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MI-AIMH 2013

MI-AIMH 2013. Board Meeting, June 21, 2013. MI-AIMH . Growth and Change Over Time. Then (2002) Budget: $164,093. Membership: 450 Materials/resources: Endorsement, IMH manual, no website, manual accounting, WKKellogg grant, volunteer time & energy And Now (2013)

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MI-AIMH 2013

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  1. MI-AIMH 2013 Board Meeting, June 21, 2013

  2. MI-AIMH

  3. Growth and Change Over Time • Then (2002) • Budget: $164,093. • Membership: 450 • Materials/resources: Endorsement, IMH manual, no website, manual accounting, WKKellogg grant, volunteer time & energy • And Now (2013) • Budget: $ 549,850. plus Conference Budget $100,000. • Membership: 650 • Publications/resources: 3 wheels, IMH manual 2nd ed., 2 DVDs, Courts, Child Welfare & IMH, Competency Guidelines®, website, Endorsement®, Flinn Foundation, VCE/Detroit WCCMHA, etc.

  4. MI-AIMH Executive Committee • President: Joan Shirilla, MA/MSW, IMH-E® • Past-President: Fran Jozefowicz, MSN, IMH-E® • Vice-President: Doug Davies, PhD/MSW, IMH-E® • Secretary: Barry M. Wright, PhD, IMH-E® • Treasurer: Cathy Liesman, PhD, IMH-E® • Training: Mary Forness, MA, IMH-E® • EA: IMH Betty Tableman, MPH/Brooke Foulds,MA, IMH-E® • Ad Hoc: Maggie Sprattmoran, MA, IMH-E®

  5. At-Large Board Members 2011-2013 2013-2015 • Mary Mackrain Alissa Huth Bocks • Rosalva Osorio Moorman Tahira Khalid • Maggie Sprattmoran Barry Kaufman • Bo White Jennifer Champagne 2012-2014 Mary Forness Mary Beth Reimer Poshale Russell Stacey Cornett *Almost everyone IMH-E®

  6. Liaisons to the Board • Sarah Davis, Children’s Trust Fund • Sheri Falvay, DCH Mental Health Services • Deb Marciniak, DCH Public Health Services • Betty Tableman, MCMCH • Renee DeMars-Johnson, MDE • Maxine Thome, NASW • Carol Oleksiak, VCE/Detroit-Wayne County CMHA

  7. Growth and Change through Relationships

  8. Chapter Representatives • Terry Krueger, Blue Water • Holly Brophy Herb, Capital Area • Marc Stanley, Jackson County • Marian Orihel, Metro Detroit • Greg Proulx, Northern Michigan • Kerry Baughman, Northwest Michigan • Wendy Stafford, Southwest Michigan • Donna Wilber, Upper Peninsula • Judy Darling, Washington-Livingston • Deborah Martin-Gill, West Michigan *Many IMH-E®

  9. Student Representatives • Sarah Ahlfs-Dunn, Eastern Michigan University • Kristen Anderson, University of Michigan • Tova Neuget, University of Michigan • Tiffany Martoccio, Michigan State University

  10. Committee Chairpersons • Fran Jozefowicz, Awards Committee • Bonnie Daligga, Diversity Committee • Holly Brophy Herb, Conference Committee • Erika Bocknek, Conference Committee • Brooke Foulds, Endorsement Committee • Priscilla Tait, Endorsement Committee • Hiram Fitzgerald, IMHJ • Maggie Sprattmoran, Social Action • Mary Forness, Training • Kay Loftus, Training staff

  11. MI-AIMH Central Office Staff

  12. MI-AIMH

  13. Endorsement In-State

  14. Endorsement Registry Grows

  15. Recent Endorsement Activity • Summer of 2012: Launched Endorsement Application System (EASy). Web-based system to create, review, and archive endorsement portfolios • Currently 520 registered EASy users across 6 states • In Michigan: Currently reviewing 28 Level I and Level II portfolios this quarter • Recruited and trained approximately 20 new portfolio reviewers to use EASy in the last two weeks

  16. Strategies to Build and Sustain a Well-Trained I-ECMH Work Force • Competency Guidelines® • Endorsement for Culturally Sensitive, Relationship-Focused Practice Promoting Infant Mental Health® • A systematic, professional development pathway to I-ECMH Competence • Knowledge, skills, and reflective practice experiences • Early care and education professionals, home visitors, social workers, health care professionals, psychologists, family counselors, pediatricians, psychiatrists

