September 2013 Module 1 Why Early Childhood Matters

September 2013 Module 1 Why Early Childhood Matters

September 2013 Module 1 Why Early Childhood Matters http://youtu.be/GbSp88PBe9E Module 1: Learning Objectives Why it is important to focus on early childhood? It is the population of highest risk that we serve What happens to us early in life affects us for the rest of our lives

Federal obligations require us to We need to recognize problems so we can both intervene early and set reasonable expectations We may be doing harm otherwise if we dont focus on the needs and well-being of this population Why Focus on Early Childhood?

1. To protect the largest and most vulnerable population in child welfare Modified by Childrens Administration 5/2014 We must protect the most vulnerable population Largest population in child welfare both in terms of numbers and percent Most developmentally vulnerable across

various domains (health, cognitive, socialemotional) Most opportunity for intervention and action leading to positive long-term outcomes Young Children Are Vulnerable Maltreated Children Ages 0-3 Older than 3 General Child Population Ages 0-3

23.00% 34.00% 66.00% Older Children 77.00% 34% of abused and neglected children are between the ages of 0-36 months old, but only make up 23 % of the general child population. Source: Child Maltreatment 2010 at www.childwelfare.gov ; Child Abuse and Neglect Fatality Victims by Age, 2010 Young Children are more likely to die as a result of child abuse and neglect

79.4 % of fatalities are 4 to 7 years; 11.11% children Younger than 1 year; 47.75% younger than 4 1 to 3 years; 31.73% years old 8-21 years; 9.41% Source: Child Maltreatment 2010 at www.childwelfare.gov ; Child Abuse and Neglect Fatality Victims by Age, 2010 Washington State Fatality Statistics OFCO reviewed 37 infant fatalities between 2009-2013 that had a CPS referral within 1

month of the death. Over 70% involved children 4 months or younger. 76% had an open DCFS case. 30 fatalities involved unsafe sleep practices. Washington Zero to Three Safety Initiative Modified by Childrens Administration 5/2014 Young children are over-represented in foster care nationally Over 1 in 4 children in foster care are 0-3

Younger children have longer durations in care (30 months for infants 0-3 months) Young children have the lowest rates of reunification At least 1 in 4 re-enter care after return home Source: http://www.acf.hhs.gov/programs/cb/pubs/cm10/ In Washington

Number of children in out of home care on January 31, 2014 Region Children In Care Children Birth to Five Percent Birth to Five 1

2838 1160 41% 2 3120 1260 40% 3

3481 1453 42% Modified by Childrens Administration 5/2014 Why Focus on Early Childhood? 2. To set the trajectory for a healthy, happy life Adverse Childhood Experiences (ACEs) Study: The Relationship between ACEs and Adult Health What happens between infancy and adulthood can create a lifetime of addictions, abuse and mental

health problems. Available at www.cdc.gov/ace/index.htm ACE Study Findings Compared with people with no ACEs, those with four or more ACEs: Seventeen times more likely to have learning and behavior problems in school (51% vs 3%) (Burke et al 2011) Twice as likely to smoke

Seven times as likely to be alcoholics Six times as likely to have had sex before age 15 Twice as likely to have cancer or heart disease Twelve times more likely to have attempted suicide Source: Adverse Childhood Experiences (ACE) Study. Information available at

http://www.cdc.gov/ace/index.htm Untreated Adverse Early Childhood Events Only Exacerbate Over Time Source: Adverse Childhood Experiences (ACE) Study. Information available at http://www.cdc.gov/ace/index.htm Neglect Extensive biological and developmental research shows significant neglectthe ongoing disruption or significant absence of caregiver responsivenesscan cause more harm to a young childs development than overt physical abuse, including subsequent cognitive delays,

impairments in executive functioning, and disruptions of the bodys stress response. http://developingchild.harvard.edu/resources/multimedia/videos/inbrief_series/inbrief_neglect/ Modified by Childrens Administration 5/2014 Developmental Delays Emerge Early Young children who are maltreated are behind their peers developmentally, yet still are unlikely to get services Child welfare law (Child Abuse and Prevention Treatment Act) and disability law (Individuals with Disabilities Education Act) have come into alignment to address this challenge

o Focused on Part C Early Intervention Services Source: NSCAW II Wave 2 Report: Child Well-Being (July 2012) Modified by Childrens Administration 5/2014 Why focus on Early Childhood? 3. Federal Mandates, Guidance & Plans. Modified by Childrens Administration 5/2014 CAPTA and IDEA Requirements Child Abuse Prevention and Treatment Act

