CCEP

Child Care Enhancement Program (CCEP) Administered by the Michigan Department of Community Health Mental Health Services to Children and Families Funded by the Michigan Department of Human Services

Agenda
What is CCEP?
Why is CCEP needed?
CCEP services and eligibility criteria.
How to refer to CCEP.
Reasons to refer to CCEP.

What is the Child Care Enhancement Program?
A statewide mental health consultation program assists families and child care providers to support the social and emotional health of children birth up to 36 months.
Funded by the Department of Human Services, Administered by the Michigan Department of Community Health.

What is Social and Emotional Health?
Within the context of one’s family, community and cultural background it is the child’s developing capacity to:
Experience and regulate emotions
Form secure relationships
Explore and learn
Definition adapted from Zero to Three

Why is Social & Emotional Health So Important?
It helps infants and toddlers learn the skills necessary to succeed in school and life;
Try new things
Solve Problems
Pay attention to the teacher
Calm down when upset without hurting others

Michigan Department of Human Services (Child Care Development Fund dollars) Grant Manager Michigan Department of Community Health Mental Health Services to Children and Families State Administrator Community Mental Health Services Programs Subcontract with MDCH to provide regional CCEP services to children 0-36 months/families with child care subsidy.
CCEP State Level Staff
Program Director
State TA Coordinator
Services Level 1 Prevention: Informal Mental Health Consultation Level 2 Prevention Plus: Basic/Short-term Mental Health Consultation A. Child/Family Centered Consultation B. Open-Ended Group Consultation (informal providers only) Level 3 Intensive Mental Health Consultation Great Start Child Care and Early Learning Resource and Support Center
Great Start Child Care and Early Learning Regional Resource Center
Identify early care and education partners to attend training-for-trainers on CSEFEL Infant Toddler social-emotional health curriculum (made possible through a Head Start-State Collaboration Office/CCEP agreement)
Increase awareness of CCEP Program
Increase awareness of CCEP get-togethers for informal providers
Assist in locating sites for CCEP get-togethers
Serve in a CCEP advisory capacity
CCEP Flow Chart FY10

CCEP as Part of the Great Start System

Why is CCEP Needed?
Young children are being expelled from child care at 3 times the rate of children expelled from K-12, and 3-5 times for children of color (Gilliam, 2005)
One in five children enters kindergarten with poor social development skills: it’s difficult for them to join others in play; they don’t have the ability to make and keep friends; and they do not positively interact with their peers (Raver and Knitzer 2002).

CCEP Services
Level One-Prevention
Level Two-Prevention Plus
Level Three-Intensive Consultation

Level One - Prevention
Consultant available to families and child care providers for confidential support related to children’s social, emotional and behavioral challenges.
Case not opened, child not identified.
Support via the phone, e-mail or in-person.

Eligibility for CCEP Services Level One
Must be a parent of a child birth to 36 months who is receiving or eligible to receive DHS child care subsidy.
Must be a Child Care Provider (Licensed Day Care Center or Day Care Group Home, Registered Day Care Family Home or DHS Enrolled Relative).
Must serve children birth up to 36 months.
Must serve children who are receiving the DHS child care subsidy.

Level Two - Prevention Plus
Child/Family Consultation The consultant does an intake, opens a case (e.g. consent is signed), conducts onsite observation and assessment, and facilitates development of a Positive Child Guidance Plan, which likely includes referral to other services. Generally, length of service is up to 3 months.
Open-Ended Group Consultation (informal providers only). The consultant facilitates ongoing (at least monthly) “get-togethers” for informal providers addressing social-emotional health topics identified by providers. “Get-togethers” are informal and held at non-threatening community sites.

Eligibility for CCEP Services Level Two
A. Child-Family Centered Consultation
Must be a Child Care Provider (Licensed Day Care Center or Day Care Group Home, Registered Day Care Family Home or DHS Enrolled Relative).
Child must be birth up to 36 months at the time of referral.
Child must be receiving or eligible to receive DHS child care subsidy.
Parents must consent for services.

