Committee Meeting (TLECC) August 22, 2019 Just an FYI Newly - - PowerPoint PPT Presentation

TX LAUNCH Early Childhood Committee Meeting (TLECC)

August 22, 2019

Just an FYI

➢ Newly Published TX LAUNCH Newsletter Edition 18 ➢ Current Membership Roster on Website ➢ Workgroup Updates ➢ Expansion Community Updates ➢ Local/State TA Updates ➢ Minutes from May

Measuring Impact in Texas LAUNCH

ALMOST FINAL RESULTS

Big Picture: Reaching Our Goals

500 1000 1500 2000 2500 3000 3500 4000 Workforce Development Screening Parent Café Incredible Years MH Consultation Goal Accomplished

Workforce Development

Early Childhood Workforce

▪ Ages and Stages 571 participants ▪ Ages and Stages TOT 79 participants ▪ Incredible Years (Babies & Child) 100 participants ▪ Parent Café 230 participants ▪ Parent Café TOT 15 participants ▪ Mental Health Consultation 81 participants ▪ Healthy Steps 44 participants ▪ Trust-based Relational Intervention 347 participants ▪ Pyramid Model 138 participants ▪ Other Training Topics 1,859 participants

Lessons in Workforce Development

• Childcare professionals are eager for

information on social, emotional, and behavioral health.

• Community collaborative approaches to

workforce development strengthen the impact.

• Developing local trainers or master clinicians

increases spread and sustainability.

Collaboration

Partnerships

97 formal partnerships developed

Texas LAUNCH Committee

Weaknesses

• Sufficient

funds, staff, and materials Borderline

• History of cooperation
• Seen as legitimate

leader

• Appropriate cross-

section of members

• Ability to compromise
• Multiple layers of

participation

• Clear roles and policies
• Appropriate pace of work
• Open and frequent

communication

• Informal relationships
• Concrete, obtainable
• bjectives

Strengths

• Favorable social

and political climate

• Mutual respect,

understanding and trust

• Members see

collaboration in their self-interest

• Members have

stake in process and outcomes

• Flexibility
• Unique purpose
• Skilled leadership

Developmental Screening

Growth in Screenings

100 200 300 400 500 600 700 800 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4

Children Screened Number of Children Screened per Quarter

Developmental Screenings

3,193 children screened 34.0% of those screened were referred 18.2% referred to school system 11.2% referred to counseling 4.3% referred to speech or physical therapy

Identified Concerns

GROSS MOTOR 13.1% SOCIAL 22.1% PROB SOLVING 20.0% COMMUNICATION 28.9% FINE MOTOR 24.5% SOCIAL EMOTIONAL 15.5%

Reducing Disparities

• 6% Native American
• 27% Black
• 21% Hispanic or Latino
• 31% White
• 3% Asian
• 6% More than one race
• 8.5% conducted in

language other than English (9 Languages represented)

100 200 300

Hispanic/Latino Native American Black White

Referral by Cultural Groups

Elevated Referred

Lessons in Devt. Screening

• Screening should be a part of a broader

developmental monitoring program that includes education and support for parents.

• Organizations struggle to implement

screening without staff support for community referrals, community resources, and follow-up

• Wide-scale impact is supported by easy

access to screeners, scoring, and referral support.

Family Strengthening

Parent Cafes

1,953 Attendees 57% Attended Multiple Cafes 97% Made Positive Change after Participation

Enhancing Protective Factors

Question % Agree in Texas % Agree National Study Participating in the Parent Café was helpful to me. 99% 99% I plan to participate in Parent Cafes in the future. 97% 97% I plan to take better care of myself. 97% 97% I plan on changing something about my parenting. 91% 88% I plan to spend more time with my children. 92% 90% I will be more willing to ask for help when I or my family needs it. 97% 95% I met a person (or people) I plan to stay in touch with. 86% 83%

Empowering Families

96% The Café made me feel valued as a parent and community member. 92% I see myself being able and willing to be part of a parent Café team.

Incredible Years

A Diverse Sample A Lower Risk Sample

58% Hispanic/Latino 23% Black

257 Participants

7% Native American 29% Child Behavior Problems 3% High Parental Stress

Outcomes of Incredible Years

• No significant changes on parental stress
• No significant change on intensity of child problems
• Decline in number of identified child problems

(p=.05)

• Decline in harsh discipline practices (p=.004)
• Increase in harsh discipline for age (p=.02)
• Decrease in inconsistent discipline (p=.03)
• No change in other parenting practices (Appropriate

Discipline, Positive Parenting, Clear Expectations, Monitoring)

Lessons in Family Strengthening

• Parents are very engaged in the normalizing experience of

a Parent Café

• Parents report behavior change after participation, but

more research is needed

• Parent Cafes engage families as facilitators, empowering

caregivers within the community

• Sites struggled to ensure large groups for Cafes
• Food and child care were critical for parent participation in

family strengthening.

