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Growing up Well: Supporting Young Children's Social Growing Up Well: Supporting Young Children’s Social- Emotional Development and Mental Health in North Carolina July 2012 North Carolina Institute of Medicine This Task Force was convened at the request of the North Carolina General Assembly Funded by the Substance Abuse Prevention and Treatment Block Grant The North Carolina Institute of Medicine (NCIOM) is a nonpolitical source of analysis and advice on important health issues facing the state. The NCIOM convenes stakeholders and other interested people from across the state to study these complex issues and develop workable solutions to improve health, health care access, and quality of health care in North Carolina. The full text of this report is available online at http://www.nciom.org North Carolina Institute of Medicine Keystone Office Park 630 Davis Drive, Suite 100 Morrisville, NC 27560 919.401.6599 Suggested citation North Carolina Institute of Medicine. Growing Up Well: Supporting Young Children’s Social-Emotional Development and Mental Health in North Carolina. Morrisville, NC: North Carolina Institute of Medicine; 2012. In collaboration with the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, North Carolina Department of Health and Human Services. Funded by the Substance Abuse Prevention and Treatment Block Grant Any opinion, finding, conclusion or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view and policies of the North Carolina Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Service. Credits Report design and layout Angie Dickinson Design, [email protected] Growing Up Well: Supporting Young Children’s Social- Emotional Development and Mental Health in North Carolina July 2012 North Carolina Institute of Medicine This Task Force was convened at the request of the North Carolina General Assembly Funded by the Substance Abuse Prevention and Treatment Block Grant 2 North Carolina Institute of Medicine Table of Contents Acknowledgements........................................................................................................................5 Task Force Members......................................................................................................................9 Executive Summary.................................................................................................................... 13 Chapter.1:.. Overview............................................................................................................ 23 Chapter.2:.. Vision.and.Infrastructure................................................................................... 35 Chapter.3:.. Promotion.......................................................................................................... 55 Chapter.4:.. Prevention.......................................................................................................... 69 Chapter.5:.. Intervention....................................................................................................... 87 Chapter.6:.. Conclusion....................................................................................................... 109 Appendix A: Full Task Force Recommendations....................................................................... 117 Appendix B: Evidence-Based Home Visiting, Family Strengthening, and Parenting Skills Programs Supported by the State and Other Partners in North Carolina............. 127 Growing Up Well: Supporting Young Children’s Social-Emotional Development and Mental Health in North Carolina 3 4 North Carolina Institute of Medicine Acknowledgements The North Carolina’s Institute of Medicine’s (NCIOM) Task Force on the Mental Health, Social, and Emotional Needs of Young Children and Their Families was created at the request of the North Carolina General Assembly in 2010. The North Carolina General Assembly directed the NCIOM to study “the needs of young children with mental health problems and their families” (Section 16.1 of Session Law 2010-152). The Task Force was chaired by Marian F. Earls, MD, FAAP, Medical Director, Guilford Child Health, Inc.; Beth Melcher, PhD, Assistant Secretary for Mental Health, Developmental Disabilities, and Substance Abuse Services, North Carolina Department of Health and Human Services; and John Thorp, MD, Division Director and Distinguished Professor, Department of Obstetrics and Gynecology, University of North Carolina (UNC) Health Care. The Task Force’s work and clarity of vision would not have been possible without their leadership. The NCIOM also wants to thank the 41 members of the Task Force and Steering Committee who gave freely of their time and expertise over the past 