Safe Start Promising Approaches

1. Safe Start Promising Approaches Lynne F. Katz, Ed.D—Linda Ray Center, University of Miami Kristen Kracke, MSW—Office of Justice and Delinquency Prevention (OJJDP) James Lewis, III, Ph.D—National Center for Children Exposed to Violence (NCCEV), Yale University National Training InstituteDecember 1-3, 2006 Albuquerque, NM

2. Safe Start Initiative Purpose of the Safe Start Initiative is to prevent and reduce the impact of family and community violence on children and their families.

3. Safe Start Vision • Create a comprehensive service delivery system that improves the access to, delivery of and quality of services for young children at high risk of exposure to violence or who have already been exposed to violence. • Identify children and families at any point of entry into the system.

4. Safe Start Definition of Exposure to Violence Being a direct victim of abuse, neglect, or maltreatment or a witness to domestic violence or other violent crime in the community.

5. Guiding Principles • Balanceinnovation of practice withefficacyof interventions • Increaseawarenessand identification of children exposed to violence • Plan for safety of adult victim AND child in all systems/entry points

6. Guiding Principles • Develop and support systems that provide developmentally appropriate, specialized, and evidence based interventions • Use anecologicalapproach—children’s risk and resiliency children in the context of family and community

7. National Safe Start Initiative Framework Sphere of Influence and Support

8. Components • Practice innovation • Research • Evaluation • Training and technical assistance • Information and resource development

9. Demonstration Sites: Phase I Practice Innovation Component Baltimore, MD Pueblo of Zuni, NM Bridgeport, CT* Rochester, NY* Chatham County, NC San Francisco, CA*Chicago, IL* Sitka Tribe of Alaska Pinellas County, FL* Spokane, WA* Pueblo of Zuni, NM Washington Co., ME

10. Promising Approaches Sites: Phase II • Chelsea, MA Toledo, OH • Dallas, TX San Mateo, CA • Dayton, OH San Diego, CA • Erie, PA Bronx, NY • Portland, OR Providence, RI • Oakland, CA Pompano, FL • Miami, FL New York City, NY • Kalamazoo, MI

11. Information, Resource Development, Training and Technical Assistance National Center on Children Exposed to Violence Dr. James Lewis www.nccev.org 1-877-49-NCCEV The Safe Start Center Elena Cohen www.safestartcenter.org 1-800-865-0965

12. Association for the Study and Development of Community Demonstration Sites Evaluation DesignCross-site Outcome Process Evaluation Case Studies 6 Local Child-Level Outcome Studies—”Tier II” StudiesRAND CorporationPilot Site Evaluation DesignQuasi-Experimental Comparison Study Process Evaluation Training Component Evaluation Evaluation

13. Research University of New Hampshire • National Study on Children Exposed to Violence Randomized Telephone Survey on Incidence and Prevalence

14. Phase I: Demonstration SitesStrategies and Practices • Increased identification of children exposed to violence and capacity to document these children to get real estimates on the prevalence—dispatch and police reports, 211, and hotlines • Acute Response—Commitment to “Respond at least as fast as a tow truck” • Increased Awareness of both professionals and public—two nationally award-winning PSA’s • Increased service pathways and collaboration • Created multiple point of entry • Modified infrastructure of local service delivery systems by creating centralized access and by developing partnerships that expedited linkages • Changes in Policy and Procedures—MOUs, New Protocols for CPS/DV • Improved existing mental health services by funding specialized training

15. Phase I—Strategies and Practices (Cont) • Ambassador Kits (volunteers trained to deliver key messages), Briefcases, “Flip” Books for getting the word out • Increased Community Capacity to Respond to CEV through Training and Cross-Training, incl. Training Matrix and “Incubator” Model

16. Phase I—Strategies and Practices (Cont) • Increased awareness of both professionals and public—two nationally award-winning PSA’s • Increased service pathways and collaboration • Changes in Policy and Procedures—MOUs, New Protocols for CPS/DV

17. Phase I Strategies and Practices (Cont) • Created multiple point of entry • Modified infrastructure of local service delivery systems by creating centralized access and by developing partnerships that expedited linkages

