National Association For The Education of Homeless Children and Youth Kansas City, MO October 27, 2014 Jen Tisdale, MSW, MPH Project CATCH Coordinator Raleigh, NC OVERVIEW History – How’d we get started. What is CATCH? Outcomes How to get it started where you are. WHAT ABOUT THE CHILDREN? Kids like baggage. Shelters are silos. Let’s work together to solve the problem. Case Manager on board: TSA 474 Children were screened between fiscal years 2006 and 2010 (approx. 118 per year). WHAT IS THE NEED? 2008-2010 Focus Groups: Intensive study of 4 shelters (Marmaud, 2008) included staff & parent focus groups as well as observation in shelters. Families wanted support for their children. RESEARCH, RESEARCH: Review of professional literature and the work of national organizations. WHAT WE DISCOVERED… 1. Rate of family homelessness is high and rising rapidly 39% Between 2007 and 2010 (US Dept. of Housing and Urban Development) 2011 data: 500 families spent time in a shelter, transitional or supportive housing 64% of them were children. JUSTIFICATION 2. Social-emotional concerns/ mental health problems are significant and rarely addressed. Children “invisible” in shelters because… …staff members focus on housing/employment goals. …parents often don’t recognize stress in their own children. …no questions asked about children’s well being “ My case manager keeps asking about me, but my concern is for my child. I”ll be good when he is.” – mom from TSA Therefore, increased attention to children’s needs is essential. JUSTIFICATION 3. Parents experiencing homelessness face parenting challenges, and are unable to provide quality parenting. Shelter climate does not support positive parenting and healthy family interactions. Policies and practices are not conducive to nurturing parenting practices and positive family relationships. JUSTIFICATION 4. Rich in resources but lack of coordination & integration of services. Families move from shelter to shelter – no consistent provision or coordination of services among shelters. Shelter staff access community resources sporadically and inefficiently. Therefore, coordination & collaboration are needed. GRANT EFFORTS State and Federal Funding provided for sustainable program to: Address social-emotional & developmental needs of children Provide a shelter environment that supports healthy family interactions Coordinate services across shelters Evaluate the system for possible dissemination All families experiencing homelessness in Wake County will have access to a coordinated system of care that nurtures the health, well-being, and success of their children. BEST PRACTICES FOR CHILDREN IN TRANSITION 1. Housing 2. Maternal well-being 3. Child well-being 4. Family functioning 5. Family preservation National Center on Family Homelessness (DeCandia 2012) THREE HATS OF CATCH 1. Direct Service: Case Management 2. Collaboration/ Partnerships and Children/Family Centered Programming 3. Trauma Informed Care Training and Services Direct Service Hat: 1. Referrals are made from shelters 2. Screenings and psychosocials are conducted. 1. Parent Interview 2. Brigance; Ages and Stages 3. ASQ 4. Eyberg Child Behavior Inventory 3. Needs are identified (e.g., further evaluation, treatment) 4. Results and decisions are entered in data base. 5. Cases are followed closely. Resources are ineffective if families don’t have access to them. Project CATCH staff members provide transportation for families as needed to attend appointments. • • • • • • Screenings Basic needs such as food and clothing Medical transport Educational Assistance Mental Health Referrals Parenting Assistance Families choose to keep up, Project CATCH has a policy “once a CATCH family, always a CATCH family.” This motto has allowed families a feeling of safety and they have often taken the initiative to let CATCH know how they are doing or reach out for a simple request. Child Screenings and Referrals From the first intake… …families can count on Project CATCH as a consistent support. ….to three years later… Salvation Army COLLABORATION HAT: PEACH Women’s Empowerment TheraPlay Raising a Thinking Child Wake Med Chaplaincy Circle of Parents Triple P Family and Child Centered Programming/ Collaboration Raleigh Rescue Mission Haven House PLM Women’s Center Passage Home Circles of Support Interact WIHN The Carying Place Wake County Southlight Healing Place OTHER PARTNERS: • Head Start • Local Museums • Guardian ad Litem • School systems • Learning Centers • Nonprofits