16 months to try to address this important issue. The Steering Committee members helped shape the meeting agendas and identify speakers and arrange presentations. For a complete list of Task Force and Steering Committee members, please see pages 9-11 of this report. The NCIOM Task Force on the Mental Health, Social, and Emotional Needs of Young Children and Their Families heard presentations from stakeholders including researchers, providers, and other experts. We would like to thank the following people for sharing their expertise and experiences with the Task Force: Gary Ander, Project Director, Alamance County Department of Social Services; Kate Berrien, RN, BSN, MS, CCNC Pregnancy Home Project Coordinator; Tonita Beverly, RN, MSN, Nurse Consultant Practitioner and Clinical Services, Division of Medical Assistance, North Carolina Department of Health and Human Services; Kelly Blasky, MPH, Director, Mental Health and Aging Education, Charlotte AHEC/Regional Education; Betsy Blesdoe, PhD, MSW, LCSW, Assistant Professor, UNC School of Social Work; Robin Britt, JD, LLM, Executive Director Guilford Child Development; Anne Bryan, Senior Policy Advisor on Early Childhood, Office of the Governor; Karen Appleyard Carmody, PhD, Clinical Associate, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center; Kelly Crosbie, Chief, Behavioral Health Section, Clinical Policy & Programs, Division of Medical Assistance, North Carolina Department of Health and Human Services; Susan Cupito, MA, LPC, Director of Healthy Moms Healthy Babies Programs, Greensboro YWCA; Marian F. Earls, MD, FAAP, Medical Director, Guilford Child Health, Inc.; Laura Edwards, RN, MPA, Prevention Specialist, Division of Public Health, North Carolina Department of Health and Human Services; Michelle Hughes, MA, MSW, Project Director, Benchmarks; Melissa R. Johnson, PhD, Pediatric Psychologist, WakeMed Health and Hospital; Catherine Joyner, MSW, Executive Director, Child Maltreatment Prevention Leadership Team, North Carolina Department of Health and Human Services; Tara Larson, Chief Growing Up Well: Supporting Young Children’s Social-Emotional Development and Mental Health in North Carolina 5 Acknowledgements Clinical Operations Officer, Division of Medical Assistance, North Carolina Department of Health and Human Services; Kay Lowrance, Division of Child Development & Early Education, North Carolina Department of Health and Human Services; Jenkins Mattocks, Distinguished Professor, University of North Carolina at Greensboro; Emily McClure, Research Assistant, North Carolina Institute of Medicine; Beth Melcher, PhD, Assistant Secretary for Mental Health, Developmental Disabilities, and Substance Abuse Services Development, North Carolina Department of Health and Human Services; Samantha Meltzer-Brody, MD, Associate Professor, Department of Psychiatry, Director of the Perinatal Psychiatry Program, UNC Center for Women’s Mood Disorders; Margaret Mobley, Statewide Project Manager, Healthy Social Behaviors Initiative, Child Care Resources Inc.; Merry-K Moos, RN, FNP, MPH, Research Professor, Department of Obstetrics and Gynecology, UNC School of Medicine; Robert A. Murphy, PhD, Executive Director, Center for Child & Family Health, Duke University Medical Center; Laura E. Muse, MS, NCC, LPC, Clinical Services Coordinator, Alamance Alliance for Children and Families; Susan Perry- Manning, Senior Director Policy and Programs, The North Carolina Partnership for Children; Mary Lee Porterfield, Contract Unit Manager, Director’s Office Policy Unit, Division of Child Development & Early Education, North Carolina Department of Health and Human Services; Jeff Quinn, MPH, Research Analyst, Center for Child and Family Policy, Duke University; Betty Rintoul, PhD, Clinical Psychologist, Encouraging Connections; Starleen Scott Robins, MSW, LCSW, Best Practice Team, Division of Mental Health, Developmental Disability and Substance Abuse Services, North Carolina Department of Health and Human Services; Susan E. Robinson, Mental Health Program Manager/ Planner, Prevention and Early Intervention, Community Policy Management, Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, North Carolina Department of Health and Human Services; Terri L. Shelton, PhD, Vice Chancellor Research and Economic Development, Adele Spitz-Roth, MS, Consultant, Alamance Alliance for Children and Families; Sandy Steele, NC-TAPP, FPG Child Development Institute, UNC; Mark Strange, Residential Director, Department of Obstetrics and Gynecology, UNC Health Care; Kathy Sulik, PhD, Director, Fetal Toxicology Division, Bowles Center for Alcohol Studies, UNC School of Medicine; Kelly Sullivan, PhD, Assistant Professor, Center
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