April 25, 2008 Work Group 1 Notes

Assessment
Need comprehensive development screening of kids – ongoing
- Timing of assessment
Assessment is piecemeal and discombobulated – need a continuum of care/services and plan for future follow-up and assessment incorporating medical services
Decision tree or flow chart as child develops
Something like an IEP
SMART model of care
U.C. Davis clinic
Basic Programming through CASE
Can’t have this at just one location/resource site?
Talk to service providers about siting issues
CCFMG/UCSF Medical Clinic

Child Care
Public Health nurses link through child care
More child care and head start available for foster parents
Coordinating with foster parent’s day care
Head Start
- some sites have waiting lists
- some sites have no kids for open slots
- only half day
Child Care
- centralized eligibility list

Department
Social Workers – not enough knowledge on development of kids
Get caught between court and F.H.
Hard to get hold of social workers
Timely responses from social workers
Dedicated unit and workers focused on this population?
Caseloads at CPS level
Once kid starts getting services, no follow-through to make sure foster parents are taking kids and reports going to department and court

Foster Parents
Create more qualified or specialized foster parents
- Rates

Needs
Help foster parents with enrollment in child care services
Foster parents don’t know what resources are out there
Resource Guide
- County First 5 did one – Fresno to do
- 211 database linked to First 5 website
Wallet cards/wheels on development changes/levels
· Transportation problems
- driver and doctor appointments

Resources/Available
· No waiting list now at Regional Center

Resources/Development
Healthy steps program could be expanded/accessed
Warm-line

Resources - Need
Lack of occupational therapy, speech development
Lack of knowledge on child development among providers
Speech/hearing – kid must have significant delay – over 3 is through S.D.
Not enough CASAs for kids 0-5. Now recruiting
Backlog at infant mental health
MDs not trained in treatment A/N kids – special clinic at C.H.?
- Continuity of care
- Experience
- Transportation to doctor
Children’s hospital not taking Blue Cross Medi-Cal
-- eligibility unit could fix this
CCFMG/UCSF Medical Clinic

Trainings (for training group)
Educating decision makers about infant/mental health
CVRC/DCFS questionnaire and training on at-risk 0-3