Category: Q&A

UNH opens Children’s Behavioral Health Resource Center

The University of New Hampshire’s Institute on Disability is developing a new Children’s Behavioral Health Resource Center, funded by the New Hampshire Executive Council, set to open this spring. UNH research associate professor JoAnne Malloy, who co-directs the center with UNH Institute on Disability director Kelly Nye-Lengerman, discussed the center’s mission and operations.

What is the Children’s Behavioral Health Research Center?

Our center will form around a lot of work we’ve already been doing with the state. … In 2019 the state legislature and the governor signed Senate Bill 14, which established funding for a Children’s Mental Health System of Care, which is a national model. It’s necessary because families who have a child with a mental health issue often find that the services are fragmented; they could have a mental health counselor and a school counselor and a DCYF worker. It’s really hard for parents, because they’re already dealing with a very stressful situation, and then they have all these services coming at them. The System of Care is designed to help families … find the services and support they need. …This center is part of that bigger work. Our job will be to help identify practices that have good research evidence … and are shown to be effective.

How did you get involved?

I started working here at the university in the mid ’90s. I’ve always specialized in working with adolescents with emotional and behavioral challenges. … I started working with the state to build a System of Care … and develop a model to help that population [of youth] … and to help the people working in the field get good quality training and education and to give them the support they need.

What needs will the center address?

A lot of children and young people have been going to the emergency room in a mental health crisis. It’s been really exacerbated by the pandemic, with children not being able to go to school consistently and not being able to see their friends and trying to learn online. … The problems we’ll be addressing are for those children and youth who are really stressed and have a mental health concern. Perhaps they’re acting out in the community or attempting self-harm or suicide. Perhaps they’re going out into the community and breaking laws. They’re not going to school. They may have emotional disorders such as severe anxiety or depression. It’s a wide variety of issues [affecting] children and youth that we’re looking at.

What will some of the center’s main day-to-day operations be?

We have 10 community mental health centers across the state, so we’ll be training providers … and some of their staff in how to work with children who have significant trauma backgrounds and use cognitive behavioral therapy, which is an evidence-based practice. … We also do consultations. Once somebody goes to the training, they often need guidance … so we’ll be observing them in treatment sessions and providing them feedback to make sure that what they’re doing is good practice. … We also bring [mental health care] partners together and gather information about what they need. Some of our staff will be doing interviews and focus groups [to find out] where we need to fill in the gaps.

Is there anything else like this in the state?

There are currently no other centers in New Hampshire that focus on children’s mental health and evidence-based practices … but there are smaller groups, and this [center] is bringing everybody together. … There are centers like this in other states, and I’ve been looking at those and [their] models.

What are the center’s goals, short-term and long-term?

Short-term, we want to do three trainings by the end of June to train and provide consultation to 80 people. … Long-term — the contract [for the center] is for three years and potentially renewable — I’d like to see the center become a permanent fixture in the state, and something that changes with the needs of people in the field. Most of all, I want it to make an impact, because at the end of the day, if we’re not actually helping children and families, we might as well all pack up and go home.

Featured photo: JoAnne Malloy. Courtesy photo.

A look at child care accessibility in New Hampshire

Amy Brooks is the executive director of the Early Care and Education Association, a nonprofit organization that works to expand and improve pre-K child care in New Hampshire and Vermont. Brooks discussed some of the biggest child care issues affecting child care providers and families with young children in the state.

What are some child care challenges New Hampshire has faced, even before Covid?

The funding structure for child care obviously just doesn’t work. … When children aren’t successful in school, it’s rarely because they’re not smart; it’s because they struggle emotionally or socially. … About 80 percent of a child’s brain is developed by the age of 3, and 90 percent by the age of 5 … so investing in high-quality programming for children under 5, especially for children under 3 and for children living in poverty … [would result] in a lower need for special education … and help to stabilize the child’s life so that they’re ready, especially socially and emotionally, to go to public school. … The fact that people who work with these young children are paid very low, and rarely with benefits, just doesn’t reflect the value of what is required of them. With the funding structure we have right now, the only way to raise wages for child care providers sustainably is to raise tuition, which falls on the family’s back. We need to start looking at a different model.

How has Covid made it more difficult for New Hampshire families to access child care?

When a child at a public school has a symptom, the school nurse does a screening, which may include a [Covid] test, to decide whether the child stays at school or not. Child care centers don’t have an RN like public schools do. When they’re dealing with a 2-year-old who is teething, [child care centers] have to make that judgment call: Are they just teething, or could they have Covid? They aren’t doctors or nurses — they don’t know — so most of them just turn the child home. … So the biggest issue is really keeping the kids in care.

Has this led to any child safety concerns?

One of the ramifications [of limited access to child care] for families is that they’re having to go into unregulated situations. At the beginning of the pandemic, it was encouraged by DHHS and the governor to create neighborhood ‘pods’ where [families] would take care of each other’s kids during remote learning. Well, now, some of those people … [who also] have a 3- or a 4- or a 5- year-old are keeping those pods [for child care] because they’re so desperate. [The families hosting the pods] are not becoming licensed … and some of them are charging sometimes as much as what a child care center is charging.

What ripple effect does child care have on the state as a whole?

The entire pipeline of every [business’] staff has been disrupted. Just look at how many people are home after losing their jobs or not being able to go back to work because they have kids and can’t find child care. That includes people in high-need positions. … Health care centers are having to cancel clinics and cancel regular appointments because they’re lacking staff because their staff can’t get child care. … I know of a grandmother who [worked in] a senior position who left her job to take care of her grandchildren because she was the only one financially stable enough [in the family] to leave her job, and now, her [former] employer is struggling because a senior position is difficult to fill. These are key people being pulled out of the workforce, all because they don’t have child care.

What can New Hampshire families do to help improve the child care situation in the state?

[Share] their story … about the impact of the loss of child care on their family, whatever that may be. … Right now, it’s important that we keep giving [the issue of child care] adequate attention so that we can really move things forward on a state level.

Featured photo: Rick Rossi. Courtesy photo.