Funded through the Department of Health and Human Services, - - PowerPoint PPT Presentation

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Funded through the Department of Health and Human Services, - - PowerPoint PPT Presentation

Sep 16, 2022 46 likes •231 views

Funded through the Department of Health and Human Services, Administra:on for Children and Families, Childrens Bureau, Grant # 90CO1058 1 Background on Project Broadcast Grant from the Administra:on of Children and Families (ACF). First

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Funded through the Department of Health and Human Services, Administra:on for Children and Families, Children’s Bureau, Grant # 90CO1058

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Funded through the Department of Health and Human Services, Administra:on for Children and Families, Children’s Bureau, Grant # 90CO1058

Background on Project Broadcast

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  • Grant from the Administra:on of Children and Families

(ACF). First year was a planning year and began in nine coun:es.

  • Five year $3.2 million grant to NC DHHS (2011 – 2016).
  • Partnered with the Center for Child and Family Health

(CCFH), a Na:onal Child Trauma:c Stress Network Site and the University of North Carolina at Chapel Hill.

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Funded through the Department of Health and Human Services, Administra:on for Children and Families, Children’s Bureau, Grant # 90CO1058

Project Broadcast Strategies

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  • Develop a trauma-informed workforce
  • Increase the number of clinicians trained in

trauma-informed, evidence-based treatments

  • Increase access to trained clinicians (NC-CTP)
  • Increase the ability of child serving partners to

share data

  • Develop trauma-informed prac:ces and policies
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SLIDE 4 Anson Beaufort Bertie Brunswick Carteret Columbus Craven Dare Duplin Edgecombe Gaston Gates Greene Halifax Harnett Hertford Hoke Hyde Johnston Jones Lee Lenoir Lincoln Martin Moore Nash Northampton Onslow Pamlico Pender Pitt Richmond Robeson Sampson Scot land Union Wayne Wilson Alamance Alex- ander Alleghany Ashe Caldwell Caswell Catawba Chatham Davidson Davie Forsyth Franklin Guilford Granville Iredell Person Randolph Rocking-ham Stokes Surry Vance Warren Watauga Wilkes Yadkin Wake Avery Cherokee Clay Graham Hender- son Buncombe McDowell Macon Polk Rutherford Swain Transyl-vania Madison Yancey New Hanover C u m b e r l a n d Mont-gomery Stanly M e c k l e n b u r g Cabarrus Rowan Cleveland Burke Orange Bladen

2013 BUNCOMBE, CRAVEN, CUMBERLAND, HOKE, PENDER, PITT, SCOTLAND, UNION AND WILSON 2014 ALAMANCE AND CHATHAM, ROWAN (screening through Partnering for Excellence) 2015 CABARRUS, FORSYTH AND HENDERSON

Durham

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NaLonal Context

ACF Research on Safety, Permanency & Well-Being

hYp://www.acf.hhs.gov/sites/default/files/cb/ im1204.pdf

SAMHSA, ACF and CMS CollaboraLon

hYp://www.medicaid.gov/federal-policy-guidance/ downloads/SMD-13-07-11.pdf

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NaLonal Context

  • In 2011, Public Law 112-34 en:tled the Child and

Family Services Improvement and Innova:on Act amended Title IV-B - State’s plan must include:

  • How we will monitor and treat emo:onal trauma

associated with a child’s maltreatment and removal, and

  • Protocols for the appropriate use and monitoring of

psychotropic medica:ons

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State Context

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Project Broadcast is just one of many statewide ini:a:ves…

  • The Governor's Task Force on Mental Health and

Substance Use (Execu:ve Order 76)

  • NC Crisis Solu:ons Ini:a:ve (crisissolu:onsnc.org)
  • Youth Mental Health First Aid (mentalhealthfirstaid.org)
  • Fostering Health NC (ncpeds.org)
  • North Carolina Child Treatment Program (NC-CTP)
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State Context

  • Child and Family Services Plan (CFSP) – 5 Year Plan
  • CFSP is a Strategic Plan for Child Welfare System
  • Annual Progress and Services Report (APSR)
  • Expanding Project Broadcast is in NC’s CFSP

Not to be confused with the CFSR (Child and Family Services Review) which is a periodic review of our child welfare system by our Federal partners on our conformity to regula:ons so they can determine what is happening with children and families as they engage the system and assist states to achieve posi:ve outcomes.

