1. MECCS: Massachusetts Early Childhood Comprehensive Systems Project Kate Roper, MECCS Director OSEP Early Childhood Meeting December 9, 2008 Kate.Roper@state.ma.us

2. Massachusetts Context for ECCS Creation of Department of Early Education and Care (July 2004) Health Reform Rosie D class Action Lawsuit—Children’s Behavioral Health Initiative Changes in State Administration, Agency Leadership

3. 3 MA Young Children State Services DPH EI: 28,394 0-3 (IFSPs) Any EI service: 41,000 WIC: 96,474 infants &children CTF Children & families: 132,207 EEC Child Care 0-5 :177,000 MFN & PCHP: 28,368 Pre-K: 24,875 Head Start: 11,433 DCF Children 0-8: 18,500 3000 infants<3months MassHealth Children 0-8: 230,035 Children 0-5 in MA: 466,902 Children 0-8 in MA: 697,766 DMH Children 0-8: 224 ESE Children 5-8: 281,891 Kindergarten: 68,585 Grades 1-3: 213,306 DTA Children 0-5: 42,240

4. MECCS Planning & Initial Implementation Formed public-private Advisory Committee Led 3 Agency Task Force on Core Competencies Developed training recommendations for EC Subcommittee of the Mental Health Commission for Children (MHCC) Convened the public-private Committee on Early Childhood Mental Health to build on MHCC Convened the Family Support Subcommittee Formed Healthy Child Care New England Training Collaborative

5. MECCS Influence and Leverage Committee on ECMH  Strategic planning: joint mission, vision, goals  UWMB ($4 million Millennium Fund) Birth to Five ECMH Training Institute Systems of Care pilot  ECMH Policy Summit: November 2004 Family Support Leadership Pilot  UWMB documented early systems change Healthy Child Care New England Training  Title V Directors collaborative agreement & joint performance measure Aligned multi-year planning with HSSCO

6. MECCS Advisory Transitions Initial public-private structure of advisory and workgroups (2003-2005) Commissioner led shift to bring work to higher levels of state government decision making: MECCS Interagency Steering Committee  Senior Staff MECCS Executive Committee Young Children’s Interagency Workgroup  Focus on ECMH & on Strengthening Families

7. Rosie D Remediation Plan Medicaid class action lawsuit re: access to community based services for children with serious emotional disturbance EOHHS created the Children’s Behavioral Health Initiative State remediation plan highlights:  Early identification and screening in Primary Care  Assessment & Information Technology Child and Adolescent Needs and Strengths (CANS and CANS 0-4) http://www.buddinpraed.org/http://www.buddinpraed.org/ CANS Training Institute at U Mass  Care Coordination and other services MECCS Director helped develop CANS 0-4 and will co- facilitate trainings; advisor on screening tool selection

8. YCIW’s ECBH Strategic Plan YCIW developed Early Childhood Behavioral Health strategic plan, building on prior MECCS efforts & inventory In spring 2008, presented the strategic plan to the CBHI Executive Committee  YCIW appointed as CBHI Workgroup Fall ’08,YCIW selected 3 areas from its strategic plan to move forward on: early ID, resources, workforce

9. Collaborative Grant proposals SAMHSA Systems of Care (in process) SAMHSA Project LAUNCH Help Me Grow Strengthening Families National Network Affiliation Center for the Social Emotional Foundations of Early Learning (CSEFEL) Vermont Child Health Improvement Partnership (VCHIP)--MAPSEA

10. Memoranda Of Understanding EC Special Education Transition MOU Children’s Behavioral Health Initiative MOU Healthy Child Care New England/Title V Directors MOA MECCS-Head Start Quality Initiative MOA

11. Professional Development Collaborations Strengthening Families Initiative Health Child Care New England H, MH and now IT consultants;  EI staff invited to multi-disciplinary training Core competencies: EEC and EI Special Quest Inclusion T/TA grant ECMH resource guide online module ECMH consultant network  CSEFEL

12. Policy and Resources Collaborations Health & Safety in CC TA and webpage Support EEC regs on meds admin training Child Abuse Prevention and Treatment Act (CAPTA) policies and procedures MAPSEA: Mass Providers for Screening Early and Always Help Me Grow