The proposed project, Milestones, will enhance promotion, intervention, and treatment services for young children birth to 6 who are at risk of or diagnosed with a serious mental illness (SMI) including serious emotional disturbance (SED). Milestones will deploy an innovative treatment team who will provide a continuum of behavioral health services, and will strengthen caregiving relationships in the home, clinic, and community. The team will holistically integrate an array of family strengthening services to at-risk families with young children in eight diverse counties in North Texas (Cooke, Erath, Hood, Navarro, Palo Pinto, Parker, Somervell, and Wise) through person-centered, trauma-informed, and culturally-and linguistically-appropriate supports. My Health My Resources (MHMR), will augment stakeholder relationships and increase access to enhanced services to improve outcomes and identify participants at the earliest developmental stage. The Milestones population of focus consists of at-risk, rural families with children who, though they have a disability, are not eligible for MHMR's state-funded Early Childhood Intervention (ECI) due to the state's requirement that children have a disability level of 25% to access services, and, because of where they live, are ineligible for the strengthening supports of two essential programs operated in the other four MHMR counties of service: LAUNCH (SAMHSA initiative implemented through Texas), and the Health Outcomes through Prevention and Early Services Program (HOPES) operating through the state. Many participants present characteristics that Milestones services will alleviate. MHMR reports indicate that 49% of those referred last year did not qualify for state-funded services, even though they were at risk for abuse/neglect, and/or exhibiting developmental delays. Moreover, one in six of the children referred in 7 of the 8 counties in the catchment area were referred due to medical and/or global delays, disorders, and disabilities, highlighting the need for services such as telehealth. Milestones will address the following service gaps: 1) lack of capacity and funding to ensure targeted behavioral health services are provided and positive caregiver relationships are developed for all families in need; and 2) rural families' inability to access family-centered care, coordination, referrals, and visits with behavioral specialists needed to thrive. Collaboration with Cooks Children Health System, AccelHealth, school districts, and children's behavioral health coalitions in the catchment area, will ensure a continuum of behavioral health services is provided to families, and that participants are identified, screened, and assessed at the earliest stage. The evidence-based HealthySteps curriculum will be implemented via coordination with partners in clinics, integrating telehealth to reach children in all 8 counties. Milestones will serve 450 children over the project period with grant funds (72 in Year 1; 108 in Year 2; 108 in Year 3; 108 in Year 4; and 54 in Year 5). MHMR anticipates Milestones will provide training to 250 staff and professionals. The Milestones workforce will be trained in the implementation of evidence-based Trust-Based Relational Intervention, HealthySteps, Parent Café, Nurturing Parenting.
In response to the recent Funding Opportunity Announcement (FOA) from the federal Substance Abuse & Mental Health Services Administration (SAMHSA) entitled: FY2018 Infant and Early Childhood Mental Health Grant Program, L.U.K. Crisis Center, Inc. (LUK) proposes to develop, maintain, and enhance infant and early childhood mental health promotion, intervention, and treatment services throughout Worcester County, Massachusetts, in a program called Developing Resilience and Well-being (DRAW). There are two primary foci of this project: Treatment of children and their caregivers using evidence-based treatments (EBTs) as well as training and consultation to build workforce capacity for early childhood education (ECE) and mental health (MH) providers and students. Direct service will be provided (1) for infants and children (ages 0-12) who are at significant risk of developing, showing early signs of, or have been diagnosed with a mental illness, including a serious emotional disturbance (SED) and/or symptoms that may be indicative of a developing SED in children with a history of in utero exposure to substances such as opioids, stimulants or other drugs that may impact development; and (2) multigenerational therapy and other services that strengthen positive caregiving relationships, utilizing ARC Grow and Early Pathways, two EBTs appropriate for use with the population of focus. We expect to receive and screen 400 referrals each year (2,000 throughout the 5-year project) and enroll 144 children/families into EBTs in Year 1 and 192 in subsequent years year (912 throughout the entire project). In order to provide this level of service, we plan to implement learning communities (LCs) for ECE and MH providers. We will provide training for 200 ECE providers/students each year (1,000 over the five-year project); smaller groups of 50 will participate in ongoing monthly consultation (250 over the five-year project). We will increase the capacity of MH providers to provide the identified EBTs by training 40 practitioners in ARC Grow and 25 in Early Pathways each year (325 over the entire project). DRAW’s proposed objectives/outcomes include the following: * By the end of the 5-year project, 75% of ECE providers participating in the ECE LC (training/consultation) will report increased ability to identify and refer the population of focus * By discharge, 75% of families will be strengthened to significantly: - improve children’s social-emotional skills and functioning - improve children’s developmental and language functioning - decrease children’s problem behaviors - enhance caregiver interactions/caregiver-child interactions * By the end of 5 year project, 75% of MH practitioners engaged in the EBT LCs will report an improvement in individual practice
