In an earlier post I have described the Managing and Adapting Practice (MAP) modular form of intervention for children’s mental health challenges. As you may recall, MAP is a flexible, individualized intervention system designed to support clinicians in identifying evidence-based interventions (EBI’s) and key components of EBI’s that address the presenting concerns of youth and families. MAP originated in a System of Care in Hawaii to improve outcomes and quality of care for children and adolescents. For more information on MAP, please visit the PracticeWise website.
Today’s post is called “Another day, another clearinghouse!” But before we get too cynical, let’s take a closer look.
Policy landscape changes are like the climate – we can expect shifts over time, influenced by changes in policy leaders and reflecting changes in priorities. The Families First Prevention Services Act (worth many kudos for shifting the focus to prevention services to support children, youth and families and to prevent placement in foster care) has created the Title IV-E Prevention Services Clearinghouse. The Clearinghouse is live and can be found here.
As of July 15, 2019 there are 10 programs rated as either “well-supported,” “supported,” “promising,” or “does not currently meet criteria.” In order for states to use the Federal Title IV-E funding for prevention activities, the programs must fall into one of these three categories: “well-supported,” “supported,” or “promising.” So how are programs reviewed/rated?
The answers lie in the Handbook of Standards and Practices (the Handbook) issued by the Office of Planning, Research, and Evaluation of the Administration for Children and Families of the U.S. Department of Health and Human Services. The Handbook provides a very detailed overview of the process by which programs are identified and rated and can be found here.
The Handbook provides an excellent overview of the methodological issues that must be understood when reviewing program research, and also provides lists of other clearinghouses that are commonly used. Thus, the Handbook is a valuable resource and teaching tool as well as a way to make transparent what happens when programs are reviewed for this important legislation.
The US Congress is considering a bill that would “amend amend parts B and E of title IV of the Social Security Act to invest in funding prevention and family services to help keep children safe and supported at home, to ensure that children in foster care are placed in the least restrictive, most family-like, and appropriate settings, and for other purposes.”
This legislation is very important for advancing evidence-based services for children, youth, and families, and for focusing on prevention. Specifically, one primary component of this legislation allows for states to use federal funds to provide “… mental health and substance abuse prevention and treatment services, in-home parent skill-based programs, and kinship navigator services” to prevent placement of children in foster care.
Services eligible for states to use will be included in a clearinghouse that is under construction as we speak. (Think really smart people with an objective, critical eye checking out lots of research on programs to help children, youth, and their families).
States may delay adoption of this legislation and associated funding for up to two years. This makes incredible sense, as just upskilling a workforce in a single evidence-based approach can take months … or even years … to go to scale.
Stay tuned for updates later this summer on this important topic!
Today’s update is in response to the second suicide of a young Parkland survivor. Please follow this link and take the time to pass on this important information for parents and caregivers to assess risk.
Here is a version for teens to use with their friends.
Helping those we care for have these important and difficult conversations is one way that we, and they, can make a difference!
By: Dr. Cheri Shapiro, Director
Happy New Year!
As with many parts of our lives, the new year offers and opportunity for a new start, which often means new goals. As professionals interested in the delivery of evidence-based approaches to help youth and families address mental health and/or substance use challenges, now is a great time to evaluate your practice.
By: Dr. Cheri Shapiro, Director
When it comes to mental health, we need to remember that the foundations of mental health as well as health and development begin in the prenatal and early childhood (0-5) age range. Critical attention and support are needed for infants, young children, and their caregivers.
Important work is happening in South Carolina to support infant and early childhood mental health arena. One effort is designed to help South Carolina to more fully adopt the Pyramid Model for Supporting Social Emotional Competence in Infants and Young Children.
New opportunities for training in evidence-based interventions supporting infant and early childhood mental health are also emerging from this effort. Two interventions that come to mind are Parent Child Psychotherapy and Attachment Biobehavioral Catch-up (ABC). For more information on these opportunities, please visit the website for the SC Infant Mental Health Association.
Additional evidence-based interventions for our youngest citizens and their families include Nurse Family Partnership and Parents As Teachers, both of which have a strong presence in our state. We are lucky to have such a strong focus on helping families with infants and young children the opportunity to have a strong start to life!
The hurricanes we have experienced have left many in our state in dire need. We need to be mindful of the impact of these events which can last much, much longer than the storm.
The American Psychological Association provides information on a range of relevant mental health issues.
The link to information on recovering emotionally from a disaster can be found here: https://www.apa.org/helpcenter/recovering-disasters.aspx
Stay tuned for an update on our efforts to support the Managing and Adapting Practice system in our state!