Vision
System of care for 0-5 yr olds focuses on three areas:
Promotion,
Prevention and Treatment. EPSDT funding is only for the treatment part of
the continuum
Promotion
examples:
- Early Childhood Mental health Systems
Development Workgroup
- Infant and Family Mental Health
Seminar
Prevention
examples:
- Early Childhood Consultation Program
(BHCS)
- Early Childhood Mental Health
Partnerships (ECC)
Treatment
examples:
- Options limited may be expanded
through EPSDT
Target Populations
Parental/caretaker (p/c) risk factors may place the child at high risk or
children may have a diagnosable condition separate from p/c risk factors.
Infants and Young
Children exposed to:
Abuse and neglect,
domestic /community violence, exposed in utero to drugs/alcohol, born
with a biological risk, are in out of home placement
Parents/caretakers who:
Have poor parenting
skills, come from war-torn countries, are resource poor or marginalized,
have experienced significant illness or loss, have been incarcerated,
has significant mental illness, or maternal depression
Sources of Referrals
Parents, early child
care and education environments, CPS, Primary care providers, Community
based agencies, Prevention programs without a treatment component, drug
treatment programs, Court mandated, Spiritual communities, Foster care
system, Community mental health agencies who may be involved with other
family members
Priorities
-
Geographically based
focused on low performing schools
-
Birth to Three because resources are most limited for this group
-
Agencies that have
non-traditional approaches (home-visiting)
-
Agencies that show
expertise in dealing with externalizing behavioral disorders in 3-5 yr.
olds
-
Children who fail
child care
-
Areas of the county
that are poorly served with ethnically, culturally or linguistically
appropriate services
-
Agencies who are
qualified to serve 0-5 population (evidence of training or plan for
training)
Requirements
-
Participation in CQRT
(Continuous Quality Review Team)
-
Outcome Criteria;
what are the appropriate measures?
-
Programs to share
what they have used ; program, individual and family, process or
clinical outcomes
-
Integration of 0-5
services into foster care and school-based mental health systems this is
not a free-standing service
-
A point person for
families with multi-agency involvement
-
For BHCS Build capacity within ACCESS A person trained at ACCESS to triage 0-5
referrals
-
Collaboration with
the 0-5 system of care with regular meetings
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