  17. League Promotes Competencies to Effect Change through Endorsement

  18. League of States: National Partners 2013 MN ID WI RI MI CT IN WV NJ CO KS VA OK AZ NM TX AK

  19. Nurturing Change: League Strategies • Integrate IMH principles and practices into health, behavioral health, maternal-child health, child welfare services, home visiting services, Part C across league states, early care, special education • Increase access to promotion, prevention, and treatment services for women during pregnancy, infants, toddlers and families through advocacy for fiscal policy changes • Build a knowledgeable, skillful and reflective work force using Competency Guidelines® and criteria for Endorsement® across league states

  20. What have league states done? • Created graduate coursework and university programs that reflect the core competencies and lead to endorsement • Successfully sought funding for intensive and specialized in-service training programs to expand competency across systems and at multiple service levels • Expanded services promoting social and emotional health • Expanded reflective practice and reflective supervision

  21. Graduate Study: Degree Programs • Arizona State University: Advanced Studies (MA) in Infant and Family Practice incorporated Competency Guidelines® in design of new masters degree program • University of Minnesota : 2-year Post-Graduate Certificate Program in Infant and Early Childhood Mental Health created to reflect Competency Guidelines® - multidisciplinary • Wayne State University: Dual Graduate Degree in IMH used competencies as framework for program (Social Work & Education) • Michigan State University: Interdepartmental Grad Specialization in Infancy & Early Childhood revised to reflect Competencies® • University of Wisconsin: Post-Graduate Infant, Early Childhood and Family Mental Health Certificate, aligned with competencies, established to provide intensive, year-long training

  22. Specialized Training Programs: Non-Degree • Purdue University and Indiana University: A 12-hour certificate in early childhood created by faculty to prepare child care workers to better understand early development, behavior and care • Kansas: On-line coursework specific to social and emotional development of infants and very young children created to meet requirements for a more informed work force • New Mexico: Associate and Bachelor-level courses designed for distance learning to early childhood practitioners working in home-based settings with families of infants and toddlers • Minnesota: CEED on-line courses in infant and early childhood mental health • New Mexico: Southwestern College created a 40 hour, infant mental health concentration and a 10-month course in Parent-Infant Studies

  23. Non-Degree Program: On-Line • League Training Sub-Committee’s work has recently focused on “On-Line Training” • Collaborative work with Tulane University to develop an on-line course that meets some of the competencies for endorsement as an Infant Mental Health Specialist (Level III) • Will complement other ways that candidates across league states can meet competency • Social and Emotional Developmenton-line course developed by Susan Dickstein, PhD, Rhode Island and aligned with competencies

  24. An Advanced Training Model • Michigan: A Reflective Training, 60 hour model • 10, 4-hour modules + 10, 2-hour reflective practice group meetings = training model • Goals: to strengthen knowledge, skills & reflective practice specific to IMH specialist level of endorsement • Evaluation partner: Eastern Michigan University • 20 participants in the training experience • Foundation funding: $38,000.00 for design, development, delivery, evaluation, replication

  25. An Advanced Training Model • Outcomes: 18/20 participants completed the 60 hour training and sat for the MI-AIMH level III endorsement exam in November 2012 or March 2013 (depending on eligibility) • Outcomes: All who sat for the exam successfully passed the qualitative portion and all but 2 successfully passed the multiple-choice part of the exam and earned endorsement. • Replication: With some modification, expansion, and partnership support, modules will be offered in Northern Michigan 2003-14

  26. An Intensive, Reflective Practice & Home Visiting Training Model • Wisconsin: A 2-year collaboration between WI-AIMH and the Department of Children and Families • Goals: To integrate IMH and reflective practice into state funded home visiting sites across the state; to build reflective capacity among supervisors and home visiting staff • A collaborative, paired mentoring model • 3, 2-day retreats for supervisors/home visiting staff

  27. Systems Change Michigan: Effective October 1, 2009, Medicaid required all Medicaid funded providers of community mental health infant mental health and home-based services in the state to earn Endorsement® as infant family specialists, at minimum, in order for programs to receive Medicaid reimbursement for their services Impact: Work force standards agreed upon and enforced; waivers granted for new home-based service providers to meet the guidelines; plans of work for over 125 staff include specialized, competency-based trainings promoting IMH; regularly scheduled, reflective supervision/consultation to meet criteria for endorsement for all home-based program staff Impact: Agencies award stipends/raises to professionals who earned endorsement; job postings prefer endorsed applicants

  28. Arizona: Baby CASA

  29. Work force development plans • Colorado: Project LAUNCH incorporated Competency Guidelines® into work force development plans for staff including competency-based training and reflective supervision • Michigan: 5 Head Start/Early Head Start programs in regions across the state have included the Competency Guidelines® and Endorsement® as basis for work force development for staff. Training in core competency areas and financial support for reflective supervision for home visitors, family support staff, and child care providers help to build capacity in EHS teams. • Alaska: State funding for 3 Reflective Supervision groups in Anchorage, Juneau & Fairbanks for providers across service systems interested in endorsement

