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R&R: R&R: Relationships and Relationships and Readiness in Early Readiness in Early Childhood Mental Health Childhood Mental Health Consultation Consultation Jordana Ash, LCSW Jordana Ash, LCSW Kid Connects Boulder Kid Connects Boulder The Mental Health Center serving The Mental Health Center serving Boulder/Broomfield Counties Boulder/Broomfield Counties September 29, 2010 September 29, 2010

R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Jordana Ash, LCSW Kid Connects Boulder The Mental Health Center serving

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Kid Connects Kid Connects Currently providing services in Boulder & Broomfield Counties Currently providing services in Boulder & Broomfield Counties Completed 2 year replication process in Weld County, CO and continued work is planned there Completed 2 year replication process in Weld County, CO and continued work is planned there New funding to implement model in 2 Head Start settings in additional counties in Colorado New funding to implement model in 2 Head Start settings in additional counties in Colorado Kid Connects Implementation Manual Kid Connects Implementation Manual

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Page 1: R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Jordana Ash, LCSW Kid Connects Boulder The Mental Health Center serving

R&R:R&R:Relationships and Readiness in Relationships and Readiness in Early Childhood Mental Health Early Childhood Mental Health

ConsultationConsultation

Jordana Ash, LCSWJordana Ash, LCSWKid Connects BoulderKid Connects Boulder

The Mental Health Center serving Boulder/Broomfield The Mental Health Center serving Boulder/Broomfield Counties Counties

September 29, 2010 September 29, 2010

Page 2: R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Jordana Ash, LCSW Kid Connects Boulder The Mental Health Center serving

History of early childhood mental health History of early childhood mental health consultation in Boulder, Coloradoconsultation in Boulder, Colorado

Evolution of Kid ConnectsEvolution of Kid Connects• 2002 Innovations2002 Innovations• Integrated Health PracticesIntegrated Health Practices• Family Child CareFamily Child Care

Page 3: R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Jordana Ash, LCSW Kid Connects Boulder The Mental Health Center serving

Kid ConnectsKid Connects

Currently providing services in Boulder & Broomfield Currently providing services in Boulder & Broomfield CountiesCounties

Completed 2 year replication process in Weld County, Completed 2 year replication process in Weld County, CO and continued work is planned thereCO and continued work is planned there

New funding to implement model in 2 Head Start New funding to implement model in 2 Head Start settings in additional counties in Coloradosettings in additional counties in Colorado

Kid Connects Implementation ManualKid Connects Implementation Manual

Page 4: R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Jordana Ash, LCSW Kid Connects Boulder The Mental Health Center serving

Relationship Based WorkRelationship Based WorkDesiree-clipDesiree-clip Flexibility of respondingFlexibility of responding

Be humbleBe humble

Every story mattersEvery story matters

Consider how it might be doneConsider how it might be done

Page 5: R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Jordana Ash, LCSW Kid Connects Boulder The Mental Health Center serving

Relationship Based Work Relationship Based Work TimeTime

Balance between reflective support and Balance between reflective support and responding to needs of settingresponding to needs of setting

Understanding and respecting cultural Understanding and respecting cultural aspects of relationships & interactionsaspects of relationships & interactions

Page 6: R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Jordana Ash, LCSW Kid Connects Boulder The Mental Health Center serving

Readiness for ECMHCReadiness for ECMHC Major importance to assess sites’ Major importance to assess sites’

readiness for consultationreadiness for consultation

EEarly Care Site Readiness Assessmentarly Care Site Readiness Assessment UsesUses Decision MakingDecision Making

Page 7: R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Jordana Ash, LCSW Kid Connects Boulder The Mental Health Center serving

Readiness for ECMHCReadiness for ECMHC FORMATFORMAT

Structured InterviewStructured Interview

TOPICSTOPICS Demographics-who is enrolledDemographics-who is enrolled Specific Questions about Social Emotional Practices Specific Questions about Social Emotional Practices

InteractionsInteractions EnvironmentsEnvironments

Staff & setting stability Staff & setting stability Home/Setting PartnershipsHome/Setting Partnerships Expulsions policy & PracticesExpulsions policy & Practices

Page 8: R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Jordana Ash, LCSW Kid Connects Boulder The Mental Health Center serving

Early Care Site SelectionEarly Care Site Selection Indicators of ReadinessIndicators of Readiness

Administrative Support for MH consultationAdministrative Support for MH consultation

Current Practices including Expulsion PoliciesCurrent Practices including Expulsion Policies

Flexibility in Programming to incorporate MH Flexibility in Programming to incorporate MH consultationconsultation

Readiness for Partnership with MH Consultation Readiness for Partnership with MH Consultation

Page 9: R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Jordana Ash, LCSW Kid Connects Boulder The Mental Health Center serving

Site Readiness:Site Readiness:What to Do When…What to Do When…

Director ReadinessDirector Readiness Not quite ready yet?Not quite ready yet?

Ensuring connections with staffEnsuring connections with staff Their input in ECMHCTheir input in ECMHC

Reaching familiesReaching families

Page 10: R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Jordana Ash, LCSW Kid Connects Boulder The Mental Health Center serving

Assessing and Supporting the Assessing and Supporting the Readiness of ConsultantsReadiness of Consultants

Preparing consultants for relationship based Preparing consultants for relationship based workwork No tools yet developed to ascertain successNo tools yet developed to ascertain success

Some specific domains to be thinking about:Some specific domains to be thinking about: Pace of progressPace of progress Pull to intercedePull to intercede Complicated alliancesComplicated alliances Tolerating care practicesTolerating care practices

Page 11: R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Jordana Ash, LCSW Kid Connects Boulder The Mental Health Center serving

TOOLS & RESOURCESTOOLS & RESOURCES Early Care Site Readiness AssessmentEarly Care Site Readiness Assessment

Services AgreementServices Agreement Mutual Goal SettingMutual Goal Setting

Core Knowledge & Competencies: A Self-Core Knowledge & Competencies: A Self-Evaluation ChecklistEvaluation Checklist

Kid Connects Implementation ManualKid Connects Implementation Manual ONE FAMILY’S CLOSING THOUGHTSONE FAMILY’S CLOSING THOUGHTS