A new report that identifies the most distinctive cause of injury death for each state, compared to national rates, has some findings that might be expected:
Seven states in Appalachia and the Southwest, for example, had unintentional firearms deaths roughly two to four times the national rate. Those states have high gun ownership rates and lack safe-storage laws. Three states – Montana, South Dakota and Nebraska – had as their most distinctive injury motor vehicle crashes involving passengers. Four safety provisions – primary seatbelt laws, mandatory key ignition locks for drunk drivers, booster seats, and nighttime driving restrictions for teens – are absent in Montana, while South Dakota and Nebraska have only one each. Connecticut had as its most distinctive cause of injury death “unintentional suffocation” – the only state with that outlier cause.
Connecticut has made strides in identifying and helping children who have experienced trauma – with more than 50,000 undergoing trauma screenings since 2007 – but more must be done to ensure all children’s needs are met, according to a report released today. Those who work with at-risk youths have placed a growing emphasis on providing trauma-based care, with some encouraging results, according to the Child Health and Development Institute’s (CHDI) Impact report titled “Advancing Trauma-Informed Systems for Children.”
Giving trauma-informed care means professionals – such as child welfare workers, behavioral health specialists, those in the juvenile justice system and pediatricians – are knowledgeable about childhood trauma, its warning signs and its repercussions. While many children in general are exposed to at least one traumatic event, trauma disproportionately impacts the lives of children involved with services such as juvenile justice and child welfare, according to CHDI. Thanks to efforts statewide since 2007, according to the CHDI report:
• More than 8,600 professionals have been trained to understand childhood trauma. • At least 35 community agencies or programs at 79 sites have implemented trauma screening.
Tens of thousands of Connecticut infants and toddlers are at risk for social and emotional problems, and the professionals who interact with them most need mental health training in order to help them, according to a report released this week. Children who live in poverty, are homeless or have suffered abuse or neglect are among those most likely to experience trauma at a young age, according to the report by the Child Health and Development Institute (CHDI) of Connecticut, and the key to helping them is providing the right support. “There is a tremendous opportunity to improve children’s lives by promoting a child’s secure attachment with a caregiver from the beginning,” said Judith Meyers, a psychologist and president and CEO of CHDI. “Professionals who care for young children are in the unique position to help families develop nurturing relationships.”
The nonprofit institute suggests that all doctors, teachers, early care providers and others who work with infants and toddlers in Connecticut be trained in infant mental health. Helping children process and cope with trauma early is essential to their future success, said Melissa Mendez, co-lead author of the report and associate director of early childhood at the Wheeler Clinic in Plainville.
The state Department of Children and Families will increase oversight and services to families with parental substance abuse, mental health and other problems who are identified at “highest risk” of a young child dying, the agency announced Monday. The move comes as Connecticut grapples with a high number of child deaths, outlined in a recent report by the state Office of the Child Advocate (OCA). In the report, OCA found that DCF’s response to “at-risk infants” was often insufficient, showing “gaps in risk assessment, treatment planning, case follow-up, and quality assurance.”
DCF said the new effort to target high-risk families came out of its own study of 124 fatalities that occurred between January 2005 and May 2014 of children ages three and under in families with some DCF involvement. The study findings are “prompting changes that will pinpoint families with the highest risks and increase oversight and services for these families,” the agency said in a statement. The study, which compared cases in which a child died to a control group, found that fatalities were less likely when DCF had conducted comprehensive assessments of parents’ needs.
The state will use a $4 million federal grant to launch a pilot program in a New Haven neighborhood that officials hope will be a statewide model for improving early identification and treatment of children’s mental health. The five-year grant, announced Tuesday by the state Department of Children and Families (DCF) and New Haven Mayor Toni Harp, will not add new mental-health services for children, but instead will embed care coordinators and clinicians in schools and pediatric offices, in an effort to catch problems early and improve access to existing programs.
The grant is targeted to children ages 8 and younger in the city’s Dwight neighborhood, which has a robust network of mental health providers, including Yale-New Haven Hospital. “This is all about making the existing services more effective and accessible,” DCF Deputy Commissioner Michael Williams said of the grant project, dubbed the Elm City Project Launch. He said the agency selected the Dwight neighborhood because it has a “tremendous array of services” to handle referrals to care resulting from increased mental health screenings. In other areas of the city and state, he acknowledged, “There clearly are a dearth of services” – a problem that the new grant does not address.