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Partnership for Resilient Infants + Toddlers Supporting Resiliency in Vulnerable Young Children in Massachusetts Report of System Change Recommendations by the SCSC Think Tank March 31, 2014 Secure Creative Safe Confident Strong Competent

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Page 1: Supporting Resiliency in Vulnerable Young Children in … · 2014-04-02 · Supporting Resiliency in Vulnerable Young Children in Massachusetts ... well-being and social-emotional

Partnership for Resilient Infants + Toddlers

Supporting Resiliency in Vulnerable Young Children in Massachusetts

Report of System Change Recommendations by the SCSC Think Tank

March 31, 2014

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Table of Contents

Introduction .........................................................................1

Body of Recommendations ................................................3

Appendix A: Resources ....................................................10

Appendix B: Data Recommendations...............................15

Appendix C: Excerpts from Zero to Three Publication ....17

Appendix D: Glossary .......................................................18

Appendix E: Think Tank Members ...........Inside Back Cover

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/early-childhood/scsc

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3 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

These recommendations were produced

by a multi-disciplinary Think Tank formed

in 2013 through a federal grant awarded to

the Collaborative for Educational Services

(CES) in Northampton, Massachusetts from

the Children’s Bureau of the Administration of

Children and Families. The comprehensive

goal of the System Change for Successful

Children (SCSC) project was to improve child

well-being and social-emotional outcomes for

high needs children ages birth to five at risk or

involved with the Massachusetts Department

of Children and Families (DCF-child welfare) in

Franklin and Hampshire counties and in Athol,

MA. SCSC provided training and consultation

on early childhood development and trauma-

informed practice and hosted opportunities for

collaboration between local early childhood

educators and service providers and DCF staff.

The 32 members of the Think Tank (listed

in Appendix E) included representation

from SCSC’s primary partners: DCF, CES,

the Parent-Child Development Center of

System Change RecommendationsIntroduction

Community Action, the Greenfield Girls Club,

and Little Tot Daycare as well as foster parents

and representatives from mental health and

social service agencies, early intervention,

the MA Department of Early Education and

Care, the courts, public schools, and higher

education. The Think Tank worked on these

recommendations between January 2013

and March 2014.

The context for this project is strengths-

based and acknowledges that both the early

childhood and DCF systems are significantly

under-resourced. All SCSC partners care

deeply about young children and their families

and are doing the best work they can, given the

availability of resources and well-functioning

systems to support their work. The challenges

that surfaced in Think Tank discussions are not

caused by poor staff performance or lack of

dedication to best practice, but are the products

of overburdened systems and resource

limitations that can impede the effectiveness

of early childhood and DCF professionals.

MORE

Partnership for Resilient Infants + Toddlers

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The number of children birth to five in need

of child welfare services is surprisingly high,

representing close to 40% of the active DCF

caseload in the Greenfield Area Office. There

is little specialized training about how their

needs differ from those of non-traumatized

peers and older children, and trauma-informed

early childhood support and education services

are very scarce. Our understanding of the

disproportionate negative impact of multiple

placements on infants and toddlers has not yet

enabled us to prevent this experience for too

many of our youngest children in out-of-home

care. Sustaining a focus on secure attachments,

brain development and other foundations of long

term child well-being can seem nearly impossible

in the face of recurrent crises and immediate

safety needs.

The recommendations that follow address

challenges identified by the SCSC Think Tank in

both the early childhood and DCF systems.

These challenges include:

• training and ongoing mentoring/consultation

needs in both systems to support improved

practice that is both developmentally and

trauma-informed

• lack of understanding of the DCF system

by early educators and of the early education

system by DCF staff, which contributes

to limited collaboration between the

two systems

• barriers to effective communication and

collaboration related to scarce resources, high

caseloads, and systems/policies that do not

effectively support teamwork and collaboration

• an under-resourced foster care system and

systemic barriers to expedited permanency

planning that result in multiple out-of-home

placements for children birth to five

• lack of access to, and continuity in, high quality

early education programs for high needs and

DCF-involved children for a variety of reasons

including rural transportation challenges,

insufficient and inflexible funding, loss of early

education when the DCF case closes, and

lack of information about programs, services,

eligibility, and referral protocols

• data systems that are inadequate to support

best practice

We at CES are very grateful for the spirit

of cross-disciplinary collaboration that has

characterized this project and for the time and

expertise so generously contributed by SCSC

Think Tank members. It is our hope that these

recommendations will be a catalyst for increased

allocation of resources and systemic changes

that will support collaborative work between the

early childhood and child welfare systems and

result in stronger social-emotional foundations

for vulnerable children ages birth to five that will

enable them to overcome early adversity and

become healthy and productive adults.

2 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

System Change Recommendations: Introduction

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3 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

System Change Recommendations

Improving Outcomes for Children 0-5 Served by Early Education and Child Welfare Programs in Massachusetts

I. Improve Knowledge and Skills

1. Training recommendations for DCF staff, foster parents and kinship caregivers:

(See Appendix A for training resources)

a. Training in early childhood development, including physical, cognitive and social-emotional

development, is provided to all DCF social workers and supervisory staff. In addition to typical

development, this training includes the immediate and long term impact of trauma and toxic

stress on development and attachment. To supplement the pre-service training, continued

in-service training about early childhood is provided that includes a mentoring/consultation

component, and participation is encouraged through incentives, if not mandated.

b. Foster parents and kinship caregivers who care for children birth to five receive specialized

training and support, e.g., through mentoring and/or consultation, to help them provide trauma-

informed and developmentally appropriate care for very young children.

c. DCF clinical staff, foster parents and kinship caregivers have access to Infant and Early

Childhood Mental Health (IECMH) consultation and are encouraged to use it for infants and

toddlers as well as preschool-aged children.

Recommendation for all training:

To maximize practice improvements, implement a training model

that includes follow-up through a mentoring/consultation component.

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2. Training recommendations for early educators serving the DCF population:

(See Appendix A for training resources)

a. Early educators receive training on the immediate and long-term impact of trauma and toxic

stress on development and attachment.

b. Early educators receive training and ongoing mentoring/consultation on working with high-need

families and children that enables them to recognize and enhance protective factors for children

and families.

c. Early educators receive training on child abuse reporting laws and procedures that includes an

explanation of the DCF system and supports effective collaboration with DCF.

d. Early educators have access to Infant and Early Childhood Mental Health (IECMH) consultation

and are encouraged to use it for infants and toddlers as well as preschool-aged children.

II. Improve Cross-Disciplinary Collaboration and Teamwork

DCF and early education programs serving the DCF population will:

1. Work toward establishing a common language and shared values, including strengths-based,

family-centered services and the value of collaboration. Both systems encourage and support their

staff to work collaboratively on laying the foundation for long term child/family well-being while

addressing safety issues in the family.

2. Develop written agreements to formalize mutual expectations for collaboration. These agreements

clarify roles, establish guidelines for routine and crisis communication and joint home visits, and

include requirements for information sharing and releases of information.

3. Include the expectation of collaboration between early educators and DCF in job descriptions

in both systems; ensure that collaboration is addressed in supervision and that caseload size

allows sufficient time for effective collaboration.

More detailed recommendations about collaboration are included

in the SCSC Toolkits for DCF staff and early educators serving the

DCF population.

4 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

I. Improve Knowledge and Skills (continued)

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5 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

4. Provide cross-disciplinary training and networking opportunities for DCF staff, early educators and

staff in other early childhood programs serving the DCF population.

5. Routinely include one another in team meetings and case conferences. When attendance is not

possible, the DCF social worker or EC staff member calling the meeting is expected to make an

effort to obtain a verbal or written report prior to the case conference that addresses child and

family well-being and child development, in addition to safety.

