Building the Future of Childrens Mental Health Care

Building the Future of Children’s Mental Health Care A. Kathryn Power, M. Ed. , Director Center for Mental Health Services May 2005 Providence, RI

Every 8 seconds. . . 2

America’s Children Age Number Under 5 years 5 to 9 years 10 to 14 years 15 to 19 years 19, 175, 798 20, 549, 505 20, 528, 072 20, 219, 890 Source: U. S. Census Bureau Census 2000 3

In a typical class of 30 students, Suicidal ideation Substance abuse ADHD Anorexia Depression Anxiety disorder Six children may have mental health needs Three of the six may have a serious emotional or behavioral disorder. 4

Neurons to Neighborhoods Human development is shaped by a dynamic and continuous interaction between biology and experience. By: National Research Council and the Institute of Medicine 5

Neurons to Neighborhoods The timing of early experiences matter, but more often than not, the developing child remains vulnerable to risks and open to protective factors throughout the early years of life and into adulthood. By: National Research Council and the Institute of Medicine 6

Neurons to Neighborhoods We can alter the course of development in early childhood by effective interventions that change the balance between risk and protection, thereby shifting the odds in favor of more adaptive outcomes. By: National Research Council and the Institute of Medicine 7

Social and emotional learning is. . . a process through which a child acquires “the skills to recognize and manage emotions, develop caring and concern for others, make responsible decisions, establish positive relationships, and handle challenging situations effectively. ” Source: The Collaboration for Academic, Social, and Emotional Learning, www. casel. org/home/index. php 8

The time has long passed for yet another piecemeal approach to mental health reform. Instead, the Commission recommends a fundamental transformation of the Nation’s approach to mental health care. 9

Federal Partners Workgroup Department of Health and Human Services Ao. A NIH/NIDA ACF NIH/NIMH AHRQ CDC CMS OS/ASPE OS/OCR OS/OD OS/OPHS HRSA IHS SAMHSA Other Federal Partners Department of Agriculture Department of Education Department of Housing and Urban Development Department of Justice Department of Labor Department of Transportation Department of Veterans Affairs Social Security Administration 10

Will Rhode Island apply for a transformation grant? Governor Donald L. Carcieri would like to hear from you. Mail address Governor Donald L. Carcieri Office of the Governor State House, Room 115 Providence, RI 02903 Phone: 401 -222 -2080 Fax: 401 -222 -8096 11

The Transformation Equation Transformation = [vision + belief + action] x (continuous quality improvement)2 12

“Family driven” means… …families have a decisionmaking role in the care of their own children as well as the policies and procedures governing care for all children in the community, State, and Nation. • Choosing supports, services, and providers • Setting goals • Designing and implementing programs • Monitoring outcomes • Determining effectiveness 13

Youth guided means… …that youth have a role in guiding their own care. For older youth, it may mean directing their own care. 14

www. tapartnership. org/youth/ 15

The beginning. Thank you. 16