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A Comprehensive Mental Health Program in a Rural Community

A Comprehensive Mental Health Program in a Rural Community. Kristi Goodrum Mental Health Coordinator Western Carolina Community Action. Western Carolina Community Action Hendersonville, North Carolina. Head Start Early Head Start Transportation Service Senior Services.

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A Comprehensive Mental Health Program in a Rural Community

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  1. A Comprehensive Mental Health Program in a Rural Community Kristi Goodrum Mental Health Coordinator Western Carolina Community Action

  2. Western Carolina Community ActionHendersonville, North Carolina • Head Start • Early Head Start • Transportation Service • Senior Services • Housing Choice Voucher Program • Family Self-Sufficiency Program

  3. Western Carolina Community ActionHendersonville, North Carolina Western Carolina Community Action assists low income and underserved people in Henderson, Transylvania and Polk counties in achieving their full potential through quality services and advocacy that demonstrate compassion, respect, and the belief that all people are worthy.

  4. Western Carolina Community ActionChildren’s Services WCCA serves 515 children and their families in three counties through Head Start and Early Head Start services

  5. Henderson County Approximate Total Population 102,367 Approximate Square Miles 374 388 Children Served in Head Start and Early Head Start 298 children served in 10 centers 90 served in Home Based programs Ethnicities of Families Served: 53.5% Hispanic or Latino Origin 31% White 7% Biracial/Multiracial 6% Black or African American 2% Asian ≤ 1% Native Hawaiian or Pacific Islander

  6. Transylvania County Approximate Total Population 30,187 Approximate Square Miles 378 85 Children Served in Head Start and Early Head Start 70 children served in 1 center 15 served in Home Based programs Ethnicities of Families Served: 45% White 21% Biracial/Multi-racial 18% Hispanic or Latino Origin 16% Black or African American

  7. Polk County Approximate Total Population 19,074 Approximate Square Miles 238 40 Children Served in Early Head Start 16 children served in 1 center 24 served in Home Based programs

  8. Mental Health Program • Social Emotional Screening of all Children • Depression Screening for Parents • Classroom Observations • Behavior Modification Tools for the Classroom • Development of Child Centered Behavior Plans • Parent Meetings • Education/Training for Parents • Education/Training for Teachers • Parenting Classes • Referrals to Mental Health Agencies

  9. Ages and Stages Questionnaire: Social & Emotional (ASQ/SE) • Screening tool for Children • Conducted within 45 days of Enrollment • Ages 4 weeks to 60 months • General Areas Screened: • Self-regulation • Compliance • Communication • Adaptive functioning • Autonomy • Affect • Interaction with People

  10. Center for Epidemiologic Studies Depressed Mood Scale (CES-D) • Screening tool for parents • Conducted within 90 days of enrollment • Measures Depressive Symptomatology in the General Population • 52% EHS Mothers reported symptoms of depression • 18% EHS Fathers reported symptoms of depression • For 12% of EHS Mothers, depression is chronic (Source: Depression in the lives of Early Head Start Families, Early Head Start Research and Evaluation,2006)

  11. Flow Chart for the Implementation of Mental Health Servicesfrom Alumbrando el camino/Bright Moments EHS/University Partnership grant funded by ACF

  12. Ages and Stages Questionnaire: Social & Emotional 82% of children enrolled for 2009-2010 school year have been screened. 13% of children screened, scored above the cutoff. (Scoring above the cutoff on the ASQ/SE is reason for consideration of a mental health referral) 50% of these children were observed in the classroom and/or at home by the MHC. 13% of children were referred for Mental Health services, outside of Head Start, after an observation(s) and parent/teacher meetings.

  13. Center for Epidemiologic Studies Depressed Mood Scale (CES-D) 75% of parents/caregivers were screened using the CESD. The remaining 25% either chose not to complete it or chose not to complete it because they already had a therapist. 22% of parents/caregivers screened, scored a 16 or higher indicating depressive symptoms are intense enough to interfere with work, relationships and/or parenting. 24% of parents/caregivers either met with the Mental Health Coordinator. 15% were referred to an outside Mental Health Agency

  14. Barriers/Challenges of the Mental Health Program • Manpower • An Understanding of the importance of Mental Health • General Infrastructure • Transportation • Accessibility and Availability of Services • Language • Second Generation Parents • Workforce Development and Education • Culture

  15. Kristi Goodrum Mental Health Coordinator Western Carolina Community Action kgoodrum@wcca.net 828.693.1711 extension 141 828.696.6823

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