1. EARLY CHILDHOOD MENTAL HEALTH SYSTEMS Early Childhood Comprehensive Systems State of Alaska Shirley Pittz, ECCS Program Officer

2. ALASKA Big State/Few People 90,000 children birth-age eight 2007- 2,621 children 0-8 with MH billings High rates of CA/N and alcohol & substance abuse Complicated System- Urban/Rural/Tribal System

3. DHSS Division of Public Health Title V/MCH Division of Behavioral Health Children’s Behavioral Health Specialist Office of Children’s Services ECCS Part C/EI Division of Public Assistance Child Care Program Children’s Policy Team Bring the Kids Home DEED Head Start PAT Pre-K Interdepartmental Early Childhood Coordinating Council - ECMH Workgroup Structure

4. MENTAL HEALTH-ECCS Plan Young children will receive appropriate early mental health services through Medicaid and other funding sources. Standards of Care-best practices Access to developmentally appropriate services Screening for primary caregivers Parent info on social-emotional development

5. The State of Alaska will have a qualified, well-trained workforce providing for the social and emotional well- being of young children. Statewide ECMH professional development Mental health consultation for MH professionals and EC programs

6. ECMH Workgroup BTKH Manager Division of Behavioral Health Deputy Director Division of Behavioral Health Children’s Specialist Office of Children’s Services Deputy Director- CPS Part C/Early Intervention Program Manager Child Care Program Manager Staff-Alaska Mental Health Board Title V Program Manager Staff Member-Disabilities Head Start Collaboration Director ECCS Coordinator Private providers

7. Working Relationships Alaska Mental Health Board Alaska Mental Health Trust Authority University of Alaska- Behavioral Health Alliance

8. Mental Health Accomplishments SERVICES: Medicaid Research Standards of Care DC 0-3R Regulation Changes +Additional Services +Expanding Providers

9. Proposed EPSDT Services- EPSDT Social/Emotional Screening Early Childhood Assessment (3-5) sessions Therapeutic Early Care Therapeutic Behavioral On-Site Services Brief Family Training, Education & Support ECMH Consultation Prevention Activities-Dependent of Client Licensed MH Clinicians in Primary Care Part C/EI Services

10. Mental Health Accomplishments WORKFORCE DEVELOPMENT: Annual ECMH Institute Division of Behavioral Health Alaska Mental Health Trust Authority Head Start Collaboration Part C/Early Intervention University of Alaska Cross-Disciplinary, Graduate Level Children’s Behavioral Health Credential University of Alaska-Behavioral Health Alliance Alaska Mental Health Trust ECMH Learning Network ECMH Credential

11. Mental Health Accomplishments ECMH Learning Network Funded by Alaska Mental Health Trust Authority Grant to CMHS/Trauma Center Statewide training on DC:03R Conference calls for training and consultation TACSEI Lead by Part C/Early Intervention Leadership Team 3 Demonstration Sites

12. Mental Health Accomplishments ECMH Consultation to Early Childhood Programs Wide vs. deep 100% of children receiving consultation maintain child care 94% of staff reported training improved their knowledge and or skills Classrooms evaluated using the ECCS improved an average of 27 points on a 70 point scale

13. ECMH Indicators- Rate of women with self report of maternal postpartum depression # of children 3-8 identified with autism % of children age 4 mo to 5 yrs who are at high risk for developmental, behavioral or social delay # of children 0-8 receiving mental health services through Medicaid # of children 0-8 receiving non-resourced mental health services % of early childhood programs expelling a child due to behavioral/social emotional concerns % of early childhood programs with access to mental health consultation

14. Contact- Shirley Pittz, ECCS Program Manager shirley.pittz@alaska.gov (907) 269-8923