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The Trauma-Informed Approach (SAMHSA)

  • REALIZE (the widespread impact and poten:al

recovery pathways – “universal precau:ons”)

  • RECOGNIZE (the signs and symptoms of trauma)
  • RESPOND (fully integra:ng knowledge into policies,

procedures and prac:ces)

  • RESISTS RE-TRAUMATIZATION (ac:vely!)

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North Carolina’s Vision for a Trauma-Informed Child Serving System

Trauma Training Trauma Screening and Assessment Trauma-Informed PracLce Trauma-Informed Placements Trauma-Informed Evidence-Based Treatment Trauma-Informed OrganizaLonal Culture Trauma-Informed System of Care

Respond to Trauma

Trauma Training Trauma Screening Trauma-Informed

  • Assessments
  • Prac:ce
  • Placements
  • Evidence-based Treatment
  • Organiza:onal Cultures
  • System of Care

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North Carolina’s Vision for a Trauma-Informed Child Serving System

Trauma Training Trauma Screening and Assessment Trauma-Informed PracLce Trauma-Informed Placements Trauma-Informed Evidence-Based Treatment Trauma-Informed OrganizaLonal Culture Trauma-Informed System of Care

Respond to Trauma

  • Mental and Physical Health

Collabora:on

  • LME/MCO Scale-Up of

Evidence-based Treatment

  • Oversight & Monitoring of

Psychotropic Medica:on

  • Preven:on of Primary &

Secondary Trauma:c Stress

  • Policies & Data Sharing Efforts

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WWW.NCCHILDTREATMENTPROGRAM.ORG

ABC AYachment & Bio-Behavioral Catch-up CPP Child and Parent Psychotherapy PCIT Parent Child Interac:on Therapy TF-CBT Trauma-Focused Cogni:ve Behavioral Therapy SPARCS Structured Psychotherapy for Adolescents Responding to Chronic Stress

ABC (6 – 24 months); CPP (0-5); PCIT (2½-6½); TF-CBT (3-18); and SPARCS (12-19)

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ncchildtreatmentprogram.org

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Trauma Screening and Assessment

  • Brief Screen by Social Workers
  • Trauma Exposure
  • Trauma Symptoms/Reac:ons
  • Over age 6 – Asks four ques:ons
  • Decision
  • Referral

REASONS FOR SCREENING 1) HELP IDENTIFY CONNECTION BETWEEN TRAUMA EXPOSURE AND BEHAVIOR 2) HELP GUIDE PRACTICE AND PLACEMENT DECISIONS 3) HELP PRIORITIZE AND MAKE APPROPRIATE REFERRALS TO TREATEMENT

7,940 Screens Completed (9/30/15) on over 6,800 children.

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Exposure Type

Number % of All Screens (N=7940) % of Screens with Any Exposure (n=4741) Exposure to domes:c violence 2314 29% 49% Exposure to drug/substance abuse or related ac:vity 2113 27% 45% Mul:ple separa:ons from/or changes in primary caregiver 1349 17% 28% Basic physical needs not met 1120 14% 24% Incarcera:on and/or witnessing arrest of primary caregiver 921 12% 19% Emo:onal maltreatment 822 10% 17% Physical maltreatment or assault 745 9% 16% Sexual maltreatment or assault/rape 609 8% 13% Trauma:c death of a loved one 545 7% 11% Homelessness 516 6% 11% Other 383 5% 8% Serious accident/illness/medical procedure 236 3% 5% Exposure to school violence and/or severe bullying 215 3% 5% Exposure to community violence 196 2% 4% Immigra:on trauma 36 0% 1% Natural disaster/war/terrorism 18 0% 0%

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The Four QuesLons Yes Responses Domes:c violence

1173

Sexual abuse

723

Physical abuse

487

Other (new trauma:c event)

103

140 new informa:on, 18 new CPS referrals

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Join the NC DSS Trauma Listserv!

E-mail: Jeanne.Preisler@dhhs.nc.gov

Funded through the Department of Health and Human Services, Administra:on for Children and Families, Children’s Bureau, Grant # 90CO1058

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Thank You For All You Do For Children And Families!

Funded through the Department of Health and Human Services, Administra:on for Children and Families, Children’s Bureau, Grant # 90CO1058

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