6. Work together and with other service providers to ensure that children and families receive the

services they need for safety and long term child/family well-being. There is interdisciplinary

communication about where and how to make referrals, coordinating transition planning, what

supports the family needs to overcome barriers and engage in services and who should provide

them, and the process for following up on referrals and ensuring ongoing communication and

coordination between all service providers.

7. Work together and with other service providers to identify local accessibility challenges

and service gaps that impact safety or long term child/family well-being for families with young

children and advocate with policy makers in the appropriate system(s) for policy changes and/or

additional services or resources.

8. Maintain data systems and implement data-sharing protocols to provide age specific individualized

and aggregate data that support service coordination, decision-making, planning and policy

for children birth to five in the DCF system. Data systems collect data on young children’s

developmental needs, progress and service referrals and document accessibility of placement and

participation in early learning programs. (See Appendix B for detailed data recommendations.)

III. Enhanced DCF Systems and Policies

1. DCF caseloads support best practice by allowing time for in-service training, collaboration and

increased focus on long term child/family well-being in addition to safety. DCF reduces caseloads

to levels consistent with national standards and best practice in other states that have succeeded

at reducing child welfare caseloads. See V.5 below for more details about this recommendation.

2. Resources and policies are in place to ensure the provision of initial and ongoing training and

professional development that enhances early childhood trauma-informed competency at all levels

of the DCF system.

3. DCF has policies about serving young children that are consistent with the recommendations in

II. Improve Cross-Disciplinary Collaboration and Teamwork (continued)

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6 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

Sections II A and IIC of Zero to Three’s “A Developmental Approach to Child Welfare Services

for Infants, Toddlers, and Their Families: A Self-Assessment Tool for States and Counties

Administering Child Welfare Services” (May 2012) See Appendix C.

a. As recommended, DCF ensures that stable placements and continuity of relationships for young

children are promoted through the use of differential response, concurrent planning, planned

transitions, and use of foster-adopt families, with the goal of expedited permanency planning in

which children birth to five remain in their first out-of-home placement throughout their tenure in

foster care.

b. When children are in out-of-home placements, frequent contact (“as close to daily as possible for

infants and toddlers”) should be provided between the child, parents and siblings, preferably in a

“home-like setting.”

4. Whenever possible, flexibility is built into systems and services to enable them to adapt to

individual needs and circumstances and to respond to gaps in service availability. This is especially

critical when additional services are urgently needed to maintain children in their home or in their

out-of-home placement.

5. DCF service plans for families with children from birth to five routinely describe each child’s

physical, cognitive and social-emotional development and well-being and identify individual

strengths and needs.

6. The DCF case record includes and tracks referrals to early learning programs and services

to address identified needs and documents children’s progress in early learning programs.

7. Improve social worker access to critical information about children’s development and needs

through enhancements to the electronic case management system as specified in Appendix B and

reorganization of the binder/file management system so that information needed to assess child

well-being can be easily found in a section on children’s assessments and development.

8. Reports to the courts from DCF routinely address the fit between each child’s needs and parent

capacity to meet those needs. They also specify that social workers include information about

physical, cognitive and social-emotional development and well-being when describing each

child’s “current functioning.” Copies of reports from early education and care, mental health, early

intervention, home visiting and other service providers should be attached to court reports to

document each child’s needs and current functioning.

9. DCF has written policy parallel to EEC’s Supportive Child Care Subsidy Policy Statement #P-EEC-

III. Enhanced DCF Systems and Policies (continued)

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7 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

Supportive-16 that defines the social worker’s role and responsibilities when supportive child care

is provided to a child on his/her caseload. There is supervisory accountability to ensure compliance

with this policy.

10. DCF has a comprehensive data system that collects both individual and aggregate data on early

education needs and usage and provides age specific data that support policy and decision-making

for children birth to five. The early childhood data are incorporated into systemic evaluation and

planning efforts. (See Appendix B for detailed data recommendations.)

IV. Enhanced Early Education Systems and Policies

1. A statewide system is funded and in place to prioritize children on the DCF caseload for placement

in high quality early education and care programs and to continue their education in the same

setting after the DCF case has closed, ideally until kindergarten entry.

2. Children with identified disabilities are funded year-round for a full day of early education, whether

through public school, an early education and care setting, or a combination of both.

3. Resources and policies are in place to ensure the provision of initial and ongoing professional

development that result in trauma-informed competency for educators in early learning programs

that serve the DCF population.

4. Supportive Child Care Subsidy Policy Statement # P-EEC-Supportive-16 is reviewed by key

stakeholders in both the EEC and DCF systems and is updated and coordinated with DCF policy

to ensure that guidelines for practice and collaboration are realistic and serve the best interests

of children and families. In addition to enhancing safety and facilitating parental employment, the

policy should address the child’s need for continued high quality early education to improve the

likelihood of school success and long term well-being.

V. Next Steps: Action Planning for System Change

1. DCF facilitates a statewide assessment involving diverse stakeholders, including early educators,

based on Zero to Three’s “A Developmental Approach to Child Welfare Services for Infants,

Toddlers, and Their Families: A Self-Assessment Tool for States and Counties Administering Child

Welfare Services” (May 2012), leading to an action plan for improving outcomes for children birth to

five and their families. See Appendix C.

III. Enhanced DCF Systems and Policies (continued)

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8 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

2. EEC conducts an assessment of training provided to early educators working in programs with

DCF supportive slots and creates a system to ensure that they receive trauma-informed and child

welfare system training that includes a mentoring/consultation component, as specified in Section

I-2 above. Ongoing evaluation is built into the system that measures the percentage of staff trained

and its effectiveness at changing knowledge, skills and outcomes.

3. DCF sets a goal to increase early childhood expertise in each region and area office and makes a

plan to achieve this goal. Possible strategies to be considered might include 1) creating a position

for an Infant and Early Childhood Mental Health Specialist in each regional office; 2) establishing

a unit in each area office that specializes in early childhood; 3) ensuring that each unit that serves

families with young children includes a social worker who has completed an early childhood/child

welfare trauma-informed training program that provides specialized knowledge about children

birth to five and prepares her/him to act as an early childhood resource for colleagues; 4) creating

a position for an Early Childhood Resource Specialist in each area office who would coordinate

the provision of supportive slots and also maintain an updated resource data base of local early

childhood programs and services and train and assist DCF staff and families to access them.

4. DCF and EEC work together to review and update the Supportive Child Care Subsidy Policy

Statement # P-EEC-Supportive-16 as specified in IV-4 above.

a. DCF and EEC establish accountability measures for both agencies that result in effective

services and collaboration in the supportive child care system. For example, a statewide system

of accountability is established at both DCF and EEC to ensure that required meetings are held

on schedule and that quarterly reports by early educators are submitted on time, provide all

required information, and are included in the case record at DCF.

5. A first step in reducing DCF caseloads to support best practice, professional development

and collaboration is to prioritize full implementation of the March 25, 2013 Memorandum of

Understanding (MOU) with SEIU Local 509, the union that represents DCF social workers and

supervisors. The MOU is consistent with national caseload standards and limits caseloads to 15

families maximum, with a case weighting system that adjusts for more labor-intensive cases. If

caseloads are still too high after implementation of the MOU, DCF should consider transitioning

to a system that calculates caseloads based on the number of children served, as opposed to the

number of families served.

6. DCF evaluates its existing pre-service training for social workers and the MAPP training for foster

V. Next Steps: Action Planning for System Change (continued)

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9 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

parents and kinship caregivers and augments these as needed with (1) trauma-informed training

on birth to age five child development and (2) training on assessing and addressing young

children’s developmental, educational and social-emotional needs. Ongoing evaluation measures

the number and percentage of social workers, foster parents and kin caregivers trained and the

training’s effectiveness at improving knowledge and skills. Evaluation data are used to make

improvements over time.