  30. Systems Development: Child Care and Education • Texas: Received a training grant promoting IMH from the Hogg Foundation to develop and provide training that covered infant & young child development and behavior; infant/young child & family-centered practice; relationship work; attachment, separation, trauma & loss; cultural competency; disorders of early childhood; reflection; ethical practice; and advocacy. • Impact: Developed and provided 24 hours of competency-based training for over 30 child care providers and 30 child welfare staff (CPS, CASA, attorneys) resulting in a more knowledgeable/skillful work force • Impact: Developed modules for competency-based training to replicate for child care providers and child welfare staff across the state/other states • Impact: Worked with system to triple (from 8 to 24) the number of hours of training for child care providers required by the state, effective 2012

  31. Reflective Supervision • Reflective Supervision and Consultation is a hallmark of quality infant and early childhood mental health services • League leaders have worked collaboratively for the past 4 years to identify core elements of reflective supervision in order to effectively evaluate its impact on service provision • Production of a reflective supervision training DVD • Live, real-time supervisions recorded/discussed at league retreats • Development of a reflective observation tool (Christopher Watson & Megan Cox, University of Minnesota and League partners) with monthly league discussions • Completion of a Delphi Study, Critical Components of Reflective Supervision, Angie Tomlin (Indiana) and Deb Weatherston (Michigan)

  32. National System: Healthy Families America • Kate Whitaker, IMH-E® IV (Policy) in Arizona • National Training Director, HFA • Professional Recognition:  The Best Practice Standards and Critical Elements that form the structure for HFA coupled with the ISHV training meet the requirements for an Infant Mental Health Endorsement, Level 1:  Infant Family Associate through the Michigan Association of Infant Mental Health (and states that are licensed to implement this process).  The Infant Family Associate endorsement applies to staff that have an Associate of Arts degree or no degree.  • Seeking collaborative funding to nurture workforce development through Endorsement® process for HFA program staff

  33. Outcomes: Knowledgeable, Skillful, & Reflective • Over 878 people have earned Endorsement® at all levels • Over 950 people are working toward Endorsement® • A strong leadership base from league IMH state associations share information monthly via conference calls about training, higher education, reflective practice, policies, and research and plan an annual leadership retreat • Recognition from ZERO TO THREE that the Competency Guidelines and Endorsement® provide an important grass roots initiative to expand capacity and transform services in the infant and family field to promote infant mental health

  34. National Endorsement Infrastructure

  35. MI-AIMH’s National Endorsement Infrastructure • A strong leadership base • A clear model design: 4-level system with established criteria for workforce development; standardized policies and procedures; EASy application; on-going technical assistance to facilitate fidelity to the model • A clear partnership structure: a contractual “license to use” negotiated with MI-AIMH

  36. Endorsement Infrastructure • Strategic partnerships with all participating IMH league states, assuring quality, fidelity to the model, and representation in decision-making processes • Clear communication across partnerships with emphasis on building and maintaining relationships to support growth and systems change; consistency of response; frequent contact and feedback loops; continuous efforts to engage partners

  37. Endorsement Infrastructure • Personalized and individualized training and technical assistance to each league state to facilitate fidelity to the endorsement process • T & TA inclusive of such topics as engaging stakeholders, outreach to targeted groups, competency-informed training, building reflective capacity, seeking new resources, identifying best practice instruments/materials, EASy review, policies promoting systems change, test review

  38. Endorsement Infrastructure • Participation in state level meetings to assure integration of MI-AIMH Competencies® into early childhood systems of service in Michigan • Participation in national discussions and meetings concerning core competencies and standards for the infant and early childhood mental health field • Contributions to the scientific literature promoting competency in the infant and early childhood field

  39. Endorsement Infrastructure • Development of partnerships with university faculty in Michigan and with participating faculty in other league states to promote research and evaluation that is important for the infant and early childhood field • Participation in scientific study of reflective practice and supervision, a cornerstone of best practice and criteria for work force plan

  40. League: and baby makes 17…

  41. At the “Tipping Point” • MI-AIMH will need significant fiscal support to continue to provide necessary leadership at national levels for participating league partners and recognition through endorsement. • To secure funding to assure quality and maintain fidelity to the endorsement model that has grown from a single state system (2002) to a partnership between MI-AIMH and 17 states (2013) with interest and inquiry continuing • Infrastructure support for MI-AIMH’s continued leadership • 1 FTE National Endorsement Director • 1 FTE Administrative Assistant • Space • Office/technology

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