Five Overall Child Risk Factors Year 1 (n=214) and Year 2 (n=402)

47% 48% 48%43%

38%38% 42%35%

29% 29%

0%

15%

30%

45%

60%

Aggressivebehavior

Oppositional,defiant

behavior

Overactive,disruptivebehavior

Distractible,inattentivebehavior

Impulsivebehavior

2002-2003 2003-2004

Parent Risk FactorsParent Risk Factors

Top Five Overall Parent Risk Factors Year 1 (n=214) and Year 2 (n=402)

48%

34%

20%

29%

35%

56%

36%

20%

30%27%

0%

15%

30%

45%

60%

Unplannedpregnancy

Chronicpsychiatricdisorder

Substance usedisorder

Unresolved grief Chronic trauma(past or present)

2002-2003 2003-2004

Family Risk FactorsFamily Risk FactorsTop Four Overall Family Risk Factors

Year 1 (n=214) and Year 2 (n=402)

28%

35%38%

12%

25%

31%

37%

18%

0%

15%

30%

45%

Serious maritalconflict/partner

violence

Instability, severe lackof structure and

routines

Isolation, limitedsocial support

Safety

2002-2003 2003-2004

Perceived Employment Perceived Employment BarriersBarriers

Percent of Barriers to Employment Success Inventory Responses, by Subscale 2004 (n = 254)

48% 40%

63%85%

52% 56% 60%

44%

15%37%

0%

25%

50%

75%

100%

Personal &Financial

Emotional &Physical

CareerDecision-Making

& Planning

Job-SeekingKnow ledge

Training andEducation

More Barriers Fewer Barriers

SummarySummaryAgencies are successfully collaborating Agencies are successfully collaborating with each other to enhance the system of with each other to enhance the system of care resulting in families receiving care resulting in families receiving services important to their increasing services important to their increasing independence with corresponding less independence with corresponding less dependence on welfare.dependence on welfare.

The preliminary information is indicating The preliminary information is indicating positive results in the crucial area of positive results in the crucial area of parenting for the participating families. parenting for the participating families.

Intervening with families in the early Intervening with families in the early stages of parenting is likely to result in stages of parenting is likely to result in positive long-term outcomes.positive long-term outcomes.

CreditsCredits

The Early Childhood Supports and Services program and The Early Childhood Supports and Services program and its expansion would not have been possible without the its expansion would not have been possible without the commitment to the wellbeing of children and their commitment to the wellbeing of children and their families of:families of:

- The Children’s CabinetThe Children’s Cabinet- Elected Officials of the State of LouisianaElected Officials of the State of Louisiana- Department of Social ServicesDepartment of Social Services- Division of AdministrationDivision of Administration- Department of Health & HospitalsDepartment of Health & Hospitals- Over 400 Individuals, Agencies and Organizations who Over 400 Individuals, Agencies and Organizations who

comprise the local ECSS Networkscomprise the local ECSS Networks