Survey to Identify Infant and Early Childhood Mental

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IDA Infant Mental Health Special Interest Group
Survey to Identify Infant and Early Childhood Mental Health Resource Agencies
Survey to Identify Infant and Early Childhood Mental Health
RESOURCE AGENCIES
1. What is the name of the agency?
Kings County Office of Education (KCOE) - Infant Program
2. What category of IMH Resource Agency best describes your agency?
___ State or Statewide Agency
___ Training/Technical Assistance Agency (NOTE: Please complete the IDA survey
designed for IMH/ECMH Training Programs, rather than this survey)
___ Direct Service Provider
___ Funder of Direct Services:
___ Public Agency (County Mental Health, Social Services, etc.)
___ First 5 Agency
___ Regional Center
_X_ Education/Special Education
___ Foundation
___ Other Funder: __________________
___ Resource and Referral Agency
___ Policy Development Agency
___ Research Agency
___ Other type of IMH Resource Agency: _______________
3. What geographical area of California is served by the agency?
___ Statewide agency
___ Regional agency (more than 1 county)
_X_ County Agency
___ Local Community Agency
4. What is the primary purpose or mission of the agency?
To provide weekly home based infant programs, for children birth to three, who are
orthopedically, visual or hearing impaired. ????
5. What are the strengths and/or unique features of the agency related to infant/early
childhood mental health that the field should be aware of?
We work with an agency called UCP Child Development Center. They hire a part time social
worker (6 hours and 1 day a week) who provides ??? to come and work at UCP. They talk to
parents and offer information.
6. What are the agency’s main funding sources?
Department of Education ?????
7. If applicable, what ages of children are served by the agency?
_X_ birth to 3 years
___ 3 to 5 years
___ children of all ages
8. If applicable, approximately how many children are served by the agency?
birth to 3 years: per month? 52 per year?_______
3 to 5 years: per month? n/a per year? n/a
IDA Infant Mental Health Special Interest Group
Survey to Identify Infant and Early Childhood Mental Health Resource Agencies
children of all ages: per month? * per year? *
*Assess approximately 20 infant/toddlers per month. Supervise 32 home visits weekly. ???
9. Who is eligible for your agency’s services, and how is eligibility determined?
This question was not on the original survey that was submitted. Do we follow up?
10. What are the agency’s activities related to infant and early childhood mental health?
_X_ prevention/early intervention
_X_ assessment
___ treatment
___ consultation
_X_ fund direct services
___ training/technical assistance
_X_ resource and referral
___public policy
___ research
___ other: (please describe)
11. If your agency is a direct service provider, please describe:
your agency’s target population(s):
Low incidence: orthopedic, vision, or hearing impaired.
your agency’s services:
Home visiting once a week for 45 minutes. We collaborate with UCP and their OT, PT, and ST.
your agency’s staffing:
Special education teacher and 2 assistants
12. Does your agency have infant/early childhood mental health personnel on staff?
Not at KCOE but at UCP Child Development Center, they have hired a social worker (???) who
??? with parents ?????
13. Do you provide infant or early childhood mental health treatment as part of your agency’s
services, or do you refer to other treatment providers?
We refer to other providers.
14. Please provide contact information for further information about your agency’s services:
Website: In process of developing <kingsnet.kings.k12.ca.us>
Contact person:
Name: Jan Torgeson
e-mail address: jtorgeso@kings.k12.ca.us
Phone number: 559-584-1441 x2614
Fax number: 559-589-9611
Mailing Address: 1144 W. Lacey Blvd., Hanford CA 93230
15. Is your agency interested in collaborating/networking with the IDA Infant Mental Health
Interest Group? Yes. If yes, please describe your agency’s particular collaboration
interests, if any:
Regarding assessments
16. Please provide contact information for a liaison to this group:
Name and Title (if any): Jan Torgeson, Special Education Teacher
Organization:Kings County Office of Education (KCOE) - Infant Program
IDA Infant Mental Health Special Interest Group
Survey to Identify Infant and Early Childhood Mental Health Resource Agencies
Mailing Address: 1144 W. Lacey Blvd., Hanford CA 93230
E-mail address: jtorgeso@kings.k12.ca.us
Phone number: 559-584-1441 x2614
Fax number: 559-589-9611
17. May we include this information about the program on the IDA IMH Resource
Directory Webpage? Yes
4/06
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