7. DCF develops and implements a plan to provide ongoing staff training in early childhood

development and trauma-informed practice with young children and their families. This training

includes a mentoring/consultation component. Ongoing evaluation measures the percentage

of staff trained and the training’s effectiveness at improving knowledge, skills and outcomes.

Evaluation data are used to make improvements over time.

8. DCF develops and implements a plan that addresses the need for ongoing trauma-informed early

childhood training and support, e.g., through mentoring and/or consultation, for foster parents and

kinship caregivers. The effectiveness of the training and support is evaluated. Evaluation data are

used to make improvements over time.

9. DCF creates a system to ensure that all clinical staff at DCF area offices have detailed information

that is updated at least annually about local programs and services that contribute to the long term

well-being of children birth to five and their families, including at a minimum early education and

care, early intervention, home visiting, and early childhood mental health programs and services.

a. A possible strategy to consider is to expand the position of Area Child Care Coordinator to

include creating and updating a local early childhood resource list and training and supporting

DCF staff to increase utilization of available programs and services.

10. DCF and EEC implement data design and improvement recommendations for both the early

childhood and DCF systems as summarized in II.8, III.7 and III.10 above and detailed in Appendix B.

11. DCF and EEC develop and implement a plan for statewide dissemination of the toolkits and training

resources created by the SCSC project.

V. Next Steps: Action Planning for System Change (continued)

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10 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

Appendix A: Resources

SCSC Early Childhood Train-the-Trainer Series:

Promoting Infant and Toddler Resiliency through Trauma-Informed Practice

This 2013 train-the-trainer series for early childhood educators

includes video of four 2-hour sessions (edited videos are shorter), each structured around an interactive

PowerPoint presentation. Large and small group discussions, vignettes and case sharing, video clips and

handouts supplement the PowerPoint for each session. The series was designed to be used by administrators

or supervisors to train staff, but is also appropriate for self-guided learning.

A parallel series is available for child welfare professionals, as is an additional cross-training session that provides

a structure to bring early childhood and child welfare staff together to build relationships and increase mutual

understanding, with a goal of improved collaboration between the child welfare and early childhood systems.

Session Titles:

1. What is Infant and Early Childhood Mental Health?

2. Brain Development and the Impact of Trauma

3. Attachment and the Impact of Trauma

4. Infant and Early Childhood Mental Health Best Practices: Effective Collaboration and Supporting Resiliency

Training Content:

• Promotes understanding of infant and toddler mental health and access to resources to train early

childhood educators in trauma-informed practice that supports the social-emotional development of

infants and toddlers

• Explains typical social-emotional development of infants and toddlers and how to recognize

common areas of concern

• Provides an overview of early brain development and the effects of trauma and toxic stress on

the developing brain

• Teaches participants how to recognize healthy attachment and understand the impact of

attachment disorders

• Offers strategies for identification and support of effective interventions by early educators that can minimize

the adverse effects of trauma and toxic stress and promote resiliency in infants, toddlers and their families

Components of each session:

• The PowerPoint Presentation

• Video

• Trainer’s Guide

• Bibliography

• Handouts

For Early Childhood Educators

SCSC Train-the-Trainer

resources may be found at:

collaborative.org/early-childhood/scsc

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SCSC Early Childhood Train-the-Trainer Series: Promoting Resiliency in Families with Infants, Toddlers and Preschool-aged Children through Trauma-Informed Child Welfare Practice

This 2013 train-the-trainer series for child welfare professionals

includes video of four 2-hour sessions (edited videos are shorter), each structured around an interactive

PowerPoint presentation. Large and small group discussions, vignettes and case sharing, video clips and

handouts supplement the PowerPoint for each session. The series was designed to be used by administrators

or supervisors to train caseworkers and other staff, but is also appropriate for self-guided learning.

A parallel series is available for early educators, as is an additional cross-training session that provides a

structure to bring early childhood and child welfare staff together to build relationships and increase mutual

understanding, with a goal of improved collaboration between the child welfare and early childhood systems.

Session Titles:

1. What is Infant and Early Childhood Mental Health?

2. Brain Development and the Impact of Trauma

3. Attachment and the Impact of Trauma

4. Infant and Early Childhood Mental Health Best Practices: Effective Collaboration and Supporting Resiliency

Training Content:

• Enables participants to train staff and colleagues in trauma-informed practice that supports the

social-emotional development of infants, toddlers, and preschool-aged children

• Provides an in-depth look at infant and early childhood mental health

• Explores typical early social-emotional development and identifies common areas of concern

• Describes healthy attachment to caregivers and the effects of attachment disorders

• Promotes understanding of early brain development and the effects of trauma and toxic stress on

the developing brain

• Explains the impact of trauma and toxic stress on very young children and offers effective strategies and

interventions to minimize adverse effects and promote resiliency

• Provides best practice strategies for working with very young children and their families in a child

welfare setting

Components of each session:

• The PowerPoint Presentation

• Video

• Trainer’s Guide

• Bibliography

• Handouts

11 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

For Child Welfare Professionals

SCSC Train-the-Trainer

resources may be found at:

collaborative.org/early-childhood/scsc

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12 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

/early-childhood/scsc

Collaborative for Educational Services Early Childhood Programs97 Hawley Street, Northampton, MA 01060 413.586.4998 x102 | [email protected]

SCSC is funded by a two-year federal grant from the Children’s Bureau of the Administration of Children and Families awarded to the Collaborative for Educational Services. Local partner agencies include the Parent-Child Development Center of Community Action, the Greenfield Area Office of the Massachusetts Department of Children and Families (DCF), the Greenfield Girls Club, and Little Tots Daycare in Athol.

Train-the-Trainer Series for Early Educators FREE

TOPIC: Promoting Infant and Toddler Resiliency through Trauma-Informed Practice

DATES: July 10, 17, 24 and 31, 2013 (Wednesdays)

TIME: 1:00 to 3:00pm

PLACE: Vernon Street School (2nd Floor Meeting Room) 56 Vernon Street, Northampton, MA 01060

AUDIENCE: Administrators, supervisors, and staff trainers in early education and care settings who plan to offer training and/or trauma-informed supervision to their staff.

This training series has been approved for 1 CEU for early education and care professionals.

SERIES FORMAT: Five 2-hour sessions that are structured around an interactive PowerPoint presentation and include video clips, handouts, large and small group discussion, vignettes and case sharing. A curriculum will be provided that can be presented in one-hour sessions or adapted to other training schedules as needed. The final session will be held in the fall and will be a cross-training with supervisors and administrators from the Department of Children and Families that will provide opportunities to build relationships and increase mutual understanding and collaboration between the DCF and Early Childhood systems.

CONTENT:

• Enables participants to train their staff in trauma-informed practice that supports the social-emotional development of infants and toddlers

• Provides an in-depth look at infant and toddler mental health

• Explores typical social-emotional development and identifies common areas of concern

• Describes healthy attachment to caregivers and the effects of attachment disorders

• Explains the impact of trauma and toxic stress on infants and toddlers and offers effective strategies and interventions for educators that minimize adverse effects and promote resiliency

• Promotes understanding of early brain development and the effects of trauma and toxic stress on the developing brain

REGISTRATION PLEASE REGISTER BY JUNE 21, 2013

Pre-registration is required. All registrants must commit to attending at least 3 of the 4 sessions and making up any missed sessions by viewing the videotape, downloading the handouts and completing an evaluation form.

Registration will be on a first-come, first-served basis, with priority given to supervisory staff working in Hampshire or Franklin County, or in Athol.

