# Presentation: 931640

## Building the Future of Children’s Mental Health Care   

*A. Kathryn Power, M.Ed., Director*
*Center for Mental Health Services*

**May 2005 **
**Providence, RI**

## Every 8 seconds...

## America’s Children

_**Age**_			_**Number**_
**Under 5 years****	****19,175,798**
**5 to 9 years****	****	****20,549,505**
**10 to 14 years****	****20,528,072**
**15 to 19 years****	****20,219,890**
- Source: U.S. Census Bureau
*Census 2000*

## In a typical class of 

- Six children may have mental health needs

- In a typical class of
- 30 students,

**Anorexia**

**Depression**

**Anxiety disorder**

**ADHD**

**Substance abuse**

**Suicidal ideation**

- Three of the six may have a serious emotional or behavioral disorder.

## Neurons to Neighborhoods

*Human development is shaped by a dynamic and continuous interaction between biology and experience.*

- By: National Research Council and the Institute of Medicine

## Neurons to Neighborhoods

*The timing of early experiences matter, but more often than not, the developing child remains vulnerable to risks and open to protective factors throughout the early years of life and into adulthood.*

- By: National Research Council and the Institute of Medicine

## Neurons to Neighborhoods

*We can alter the course of development in early childhood by effective interventions that change the balance between risk and protection, thereby shifting the odds in favor of more adaptive outcomes.*

- By: National Research Council and the Institute of Medicine

## Social and emotional learning is. . .

- ...a _process_ through which a child acquires “*the skills to recognize and manage emotions, develop caring and concern for others, make responsible decisions, establish positive relationships, and handle challenging situations effectively*.”

- Source: The Collaboration for Academic, Social, and
- Emotional Learning, www.casel.org/home/index.php

## The time has long passed for yet another piecemeal approach to mental health reform.  Instead, the Commission recommends a fundamental transformation of the Nation’s approach to mental health care.

*The time has long passed for yet another piecemeal approach to mental health reform.  Instead, the Commission recommends a fundamental transformation of the Nation’s approach to mental health care.*

## Federal Partners Workgroup

_**Human Services**_**	****	****       ****	**_**Other Federal Partners**_
**AoA****	****	****NIH/NIDA****	****Department of Agriculture**
**	****	****	****	****	****Department of Education**
**ACF****	****	****NIH/NIMH****	****Department of Housing ****	****	****	****	****	****   and Urban Development****	****	****	****	**
**AHRQ****	****	****OS/ASPE****	****Department of Justice**
**CDC ****	****	****OS/OCR****	****       ****	****Department of Labor**
**CMS ****	****	****OS/OD****	**** ****	****Department of ****	****	****	****	****	****	****   Transportation       ****	****	**** ****	****OS/OPHS****	**** Department of Veterans **
**	**** ****	****	****	****   ****	****   ****Affairs**
**HRSA****	****	****SAMHSA ****	**** Social Security **
**IHS****	****	****	****	****   Administration**
**	****	****	****      ****	****	****	****	****	****	**

**Federal Partners Workgroup**

## Will Rhode Island apply for a transformation grant?

- Governor Donald L. Carcieri would like to hear from you.
**Mail address**Governor Donald L. CarcieriOffice of the GovernorState House, Room 115Providence, RI 02903
**Phone**: 401-222-2080
**Fax: **401-222-8096

## The Transformation Equation

- Transformation =
- [vision + belief + action] x (continuous quality improvement)2

## “Family driven” means...

- ...families have a decisionmaking role in the care of their own children as well as the policies and procedures governing care for all children in the community, State, and Nation.

-  Choosing supports, services, and providers
-  Setting goals
-  Designing and implementing programs
-  Monitoring outcomes
-  Determining effectiveness

## Youth guided means...

- ...that youth have a role in guiding their own care.  For older youth, it may mean *directing* their own care.

## www.tapartnership.org/youth/

*www.tapartnership.org/youth/*

## The 

- The
- beginning.
- Thank you.