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Prevention and Multi-Disciplinary Teams
Relationships First Initiative| Early Childhood Mental Health Initiative
St. Louis County | Department of Human Services
Child Safety and Permanency | mn.gov/dhs
Who are we?
Char McDonald, MSW, LICSW
MN Department of Human Services
John Soghigian
ECMHI Facilitator / MCCC Parent Consultant
Annie Krohn, MSW
St. Louis County Health & Human Services
Kelly Lind, BA, RN, PHN
St. Louis County Health & Human Services
Child Safety and Permanency | mn.gov/dhs
Objectives
• Learn about creating a partnership between community organizations and county public health and human services.
• St. Louis County’s Early Childhood Mental Health Initiative (ECMHI)
• Define the ECMHI’s innovative work currently underway
• Articulate the Strengths and Challenges of ECMHI’s collaborative work
Child Safety and Permanency | mn.gov/dhs
Agenda
• Early Childhood Mental Health Initiative
• Formation
• Stakeholders
• Goals
• Relationships First Initiative
• Partnership with Department of Human Services
• Data
• Projects
• Strengths & Challenges
• Questions
Child Safety and Permanency | mn.gov/dhs
Early Childhood Mental Health Initiative (ECMHI)
• Began in May of 2017
• John Soghigian and Kelly Lind (St. Louis County Public Health), co-led the formation of ECMHI
• Collaborative group in Northern St. Louis County
Child Safety and Permanency | mn.gov/dhs
ECMHI Partners
• Bois Forte Family Services
• Early Head Start
• Ely Community Care Team (ECCT)
• Ely Community Health Center (free clinic)
• Essentia Ely Clinic
• Essentia Virginia Hospital
• Fairview Range Medical Center
• Mesabi East Schools Early Learning
• Mesabi Family YMCA
• Minnesota Communities Caring for Children
• Northern St. Louis County (NSLC) Family Service Collaborative
• St. Louis County Public Health and Human Services
• St. Louis County PHHS Advisory Committee
• Northland Healthy Minds
• Northland Learning Center
• Northland Special Education Cooperative- Early Childhood Programs
• Range Mental Health Center
• United Way
• Advocates for Family Peace
ECMHI Goals
• Good Early Childhood Outcomes by:
• Utilizing best practice tools to decrease ACEs and build resilience
• Promoting collaboration among professionals of those serving children ages 0-7 and their caregivers/mentors
• Promoting community involvement
• Identifying current resources of gaps in resources
• Preparing action plans to best fill gaps and utilize available services
Child Safety and Permanency | mn.gov/dhs
What did ECMHI actually do?
• Monthly meetings
• Spotlight on a community or county agency at each meeting
• Decision making on group consensus
• Develop strategy to address mental health stigma
Child Safety and Permanency | mn.gov/dhs
How DHS plays a part…
We envision a future in which all children in MN live in safe, supportive, healthy, and permanent families.
Targeted
• Highest Risk
• Feasibility
Balanced
• Evidence
• Lived Experience
Collaborative
• Shared Aims
• Mutual Learning
Restorative
• Reducing systemic bias
Focused
• Scale what works
• Stop doing what doesn’t
Child Safety and Permanency | mn.gov/dhs
A broader view of Prevention
Child Maltreatment
Homelessness
Mental Illness
Substance Abuse
Poverty
Child Safety and Permanency | mn.gov/dhs
Theory of Change
Families are facing systemic and individual challenges, and screened in maltreatment
reports and removals are on the rise
We can prevent the first-time occurrence of maltreatment and
neglect and intervene to strengthen families
By focusing on building social connectedness and belonging
and other protective factors, we can strengthen families.
There are existing resources available to do this work, but we need to improve the way these
services are delivered
We must collaborate to leverage resources, engage families, and build relationships to increase
well-being
Partnering to deliver services, and identifying and
implementing prevention strategies will improve outcomes
for children and families
Child Safety and Permanency | mn.gov/dhs
Prevention Strategic Goals for 2018-2020
• Significantly reduce the disproportional representation of African American and American Indian children in our child welfare system
• In 2017, of the 7,503 children entering out of home care, 3,701 were identified as either African American, American Indian, or Multi-racial, a category advocates believe often masks the true number of American Indians that are system involved. Moreover, while entry rates are high, the real problem for these communities is often length of time in care.