Procedures for the referral of children (under three) with substantiated cases of child abuse/neglect to early intervention services funded by Part C of (IDEA) (2003) Data on referrals Individuals with Disabilities Education Act Matching language was included in the

IDEA that requires Part C Early Intervention programs to reach out to child welfare. (2004) (2011 Regulations) (2010) http://apps.americanbar.org/litigation/committees/childrights/ content/articles/010311-capta-reauthorization.html Modified by Childrens Administration 5/2014 F E D E R

A L G U I D A N C E Administration on Children, Youth, and Families (April 2012)

Priority on improving social and emotional well-being outcomes for children and youth to achieve better systems outcomes Emphasizes the importance of understanding the impact of abuse and neglect impact neurobiology Information Memorandum ACYF-CB-IM-12-04 www.acf.hhs.gov/programs/cb/laws_policies/policy/im/2012/im1204.pdf Modified by Childrens Administration 5/2014 F E D E R

A L G U I D A N C E Waiver Demonstration Sites May 2012 Engaging Parents WA: Family Assessment Response

Enhancing Social-Emotional Well-Being and Permanency WA: Permanency Push WA: Promoting EBPs ACYF-CB-IM-12-05 www.acf.hhs.gov/programs/cb/laws_policies/policy/im/2012/im1205.pd f Modified by Childrens Administration 5/2014 20 Ongoing Federal Plans Our obligation to detail and demonstrate our performance regarding safety, well-being and permanency.

Data in Famlink informs our plans. www.acf.hhs.gov/sites/default/files/cb/im1106.pdf Modified by Childrens Administration 5/2014 Why Focus on Early Childhood? 4. To help everyone have realistic expectations about child development Modified by Childrens Administration 5/2014 Why? To help everyone have realistic expectations about child development. Knowledge of child development

is one protective factor for maltreatment. www.del.wa.gov/development/strengthening/ Modified by Childrens Administration 5/2014 Knowledge of typical child development helps us recognize atypical development. Atypical development is most effectively treated when identified early during brain plasticity when most amenable to change. Modified by Childrens Administration 5/2014 Why Focus on Early Childhood? 5. To do no harm and focus on well-being

Myths about trauma and children Too young to remember Babies dont say anything No scars = no harm Unmet Well-Being Needs for Young Children in Child Welfare Less than 1% of children with emotional and behavioral problems are identified early 2-3 times more preschool age children have trauma-related

symptoms than are diagnosed. 80-97% of children ages 3 to 5 with identified behavioral health needs do not receive services Source: Cooper, Masi, & Vick, 2009. What Every Policymaker Should Know. Social-emotional Development in Early Childhood. National Center for Children in Poverty. Mailman School of Public Health. Columbia University. Unmet Well-Being Needs for Young Children in Child Welfare Young Children Less Likely to Receive Services Compared to Older Children 35% - of school-age children involved with child welfare

13% - of children 0-5 involved with child welfare Infants and Toddlers Ages 0 to 2 Least likely to receive developmental services Source: Cooper, Masi, & Vick, 2009. What Every Policymaker Should Know. Social-emotional Development in Early Childhood. National Center for Children in Poverty. Mailman School of Public Health. Columbia University. In Summary, Why Focus on Early Childhood? To protect the largest and most vulnerable population To set the trajectory for a healthy, happy life To focus on well-being in addition to safety and permanence as required by Federal mandates, guidance and plans. To help everyone have realistic expectations for

childrens development To recognize problems early and intervene in a timely manner To do no harm now and for the future Modified by Childrens Administration 5/2014 Knowing the Science of Early Childhood Can Better Inform Our Decision Making in Key Events in Dependency

Removal and placement Case planning Court appearances Visitation and family time Reunification, adoption & termination

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