The advent of the Families First federal legislation and Clearinghouse (check out prior blog posts) has created a need to better understand the landscape here in South Carolina regarding use of evidence-based programs/interventions/models by behavioral health providers. To address this need, we have partnered with the SC Department of Social Services to disseminate a survey to behavioral health providers across the state serving children, youth, families, and caregivers.
In a recent post, I wrote about The Families First Prevention Services Act and the associated Title IV-E Prevention Services Clearinghouse. The Clearinghouse is live, is reviewing multiple programs for potential inclusion, and can be found here.
This Act has energized discussions about adoption of evidence-based programs and interventions. One important question that systems or organizations ask when considering adoption of evidence-based behavioral health interventions is, “Which program should we select?” However, we may not be asking the right question. The better question might be, “Which combination of evidence-based programs and practice elements from these programs is likely to help us achieve our desired results for the largest number of youth and families in need?”
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.
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.