what about baby courts?• high levels of stress during critical periods of brain development ......

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What About Baby Courts? Presented to the AZ Problem Solving Courts Conference May 16, 2012 Dr. Mary Warren, Prevent Child Abuse Arizona Dr. Judy Krysik, ASU School of Social Work Honorable Aimee Anderson Honorable Colleen McNally

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Page 1: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

What About Baby Courts? Presented to the AZ Problem Solving Courts Conference

May 16, 2012

Dr. Mary Warren, Prevent Child Abuse Arizona

Dr. Judy Krysik, ASU School of Social Work

Honorable Aimee Anderson

Honorable Colleen McNally

Page 2: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

What We Know…….

Infants and toddlers are widely recognized as our most vulnerable population

Intervention is more effective and less costly when provided earlier rather than later in a child’s life

Early, secure and consistent relationships with adult caregivers contribute to healthy brain development

Later academic success is directly related to a young child’s early emotional and social development

Page 3: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

*Stay in the system longer

* Higher rates of re-entry post-reunification

*Highest fatality rates as a result of abuse and neglect * Highest rates of entry to child welfare system

Children Under the Age of Five Years:

* Less likely to reunify

Page 4: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Arizona Entry Rate per 1,000 Children by

Age First Admissions

0

2

4

6

8

10

12

14

16

2006 2007 2008 2009 2010

0

1

2

3 - 5

6 - 8

9 - 11

12 - 14

15 - 17

Page 5: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Children birth to five * All children 0-5

• Brain develops to 85% of adult size

• Develop and learn within relationships

* Children in foster care experience

• high levels of stress during critical periods of brain development

• higher rates of developmental delay and neurological impairment

Page 6: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Attachment • Genetically wired to

form attachment with older, wiser protector

• Builds thru relationships, interactions

• Birth to 7 months

Page 7: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Attachment Secure Insecure

Page 8: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Trauma • Genetically wired to fear

predators (scary things, hidden things, harm to us/others)

• Witnessing violence or trauma impacts the manner in which the brain develops

Page 9: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Trauma • Disrupts development

• Predisposes child to adult depression, anxiety disorder, addictions, chronic disease

• Future relationships impaired

Page 10: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Most Harmful Trauma • When your caregiver is being hurt

• When your caregiver hurts you

In either case, young child experiences as an overwhelming threat to survival

Page 11: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Best for Babies • National Initiative of Zero to Three:

Court Teams for Maltreated Infants and Toddlers

• Arizona: 12 of 15 counties

• Funding from AOC & First Things First

Page 12: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Goals • To increase shared knowledge of

unique needs of infants and toddlers in child welfare system

• To improve their outcomes through timely, evidence-informed, coordinated services and supports

Page 13: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Core Components

• Judicial leadership & oversight

• Recognition of need for change

• Information on child’s needs

• Capacity to focus on well-being

Page 14: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Core Components

• Coordinated services for – Parent

– Child

• On-going assessments

• Court as time keeper

Page 15: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Best Practices • First placement, last placement

• Focus on healing, thriving

• Concurrent planning

• Frequent child-centered visitation

• Successful reunification

• Twelve months to permanency

Page 16: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Team • Judges

• CPS

• Foster parents

• Attorneys

• CASAs

Page 17: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

SAFE BABIES COURT TEAMS Produced by Zero To Three

Page 19: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

44% of dependency petitions filed in Maricopa County involve at least one child under the age of three.

57% of dependency petitions involve at least one child under 5 years old.

Cradle to Crayons

Why?

2010 national statistics show children under age 2 comprised 61% of fatalities due to maltreatment.

41.7% of children in foster care in AZ are under 5 years old.

Page 20: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Cradle to Crayons

• Assigning specific judicial officers to manage baby cases

• Concurrent planning on every case • Ordering more frequent hearings

What Maricopa County Juvenile Court is doing:

• Identifying appropriate community stakeholders for involvement in family treatment

• Ordering more frequent visits

• Specific 0-3 training

Page 21: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Problems: • Caretaker history of

mistreatment • Unskilled young parent(s) • Languishing in System • Poor Bonding and

Attachment • Uncoordinated Service Delivery

Cradle to Crayons Maricopa County Child Welfare Center

Page 22: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Solutions: • Co-location of services • Collaboration of life

stabilizing resources • Increase opportunity for

parent and child to bond and attach

• Increase frequency of visits

• Improve quality of visits – visit coaching

Cradle to Crayons Maricopa County Child Welfare Center

Page 23: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence
Page 24: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Identify stakeholders Forge partnerships Facilitate strategic

planning meetings Program planning and

development Staffing

requirements Spatial needs

Cradle to Crayons Maricopa County Child Welfare Center

Page 25: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Cradle to Crayons Maricopa County Child Welfare Center

A Collaborative project with community partners to improve outcomes for high-risk infants, toddlers, and their families. A Dependency court with strong judicial leadership and the collaboration and coordination of appropriate and convenient services for both children and their families Goal: Provide infants and young children with stable, nurturing and forever families.

Page 26: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Maricopa County Dependency Drug Court

Page 27: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Dependency Drug Court

* Pima County model * Providing support and

accountability for parents who have substance abuse issues

Page 28: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Purpose is to provide support and accountability to substance abusing

parents in dependency cases

• Voluntary

• Direct referral to CPS mandated testing and treatment

• Frequent judicial supervision

• Progress reported regularly to the parties and judge in the dependency action

Page 29: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Sustained Sobriety increases outcomes of family reunification AND may help prevent substance exposure

in future pregnancies

Page 30: What About Baby Courts?• high levels of stress during critical periods of brain development ... predators (scary things, hidden things, harm to us/others) •Witnessing violence

Thank You! Cradle to Crayons

• Judge Anderson [email protected]

Dependency Drug Court

• Judge McNally [email protected]

Best for Babies

• Becky Ruffner [email protected]

• Mary Warren [email protected]