COMMUNITY MEETINGS HIGH LEVEL OF SUSTAINED COMMITMENT OVER TIME WITH STABLE ATTENDANCE AND GROWTH IN PARTNERS. “There is a supportive affirming atmosphere which helps us feel we are not out there along. Many are working cooperatively for the benefit of our most vulnerable, homeless children” “Having an opportunity for face to face contact with representatives from other service agencies has been a strategic component to better serving my own clients so they have benefitted from the collaborative work of Project CATCH.” “I’ve met many people from other agencies and learned so much about what they are doing. Often, other workers and I share a client and can catch up about services for them.” TRAUMA HAT: TRAUMA INFORMED CARE/VICARIOUS TRAUMA/SELF-CARE TRAINING: On-site training in trauma-informed best practices to promote strong families and children’s wellbeing. National Center for Family Homelessness TIC School Social Workers All but 3 shelters Other community organizations Clients Follow-up on-site training conducted to discuss progress and problem-solve challenges. WHAT WE ARE TEACHING ABOUT TRAUMAINFORMED SERVICES Training of shelter and school staff includes: 1. 2. 3. 4. 5. 6. 7. The effects of trauma on neurological / psychosocial development of parents and children. Behavioural Responses. Understanding acute, chronic, and complex trauma Understanding potential retraumatization via the service system. Recognizing traumatic stress. Potential mislabeling or misdiagnosing of MH symptoms. without considering past experiences of trauma. How schools can increase trauma informed responses.. RESULTS HOW IS PROJECT CATCH CHANGING SHELTER SERVICE DELIVERY? • Shelters are looking at self-care, Intake procedures, selfawareness of vicarious trauma, and involving consumers in advisory groups. • Average of 15 agency reps attend monthly CATCH meetings to share resources, struggles, etc . Each year we’ve grown in numbers and in strength. • Trauma-Informed care has been incorporated into the NC Schools statewide training protocol for personnel working with children. Trained over 500 providers in the community. “There is a supportive, affirming atmosphere which helps us feel like we’re not out there alone. Many are working co-operatively for the benefit of our most vulnerable, homeless children.” Interact “Partnership with CATCH has helped WIHN become better able to more affectively assist our clients with their needs. Because this makes our job easier in some ways, it has made my current position more enjoyable. Having a partner in the community that cares as deeply about kids as WIHN does makes the job in general much less stressful.” - WIHN RESULTS: 90% of agencies participating reported utilizing new resources/protocols for children as a result of information sharing and trauma informed care training 75% of shelter programs assessed successfully achieved one identified goal related to serving children and families more effectively CATCH ACCOMPLISHMENTS • Over 900 children referred to Project CATCH • Successful partnerships developed with 20 or more community agencies - helped streamline service delivery. • 20% of referrals from School Social Workers • 1200 referrals made to community partners (MH, Early Ed, Head start, Medical, Day Care, etc) which equates over 100% of our children receiving at least one identified service based on need. SCREENING RESULTS: • 84% received a psychosocial or developmental screening determining need for referral. • ASQ and Brigance Early Childhood Screening II administered to more than 500 children in 11 shelters (50% of clients referred) 25% of parents had serious concerns about their children’s mental health. Mean scores on the Brigance were significantly lower (96.18) than the norm (100) with particular delays in language. 60% of three year olds had a significant language delay. There are wide individual differences as well indicating resiliency functioning. “7 REASONS WE NEED PROJECT CATCH” 1. Project CATCH is glue 2. Project CATCH is like preventing cancer instead of diagnosing it at stage four. 3. Project CATCH acts to end inter-generational homelessness and poverty 4. Project CATCH is designed around evidenced-based research 5. Project CATCH is run by a dedicated and lean team of three full time staff. 