1 / 37

FIRST 5 Santa Clara County: Prevention Opportunities and a Systems A pproach

FIRST 5 Santa Clara County: Prevention Opportunities and a Systems A pproach. Early Childhood Funders Meeting Thursday, May 23, 2013. FIRST 5 Who We Are. Our Vision

mabli
Download Presentation

FIRST 5 Santa Clara County: Prevention Opportunities and a Systems A pproach

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. FIRST 5 Santa Clara County: Prevention Opportunities and a Systems Approach Early Childhood Funders Meeting Thursday, May 23, 2013

  2. www.first5kids.org FIRST 5 Who We Are Our Vision To act as a catalyst for ensuring that the developmental needs of children through age 5 are a priority in all sectors of the community. Our Mission To support the healthy development of children through age 5 and enrich the lives of their families and communities.

  3. Circles of Influence Ecological Systems Model adapted from: Bronfenbrenner, U. (1989)

  4. FIRST 5 Goal Areas GOAL 1 Children are born healthy and experience optimal health and development GOAL 2 Families provide safe, stable, loving and stimulating homes Family Support Health Care GOAL 4 Neighborhoods and community are places where children are safe, neighbors are connected and all cultures are respected GOAL 3 Children enter school fully prepared to succeed academically, emotionally, and socially Neighborhood Support Early Care and Education GOAL 5 Systems are responsive to the needs of children and families

  5. FIRST 5 County-Wide Service Delivery Continuum Communication, Education & Information SCC Community Communication, Education, & Information Community Outreach, Learning Together Initiative, Physical Health Community Engagement and Education Support Children 0-5 and their families Early Care and Education Quality early learning environments, PoP, Educare Children 0-5 Children in system entry points and at 300% of Federal Poverty Level Mental Health Department Call Center and Regional Assessment Centers Assessment Promotion Prevention Early Intervention Developmental Screening Community-based HV, Medi-Cal providers Children and families who are screened and in need of one-on-one parenting skills intervention Home Visitation Therapeutic Services Community-based therapeutic services, Medi-Cal providers Children and families that require intensive intervention services Research and Evaluation Continuous Improvement Workforce Development & Family Support Strengthening

  6. Where FIRST 5 Serves – Countywide Risk Factors • Children living in high/ • multiple risk environmentsare at greater risk of: • Physical impairment • Cognitive impairments • Social, emotional, and • behavioral impairments • Poor developmental • outcomes • - Serious emotional problems

  7. Developmental Screening Initiative Evolution 2011 - 2013 2009 2006 2005 2004

  8. Developmental Screening Target Population Most vulnerable children birth through 5 in Santa Clara County Superior Court System (Family, Dependency & Probation) SCCOE: Head Start SCCOE: Early Start San Andreas Regional Center FIRST 5 Early Learning Programs Preschool / Early Learning Programs VMC Pediatric Offices / Community Health Clinics Santa Clara County Mental Health Department Public Health Nursing WIC Community Based Organizations FIRST 5-Funded Community Operated Family Resource Centers

  9. Referral Pathway & MHD Call Center

  10. Santa Clara County STARTS SystemScreening to Assessment, Referral, and Treatment ASQ/ASQ-SE Screenings and Concerns Mental Health Department Call Center Phone: 1-800-704-0900 Fax: 408-938-4536 Referrals KidConnections Network of Providers (Screening, Assessment, Home Visitation, Therapeutic Services) Intervention Services

  11. Partnership: FIRST 5 and Mental Health Department (MHD) Since 2006, FIRST 5 and MHD have partnered to provide screening and early intervention services to children in Santa Clara County. • Shared Vision of Universal Screening and Intervention • Braided and Leveraged Funding for Sustainability & Capacity Building • Programmatic Service Efficiencies • Implementation of Evidence-Based Practices • Shared Resources for Workforce Development • Research-Based Screening and Assessment Tools • Rigorous Evaluation Plan • Commitment to Continuous Improvement

  12. FIRST 5 Leverages $2.54 for every $1 of Investment

  13. KidConnections Network (KCN) of Providers • In collaboration with FIRST 5 Santa Clara County, Santa Clara County Mental Health Department and Community Based Organizations - KCN provides high quality, transdisciplinary screening, assessment, home visitation and therapeutic services for children under 6 years of age • Partnering with the community: • Pediatric Workgroup • Provider Workgroup • FIRST 5, MHD, CBO - Executive Director Workgroup