Train-the-Trainer Series for Early Educators July 2013 . Northampton, MA

First Name

Last Name

Title

Email

Phone

Affiliation

Address

City, State, Zip

Number of staff you plan to train:

For information and registration please contact:

Corky Klimczak, SCSC Coordinator 413.586.4998 x104 413.586.1725 Fax [email protected]

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/early-childhood/scsc

Collaborative for Educational Services Early Childhood Programs97 Hawley Street, Northampton, MA 01060 413.586.4998 x102 | [email protected]

SCSC is funded by a two-year federal grant from the Children’s Bureau of the Administration of Children and Families awarded to the Collaborative for Educational Services. Local partner agencies include the Parent-Child Development Center of Community Action, the Greenfield Area Office of the Massachusetts Department of Children and Families (DCF), the Greenfield Girls Club, and Little Tots Daycare in Athol.

Train-the-Trainer Series for DCF FREE

TOPIC:

DATES: Sept. 12 and 26; Oct. 10 and 24; Nov. 7, 2013TIME: 1:30 to 3:30pm (Thursdays)PLACE: DCF Greenfield Office 143 Munson Street, Unit 4, Greenfield

AUDIENCE: Administrators, supervisors and potential staff trainers from the Greenfield and Holyoke DCF offices who plan to offer training and/or trauma-informed supervision to their staff or foster parents

SERIES FORMAT: Five 2-hour sessions that are structured around an interactive PowerPoint presentation and include video clips, handouts, large and small group discussion, vignettes and case sharing. A curriculum will be provided that can be presented in one-hour sessions or adapted to other training schedules as needed. The Nov. 7 final session will be a cross-training with local supervisors and administrators from the early education and care field who received a similar training this summer. This session will provide opportunities to explore best practices together as well as to build relationships and increase mutual understanding and collaboration.

CONTENT: • Enables participants to train their staff in trauma-informed practice

that supports the social-emotional development of infants, toddlers, and preschool-aged children

• Provides an in-depth look at infant and early childhood mental health

• Explores typical social-emotional development and identifies common areas of concern

• Describes healthy attachment to caregivers and the effects of attachment disorders

• Explains the impact of trauma and toxic stress on very young children and offers effective strategies and interventions to minimize adverse effects and promote resiliency

• Promotes understanding of early brain development and the effects of trauma and toxic stress on the developing brain

• Provides best practice suggestions for working with very young children and their families in a child welfare setting

REGISTRATION PLEASE REGISTER BY SEPT. 6, 2013

Pre-registration is required. All registrants must plan to attend at least 3 of the 5 two-hour sessions. Missed sessions may be made up by viewing the videotape or PowerPoint, reviewing the handouts, and completing a written evaluation exercise.

Train-the-Trainer Series for DCF Sept. 12 to Nov. 5 2013 . Greenfield, MA (Five 2-hour sessions)

First Name

Last Name

Title

Email

Phone

Area Office Affiliation

Address

City, State, Zip

For information and registration please contact:

Corky Klimczak, SCSC Coordinator 413.586.4998 x104 413.586.1725 Fax [email protected]

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Expanding Trauma-informed Child Welfare Practice to Promote Resiliency in Families with Infants,Toddlers and Preschool-aged Children

You’re invited to a Kickoff Luncheon on February 25 to introduce the SCSC project. Join us to make a difference for infants and toddlers in Hampshire and Franklin counties and in Athol!

The SCSC Partnership is open to anyone interested in working on behalf of very young children who are receiving or are at risk for DCF intervention. DCF staff, foster and adoptive parents, early educators,

mental health practitioners, home visiting staff, early intervention staff, and other professionals serving young children and their families are encouraged to participate.

Add your voice to the discussion... together we can make a difference! We’ll need a count for lunch, so please RSVP by February 20 to register. Mail or fax your contact information using the form below

or make your reservation via phone or email.

2.25.2013 . SCSC Kickoff Luncheon Registration

Name

Title

Email

Phone

Affiliation

Address

City, State, Zip

For information and registration please contact:

Corky Klimczak, SCSC Coordinator 413.586.4998 x104 413.586.1725 Fax [email protected]

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Collaborative for Educational Services Early Childhood Programs97 Hawley StreetNorthampton, MA 01060 413.586.4998 x102 [email protected]

Early childhood and child welfare organizations work tirelessly on behalf of young children. But the systems in which we do our work do not always make it easy for us to work well together.

The SCSC Partnership is a collaborative project focused on system changes that will encourage resiliency in at-risk children from birth to age five, with infants and toddlers as a priority. Together, we will look at what works—and what doesn’t—to create new ways for early childhood, child welfare, and social services systems, and staff to work responsively together to share knowledge, communicate effectively, and develop cross-disciplinary competency to create brighter futures for these little ones.

SCSC project building blocks will include:

Bi-monthly meetings of a multi-disciplinary ‘Think Tank’ to assess needs and develop recommendations

Development of a free ‘Train-the-Trainer’ series to increase staff knowledge and skills

Quarterly SCSC Partnership luncheon meetings to bring together professionals from all disciplines

Expanded availability of Infant and Early Childhood Mental Health consultation

SCSC Partnership Kickoff LuncheonFebruary 25, 2013 . 11:00am to 1:00pmGreenfield Area DCF Office Large Conference Room143 Munson Street, Unit 4, Greenfield, MA

Who

Come

Partnership for Resilient Infants + Toddlers

/early-childhood/scsc

What

SCSC is funded by a two-year federal grant from the Children’s Bureau of the Administration of Children and Families awarded to the Collaborative for Educational Services. Local partner agencies include the Parent-Child Development Center of Community Action, the Greenfield Area Office of the Massachusetts Department of Children and Families (DCF), the Greenfield Girls Club, and Little Tots Daycare in Athol.

Join us for a continental breakfast buffet and our 2nd quarterly meeting on June 18. Learn about Maternal and Post-Partum Depression and discuss how we can all be more effective at identifying and serving the many families who are affected by PPD.

The SCSC Partnership is open to anyone interested in working on behalf of very young children who are receiving or are at

risk for DCF intervention. DCF staff, foster and adoptive parents, early educators, mental health practitioners, home visiting staff, early intervention staff, and other professionals serving young children and their families are encouraged to participate.

Add your voice to the discussion... Together we can make a difference! We’ll need a count for breakfast, so please RSVP by June 11 to register. Mail or fax your contact information using the form below or make your reservation via phone or email.

6.18.2013 . SCSC Networking Breakfast Registration

Name

Title

Email

Phone

Affiliation

Address

City, State, Zip

For information and registration please contact:

Corky Klimczak, SCSC Coordinator 413.586.4998 x104 413.586.1725 Fax [email protected]

Please RSVP by June 11, 2013

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Collaborative for Educational Services Early Childhood Programs97 Hawley StreetNorthampton, MA 01060 413.586.4998 x102 [email protected]

Our first SCSC Partnership meeting in February was a huge success. Over 50 participants from DCF and early childhood, mental health and social service programs learned about the SCSC project and engaged in lively discussions about the strengths and challenges of our system of care for high need young children and their families. The SCSC Think Tank will incorporate this feedback into the development of a Best Practice Guide for DCF and EC practitioners.

June 18 SCSC Networking Breakfast Preview

TOPIC: Maternal and Post-Partum Depression

PRESENTERS: Annette Cycon and Liz Friedman from MotherWoman, national leaders in the movement to improve services for families impacted by maternal and post-partum depression

LEARN: How to recognize the signs and symptoms of PPD and maternal depression, the impact on infants and toddlers; and how to access treatment and support resources in our area

DISCUSS: Sensitive approaches to raising concerns about maternal depression with parents; effective ways to help women overcome the barriers to engaging in treatment and support services; and what to do when the safety of very young children requires an action plan

SCSC Partnership Networking BreakfastJune 18, 2013 . 9:00 to 11:00am (Tuesday)

Greenfield Area DCF Office Large Conference Room143 Munson Street, Unit 4, Greenfield, MA

Who

Come

Partnership for Resilient Infants + Toddlers

/early-childhood/scsc

What

SCSC is funded by a two-year federal grant from the Children’s Bureau of the Administration of Children and Families awarded to the Collaborative for Educational Services. Local partner agencies include the Parent-Child Development Center of Community Action, the Greenfield Area Office of the Massachusetts Department of Children and Families (DCF), the Greenfield Girls Club, and Little Tots Daycare in Athol.

