Linking Outcomes and CAPTA Ken Smith, Analyst Programmer Alaska Part C.

Linking Outcomes and CAPTA Ken Smith, Analyst Programmer

Alaska Part C

Presentation:

Alaska Part C Overview

Part C / CAPTA Collaboration

Linking CAPTA & Outcomes

Issues & Next Steps

Alaska Department of Health and Social Services

Office of Children’s Services

Part C(ILP)

Adoptions Child Protective SvcsFoster Care Indian Child Welfare Act

Children’s TrustEarly Childhood Comprehensive Systems Children’s Justice Act

Alaska ILP Eligibility Criteria

Part C50% Delay in 1 or more domainsDiagnosed condition resulting in 50% Delay

Clinical Opinion (expected delay)

Non-Part C (per State funding availability)<49% Delay in 1 or more domains, or at-

risk for developing delays

5-Year Enrollment Trend Part C & Total

FY09 FY10 FY11 FY12 FY130

500

1000

1500

2000

2500

Part C All

Part C / CAPTA Collaboration

Alaska Part C and Child Protection Collaboration

2006 – 2008ILP CAPTA

Impact Pilot

2012Automated

CPS Referrals

2013Workforce

Training

Part C Dept Health and Social Services Office of Children’s Services University of Alaska Child Welfare Academy Alaska Association for Education of Young Children Alaska Family

Violence Prevention

Goals: Increase collaboration between CPS

and ILP

Increase CAPTA referrals

Increase developmental screenings for children referred through CAPTA

Evaluate impact of CAPTA referrals on ILP System

CAPTA Outcomes Pilot: FY06-FY08

Disposition of CAPTA Referrals

548 CPS Referrals

3 (largest) Agencies

1%

5%

10%

25%

27%

32%Evaluated not En-rolled

Evaluated not Enrolled

Enrolled

Declined or Lost to Follow-up

OtherOther

UKN

Missing Data

FY09

FY10

FY11

FY12

FY13

149

201

236

364

351

5 year CAPTA Enrollment Trend136% increase

Linking CAPTA & Outcomes

How CPS Referred Children Qualified (n=599)

Delays > 50%

Delays 25% - 49%

Delays 15% - 24%

Delays < 15%

Clinical Opinion

Part C Dx

11% 11%

4% 4%3%

1%

0

1

2

3

4

5

EmotionaLKnowledgeAction

COS Distribution at Exit

e d c b a0

5

10

15

20

25

30

35

40

45

EmotionalKnowledgeAction

FY13 CAPTA COS Distribution at Exit

Emotional Knowledge Action

71%77% 74%

63% 62%69%

Children who entered below age expectaion - % who substantially increased rate of growth by exit% of children functioning within age expectation by exit

FY 13 CAPTA Summary Statements

Issues & Next Steps

FinancialCAPTA- Unfunded mandate

Alaska State budget increment for domestic violence prevention - Outcomes data supports funding continuation

Medicaid, EPSDT, ASQ On-line, Family Co-Pay

Updating Prevalence Study to Include

CAPTA Report Data - which may increase evidence of need

Seeking additional resources

Active dialog to improve timely CAPTA family contact data

Automated CAPTA referrals

Quarterly Data Reports to OCS Administration tracking referral trends and quality (valid/invalid referrals)

CPS training on timely substantiation/data entry

Part C increased MH workforce development

University Part C training incorporated into Social Work program

Cross-system buy-in – paradigm shift for both systems (ILP/CPS)

Trainings Early childhood mental health conference trainings (including CEUs), Scholarships to Infant-Parent Mental Health Post-Graduate Certificate Program, Reflective Supervision Teleconferences

New Part C Credential includes Early Childhood Mental Health Module

Newly created Alaska Association for Infant Mental Health which has established competency standards

EI System Capacity Building

Contacts Alaska Part CAlaska Dept. of Health and Social Services Ken Smith, Analyst Programmer [email protected] Shirley Pittz, ECCS/ILP Manager shirley.pittz@alaska .gov Lisa Balivet, Public Health Specialist II [email protected]