1. Early Intervention and Child Abuse & Prevention Act (CAPTA) Marina L. Merrill (ODE) Stephanie Stafford (DHS)

2. CAPTA States receiving CAPTA funds must develop and implement “provisions and procedures for referral of a child under the age of 3 who is involved in a substantiated case of abuse or neglect to early intervention services funded under part C of the Individuals with Disabilities Education Act” [106(b)(2)(A)(xxi)]. States receiving CAPTA funds must develop and implement “provisions and procedures for referral of a child under the age of 3 who is involved in a substantiated case of abuse or neglect to early intervention services funded under part C of the Individuals with Disabilities Education Act” [106(b)(2)(A)(xxi)].

3. IDEA 2004 States must provide “a description of the State policies and procedures that require the referral for early intervention services under Part C of a child under the age of 3 who is involved in a substantiated case of child abuse or neglect” [637(a)(6)(A)] States must provide “a description of the State policies and procedures that require the referral for early intervention services under Part C of a child under the age of 3 who is involved in a substantiated case of child abuse or neglect” [637(a)(6)(A)]

4. What does this mean? Each Local Child Welfare office and county Early Intervention (EI/ECSE) program have an interagency agreement that ensures that child victims of abuse or neglect, birth to age 3, are referred to the EI/ECSE program in the county that the child resides.

5. Child Welfare Responsibility Local Child Welfare workers will refer children under the age of 3, who are victims of child abuse or neglect to Early Intervention services. Local Child Welfare workers will refer children under the age of 3, who are victims of child abuse or neglect to Early Intervention services. The standard CAPTA Referral form (CPS Early Intervention Referral) designed for this mandate is required. The standard CAPTA Referral form (CPS Early Intervention Referral) designed for this mandate is required. Each Child Welfare office will use FACIS case notes to record all children referred to the EI/ECSE program. Each Child Welfare office will use FACIS case notes to record all children referred to the EI/ECSE program.

6. EI/ECSE’s Responsibility Minimally, each child must receive a valid and reliable developmental screening to determine eligibility for Early Intervention. Minimally, each child must receive a valid and reliable developmental screening to determine eligibility for Early Intervention. County EI/ECSE programs may use developmental information provided by other agencies or providers as part of the screening process to determine need for conducting an evaluation. County EI/ECSE programs may use developmental information provided by other agencies or providers as part of the screening process to determine need for conducting an evaluation.

7. CW & EI Joint Responsibility Child Welfare Administrative Rule directs Child Welfare staff to refer ALL children who fall under this mandate to local EI/ECSE programs to refer each child within 30 days of the founded date. Child Welfare Administrative Rule directs Child Welfare staff to refer ALL children who fall under this mandate to local EI/ECSE programs to refer each child within 30 days of the founded date.

8. Why implement links between child welfare and Part C? Highest rates of abuse and neglect occur in infants and toddlers Highest rates of abuse and neglect occur in infants and toddlers 16.1 per 1000 children under age 3 16.1 per 1000 children under age 3 High rates of developmental delay in this population High rates of developmental delay in this population 23-61% of children known to CW have delays in development, communication, behavior 23-61% of children known to CW have delays in development, communication, behavior

9. What are EI/ECSE Services? EI provides access to individualized interventions at no cost to the family. EI provides access to individualized interventions at no cost to the family. To receive services through EI, children from birth to 3 years must meet eligibility requirements by either having a documented established condition, physical disability, or a developmental delay in one or more areas. To receive services through EI, children from birth to 3 years must meet eligibility requirements by either having a documented established condition, physical disability, or a developmental delay in one or more areas. EI performs multidisciplinary evaluation of the child to assess cognitive, motor, social, language, and adaptive functioning. EI performs multidisciplinary evaluation of the child to assess cognitive, motor, social, language, and adaptive functioning. EI develops plan for intervention (IFSP) and coordinates services to address child's needs. EI develops plan for intervention (IFSP) and coordinates services to address child's needs.

10. EI Eligibility Children ages birth through two years of age with Significant Delays in one or more of the following domains: Children ages birth through two years of age with Significant Delays in one or more of the following domains: Cognition Cognition Communication Communication Physical including hearing and vision Physical including hearing and vision Social or Emotional Social or Emotional Adaptive Adaptive

11. CAPTA Referral Status in Oregon Data Suggests Under referral Data Suggests Under referral Approximately 21.29% of potential referrals made For further Information on ‘Early Intervention Referrals’ visit: http://www.oregon.gov/DHS/children/committees/capta.shtml http://www.oregon.gov/DHS/children/committees/capta.shtml