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Maryland’s Early Childhood Mental Health Initiatives. Albert Zachik, M.D. Albert Zachik, M.D. Director Office of Child and Adolescent Services Mental Hygiene Administration State of Maryland Department of Health and Mental Hygiene. Early Childhood Mental Health Steering Committee.
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Maryland’s Early Childhood Mental Health Initiatives Albert Zachik, M.D.
Albert Zachik, M.D.Director Office of Child and Adolescent ServicesMental Hygiene AdministrationState of Maryland Department of Health and Mental Hygiene
Early Childhood Mental Health Steering Committee • Co-chairs • Albert Zachik, M.D. (DHMH/MHA) • Carol Ann Baglin, Ed.D. (MSDE) • Multiple stakeholders including families, state and local child serving agencies, early childhood providers, advocates
Infusing Mental Health into Early Childhood Settings • Clear commitment not to establish a new “service system” to deliver early childhood mental health services and supports • Identify where young children are spending time and bring appropriate services to them • Continuum extends from prevention through treatment services
Five Goals for ECMH • Define the components of a “System of Care” • Increase substantive family involvement in all levels of service system • Improve pre-service and in-service training • Increase access to mental health consultation services • Assess current capacity to serve young children and families
Strategy: Consultation • Integrate mental health consultation into all existing early childhood programs in Maryland to support prevention and triage for mental health need • Consultation included in home visiting programs, child care, Head Start, Early Head Start, Infants and Toddlers Programs, special education programs, Judith Hoyer Centers
Strategy: Pilot Programs • Two local pilot sites integrated mental health consultation into child care programs: • Eastern Shore - Project Right Steps • Baltimore City - Early Intervention Project • Children at risk for expulsion and staff received consultation services
Pilot Programs: Results • Increase in social skills, decrease in problem behaviors • 90% of young children at highest risk for expulsion maintained in current child care setting • Program/staff success
Maryland Early Childhood Mental Health Project • Expansion of the pilot projects to 13 sites statewide encompassing all regions of the state • State-funded grant program is coordinated by the Division of Early Childhood Development within MSDE
Goals of the ECMH Sites • Prevention and intervention services to children and families • Identification and referrals for children with developmental, socio-emotional, or behavioral concerns • Support to child care programs to provide stress-free learning environments • Coordination of services with public schools, health departments, and other core service providers
Strategy: Professional Development • Early Childhood Mental Health Certificate • Specialized training in ECMH for Master’s level clinicians • Register online for 2008 program at: • http://medschool.umaryland.edu/innovations • Partnership with the Center on the Social and Emotional Foundations for Early Learning (CSEFEL)
Maryland/CSEFEL Partnership • MD is one of three States initially chosen by CSEFEL to participate in a three year initiative to enhance the State’s capacity to strengthen social and emotional development of young children • Broad goal: Build a consistent , evidence-based professional development framework for the early care and education workforce
Maryland/CSEFEL Partnership • CSEFEL Role: To provide training and technical assistance on the Pyramid Model for Supporting Social Emotional Competence to State team, demonstration sites, trainers, and coaches • State role: To plan and coordinate the initial implementation of Pyramid Model in Maryland
Maryland/CSEFEL Partnership:Major Components • Interagency Planning Team • Pyramid Model Orientation: 9/28/07 • 4-Day Intensive Training: Jan/Feb 2008 • Identification of demo sites and coaches • Implementation of model in demo sites with CSEFEL TA and support • Second round of intensive training • Evaluation • Future Planning
Maryland/CSEFEL Partnership:Demonstration Sites • Head Start, Child Care, Early Intervention, Preschool Program • High-quality program • Relationship with ECMH provider who can serve as coach • Commitment to adoption, implementation, and evaluation of the model
Maryland/CSEFEL Partnership:Outcomes • Increasing ECE provider competence and confidence in supporting social and emotional development of young children • Creating cadre of trainers and coaches • Demonstration of evidence-based practices • Sustaining the effort • GOOD CHILD OUTCOMES!