III. Priority Recommendations At a Glance 1. Serving all children who can benefit from Part C EI through outreach, referral, enrollment ORE 1. Strengthen support for education, outreach, and participation ORE 2. Design a clear and effective pathway from maternal depression screening ORE 3. Improve linkages between pediatric primary care providers and EI ORE 4. Change the child abuse and neglect referrals process 2. Ensuring Part C EI services offer quality needed to make a difference Q1. Provide program funding to counties to support workforce quality Q2. Assure that all EI providers can plan and provide services together as a team Q3. Address inconsistencies and inequities in EI processes and performance at the county level Q4. Create an EI consultation role for child care programs Q5. Consistently use Informed Clinical Opinion Q6. Fully implement the coaching model 3. Achieving equitable access in Part C EI EQ 1. Increase outreach, referral, enrollment, and support for families of color and those who speak a language other than English EQ2. Partner with higher education to recruit and train individuals from historically underserved communities and immigrant communities to join the EI workforce EQ3. Introduce Early Intervention as a career opportunity to participating families, the child care workforce, and during high school
EQ4. Provide ongoing anti-
bias, cultural responsiveness, and equity workforce development EQ5. Increase county-level data by race/ethnicity 4. Addressing mental health needs of infants and toddlers in Part C EI MH1. Ensure social-emotional-mental-behavioral health (SEMBH) is integrated into EI evaluation and Family Service Plans MH2. Ensure county agencies responsible for Part C and MH/DD are creating a clear pathway to early childhood mental health services, whether through Part C EI or other mental health services MH3. Increase opportunities for service coordinators and EI providers to obtain the infant-early childhood mental health (IECMH) credential MH4. Include IECMH consultants as part of EI evaluation and service delivery 5. Partnering with Medicaid to improve Part C EI MA1. Study the adequacy of rates and take action to address identified problems, providing for routine rate review and adjustments MA2. Use Medicaid data to address variations in utilization and spending for EI services MA3. Leverage Medicaid MCO contracts and quality/performance initiatives to stimulate pediatric primary care developmental screening and referrals MA4. Leverage Medicaid MCO contracts and quality/performance initiatives to increase maternal depression screening and referrals MA5. Use increased federal funding for Medicaid
home and community-based services (HCBS) to enlarge support for infants and toddlers with disabilities
June 2022
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