18. Phase I: Strategies and Practices (Cont) • Improved existing mental health services by funding specialized training • Increased sustainability by creating local funding streams through tax base and through strong coordinating bodies of governance

19. Phase I—Strategies and Practices (Cont) • Utilized data-based decision making • Developed screening procedures and protocols • DV Protocol for the Department of Children and Families • Coordinated Case Review • Home-based therapy and cell phone distribution

20. Phase I: Strategies and Practices (Cont) • Modification of police dispatch software to record presence of a child (for services support—not court witnesses) • Course Credits/Certifications/Funding of Training (for partner providers) • Coding 911 calls for child presence

21. Phase I—Strategies and Practices (Cont) • Buy-in from police for referrals through “tow truck” commitment • Dependency Court Judges to drive reform in the dependency system with increased awareness of CEV

22. Phase I: Demonstration SitesAccomplishments • Evaluation Findings: • Development new working relationships between sectors • Developed comprehensive and coordinated systems of care • Institutionalized knowledge, skills and tools among allied providers • Demonstrated capacity to change policy for CEV • Demonstrated that with treatment, it is possible to reduce the impact of exposure to violence on children

23. Parent Child Interactive Therapy (PCIT)Child Parent Psychotherapy (CPP-DV)Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)Trauma Assessment Pathway (TAP) Phase II: Diversity of Approaches

24. Phase II—Diversity of Approaches (Cont) • Home Visitation • Domestic Violence Shelter-Based Service • Motivational Interviewing • Kinship care /dyad therapy • Child Welfare-Domestic Violence Integrated Services • After School Support/Kids Club

25. Phase II—Diversity of Approaches • In-Home Family Centered Services • Integrated Case Management (Mental Health/Social Services, Family Support) • Specialized Head Start Curriculum • Medical Home • Child Advocacy Centers

26. Safe Start National Evaluation Reports National Evaluation Reports Demonstration- Phase I Promising Practices-Report II--Available “Creating a Responsive System of Care for Children Exposed to Violence”-Process Evaluation Report--Available Engaging and Retaining Families Exposed to Violence—Special Report – Available Series of Outcome Studies and Validation of an Assessment Tool for Tier II sites- Fall 06 Special Issue Journal- Fall 20 www.capablecommunity.com

27. National Safe Start Initiative Development Other Activities/Partnerships • Training and Technical AssistanceConsultant Pool -Peer Support Model -Expert Support -Consultation/On-site/Cross-site • Speaker’s Bureau • Publications Series and Resources: 2 Special Issue Journals, Fact Sheet, Journal Articles, Special Topic Reports, Briefs -Tools, Handbooks and TTA materials -Literature and Knowledge Development -Research and Evaluation Reports -Practice and Intervention • CEV Think Tankwith the Institute on Violence, Abuse and Trauma (IVAT) in San Diego—September 2006-- Special Issue Journal • CEV Panel Workshopat APA Convention in New Orleans, August 2006-Planning Meeting • Domestic Violence Awareness Month,October 2006, OJP focus on CEV for Web Forum • APA Policy Symposium (tentative),Winter 2007 • World Child Abuse Prevention Day with release ofUN Study on CEV,APA, November 2006 • Judicial Benchcardon CEV developed with OJJDP and NCJFCJ, Fall 2006

28. National Safe Start Initiative Development Our Partners RAND Association for the Study and Development of Community University of New Hampshire National Center on Children Exposed to Violence at Yale Safe Start Center Zero to Three Family Violence Prevention Fund Institute for Community Peace American Psychological Association National Council of Juvenile and Family Court Judges Early Trauma Treatment Network California State Attorney General’s Office Institute on Violence, Abuse and Trauma-Alliant University Division 56: Trauma Division for APA And all our ongoing Federal and Local Partners

29. Kristen Kracke, MSW Safe Start Initiative Coordinator Office of Juvenile Justice and Delinquency Prevention U.S. Department of Justice 810 7th Street, NW Washington, DC 20531 202-616-3649 Email: kristen.kracke@usdoj.gov