Join us for a continental breakfast buffet and our third quarterly meeting on October 22. Learn about typical sexual development in young children and effective responses to safety concerns.The SCSC Partnership is open to anyone interested in working on behalf of very young children who are receiving or are at risk for DCF intervention. DCF staff, foster and adoptive parents, early educators, mental health practitioners, home visiting staff, early intervention staff, and other professionals serving young children and their families are encouraged to participate.

Add your voice to the discussion... Together we can make a difference! We’ll need a count for breakfast, so please RSVP by October 12 to register. Mail or fax your contact information using the form below or make your reservation via phone or email.

10.22.2013 . SCSC Networking Breakfast RegistrationName Title Email Phone Affiliation Address City, State, Zip

For information and registration please contact:Corky Klimczak, SCSC Coordinator 413.586.4998 x104 413.586.1725 Fax [email protected] RSVP by October 12, 2013

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Collaborative for Educational Services Early Childhood Programs97 Hawley StreetNorthampton, MA 01060 413.586.4998 x102 [email protected]

Our first two SCSC Partnership meetings in February and June were both well attended. In June, 35 participants from DCF and early childhood, mental health and social service programs learned about the impact of maternal and post-partum depression on children and families. Participants continue to tell us in their evaluations that what they most value about the SCSC Partnership meetings is the opportunity to network across disciplines about effective collaboration and best practices.

10.22.13 SCSC Networking Breakfast PreviewTOPIC: Typical Sexual Development in Young Children PRESENTER: Alison Morrisey, LCSW, SCSC Infant and Early Childhood Mental Health ConsultantLEARN: To recognize typical sexual development in children 5 and under and identify the red flags that indicate cause for concern

DISCUSS: How to proceed when a child’s behavior raises concerns; where to turn for help with assessment and therapy; how to provide support to the child and family and maximize safety for other children

SCSC Partnership Networking BreakfastOctober 22, 2013 . 9:00 to 11:00am (Tues.)Greenfield Area DCF Office Large Conference Room143 Munson Street, Unit 4, Greenfield, MA

Who

Come

Partnership for Resilient Infants + Toddlers

/early-childhood/scsc

What

SCSC is funded by a two-year federal grant from the Children’s Bureau of the Administration of Children

and Families awarded to the Collaborative for Educational Services. Local partner agencies include the

Parent-Child Development Center of Community Action, the Greenfield Area Office of the Massachusetts

Department of Children and Families (DCF), the Greenfield Girls Club, and Little Tots Daycare in Athol.

Join us for a continental breakfast buffet and our quarterly meeting on February 11. Learn about responding to the needs of young children whose moms have experienced domestic violence.The SCSC Partnership is open to anyone interested

in working on behalf of very young children who are

receiving or are at risk for DCF intervention. DCF staff, foster and adoptive parents, early educators, mental health practitioners, home visiting staff,

early intervention staff, and other professionals serving young

children and their families are encouraged to participate.Add your voice to the discussion... Together we can make a difference! We’ll need a count for breakfast, so please RSVP by February 4th to register. Mail or fax your

contact information using the form below or make

your reservation via phone or email.2.11.2014 . SCSC Networking Breakfast RegistrationName

Title

Email

Phone

Affiliation

Address

City, State, Zip For information and registration please contact:Corky Klimczak, SCSC Coordinator 413.586.4998 x104 413.586.1725 Fax [email protected] register by February 4, 2014

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Collaborative for Educational Services Early Childhood Programs97 Hawley StreetNorthampton, MA 01060 413.586.4998 x102 [email protected]

Our last SCSC Partnership breakfast in October was a huge success. Over 60 participants from DCF and early childhood, mental health and social

service programs learned about typical sexuality development in young children and engaged in lively

cross-disciplinary discussions. Evaluations tell us that

participants most value the rare opportunity to meet

and network with colleagues from other disciplines. 2.11.14 SCSC Networking Breakfast PreviewTOPIC: Responding to the Needs of Young Children

whose Mothers have Experienced Domestic Violence PRESENTERS: Lundy Bancroft, nationally known

trainer and author with extensive background working

with abusers and their families; and Sue Englaish,

DCF Western Region Domestic Violence SpecialistLEARN: To recognize and understand the impact of

domestic violence on children from birth to age 5;

to respond in ways that increase safety and positive

outcomes for mothers and their young children; how to

file a 51-A report safely and help families access local

domestic violence servicesDISCUSS: Safe and sensitive ways to bring up concerns

about domestic violence; helping parents understand

the needs of their young children; and how we can

work together to minimize the barriers to accessing

treatment and support services

SCSC Partnership Networking BreakfastFebruary 11, 2014 . 9:00 to 11:00am (Tues.)

Greenfield Area DCF Office Large Conference Room143 Munson Street, Unit 4, Greenfield, MA

Who

Come

/early-childhood/scsc

What

SCSC is funded by a two-year federal grant from the Children’s Bureau of the Administration of Children

and Families awarded to the Collaborative for Educational Services. Local partner agencies include the

Parent-Child Development Center of Community Action, the Greenfield Area Office of the Massachusetts

Department of Children and Families (DCF), the Greenfield Girls Club, and Little Tots Daycare in Athol.

Partnership for Resilient Infants + Toddlers

/early-childhood/scsc

SCSC Networking Events

SCSC Train-the-Trainer Series

PDFs of these materials are available at:

Examples of information and registration flyers for SCSC Train-the-Trainer courses:

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13 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

SCSC Cross-Training Session to Improve Collaboration between Early Educators and Child Welfare Staff

Provided are a PowerPoint presentation and Training Guide designed to be used with a multi-disciplinary group

of early educators and child welfare professionals, ideally with equal representation from each discipline. This

two-hour cross-training session was the final session in two SCSC Train-the-Trainer series offered separately

to each discipline in 2013. The session is built around case vignettes of infants, toddlers and preschool-aged

children involved with both the early education and child welfare systems. Through small-group exercises, early

educators and child welfare professionals are encouraged to share their roles and perspectives and explore

together the possibilities and benefits of improved collaboration.

SCSC Early Childhood/Child Welfare Toolkit for Early Educators (in development – expected to be available in the summer of 2104)

This toolkit for early educators will be a best practices guide to effective collaboration with DCF, the child

welfare agency in Massachusetts.

SCSC Early Childhood/Child Welfare Toolkit for DCF/Child Welfare Professionals

(in development – expected to be available in the summer of 2104)

This toolkit for DCF staff will be a best practices guide for child welfare casework with children birth to five in

Massachusetts, with additional emphasis on effective collaboration with early education/child development

programs and services.

Assessment Resources

Ages and Stages Questionnaires (ASQ)

The ASQ Third Edition (ASQ-3) and ASQ-Social Emotional (ASQ:SE) are developmental screening tools

appropriate for screening children from 1 month to 5 ½ years of age. The tools are based on research and

are both reliable and valid. The ASQ-3 uses drawings and simple directions to help parents elicit and indicate

children’s language, personal-social, motor, and cognition skills. The ASQ:SE helps screen for emotional

and behavioral problems. Both tools are available in English and Spanish. (from Zero to Three, referenced in

Appendix D)

agesandstages.com

Additional assessment and screening resources for parents and professionals can be found at the Brazelton

Touchpoints Center and Watch Me Thrive websites:

www.brazeltontouchpoints.org

www.acf.hhs.gov/programs/ecd/watch-me-thrive

Appendix A: Resources (continued)

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14 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

Resource Websites

These are just a few of the many websites that contain

valuable resources for parents and professionals who

care for and provide services to vulnerable young

children and their families:

www.brazeltontouchpoints.org

Brazelton Touchpoints Center is dedicated to

supporting optimal child development for all children.

