Gateway to
better education
and health care
Government funding
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Budget 2011 provided government funding for services to address the needs of children
and young people in care. The package includes:
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Gateway (health and education) assessments
Mental health services for children and young people in care
Funding for early childhood education for all children in state care
(aged 18 months to three years)
Overview
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Gateway Assessments are an interagency project between Child, Youth and Family,
Health and Education.
Their aim is to:
• identify the health and
education needs early
• ensure interagency
agreement on how to best
to address their needs
• facilitate access to
appropriate services
• ensure children and young
people get the help they
need at home and at school
Who are they for?
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Gateway Assessments are available to any child or young person who:
> is entering Child, Youth and Family care
> is already in Child, Youth and Family care
> is having a Child, Youth and Family Care and Protection family group
conference
How it works
Child identified as likely to benefit from a Gateway Assessment
Urgent health
appointment if required
Social Worker
• Engages with family and gains consents
• Refers for health assessment & education Profile
Teacher/Principal
(School or Early Childhood Centre)
Social Worker
Family
Health (NZHIS)
Gateway Assessment Coordinator
• Collects existing health information
• Family health history
• Determines appropriate assessment
• Complete education profile
• Identify issues affecting education
Well Child
ACC
Health Assessor
• Review history
• Comprehensive health assessment
• Write health report and recommendations
Health
Education
Social Worker
Gateway Assessment Coordinator
• Collates information from CYF, family, Health and Education
•Drafts Interagency Services Agreement with social worker and teacher
• Facilitates Multi-disciplinary Clinical Meeting
•Follow-up on implementation of recommendations at 3 months
Social Worker
• Prepare information for use at FGC
•Completes child or young person’s Plan
• Monitor agreed recommendations
Health Referral
(with consultation and consent of
the young person or the child’s
family)
Real Outcomes: Real children
Rei
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15 year old with un-identified tongue tie
Tim
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20 month old with developmental delay
Harley
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8 year old with a hole in his heart
Kate
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19 month old with developmental delay
Sonny
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4 year old with multiple health concerns
Interagency Services Agreement
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Is prepared by the Gateways Assessment Coordinator, in consultation with the teacher
and social worker
outlines what each agency will do to meet the needs of the child or young person.
It includes:
> the key agencies and people involved with the child or young person
> summary of needs and recommendations identified from the Gateway Assessment
> the interventions and services each agency has committed to provide.
>Is discussed and agreed at a multidisciplinary clinical meeting involving
professionals with authority to commit
resources from their agency
Once the document is finalised, each
agency is then responsible for
implementing the services that they have
agreed to.
National implementation
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The rollout of the Gateway Assessment began on 1 July 2011
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There are currently 27 Child, Youth and Family sites in 8 District Health
Board areas implementing Gateway Assessments
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The remaining Child, Youth and Family sites and
DHBs will implement Gateway Assessments
by the end of 2012
New CYF Funded Mental Health Services
We have new funding for mental health services to meet the needs of
children and young people identified through Gateway Assessment.
Acute
New primary services
> Mild to Moderate mental
health = emotional and
behavioural needs
> 1,600 children per year
> Average $1,550 per child
> Evidence-based family
focused services
> Starting very soon
ICSS
CAMHS
Primary Child Mental
Health Service
Universal services
Extension of Intensive
Clinical Support Services
> Complex mental health
and behaviour
> 175 young people per
year
> Average cost of $14,300
> Evidence-based, family
focused services
We will fund evidence based interventions
Group
– Infants (aged 0-4)
Primary Mental
Health Services
0-17 year olds
Intensive Mental
Health Services
10-17 year olds
Names of evidence based interventions
– Watch, Wait and Wonder™
- Children & young people
(aged 3 or older)
– Parent Child Interaction Therapy
– Trauma and Abuse focused
Cognitive Behavioural Therapy
– Primary care or level 4 and 5
Triple P
– Incredible Years
- Young People
– Functional Family Therapy
– Multi-systemic Therapy
These rely on good social worker engagement & case management
Progress on implementation
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Primary Mental Health Service Specifications were developed in partnership
with the Ministries of Health and Education
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An open tender process was run across 6 DHB regions that were using
Gateway Assessments to identify providers for the Primary Mental Health
Services over December 2011 – February 2012; contracts have been
established for service development and delivery from 1 April 2012
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Discussions have started in remaining DHB regions to ensure primary mental
health services will be available when children are identified through a
Gateway Assessment process
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The first Intensive Clinical Support Service will be established in Palmerston
North by July 2012
Early Childhood Education funding
> CYF funds are available to enable children in the
custody of the CE, aged 18 months – three years,
to access ECE.
> Funding covers up to 20 hours per week or $600
per month.
> CYF funding continues if a child progresses to
a home for life until they are three.
> Beyond three years, all children benefit from
the MoEs 20 hours free ECE.
Which ECE services qualify for CYF
ECE funding?
> The ECE service must be licensed and funded by MoE
> It can be a teacher-led or parent-led ECE service
> Teacher-led services include centre-based ECE services,
kindergartens, Pasifika services, Montessori , Rudolf Steiner
schools and home-based ECE
> Parent/whānau-led services such as Playcentres and
Kōhanga Reo.
More information
> You will find more information about the Gateway
Assessment Process on the Child, Youth and Family
website www.cyf.govt.nz
> Lisette Rawson – Project Manager, Gateway
Assessments - 04 918 3285
Lisette.Rawson002@cyf.govt.nz
> Kerry Lloyd – Project Manager, Mental Health Services 04 918 9037
Kerry.Lloyd008@cyf.govt.nz