  14. KidConnections Network of Providers:Coordination of Services Children’s Health Council Community Solutions Regional Assessment Centers Rebekah’s Children’s Services Self-Referral Provider Gardner Family Care FeedbackLoop Alum Rock Counseling Center Mental Health Services Developmental Services EMQ Families First MHD KidScope Feedback Kidango Connection to Early Start & School District Services Catholic Charities

  15. What we’ve learned so far… Selected Outcomes FY 12-13

  16. www.first5kids.org Ensuring Children Thrive It is projected that at the end of FY 12-13, 2250 children aged 0-5 will have received services under Santa Clara County’s KCN Network of Providers. This is an increase of 29% from the previous year.

  17. www.first5kids.org ASQ-3 and ASQ:SE Presenting Concerns

  18. www.first5kids.org Our children have high levels of need • Presenting concerns: CBCL Symptom Cluster • Note, symptom clusters do not directly correlate to diagnosis

  19. www.first5kids.org Parent-Child Relationships Improved

  20. www.first5kids.org Promoting Learning

  21. www.first5kids.org Supporting Child’s Confidence: Improved

  22. Where We Are Going…Systems Working Together to Support Developmental Screening

  23. Universal Developmental Screening:Santa Clara County Leading the Way Source: http://www.sccgov.org/sites/opa/nr/Documents/State%20of%20the%20County%20Address%202013.pdf

  24. FIRST 5 Santa Clara CountyPartnership with the Superior Court and Child Welfare Systems

  25. Partnerships FIRST 5 has strong, collaborative relationships with county agencies and departments and community partners, allowing for the expansion and strengthening of our countywide System of Care, maximization of revenue and assurance that programs are sustainable over time.

  26. Making Connections – Family Support Specialists & Public Health Nurses Family Support Specialists & Public Health Nurses Family Support Specialists Public Health Nurses Assessment Therapeutic Services Home Visitation Early Care & Education Family Resource Centers Early Start/ School District

  27. Santa Clara County Superior Court: Family Court • Family Support Specialists provide: • Developmental Screenings, Needs Assessments and connect families to FIRST 5 and community programs. • Staff is stationed in each of the county Family Court Houses to connect directly on-site with families and to receive referrals.

  28. Santa Clara County Superior Court: Juvenile Justice Court • Family Support Specialists provide: • Developmental Screenings, Needs Assessments and connect pregnant and parenting teens to FIRST 5 system of care. • Referrals are made directly from Judges and Probation Officers.

  29. Santa Clara County Superior Court:Juvenile Dependency • Family Support Specialist sits as a member of the Dependency Wellness Court team to provide information and resources regarding community resources and child development. • Public Health Nurses provide Nursing Assessments, Depression Screening, ASQ and ASQ:SE screenings to all children involved in the child welfare system • Families are connected to other FIRST 5 and community programs.

  30. NCFAS Assessment of Family Court Participants Overall environment is not shown, as there was no measureable change in % after 90 days All improvements are statistically significant at p < 0.00001 31

  31. Public Health Nursing – Home Visitation Highlights Children in dependency court were more likely to receive the recommended number of well-child visits and less likely to visit the ER room at follow-up

  32. Public Health Nursing – Home Visitation Highlights Children in dependency court were more likely to receive adequate dental care at follow-up

  33. Public Health Nursing - ASQ and ASQ-SE Highlights Children in dependency court matched at baseline and follow-up presented with significantly fewer concerns in all domains at follow-up Decreased % indicates improvement

  34. FIRST 5 Santa Clara County: State and Local Recognition Superior Court of California County of Santa Clara Support for Family and Juvenile Courts Award 2012 Legal Advocates for Children and Youth Innovative Program Award 2011 Judicial Council of California Ralph N. Kleps Award for Improvement in the Administration of the Courts2009 Association of Family and Conciliation Courts Irwin Cantor Award for Innovative Programs2008

  35. Questions and Answers

  36. For More Information Melanie Daraio Rachel Talamantez FIRST 5 Santa Clara County 4000 Moorpark Ave., Suite 200 San Jose, CA 95117 Phone: (408) 260-3700

More Related