Resources for parents and professionals available.

csefel.vanderbilt.edu

The Center for Social and Emotional Foundations

of Early Learning (CSEFEL) promotes the social-

emotional development and school readiness of young

children birth to age 5. Free resources in Spanish

and English for families and training modules for early

educators and trainers/coaches are available.

circleofsecurity.net

Circle of Security International is a relationship based

early intervention program designed to enhance

attachment security between parents and children.

Free handouts designed to enhance parenting

education are available.

developingchild.harvard.edu

The Center for the Developing Child at Harvard

University provides materials accessible to the lay

reader about the science of early childhood, including

brain development, trauma and toxic stress.

www.mass.gov/eohhs/gov/departments/dcf

The Massachusetts Department of Children and

Families is the state child welfare agency. Information

is available about child abuse and neglect reporting,

statistics, and family services.

Appendix A: Resources (continued)

www.acf.hhs.gov/programs/ohs

Office of Head Start provides fact sheets and research

about early learning, parent engagement and related

topics.

healthrecovery.org

Institute for Health and Recovery specializes in

resources for youth, parents, and professionals on

topics related to substance abuse, violence/trauma,

mental health, and HIV/AIDS. Materials are available

at low cost on the website.

naeyc.org

National Association for the Education of Young

Children is a member organization that advocates on

behalf of young children and sells publications and

resources for early childhood professionals.

nctsnet.org/

National Child Traumatic Stress Network is committed

to improving access to and quality of services for

traumatized children. Free resources for parents and

professionals are available.

www.acf.hhs.gov/programs/ecd/watch-me-thrive

Watch me Thrive is a new child development resource

for families and early educators that provides free

resources to help parents and educators with

developmental screening and supporting optimal early

development.

zerotothree.org

Zero to Three is a national, nonprofit organization that

provides parents, professionals and policymakers

the knowledge and know-how to nurture early

development. A wide array of free resources can be

accessed through the website.

www.mass.gov/edu/government/departments-and-boards/department-of-early-education-and-care

The Massachusetts Department of Early Education and Care provides information about accessing the mixed

delivery early care and education system in MA, and also offers parenting resources for parents of young children.

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15 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

Appendix B: SCSC Data Recommendations

I. Data collection and management A. DCF—electronic case files should include information on:

1. Early Care and Education (ECE) referrals and use:

a) ECE referrals (date and refs made)

b) ECE enrollment (date enrolled, terminated) for all programs attended (including programs and

family child care funded by supportive and voucher slots, Head Start, Early Head Start, other “day

care,” public school, or community-based ECE programs, etc.)

c) Use of EEC-funded DCF supportive slots (date started and ended)

d) Waitlist (date started and ended) for EEC-funded DCF supportive slots

2. Referrals to other support services for the child and/or family

a) MH services, including Infant and early childhood mental health

b) EI

c) Home visiting

d) other

3. Staff training (type, frequency, # trained) on IECMH, trauma, development

B. EEC

1. Availability and use of DCF supportive slots

2. IECMH service availability and use

3. Trainings offered and # trained on IECMH, Trauma-informed care, working with children served by DCF

C. ECE Providers

1. EEC-funded DCF supportive slot

a) Child’s ECE status at termination of supportive-slot (e.g., continuation in program under another

funding source, transition to a different licensed program, transition to informal care, no longer

enrolled in ECE, unknown, etc.)

2. Family involvement with DCF (whether or not in a DCF supportive slot)

3. Start and end dates in program

4. Primary reason for leaving program

5. Developmental assessment findings and progress reports

6. Staff training (type, frequency) on IECMH, trauma, development

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16 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

D. Courts

1. DCF and the juvenile courts should create a system that ensures that courts are provided with

information to help them assess the fit between the child’s needs and parental capacity to meet

those needs. This would include, at a minimum:

a) assessment findings and progress reports addressing child development and needs

b) child’s participation and progress in ECE programs

c) family participation in supportive services

d) child’s placement history

II. Data Sharing In order to improve the quality of services provided to children and families and support a wrap-around

approach, ECE providers, DCF, and other service providers should develop data-sharing agreements to

better foster the sharing of critical information on children’s development and needs.

A. Data points to share might include:

1. ECE placement

2. Child developmental assessment findings

3. Primary safety and developmental concerns

4. Agencies/services the family is accessing for supports

a) Names and contact info for agency staff working with this child (e.g., DCF SW, ECE coordinator, etc.)

B. In addition, local groups should consider establishing case conference models to collaboratively support

high-need families

III. Data Use A local group of ECE, MH, EI, and DCF leaders (with representation from the courts if possible) should

meet quarterly to review aggregate or trend data on:

A. 0-2 and 3-5 population in DCF (# of cases, trends, placements, moves, permanency,

developmental delays/disabilities)

B. Referrals to Part C Early Intervention, including how many are eligible and how many receive services

C. Referrals to and enrollment of these populations in ECE

D. Tenure of children in ECE program for those with supportive slots and others

E. Referrals to other types of programs and use of services

F. Gaps in services – what services are children/families referred to, but they have trouble accessing

G. Staff development needs

Appendix B: SCSC Data Recommendations (continued)

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17 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

Appendix C: Zero to Three Excerpts

The SCSC Recommendations III.3 and V.1 are based on and refer to the above-named publication by Zero to

Three. Excerpts that provide additional background about SCSC III.3 are provided below, but reading the full Zero

to Three self-assessment tool is highly recommended. It can be located at:

www.zerotothree.org/public-policy/webinars-conference-calls/final-cw-self-assessment-tool.pdf

Excerpts from Zero to Three’s “A Developmental Approach to Child Welfare

Services for Infants, Toddlers, and Their Families: A Self-Assessment Tool

for States and Counties Administering Child Welfare Services” (May 2012)

“Section II – Creating Foster Care that Promotes

Attachment and Permanency

A. Using Concurrent Planning, Planned Transitions,

and Placement Stability to Promote Secure

Attachments

For very young children, early development occurs

in the context of relationships—infants and toddlers

rely on their closest caregivers for security and

comfort. Children with secure attachments exhibit a

greater capacity for self-regulation, effective social

interactions, positive self-representations, self-

reliance, and adaptive coping skills.

It is very disruptive for a young child to be separated

from his or her parent or caregiver and placed in

out-of-home care. Thus, whenever possible, it is

incumbent on child welfare professionals to do all that

they can to promote and protect infants’ and toddlers’

ability to develop and sustain secure attachments.”

The four recommendations in Section II.A are:

(terms in italics are defined in Appendix D)

“1. Differential response (also referred to as dual

track or alternative response) is used for infants and

toddlers.

2. Procedures and approaches are in place to prepare

for the infant’s or toddler’s removal from home, ease

the transition for the child, and begin the permanency

planning process.

3. Concurrent planning supports the developmental

needs of infants and toddlers.

4. Stable placements for young children are

promoted.”

“Section II.C. Promoting Frequent and Appropriate

Parent-Child Contact

It is important to ensure frequent contact (as close to

daily as possible) between the infant or toddler, parents,

and siblings in home-like settings, individualized for each

family to meet their needs. Visitation for the youngest

children in foster care is a crucial support in the

achievement of the family’s permanency planning goal.”

