Project LAUNCH: Brief Overview Jennifer Oppenheim, Coordinator jennifer.oppenheim@samhsa.hhs.gov 2 Project LAUNCH Goal: To foster the healthy development and wellness of all young children (birth through age 8), preparing them to thrive in school and beyond. 2 Project LAUNCH:Basic Facts • 5 year grants • Focus on prenatal/birth to age 8 • Collaboration across all sectors serving young children and families • 40 states, tribes, & communities have been funded since 2008 • Funds to state Title V & mental health agencies • State/tribe picks pilot community to partner • Dual focus on systems improvement/integration & implementation of evidence-based prevention and promotion practices 3 3 Project LAUNCH Grantees Grantees by Cohort 2008 2009 2010 Arizona California Cherokee Nation, OK Maine District of Columbia Aliviane, Inc.; El Paso, TX Fund for Public Health; New York, NY Indiana New Mexico Red Cliff Band of Lake Superior Chippewa Rhode Island Washington Iowa Illinois Kansas Massachusetts Michigan New York North Carolina Wisconsin Florida Maryland Missouri Multnomah Education Service Muscogee (Creek) Nation, OK District; Portland, OR New Hampshire North Colorado Health Alliance; Greeley, CO Nottawaseppi Huron Band of Potawatomi, MI University of Missouri; Columbia, MO Pascua Yaqui Tribe of AZ Ohio Oregon 2012 Wheeler Clinic; Plainville, CT Pueblo of Laguna, DOE, NM Vermont 2013 New Jersey Tennessee Oklahoma Louisiana Standing Rock Sioux Tribe, ND Project LAUNCH: Dual Focus Systems Change Services: Prevention and Promotion 3 Guiding Principles Holistic Perspective Ecological Framework Public Health Approach Dual Focus: (1) Systems Change Forging partnerships: public, private, parents Uniting around a common vision for young child wellness Young Child Wellness Councils Scanning, planning, and evaluating progress Improving policies and practices, smart spending, integrated data systems and common outcomes Dual Focus (2): 5 Core Strategies Screening and Assessment in a range of child-serving settings Family Strengthening Mental Health Consultation in Early Care and Education Integration of Behavioral Health into Primary Care Enhanced Home Visiting with a focus on social/emotional wellbeing Two Cross-cutting Approaches Workforce Development Public Awareness/Education • • • • • Training on evidence-based curricula Training on screening tools Behavioral health trainings Infant mental health training Cross-disciplinary teaching/sharing • • • • • Resource guides Children’s mental health awareness day Webcasts Screening passports for parents Health fairs PROJECT LAUNCH Activities along the Continuum of Care PROMOTION PREVENTION TREATMENT Universal/selected/indicated Public education campaigns Parenting education groups Referral to treatment Universal screening in primary care, ECE, & other settings (e.g. WIC) Family Strengthening activities Targeted mental health consultation in primary care, ECE and home visiting Linkages across providers Programmatic mental health consultation in ECE, HV Targeted home visiting programs (e.g. for teen moms, first time moms) Shared data systems Universal home visiting programs Family Navigation/Care Coordination Feedback mechanisms Cross-disciplinary training on child development, soc/emotional wellbeing, mental health Preventive mental health interventions Health fairs wellness (e.g. PCIT, brief dyadic therapies) illness LAUNCH Communities at High Risk Compared to U.S. as a Whole 12 12 Breadth of Representation on LAUNCH Child Wellness Councils 120% 100% 96% 94% 92% 83% 80% 96% 88% 81% 88% 88% 81% 81% 75% 75% 75% 75% 69% 63% 58% 56% 60% 50% 40% 20% 38% 33% 31% 17% 6% 0% 0% 13 13 Community councils and Tribal councils (n=24) State councils (n=16) Project LAUNCH Implementation at a Glance Three years into the initiative: • 49,000 children and parents screened & assessed in diverse settings • 11,400 community providers trained on social-emotional and behavioral health • 723 primary care providers received integrated Behavioral Health Consultation • 1,146 Early Childhood staff received LAUNCH-supported Mental Health Consultation • 2,240 families served in 27 LAUNCH-supported home visiting programs • 4,800 families served in 31 LAUNCH-supported family strengthening programs 14 14 Project LAUNCH Special Studies Special studies are underway looking at a variety of population outcomes for young children and their families: • • • • • • • • 15 15 Birth outcomes Utilization rates of preventive and emergency health care Child development outcomes (ages 1 – 5) Kindergarten readiness and behavior (through Grade 2) Academic performance (kindergarten through Grade 3) Referrals to special education Attendance rates Maternal well-being