EARLY CHILDHOOD MENTAL HEALTH SYSTEMS

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EARLY CHILDHOOD MENTAL HEALTH SYSTEMS

• Early Childhood Comprehensive Systems
• State of Alaska
• Shirley Pittz, ECCS Program Officer

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ALASKA

• Big State/Few People
• 90,000 children birth-age eight
• 2007- 2,621 children 0-8 with MH billings
• High rates of CA/N and alcohol substance abuse
• Complicated System- Urban/Rural/Tribal System

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Structure
-
Interdepartmental Early Childhood Coordinating
Council
ECMH Workgroup
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MENTAL HEALTH-ECCS Plan

• Young children will receive appropriate early
  mental health services through Medicaid and other
  funding sources.
• Standards of Care-best practices
• Access to developmentally appropriate services
• Screening for primary caregivers
• Parent info on social-emotional development

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The State of Alaska will have a qualified,
well-trained workforce providing for the social
and emotional well-being of young children.

• Statewide ECMH professional development

• Mental health consultation for MH professionals
  and EC programs

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ECMH Workgroup

• BTKH Manager
• Division of Behavioral Health Deputy Director
• Division of Behavioral Health Childrens
  Specialist
• Office of Childrens Services Deputy Director-
  CPS
• Part C/Early Intervention Program Manager
• Child Care Program Manager
• Staff-Alaska Mental Health Board
• Title V Program Manager
• Staff Member-Disabilities
• Head Start Collaboration Director
• ECCS Coordinator
• Private providers

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Working Relationships

• Alaska Mental Health Board
• Alaska Mental Health Trust Authority
• University of Alaska- Behavioral Health Alliance

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Mental Health Accomplishments

• SERVICES
• Medicaid Research
• Standards of Care
• DC 0-3R
• Regulation Changes
• Additional Services
• Expanding Providers

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Proposed EPSDT Services-

• EPSDT Social/Emotional Screening
• Early Childhood Assessment (3-5) sessions
• Therapeutic Early Care
• Therapeutic Behavioral On-Site Services
• Brief Family Training, Education Support
• ECMH Consultation
• Prevention Activities-Dependent of Client
• Licensed MH Clinicians in Primary Care
• Part C/EI Services

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Mental Health Accomplishments

• WORKFORCE
• DEVELOPMENT
• Annual ECMH Institute
• Division of Behavioral Health
• Alaska Mental Health Trust Authority
• Head Start Collaboration
• Part C/Early Intervention
• University of Alaska
• Cross-Disciplinary, Graduate Level Childrens
  Behavioral Health Credential
• University of Alaska-Behavioral Health Alliance
• Alaska Mental Health Trust
• ECMH Learning Network
• ECMH Credential

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Mental Health Accomplishments

• ECMH Learning Network
• Funded by Alaska Mental Health Trust Authority
• Grant to CMHS/Trauma Center
• Statewide training on DC03R
• Conference calls for training and consultation
• TACSEI
• Lead by Part C/Early Intervention
• Leadership Team
• 3 Demonstration Sites

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Mental Health Accomplishments

• ECMH Consultation to Early Childhood Programs
• Wide vs. deep
• 100 of children receiving consultation maintain
  child care
• 94 of staff reported training improved their
  knowledge and or skills
• Classrooms evaluated using the ECCS improved an
  average of 27 points on a 70 point scale

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ECMH Indicators-

• Rate of women with self report of maternal
  postpartum depression
• of children 3-8 identified with autism
• of children age 4 mo to 5 yrs who are at high
  risk for developmental, behavioral or social
  delay
• of children 0-8 receiving mental health
  services through Medicaid
• of children 0-8 receiving non-resourced mental
  health services
• of early childhood programs expelling a child
  due to behavioral/social emotional concerns
• of early childhood programs with access to
  mental health consultation

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Contact-

• Shirley Pittz, ECCS Program Manager
• shirley.pittz_at_alaska.gov
• [phone]