The five recommendations in Section II.C are:

“1. Parents have face-to-face visitation with their infants

and toddlers on a frequent basis, as close to daily as

possible.

2. Parent–child contact occurs in locations and times

that work for birth parents, foster parents, and the infants

and toddlers.

3. Birth parents’ healthy parenting practices and

relationship-building capacities are supported during

visits.

Note: This can be achieved by having visit coaches

model play activities for birth parents to help them

understand how to support their children’s healthy

development or by making early childhood mental health

specialists available to help parents understand their

children’s needs.

4. Parent involvement in normal family activities—such

as doctor’s appointments and birthday celebrations—is

promoted.

5. Face-to-face visitation occurs between infants and

toddlers and their siblings (if they have been separated)

on a frequent basis, as close to daily as possible.”

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18 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

Appendix D: Glossary

Child Abuse Prevention and Treatment Act (CAPTA)

CAPTA is the key federal legislation addressing child abuse and neglect. It provides federal funding to states in support of... [child welfare] activities and also provides grants . . . for demonstration programs and projects... CAPTA requires state early intervention and child welfare systems to establish coordinated procedures for the referral of substantiated cases of abused, neglected, or illegal drug–exposed infants and toddlers to Part C services.

www.childwelfare.gov/search/search_results.cfm?q=CAPTA

Child and Family Services Improvement and Innovation Act (2011)

The Child and Family Services Improvement and Innovation Act instituted a new requirement for states to describe in their child welfare plans how they promote permanency for, and address the developmental needs of, young children in their care. Specifically, state plans must “include a description of the activities that the State has undertaken to reduce the length of time children who have not attained 5 years of age without a permanent family, and the activities the State undertakes to address the developmental needs of such children who receive benefits under this part or part E.” 14 The Act also requires states to outline how emotional trauma associated with a child’s maltreatment and removal from home will be monitored and treated, and to design services and activities that facilitate contact between young children and their parents and siblings as a component of time-limited family reunification services...

www.gpo.gov/fdsys/pkg/PLAW-112publ34/pdf/PLAW-112publ34.pdf

Concurrent Planning

Seeks to promote timely permanence for children in foster care by considering reunification and other permanency options at the earliest possible point after a child’s entry into foster care. The process includes: systems that institutionalize the approach, clarity and services for birth parents, training and support for caseworkers, processes for recruiting and training families to foster children in concurrent planning cases and adopt if that is the outcome, and active promotion by the court.

www.childwelfare.gov/permanency/overview/concurrent.cfm

Differential Response

In traditional child protective service systems without differential response, there is only one response to all reports. Child welfare workers investigate the allegation with a resulting formal disposition indicating whether maltreatment occurred. Research indicates that this single approach is not effective in all types of reports of maltreatment.16 In differential response, child protective services offer both traditional investigations and

assessment alternatives to families reported for child abuse and neglect, depending on the severity of the allegation and other considerations... For high-risk reports, an investigation generally ensues. For low- and moderate-risk cases with no immediate safety concerns, a family assessment is conducted to gauge the family’s needs and strengths and refers them on to appropriate community-based resources.

www.childwelfare.gov/pubs/issue_briefs/differential_response/

Dyadic Therapy

Dyadic therapy is an intervention approach provided to infants and young children with symptoms of emotional disorders. Therapy includes the child and the parent and focuses on rebuilding a healthy and secure relationship between them. Research suggests that this type of therapy is useful in helping the parent and child to regain trust, develop a secure attachment, work through trauma and fears, and improve parenting skills. 17

Family-Centered Practice

Family-centered practice is a way of working with families, both formally and informally, across service systems to enhance their capacity to care for and protect their children. It focuses on the needs and welfare of children within the context of their families and communities. Family-centered practice recognizes the strengths of family relationships and builds on these strengths to achieve optimal outcomes. Family is defined broadly to include birth, blended, kinship, and foster and adoptive families.

https://www.childwelfare.gov/famcentered

Foster-Adopt Home Placements (also called legal risk placements)

When a child is placed with a foster-adopt family, typically the child’s permanency options are being evaluated through concurrent planning in two directions: adoption and family reunification. The child is placed in the home of a specially trained prospective adoptive family, who will work with the child during family reunification efforts but will adopt the child in the event that family reunification is not successful.

Kinship Care

Kinship care refers to placements of children with relatives or, in some jurisdictions, close family friends (often referred to as fictive kin). Relatives are the preferred placement for children who must be removed from their birth parents, as this kind of placement maintains the children’s connections with their families. Kinship care is often considered a type of family preservation service.

https://www.childwelfare.gov/outofhome/kinship

The definitions on these two pages are excerpted from the Glossary in Zero to Three’s “A Developmental Approach to Child Welfare Services for Infants, Toddlers, and their Families—A Self-Assessment Tool for States and Counties Administering Child Welfare Services.”

www.zerotothree.org/public-policy/webinars-conference-calls/ final-cw-self-assessment-tool.pdf

Note: Additional definitions relevant to these recommendations are listed following those obtained from Zero to Three.

Zero to Three Definitions

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19 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

Part C of the Individuals with Disabilities Education Act

Part C is the Early Intervention Program for Infants and Toddlers with Disabilities. It is a federal grant program that assists states in operating a comprehensive statewide program of early intervention services for children from birth to 2 years old who have developmental delays or who are at risk of developing a delay or special need that may affect their development or impede their education, and their families...

idea.ed.gov/part-c/search/new

Pre-Removal Conference

Pre-removal conferences are initiated by and held at the child welfare agency. At these meetings, mediated by a trained facilitator, the investigative social worker and the worker who will take the case after the investigation talk with the parent(s) about the reasons for removal, the family’s strengths and challenges, the services that could be initiated immediately, and the special needs of the child(ren). This allows parents to be seen as the experts about their child(ren) and to know that the child welfare workers are in their corner. Relatives and other members of the parents’ support system are also invited to participate.

Protective Factors

The Center for the Study of Social Policy has identified five protective factors that can ameliorate risk of child abuse and neglect:

• Parental resilience—the capacity to cope with all types of challenges.

• Social connections—positive relationships with friends, family members, neighbors, and others who can provide concrete and emotional supports to parents.

• Knowledge of parenting and child development— accurate information about raising children and appropriate expectations for their behaviors.

• Concrete support in times of need—financial security and access to informal and formal supports.

• Social and emotional competence of children—the ability of children to interact positively and articulate their feelings.

www.cssp.org/reform/strengthening-families

Quality Early Learning and Development Programs

Quality early learning programs offer the promise of a solid future by providing our youngest children with nurturance, support for early learning and language development, preparation for school, and the opportunity for all infants and toddlers to reach their full potential. The quality of care for infants and toddlers in an early learning program ultimately boils down to the quality of the relationship between the care provider and the child:

skilled and stable providers promote positive development. A secure relationship between the infant and the caregiver can complement the relationship between parents and young children and facilitate early learning and social development. Young children whose caregivers provide ample verbal and cognitive stimulation, who are sensitive and responsive, and who give them generous amounts of attention and support are more likely to be advanced in all aspects of development compared with children who fail to receive these important inputs.

www.zerotothree.org/ public-policy/policy-toolkit/child_caremar5singles.pdf

Secure Attachment

Research demonstrates that forming secure attachments to a few caring and responsive adults is a primary developmental milestone for babies in the first year of life. Infants and toddlers who are able to develop secure attachments are observed to be more mature and positive in their interactions with adults and peers than children who lack secure attachments. 19

Trauma-Informed Care

Trauma-informed organizations, programs, and services are based on an understanding of the vulnerabilities or triggers of trauma survivors that traditional service delivery approaches may aggravate.

www.samhsa.gov/nctic/trauma.asp

Trauma-Informed Supervision

The key to making child- and youth-serving systems more trauma-informed is professionals who understand the impact of trauma on child development and can address trauma and minimize any additional negative effects. In doing so, it is important that practitioners are provided with the opportunity to talk through their own personal reactions to very troubling family trauma and learn how to cope and manage professional and personal stress, often called vicarious or secondary trauma. Trauma-informed supervision provides a concrete way for supporting child welfare professionals.

www.childwelfare.gov/pubs/braindevtrauma.pdf

Visit Coaching

Visit coaching is fundamentally different from supervised visits. Instead of merely watching the family, the coach is actively involved in supporting them to demonstrate their best parenting skills and make each visit fun for the children; the coach’s intention is to facilitate safe reunification by helping parents demonstrate their skills at meeting their children’s needs. Visit coaching can be effective immediately after removal and/or as an aftercare practice as children begin extended visits prior to case closing. 20

14 Child and Family Services Improvement and Innovation Act of 2011, 112th Cong., H.R. 2883,

www.gpo.gov/fdsys/pkg/PLAW-112publ34/pdf/PLAW-112publ34.pdf.

