1 / 29

Hawai`i Partnerships to Prevent Child Maltreatment MCHB Partnership Meeting 10/16-19/05

Hawai`i Partnerships to Prevent Child Maltreatment MCHB Partnership Meeting 10/16-19/05. Loretta J. Fuddy, M.S.W,M.P.H Family Health Services Division Chief. A SNAPSHOT OF HAWAII’S CHILDREN. HAWAII’S POPULATION U.S. CENSUS 2000 N = 1,211,537. AGE DISTRIBUTION. MILITARY STATUS. 13.8%

nan
Download Presentation

Hawai`i Partnerships to Prevent Child Maltreatment MCHB Partnership Meeting 10/16-19/05

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. Hawai`i Partnerships to Prevent Child MaltreatmentMCHB Partnership Meeting 10/16-19/05 Loretta J. Fuddy, M.S.W,M.P.H Family Health Services Division Chief

  2. A SNAPSHOT OF HAWAII’S CHILDREN

  3. HAWAII’S POPULATION U.S. CENSUS 2000 N = 1,211,537 AGE DISTRIBUTION MILITARY STATUS 13.8% 8-17 Yrs Old 10.6% 0-7 Yrs Old 3.6% MILITARY 75.6% Over 17 Yrs Old 96.4% NON-MILITARY Source: U.S. Census 2000, Summary File 4 (SF4).

  4. HAWAII POPULATION CHARACTERISTICS Med-Quest Population 2003 N=168,851 Uninsured Population 1996-2002 (7 Year Average) N=113,000 9.5% 65 & Older 1.6% 19-64 Yrs Old 24.1% 0-18 Yrs Old 40.3% 19-64 Yrs Old 74.3% 65 & Older 50.2% 0-18 Yrs Old Source: The U.S. Bureau of Labor Statistics and The Bureau of the Census, Current Population Survey (CPS), 1996-2002; State Department of Human Services, 2003 data.

  5. CHILDREN AGE 0-18 YEARS U.S. CENSUS 2000 N = 309,735 BY ETHNICITY BY COUNTY 28.8% Other (includes multi-race) 13.4% FILIPINO, alone 70.5% HONOLULU 9.7% ASIAN, alone 5.2% KAUAI 31.6% HAWAIIAN/ PART HAWAIIAN 16.5% WHITE, alone 13.2% HAWAII 11.1% MAUI Source: U.S. Census 2000, Summary File 4 (SF4).

  6. SOCIO-ECONOMIC ENVIRONMENT 30.6% of Hawaii’s households had incomes less than $40,108 in 2002 (185% FPL for family of four). (State Department of Health, Hawaii Health Survey, 2002) 15% of children under age of 18 years live in poverty. 12.2% of Hawaii’s workforce had more than one job in 2002, compared to the U.S. average of 5.6%. (State Department of Health, Hawaii Health Survey; US Bureau of Labor Statistics, 2002) 14.6% of the homeless in Hawaii were under age 18. (SMS Research and Marketing Services, “Homeless Point-in-Time Count Report, 2003)

  7. INFANT MORTALITY RATE U.S. (1995-2002) 6.8 per 1,000 live births HP 2010 7. 2 per 1,000 live births HAWAII (1995-2002) – 6.7 per 1,000 live births 100 infant deaths and 17,043 live births 2004 – 5.4 per 1,000 live births 134 infant deaths and 17,519 live births Source: Hawaii State Department of Health, Vital Statistics, 1997-2002 data.

  8. CHILD DEATHS IN HAWAII 1997 – 2000 (4 Year Cumulative) N = 679 79% Natural Deaths INJURY HOMICIDE SUICIDE UNDETERMINED 42 13% 27 3% 3% 2% 21 18 15 8 2 4 4 NATURAL DEATHS: Infants = 422 1-9 Yrs = 50 10-14 Yrs = 66 INFANT (69.2%) 1-9 YR OLDS (12.2%)10-17 YR OLDS(18.7%) Source: Hawaii State Department of Health, Vital Statistics, 1997-2000 data.

  9. Child Abuse In Hawai`i • Department of Human Service – 2003 Report • Unduplicated Reports 7,053 • Confirmed 3,623 51% • Under the age of 5 years 1,615 45% • Substance Use Involvement 85% • Out of home Placement • 3,180 for a six month period

  10. Child Safety Spending in Hawai`i • CAN Prevention & Treatment 58% • Youth Violence Prevention 18% • Substance Abuse 10% • Legal Services CAN/Domestic 7% • Domestic Violence 4% • Injury Prevention School Safety 3% • ~ $200,000,0000

  11. Collaboration Act of working together to achieve something. Betrayal, working with the enemy. Parallel Play. Partnership A relationship between organizations with similar aims working towards a common goal. Equals in the decision making process. Definitions of Terms

  12. Mandated Collaboration and Partnership • Creating a Common Agenda • The right thing to do • Standard Operating Procedure • Statutorily Defined • Funding Requirements • Legislatively Developed Task Force • Crisis in the Community