The Early Mental Health Program (EMHP) is a multicomponent treatment program providing comprehensive services to children ages 0-12 with, and at risk for, severe emotional disturbances (SED). In addition to screening, evaluation, and treatment services for children and their families, the EMHP provides prevention programming at our Chicago Loop clinic and at community partner agencies to decrease risk factors associated with SED. Professionals working with children at risk for SED are also provided with ongoing training and consultation on treatment issues and specific treatment modalities for children with SED. Treatment at the EMHP is founded in evidence-based screening, evaluation, and therapeutic interventions. Specifically, children from the metropolitan-Chicago area are screened for symptoms and risk factors associated with SED utilizing the SDQ, ASQ:SE, and Pediatric Intake Form and provided with comprehensive psychological and developmental evaluations with a multidisciplinary team. For children in need of treatment, Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems (MATCH-ADTC) is provided and supplemented with more intensive interventions for trauma, prenatal substance exposure, and disruptive disorders including Child Parent Psychotherapy (CPP) and Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Parents and Children Together (PACT) and Parent Child Interaction Therapy (PCIT). Additionally, medication management is available as appropriate and family support and intensive case management is provided to all participants in the EMHP. The goals of the EMHP are to decrease risk factors in the parent-child relationship that contribute to early childhood SED, increase the number of at-risk children identified, increase the number of children with SED or at risk-for SED who are receiving treatment, increase professional awareness regarding issues related to SED, and increase the competency of clinicians providing services to children with SED while maintaining a high standard of care. During the course of the 5-year grant, it is anticipated that 125 parents will participate in prevention services, 1,500 children will be screened for SED, 500 children will receive diagnostic evaluations, and 375 children and their families will receive evidenced based treatment. Additionally, 550 professionals will be trained in issues related to early childhood SED and specific treatment modalities in addition to providing consultation at 10 community agencies working with children at-risk for SED. Standardized measures will monitor treatment progress and fidelity to the interventions.
Safe Horizon's LIFT UP Infant and Early Childhood Mental Health Program in New York City will transform the emergency and crisis response system for child survivors of abuse. Through mental health consultation, learning opportunities, clinical training, and a continuum of evidence-based practices, LIFT UP will nurture a thriving workforce of professionals through 1,515 training participants to provide mental health promotion, prevention and intervention for 11,300 children and caregivers. Project name: Safe Horizon LIFT UP Infant and Early Childhood Mental Health Program - A Continuum of Multidisciplinary Mental Health Promotion, Prevention and Intervention and Workforce Development in New York City Population(s) to be served: The population of focus will be infants and children up to age 12 in New York City who face exponentially greater rates of serious emotional disturbance after experiencing physical and/or sexual abuse. The specific target population will be the 5,500 children survivors of the most severe cases of abuse who have been triaged for intensive care in the city's emergency and crisis response system, the Child Advocacy Centers. Demographics vary by borough, but citywide, clients are 40% black; 35% latino; 8% white; 4% asian; 5% multi-racial; and 8% unknown/other. 59% are female and 41% male. Strategies/interventions: LIFT UP will: > Leverage established yet unharnessed expertise at the Child Advocacy Centers through cross-systems mental health consultation based on the Vanderbilt Model of Early Childhood Mental Health Consultation with co-located partners, including the Administration for Children's Services, New York Police Department, District Attorney's Offices and local hospital and health care systems; > Infuse awareness and deepen applied knowledge of children's developmental and mental health through specialized learning opportunities across diverse professional teams; > Fortify the workforce of skilled mental health professionals through clinical training in evidence-based practices, including four well-established and innovative treatments (Child-Parent Psychotherapy; Child and Family Traumatic Stress Intervention; Trauma-Focused Cognitive Behavioral Therapy; and Attachment, Regulation and Competency); and > Transcend outcomes for thousands of infants and children by strengthening pathways for families to access an age-appropriate, culturally-responsive continuum of mental health promotion, prevention and treatment. Goals and objectives: LIFT UP is guided by four goals matching the above strategies and a total of 18 objectives. The total number of individuals to be reached through direct services and workforce development is 2,563 per year and a total of 12,815 over the five-year grant period.
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