• Parents were satisfied with Incredible Years and reported

reductions in harsh discipline practices.

• Parents who engaged in Incredible Years were not

describing significant child behavior problems or parental distress and minimal improvement was seen

Mental Health Consultation

Mental Health Consultation

114 Children Served to Date

Most Common Reasons for Referral:

• Aggression
• Attentional

problems

• Tantrums and

crying Most Common Actions:

• Psychoeducation

with parents

• Skills training with

teachers

• Referrals

Outcomes of Mental Health Consultation

10 20 30 40 50 60 70 80 Total Stress* Parental Distress Child Difficulty* Dysfunctional Interaction

Changes in Parenting Stress

Baseline Follow-Up

Lessons in MH Consultation

• Limited public awareness of MHC
• Varying perspectives about what MHC is and

who should be allowed to serve in this role

• Requires buy-in from child care directors
• Requires significant relationship development

within child care setting

• Potentially very impactful in addressing

challenging behaviors

Lessons About Expansion

• Public health community-wide approach
• Collective impact approach
• Strong interagency partnership
• Tiered approach to services and supports
• Core strategies with selected models
• Formal structural changes (e.g., agency policies,

MOUs)

• Accountability and data-based decision-making
• Braided funding with some flexible funding

sources

Discussion Time

Group Processing

Group Process

Yalom’s Theory of Universality - allows

groups members to realize they are not alone in their impulses, needs, and other issues.

Different Stages of Groups

• Forming
• Norming
• Storming
• Performing
• Mourning

Futurespective

Looking Back – Looking Forward

Diane Ewing, M.Ed.

YDSP Project LAUNCH

Linda Wiley – YDSP Local Lead Project LAUNCH

We ask for a moment of silence to remember and support our family, friends and colleagues from El Paso

Community Stories/ Sustainability

❖ Restart of IY class with additional recruitment efforts; success with attendance ❖ Continued collaboration with the Dept. Of Behavioral Health to offer PC and IY to families involved with CPS ❖ Proposal for an additional division within the Dept. of Tribal Empowerment to continue LAUNCH services beyond the grant period approved by the Tribal Council ❖ Policy changes at the TUY Pathu Early Learning Center: ASQ and IY

LAUNCH – San Antonio

Fred Cardenas - Manager Early Childhood Wellbeing

Community Stories/ Sustainability

❖ Sustainability - United Way, SAMHSA, community partnerships, higher education interns, and community interest ❖ Impact - medication/diagnosis and young children, partnerships with other non-profits, wholistic model, diverse venues (medical, specialty courts, shelters, childcare, schools) ❖ Challenge of parental consent for developmental screenings ❖ Miller CDC: impact made despite end of partnership as they have asked for MHC services for a child

MHMR of Tarrant County Ft. Worth

Laura Kender – Chief of Early Childhood Services

Community Stories/ Sustainability

❖Continuous messaging and marketing updates to meet audience needs ❖Aligning with state initiatives and national initiatives ❖Timeline of events since LAUNCH initiated ❖Challenge of introducing Parent Café, including Las Vegas Trail

What is next for Early Childhood Mental Health Focused Work at the State Level?

DSHS MCH

Developmental Screening Workgroup

Mental Health Consultation TCFC Quad Dir. OMHC CMH Suspension and Expulsion TEA-ELC Quad Dir.

Early Child Mental Health (TLECC)

CYBHS Stand Alone State Agency

TLECC Sustainability Discussion

➢How you feel the work of the TLECC should continue? ➢Would a LAUNCH subcommittee off a larger Council be of interest to this group? ➢Would your departments/agencies continue to be able to dedicate staff with a renewed MOU to attend the LAUNCH subcommittee? ➢Are there other early childhood MH priorities we as a state need to address?

FYI: All Community Mtg

Agenda: Theme “Then, Now, Later”

• Welcome, Introductions, Icebreaker & Activity
• Video Project
• Introduction to Help Me Grow Initiative
• BHD Lessons Learned and Activity
• “Futurespective” Groupwork
• Messaging and Data
• Leadership Academy
• Community Collaboration
• Letters to the Future & Rewards Ceremony
• Networking & Farewells

In Closing:

Thank you for all the hard work you all put into the Texas LAUNCH effort! We look forward to continued motivation and partnership.

Go forth, children need us!