  13. FHSD/DOH: Lead for Child Abuse Prevention • Department of Health has statutory base for: • Child Abuse and Neglect Prevention. • Children’s Trust Fund. • Child Death Review. • Domestic Violence Prevention. • FHSD serves as the agent for Title V and Part C - I.D.E.A. • Early Intervention Services • Maternal & Child Health Services. • Children with Special Health Needs Services. • Early Childhood Development • WIC –USDA Program

  14. Maternal& Child Health Branch Efforts • Healthy Start – Statewide Home Visitation • BabyS.A.F.E.(substance abuse free environment) • Domestic Violence Advisory Council • Child Death Review – State & Local Teams • Hawai`i Children’s Trust Fund • Safety Collaborative

  15. Other Collaborative Efforts Supported by FHSD • Blueprint for Change – Child Welfare Reform • DHS – Program Improvement Plan • Fatherhood Commission • Na Keiki Law Center • Keiki Injury Prevention Coalition • Good Beginnings Alliance • Early Childhood Coordinating Systems • All Children will be Healthy, Safe, & Ready

  16. Legislative Task Force • Fetal Alcohol Spectrum Disorder • Children of Incarcerated Parents • Substance Abuse Prevention • DOH/DHS Improved Collaboration • Keiki Caucus – Champions for Children

  17. Collaboration & Partnership Is Essential To All Initiatives & Programs

  18. Child Death Review • Department of Health • Department of Human Services • Department of Education • Medical Examiner’s Office • Attorney General’s Office • Police Department • Fire Department • Prosecutor’s Office • Judiciary/Family Court • Emergency Medical Services • Physicians, Clinics, Hospitals • University of Hawai`i

  19. Child Death Review - Findings • Regardless of cause of death, most involved a history of domestic violence, drug abuse, and CPS involvement by a member of the child’s family. • CDR team documented a history of at least one of the following: domestic violence, arrest, drug abuse, alcohol abuse, mental illness, CPS involvement for: • 27% of the suicides • 45% of unintentional injuries • 60% of the natural deaths • 61% of undetermined deaths • 71% of the homicides

  20. Hawai`i Children’s Trust Fund • Department of Health • Department of Human Services • Judiciary/Family Court • Department of Education • Legislators • Parents/Consumers • University of Hawai`I • Hawai`i Community Foundation • Private Agency Representatives • Prevent Child Abuse Hawai`i • Good Beginnings Alliance

  21. Hawai`i Children’s Trust Fund • $4M in grants to the community • Annual grant making $500,000 • Annual Child Abuse Prevention Conference • Primary Sponsor of Children & Youth Month • Forum on Child Abuse Issues • Technical Assistance & Support • Public Awareness: • Positive Parenting Messages • Child Abuse Prevention

  22. Blueprint for Change • Child Welfare Reform • Public Awareness Child Welfare Issues • Input to DHS's Program Improvement Plan • Training and Education • Developed family-centered, community driven model: Neighborhood Places • Membership • Department of Human Services • Department of Health • Private Sector Agency Representatives

  23. Resolution to Improve Coordination & Collaboration • DOH – Healthy Start Program • DHS - CPS/Child Welfare Program • Movement between the programs • Differential Response • Common Outcome Measures • Memorandums of Understanding re: policy and procedures. • Integration with Early Intervention I.D.E.A. – C • Composition • Department of Human Services • Department of Health • Service Providers

  24. Safety Collaborative • Blueprint for Change • Department of Health • Department of Human Services • Good Beginnings Alliance • Hawaii Children’s Trust Fund • Judiciary/Family Court • Keiki Injury Prevention Coalition • Prevent Child Abuse Hawai`I • Provider Agencies • CAN Prevention & Treatment • Domestic Violence Prevention • Substance Abuse Prevention & Treatment

  25. Safety Collaborative • Common Agenda for Child Safety Issues • Joint Advocacy • Joint Messaging • Assuring a statewide system of prevention and intervention strategies • Adequate funding for full spectrum • Improved coordination and service integration. • Linked to Early Childhood Coordinating Systems Grant and Good Beginnings Alliance: Healthy Safe Ready

  26. Challenges to Partnering • Turf & Schism may occur • Lead and Recognition • Opposing Priorities • Private vs. Public Sector Culture • Time to build Trust & Credibility • Process Oriented • Often Unfunded or Limited Funding

  27. Benefits to Partnering • Unified Voice • Leveraging of Resources • Creative Problem Solving • Customer/Consumer Oriented • Policy and Outcomes Oriented • Create by-in at various levels • Community • Agency • Political

  28. Benefits to Partnerships • Can address a broader array of goals. • Increased communication. • Shred commitment. • Reduced duplication, better integration. • Increased credibility especially when advocating for action. • Increased availability and array of services.

  29. ???? Questions ????

More Related