6. Project CATCH does what needs to be done 7. PROJECT CATCH meets a real need The Homeless in Wake County, NC: The Listening Project blog PARTNERSHIP BETWEEN PROJECT CATCH AND THE WAKE COUNTY PUBLIC SCHOOL SYSTEM RALEIGH, NORTH CAROLINA A brief overview… “As the McKinney Vento Liaison, I would not have had the opportunity to build the same community relationships, gain a better understanding of the work done by other agencies, shelters, etc. and learn of new resources in the community without CATCH. As well, their existence has enhanced the work of School Social Workers and has greatly improved the schoolcommunity-family communication and involvement.” Michelle, WCPSS STUDENTS WHO ARE HOMELESS IN WAKE COUNTY, NC Wake County Population: almost 1 million. 104 Elmentary Schools, 36 middle schools and 29 high schools. 2013-2014, 2,669 students met McKinney Vento eligibility, a 7% increase from the year before. This year we are already up to 1,468. Biggest issues: Lack of housing. Couch surfing and hotel living higher than before. Michelle Mozingo, MSW, Wake County McKinney Vento Liaison for Homeless Students HOW WE CLOSED THE GAP… Project CATCH Community Meetings McKinney Vento Liaison and Preschool Social Worker attend monthly meetings with reps from homeless agencies Recent topics/activities: Navigating school re-assignment Assistance with IEP’s for homeless students Solving transportation issues and school relocation Assistance with Special Ed services CATCH and Trauma Informed Care info is disseminated throughout the school system. Partnerships with Museums for educational purposes for families TIME TO PAUSE: HOW DO YOU WORK WITH SHELTER STAFF? WHAT DOES COLLABORATION OF SERVICES LOOK LIKE IN YOUR COMMUNITY? HOW DO YOU ACCESS RESOURCES FOR HOUSING, MENTAL HEALTH, AND TRACKING YOUR CHILDREN WHO ARE HOMELESS? WHAT BARRIERS DO YOU FACE? FOCUS ON 3 SPECIFIC AREAS: Community Assessment Program Development Marketing COMMUNITY ASSESSMENT 1. Identify target population /need/ community players. What support system is lacking in the community? How are children’s needs being met? Where are the gaps? 2. Look at the research – what are other communities doing? What is working, and what isn’t? 3. Develop a collaborative of professionals – Universities, established leaders in the field, community organizers, specialists. They can do a lot of the work. How can we work collectively to better meet children’s needs? 4. What is in it for community members specifically? How can it help them with little effort on their part? Keep community/client focus. RELATIONSHIP BUILDING. 5. Talk to all levels of staff members – multiple agencies 6. Develop a viable service / action plan that agencies can tap into PROGRAM DEVELOPMENT Volunteers and MSW students – helps build program capacity Website and social media is important. Keep information fresh and informative Press Releases – Keep your name out there Media relationships lead to more coverage Advisory committee – Continue to seek out members who can bring strengths that your program needs. They have community connections that can drive sustainability. MARKETING Became part of the Ten Year Plan – program took off! Group collaborations receive grant funding Constant interaction and follow-up with agencies Regular support of partners Regular communication / scheduled agency meetings - Include an educational / resource element Continuous feedback from agency partners Keep track of statistics so potential funders can connect with your mission and goals Presentations. THE BEST WAY TO FIND YOURSELF IS TO LOSE YOURSELF IN THE SERVICE OF OTHERS - GHANDI CONTACT INFORMATION: Jen Tisdale, MSW, MPH Project CATCH Coordinator The Salvation Army of Wake County, NC Jennifer.tisdale@uss.salvationarmy.org 919-834-6733 x 136 REFERENCES Chiu, Sheau-Huey., DiMarco, Marguerite A.(2010). A pilot study comparing two developmental tools for use with homeless children. Journal of pediatric health care 24 (2). pg. 72-80. screening Hong, Saahoon., Piescher, Kristy. (2012) The role of supportive housing in homeless children’s wellbeing: An investigation of child welfare and educational outcomes. Children and youth services review 34. pg. 1440-1447. Kilmer, Ryan P., Cook, James R., Crusto, Cindy., Strater, Katherine P., Haber, Mason G. (2012). Understanding the ecology and development of children and families experiencing homelessness: Implications for practice, supportive services, and policy. American Journal of Orthopsychiatry 82 (3). Pg. 389-401. National Center on Family Homelessness- www.familyhomelessness.org Putnam, Frank. (2006). The impact of trauma on child development. Juvenile and family court 11. journal. Pg. 1-