16 Cohen, Cole, and Szrom, A Call to Action on Behalf of Maltreated Infants and Toddlers.

17 Julie Cohen, Cindy Oser, and Kelsey Quigley, Making It Happen: Overcoming Barriers to Providing Infant-Early Childhood Mental Health. ZERO TO THREE, 2012, www.zerotothree.org.

19 National Research Council and Institute of Medicine, From Neurons to Neighborhoods.

20 Marty Beyer, “Visit Coaching: Building on Family Strengths to Meet Children’s Needs.” Juvenile and Family Court Journal 59, no.1 (2008): 47–60.

© 2012 ZERO TO THREE. All rights reserved.

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20 System Change for Successful Children (SCSC)Sytem Change Recommendations . March 2014

Child Well-Being

Well-being, or “overall satisfaction with life,” is measured in different ways for different purposes. The CDC refers to the following as adding up to a person’s well-being: “quality of relationships, positive emotions and resilience, the realization of their potential . . .” (www.cdc.gov/hrqol/wellbeing.htm)

In a child welfare/ infant and early childhood mental health context, the goal of child well-being refers to laying the foundation for long-term happiness and success through meeting the child’s physical and social-emotional needs for nurturing, safety, secure attachment, and consistency/continuity of responsive caregiving relationships.

Early Childhood Mental Health (synonymous with infant and early childhood mental health)

“The developing capacity of infants, toddlers and young children to experience, manage and express emotions; form close, secure relationships; and actively explore the environment and learn. . . essentially synonymous with healthy social and emotional development.” (Vanderbilt University, csefel.vanderbilt.edu/documents/rs_emhc.pdf —adapted from Zero to Three)

Early Childhood Mental Health Consultation (ECMH)

A professional consultant with early childhood and mental health expertise “working with early care and education staff, programs and families to improve their ability to prevent, identify and respond to mental health issues among the children in their care.” (Georgetown University, gucchd.georgetown.edu/67637.html) Note: The SCSC Project piloted and recommends the use of IECMH consultation with child welfare staff in addition to early educators and parents of children in early learning programs.

Mentoring/Consultation Component (for training follow-up)

After participating in a training program, trainees receive follow-up to assist them to integrate the training content into their practice. A mentoring model would provide regular access to individual or small group meetings with a mentor who could model and support best practice. An alternative is to ensure that trainees receive regular consultation with a professional who has relevant expertise, such as an Infant and Early Childhood Mental Health (IECMH) Consultant

Permanency Planning

“The goal of permanency planning is to provide a child with a safe, stable environment in which to grow up, while in the care of a nurturing caregiver who is committed to a lifelong relationship with that child. A sense of urgency exists for every child who is not in a permanent home. Permanency Planning:

• Starts at first contact;

• Continues throughout the lifetime of the child’s case until permanency is achieved;

• Secures a safe, stable, and permanent home for the child as soon as possible;

• Protects the child developmentally;

• Protects primary attachments, or

• Creates new attachments; and

• Preserves cultural and family connections”

(Permanency Planning Practice Guide for Social Workers, Children’s Administration, August, 2006 www.dshs.wa.gov/ pdf/ca/PermPlanGuide.pdf)

Social-Emotional Development

See early childhood mental health, above.

Strengths-Based Approach

“An individualized, strengths-based approach refers to policies, practice methods, and strategies that identify and draw upon the strengths of children, families, and communities. Strengths-based practice involves a shift from a deficit approach, which emphasizes problems and pathology, to a positive partnership with the family. The approach acknowledges each child and family’s unique set of strengths and challenges, and engages the family as a partner in developing and implementing the service plan.” (Child Welfare Information Gateway, www.childwelfare.gov/pubs/acloserlook/strengthsbased/strengthsbased1.cfm)

Toxic Stress

“Toxic stress refers to the disruption in brain architecture and other organ systems that occurs with strong, frequent or prolonged adversity. It comes from children being repeatedly exposed to very difficult situations in their neighborhoods or home—from witnessing or experiencing violence or trauma on a regular basis to having a family member with an untreated mental health or substance abuse problem.” (www.centerforyouthwellness.org/toxic-stress)

Transition Planning

Typically refers to the planning process that enables a child with disabilities to transition between early intervention services and the public schools. In this context, it refers to the planning process to enable young children in the child welfare system to transition successfully between living at home and in out-of-home placements, and between placements when there is more than one. Transitions should be kept to an absolute minimum for very young children, but, when necessary, should happen planfully, at a pace and in a manner appropriate to the child’s developmental stage and special needs.

Appendix D: Glossary (continued)

Additional Definitions from Sources Other Than Zero to Three

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Appendix E: Think Tank Members

SCSC Primary Partners

Massachusetts Department of Children and Families Greenfield Area Office (Child Welfare):

Judith MacMunn, Barbara Sylvester, Belinda Stacy, Catherine Erland-Flynn;

also Dana Cusimano and Christine Musante, Foster Parents

Parent-Child Development Center of Community Action (Early Childhood/Head Start):

Nancy Crowell, Karen Datres, Patricia Hanrahan

Greenfield Girls Club (Early Childhood):

Lisa Buck, Nadine Benzaia

Little Tot Daycare (Early Childhood):

Tracy Anzaldi, Kristen Carpenter

Collaborative for Educational Services (Lead Agency):

Desiree Lalbeharie-Josias, Barbara Finlayson, Alison Morrisey, Sarah Lusardi,

Kate Lytton, Cornelia Klimczak

Additional Think Tank Members

Center for Human Development (Mental Health): Shelah Corey

Clinical and Support Options (Mental Health): Marie Bartlett, Cheryl Case

MA Department of Early Education and Care (EEC): Erin Craft, Florence Howes

Franklin County Early Childhood Mental Health Roundtable: Judith Weinthaler

Greenfield Public Schools: Anne Kaplan

MotherWoman (Support/Advocacy for Mothers): Annette Cycon

Northampton Public Schools: Barbara Black

Service Net (Mental Health): Lisa Cyr

Service Net – REACH Program (Early Intervention): Darleen Corbett

Therapist in Private Practice: Mary Averill

University of Massachusetts: Lee MacKinnon

/early-childhood/scsc

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Partnership for Resilient Infants + Toddlers

/early-childhood/scsc

SCSC is funded by a federal grant to the Collaborative for Educational Services from the Children’s Bureau of the Administration of Children and Families

Everyone is a learner

Collaborative for Educational Services Early Childhood Programs97 Hawley Street, Northampton, MA 01060

Contact:

Corky Klimczak, SCSC Coordinator System Change for Successful Children 413.586.4998 x104 413.586.1725 Fax [email protected]