1 osep national early childhood conference osep national early childhood conference washington, d.c....

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OSEP National Early Childhood ConferenceOSEP National Early Childhood ConferenceWashington, D.C.November 4, 2003

Gail F. Ritchie, M.S.W.Public Health Advisor

Substance Abuse and Mental Health Services AdministrationDepartment of Health and Human Services

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Dr. William Foege

Dr. William Foege

What would happen to society if we knew how to promote positive mental health as well as to prevent, identify, and treat mental health conditions on a mass scale?

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What would happen to the productivity of individuals, the happiness of families,the flourishing of potential, the cohesion of communities?

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Improving the Mental Health

Service Delivery System

Improving the Mental Health

Service Delivery System

President's New FreedomCommission on Mental Health

Achieving the Promise: Transforming Mental Health Care in America (2003)

http://www.mentalhealthcommisson.gov/http://www.mentalhealthcommisson.gov/reports/FinalReport/toc.htmlreports/FinalReport/toc.html

Mental Health Status ContinuumMental Health Status Continuum

Mental Health Care ContinuumMental Health Care Continuum

Mental Health Status ContinuumMental Health Status Continuum

Mental Health Care ContinuumMental Health Care Continuum

Men

tal H

ealt

h C

onti

nuum

Men

tal H

ealt

h C

onti

nuum

Enhancing Health: Primary PreventionPrimary Prevention: Early Recognition Treatment andTreatment andPromoting optimum Addressing risk factors and Intervention: Rehabilitation:Rehabilitation: mental health, e.g., job vulnerable groups, Detecting a problem Interventions tosatisfaction, resilience, e.g., coping skills for or illness at an early reduce symptoms ofself-esteem, and people who are stage and increasing an illness, diminishsocial skills, improving unemployed, home visits access to effective disability, and improveaccess to income for families experiencing treatment quality of life

separation or divorce

Positive Mental Health:Positive Mental Health: Mental Health Problem:Mental Health Problem: Mental Disorder:Mental Disorder:

High-level capacity of the Disruption in interactions Medically diagnosable illnessindividual, group, and between individual, group,, that results in significant environment to interact & and environment, impairment of cognitive, to promote well-being, producing a diminished affective, or relational abilitiesoptimal development, and state of positive mental healthuse of mental abilities

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The NIMH Committee’s Mental Health Interventions

Spectrum

The NIMH Committee’s Mental Health Interventions

Spectrum

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Pre-InterventionBasic & Clinical Sciences(Casualty, Risk Factors)

Universal

Universal

Selective

Selective

Indicated

Indicated

Com

orbidity PreventionC

omorbidity Prevention Rela

pse P

reve

ntion

Relapse

Pre

ventio

n

Maintenance Treatment

Maintenance Treatment

Acute CareAcute Care

PREVENTIONPREVENTION TREATMENTTREATMENT

Generation III Prevention

TreatmentGeneration II Prevention

Generation I Prevention

Disa

bilit

y Pr

even

tion

Disa

bilit

y Pr

even

tion

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Individual Factors

Individual Factors

• Risk Low IQ Low birth weight Difficult temperament

• Protective Above average

I.Q. Social

Competence Positive

temperament Internal locus of

control

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Family FactorsFamily Factors

• Risk Severe Marital Discord Parental Mental Illness

• Protective Child has close relationship with a

parent or other caregiver who is warm, trustworthy, and supportive

For older children, supportive parents or other caregiver, good sibling relationships, and adequate rule setting by parents

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Community Factors

Community Factors

• Risk Living in subsidized housing with

high rate of community disorganization

• Protective Community with well-organized

after-school programs for children of working parents

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Promotion and

Prevention Science is

Getting Better and Better

Promotion and

Prevention Science is

Getting Better and Better

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Prevention/ Early Intervention

Grant Program


Grant Program

"Teachers find themselves spending increasing amounts of time attending to students' aggressive, hyperactive and

noncompliant behaviors in the classroom. If these behaviors are ignored, or if

teachers give them negative attention, they will continue to increase leading to

eventual school failure and antisocial behavior.“

Carolyn Webster-Stratton, M.S.N., M.P.H., Ph.D.Professor and Director of the Parenting Clinic University of WashingtonSeattle, WashingtonDeveloper of The Incredible Years programswww.incredibleyears.com

SAMHSA Prevention/Early Intervention Grant ProgramOsborn School District, Phoenix, AZAge: Kindergarten to 1st Grade

http://www.incredibleyears.com/

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Grant Program


Grant Program

"Addressing emotional and behavioral problems in young children, even before they enter kindergarten, can pay off considerably down the road."