• Reduce new entries in out of home placement across Minnesota
• In 2017, 7,503 children entered out of home care.
Child Safety and Permanency | mn.gov/dhs
OHP Data (Minnesota)
Child Safety and Permanency | mn.gov/dhs
Data (2017)
• St. Louis County (SLC) screens in approximately 60% of reports received, about 20% higher than the state average.
• SLC has a slightly higher average of kids living in poverty than the state.
• Top Four Drivers of OHP:
• Parental Drug Abuse: 46%
• Child Mental Health Issues: 13%
• Alleged Neglect: 13%
• Alleged Physical Abuse: 5%
Child Safety and Permanency | mn.gov/dhs
Data Continued
• Voluntary placement initially for 44% of OHP
• 40% of placements resulted in reunification with primary caregivers
• 10% resulted in transfer of permanent custody to a relative
• Approximately a quarter of the community is reporting anxiety and/or depression
Child Safety and Permanency | mn.gov/dhs
Where is North St. Louis County?
Minnesota Department of Human Services | mn.gov/dhs
Relationships First Initiative (RFI)
• Project of ECHMI
• $50,000 single source grant from DHS Child Safety and Permanency Division
• ECHMI will deliver coaching and support to the Relationships First Initiative (RFI) toward the achievement of goals:
• To support the development of a multi-year continuous improvement process that reduces out of home placement in the target area; and,
• To strengthen family and community engagement in prevention services and resources
Child Safety and Permanency | mn.gov/dhs
RFI Deliverables
• Work Plan for this Initiative
• Process Map
• Data development and reporting agenda
• 3 to 5 prototype models
• Community engagement strategy
Child Safety and Permanency | mn.gov/dhs
RFI Strategic Planning
Child Safety and Permanency | mn.gov/dhs
Strategic Planning Process
Action!!Change Ideas
SecondaryDrivers
Primary Drivers
AimsVision &
Mission
Child Safety and Permanency | mn.gov/dhs
Primary Drivers
• Build and support a strong, motivated, and aligned, implementation team through ECMHI
• Build an integrated service model that promotes protective factors, early identification, and service referrals
• Build a network of partners to strengthen and innovate ways to reduce risk factors including poverty, chemical dependency, and mental illness
• Implement communications to promote prevention, wellbeing, and strong families and communities
• Support the workforce for success
Child Safety and Permanency | mn.gov/dhs
Current Change Ideas/Deliverables
Shared Process Map
Parent Support Groups
Child Safety and Permanency | mn.gov/dhs
Current Change Ideas/Deliverables2
Early Intervention Family Court
Community Events
• ACEs Presentations
• Community Panels
Child Safety and Permanency | mn.gov/dhs
Current Change Ideas/Deliverables3
Communications Campaign
Multi-agency Release of Information Form
Child Safety and Permanency | mn.gov/dhs
Strengths
• Committed Leadership
• Top-Down Commitment
• Shared Vision and Aim
• County and Community Partner Collaboration
• Clearly defined Next Steps
• Continuing to increase Stakeholders
Child Safety and Permanency | mn.gov/dhs
Challenges
• Keeping motivation in light of set-backs
• Changes/leaves of staff
• Data
• Confidentiality
• Passion versus workload obligations
• Rural Community- Distance/Winter
• Deliverables came before the Plan
• Feelings of County Centric
• Managing funds
Child Safety and Permanency | mn.gov/dhs
Putting it all together
What is ONE next step you could take in your community (or agency) to better improve collaboration?
Child Safety and Permanency | mn.gov/dhs
And that’s a wrap…
[email protected] | mn.gov/dhs
Remember…
Child Safety and Permanency | mn.gov/dhs
Thank You!
Char McDonald; [email protected]; 651-431-4972
John Soghigian; [email protected]; 218-365-8408
Annie Krohn; [email protected]; 218-262-6084
Kelly Lind; [email protected]; 218-471-7621
Child Safety and Permanency | mn.gov/dhs