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 ALMOST FINAL Texas LAUNCH RESULTS
Big Picture: Reaching Our Goals 4000 3500 3000 2500 2000 1500 1000 500 0 Workforce Screening Parent Café Incredible MH Development Years 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 Borderline Strengths Weaknesses • History of cooperation • Favorable social Sufficient • and political climate • Seen as legitimate funds, staff, leader • Mutual respect, and materials understanding and • Appropriate cross- trust section of members • Members see • Ability to compromise collaboration in their self-interest • Multiple layers of participation • Members have stake in process • Clear roles and policies and outcomes • Appropriate pace of work • Flexibility • Open and frequent • Unique purpose communication • Skilled leadership • Informal relationships • Concrete, obtainable objectives
Developmental Screening
Growth in Screenings Number of Children Screened per Quarter 800 Children Screened 700 600 500 400 300 200 100 0 Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Developmental Screenings 18.2% referred to school system 11.2% referred to counseling 34.0% of those 3,193 children screened were screened 4.3% referred referred to speech or physical therapy
Identified Concerns GROSS MOTOR FINE MOTOR PROB SOLVING 13.1% 24.5% 20.0% COMMUNICATION SOCIAL SOCIAL EMOTIONAL 28.9% 22.1% 15.5%
Reducing Disparities • 6% Native American Referral by Cultural Groups • 27% Black White • 21% Hispanic or Latino • 31% White Black • 3% Asian • 6% More than one race Native American • 8.5% conducted in Hispanic/Latino language other than English (9 Languages 0 100 200 300 represented) 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 57% Attended Multiple Cafes 97% Made Positive 1,953 Change after Attendees Participation
Enhancing Protective Factors Question % % Agree Agree in National Texas 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 97% 95% family needs it. I met a person (or people) I plan to stay in touch 86% 83% with.
Empowering Families 96% 92% The Café made me feel I see myself being able valued as a parent and and willing to be part of a community member. parent Café team.
257 Incredible Years Participants A Diverse Sample A Lower Risk Sample 3% 58% High Parental Hispanic/Latino Stress 7% 23% 29% Native Black Child Behavior American Problems
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 Most Common 114 Children Most Common Actions: Reasons for Referral: • Psychoeducation Served to • Aggression with parents Date • Attentional • Skills training with problems teachers • Tantrums and • Referrals crying
Outcomes of Mental Health Consultation Changes in Parenting Stress 80 70 60 50 40 30 20 10 0 Total Stress* Parental Distress Child Difficulty* Dysfunctional Interaction 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 Diane Ewing, M.Ed. Looking Back – Looking Forward
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?
TCFC Developmental DSHS Mental Quad Dir. Screening MCH Workgroup Health OMHC Consultation CMH CYBHS Early State Child Agency Mental Health Stand Suspension (TLECC) TEA-ELC Alone and Quad Dir. Expulsion
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