Monroe County Office of Mental HealthRochester, NY

SAMHSA Prevention/Early Intervention Grantee

Primary Mental Health Project adopted for 4-year-old urban children who are at risk for developing mental health and school adjustment difficulties.

Developers:40-year history of research A. E. Cowen, Ph.D.Dirk Hightower, Ph.D.Other ColleaguesUniversity of Rochester,Rochester, New Yorkhttp://www.childrensinstitute.net

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Science to Service

Science to Service

SAMHSA's Mission:SAMHSA is the Federal agency charged with improving the quality and availability of prevention, treatment, and rehabilitative services in order to reduce illness, death, disability, and cost to society resulting from substance abuse and mental illnesses.

Cross-Cutting Principles: Science to Service/Evidence-Based Practice

Homelessness

HIV/AIDS and Hepatitis

Mental Health System Transformation

Co-Occurring Disorders

Scie

nce t

o S

erv

ices/

Evid

en

ce-B

ased

P

racti

ces

Children & Families

Strategic Prevention Framework

SAMHSASAMHSA Priorities: Priorities:

Programs & Programs & Principles Principles

MatrixMatrix

Substance Abuse Treatment CapacitySeclusion & Restraint

Aging

Criminal Justice

Disaster Readiness and Response

Pro

gra

ms/I

ssu

es

Cross-Cutting Principles

A Life In The Community For

Everyone

Building Resilience & Facilitating Recovery

Recovery

/Red

ucin

g

Sti

gm

a &

Barr

iers

to

Serv

ices

Com

mu

nit

y a

nd

Fait

h-

Based

Ap

pro

ach

es

Fin

an

cin

g S

trate

gie

s

&

Cost-

eff

ecti

ven

ess

Work

forc

e

Develo

pm

en

t

Collab

ora

tion

wit

h

Pu

blic &

Pri

vate

P

art

ners

Cu

ltu

ral C

om

pete

ncy/

Elim

inati

ng

D

isp

ari

ties

Tra

um

a &

Vio

len

ce

(e.g

., P

hysic

al &

Sexu

al

Ab

use)

Ru

ral &

Oth

er

Sp

ecifi

c

Sett

ing

s

Data

for

Perf

orm

an

ce

Measu

rem

en

t &

M

an

ag

em

en

t

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14

Contact Information

Contact Information

Gail F. Ritchie, M.S.W.Public Health Advisor

Substance Abuse and Mental Health Services AdministrationDepartment of Health and Human Services5600 Fishers Lane, Room 17C-05Rockville, MD 20857Tel: 301-443-1752Email: [email protected]

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Substance Abuse and Mental Health

Services AdministrationSampling of

Activities Related to Young Children




• Pregnant and Postpartum Women (PPW) Grant. Comprehensive Residential Treatment Services for Pregnant and Postpartum Women and their infants and children. (CSAT) 4 million women give birth in

the US each year and 221,000 (5.5%) use illicit drugs at sometime during pregnancy

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• National Center on Substance Abuse and Child Welfare, a service of SAMHSA/CSAT and the Administration on Children and Families (ACYF), and the Children’s Bureau’s Office on Child Abuse and Neglect

• FASD Center for Excellence• http://fascenter.samhsa.gov

Fetal Alcohol Spectrum Disorders (FASD)-range of birth defects due to women drinking alcohol while pregnant.

Mission increase effectiveness of prevention and treatment options for fetal alcohol syndrome by providing national leadership

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• National Child Traumatic Stress Initiative (http://www.nctsnet.org) To raise the standard of care

and improve access to services for traumatized children, their families and communities throughout the United States.

Treatment centers from all over the United States have come together to form a new coalition, the National Child Traumatic Stress Network (NCTSN).

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• Alicia F. Lieberman, Ph.D. is Professor of Psychology at the UCSF Department of Psychiatry, Director of the Child Trauma Research Project, and Senior Psychologist at the Infant-Parent Program, San Francisco General Hospital. Her major interests include

toddler development, disorders of attachment, child-parent interventions with high risk families, and the effects of early trauma in the first years of life.

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• Joy D. Osofsky,Ph.D., Program Director, Department of Psychiatry, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, New Orleans, LA 70112;

• Charles H. Zeanah, M.D. is Professor of Psychiatry and Pediatrics and Executive Director of the Institute of Infant and Early Childhood Mental Health at the Tulane University School of Medicine in New Orleans.

• Dr. Betty Groves, Boston Medical Center. The hospital is the primary teaching affiliate for Boston University School of Medicine.

• Staring Early/Starting Smart (SESS) –www.health.org/promos/sess/ was designed to create and test a new model for providing integrated behavioral health services for young children and their families by way of a multi-year study of these grantees.

1 osep national early childhood conference osep national early childhood conference washington, d.c....

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