Eligibility for CCEP Services Level Two
B. Open-Ended Group Consultation
Provider cares for a child birth up to 36 months at the time of referral.
2. Child(ren) cared for must be receiving or eligible to receive DHS child care subsidy.
3. Provider must be a DHS-enrolled
relative provider or day care aide.

Level Three - Intensive Consultation
The consultant does:
An intake
Opens a case (consent is signed)
Conducts onsite observation and assessment
Facilitates development of a Positive Child Guidance Plan
Assists with implementation of the Plan through coaching
May do training for the child care staff related to the child’s behavior (e.g. biting, withdrawal, excessive crying, etc.)
Generally, length of service is from 3 to 6 months, although it may exceed 6 months if necessary.
Services are prioritized to informal providers

Eligibility for CCEP Services Level Three
Must be a Child Care Provider (Licensed Day care center or Day Care Group Home, Registered Day Care Family Home or DHS enrolled relative).
Child must be birth up to 36 months at the time of referral.
Child must be receiving or eligible to receive DHS child care subsidy.
(same eligibility criteria as Level Two A. Child and Family Centered Consultation)

Why Refer Infants and Toddlers to CCEP?
Social, emotional and behavioral problems can get in the way of learning.
The sooner we find out what is causing a behavior problem, the easier it is to help the child. Then the child can get back to his “job”- playing and learning!
Informal providers who join the get-togethers can talk to others who do the same work. They can share tips, problems and solutions!

Possible Reasons to Refer an Infant to CCEP
Infant:
Shows little preference for any particular adult
Resists holding
Cries for prolonged periods
Rarely makes eye contact with others
Doesn’t show interest in people or things going on around him or her
Doesn’t respond to simple games like peek-a-boo
Doesn’t smile; often appears sad
Shows any loss of language or social skills

Possible Reasons to Refer a Toddler to CCEP
Shows any of the behaviors listed under the Infant on the previous slide
Exhibits inappropriate aggressive behaviors (e.g., biting, hitting, kicking, tantrums)
Has no real fear of danger
Has a very high activity level
Fixates on a single object
Makes repetitive body motions such as rocking or hand-flapping
Has sleeping difficulties
Shows little preference for any particular adult
Shows no fear of strangers
Does not turn to familiar adults for comfort or help
Exhibits significant language delays, especially:
No single words by 16 months
No two-word spontaneous phrases by 24 months (although may be repeating words over and over)

What Causes These Behaviors? The reasons are different for every child!

Some Reasons for Challenging Behavior
Examples of more common reasons:
Caregiving environment lacks consistent nurturing
Lack of continuity of care between child care and home
Child’s difficulty with communication/speech
Developmental concerns
Developmental surge
Temperament differences between caregiver and child
Examples of less common reasons:
Prenatal exposure to substances
Sensory processing challenges
Autism Spectrum Disorders
Medical issues
Severe chronic stress (e.g. extreme poverty, family violence, chronic neglect, maternal depression)

CCEP Team as Detectives!
The family, caregiver and consultant partner to:
Figure out what reasons are behind the challenging behavior.
Make a plan to help the adults to support the child based on these reasons.
Take action on the plan and see if it works!

What do the Children Say About CCEP? I Love my primary Caregiver, how about a hug! Do you want to play?

What do the Parents Say About CCEP? On average parents rated their satisfaction of CCEP services as 3.83% out of a 4 point scale - with 4 being “very satisfied”
I want my child to be……..
Happy Loved Secure

How to Contact a CCEP Program

Questions and Answers

For More Information About CCEP
Contact:
Mary Mackrain, State Program Director at:
Mackrain@aol.com, 248/594-3250
Ren é Beyette, Early Childhood Consultant
[email_address]
231-947-2255 x 8145

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CCEP

by Great Start Collaborative

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