Maternal and Child Health Bureau

1. Maternal and Child Health Bureau Division of Research, Training & Education Presentation by Christopher DeGraw, MD, MPH

2. The BIG Picture… Xxxxxxxxxxxxxxxxxxxxxx x The fox

3. Division of Research, Training & Education

4. MCHB/Division of Research, Training & Education Healthy Tomorrows Partnership for Children MCH Training Program MCH Research Program

5. MCH Research Program Stella Yu, ScD, MPH Director Established in 1963 through an amendment to Title V “To supportappliedresearch relating tomaternal andchild health servicesthat has the potential to improve health services and delivery of care for MCH populations.” http://www.mchb.hrsa.gov/research

6. MCH Research Program: Profile • Budget: ~$ 8 million annually • Reviews ~60-70 new applications annually • Application Deadline: Summer (annual) • No. of currently active projects: 60 to 70 • Large numbers of peer reviewed publications have resulted from this program

7. MCH Research Program R-40 Program: • Applied • Extramural • Investigator-initiated • Multi-disciplinary in orientation • Review conducted by DIR • MCHR-$300,000 up to 3 years • SDAS-Secondary Data Analysis Studies $100,000 for 1 year

8. MCHB Strategic Research Issues: FY 04 – 09 • Developed based on input from the field • Closely tied to MCHB’s Strategic Plan • Focus onMCHpublic health services and systems questionsthat may not be addressed by other Federal research programs 1. Publichealth service systems and infrastructures 2.Eliminate health disparities 3. Services and systems to assure quality of care for MCH populations 4. Promoting the healthy development of MCH populations

9. MCH Research Program Types of Research Funded: • Health Services • Behavioral/psychosocial • Medical/Clinical • Epidemiological • Secondary data analysis

10. MCH Research Networks • Pediatric Emergency Care Applied Research Network (PECARN) • Pediatric Research in Office Settings Network (PROS) • MCH Research Network On Pregnancy-Related Care (MCHPRC) • Autism Intervention Research Networks – Behavioral and Physical Health (AIR-B & AIR-P Networks)

11. MCH Training Program Laura Kavanagh, MPP Chief, Training Branch The MCH Training Program seeks to train the next generation of leaders who will provide or assure the provision of quality services for the MCH population. Quality services for mothers, children and adolescents require professionals who are: • Attuned to the special needs of children, adolescents and children with special health care needs; • Trained to provide or assure the provision of interdisciplinary, family-centered, and culturally competent services; • Focused on improving the health of the entire population

12. MCH Training Program 6 categories of Continuing Education • Distance Learning • Certificate in MCH Public Health • Collaborative Office Rounds • Knowledge to Practice • MCH Institute • MCH Pipeline 10 categories of Graduate Training • Adolescent Health • Communication Disorders • Developmental-Behavioral Pediatrics • LEND • Nursing • Nutrition • Pediatric Dentistry • Peds Pulmonary Centers • Schools of Public Health • Social Work

13. MCH Training Program, FY 09 • Annual Budget - $41.5 million • 126 Active Projects • at 73 universities • in 39 States & DC

14. MCH Training Programs, FY 09

15. MCHLeadership Competencies Leaders aren't born they are made. And they are made just like anything else, through hard work. And that's the price we'll have to pay to achieve that goal, or any goal. Vince Lombardi

16. MCH Leadership Competencies I. SELF 1. MCH Knowledge Base 2. Self-reflection 3. Ethics & Professionalism 4. Critical Thinking II. OTHERS 5. Communication 6. Negotiation & conflict resolution 7. Cultural Competency 8. Family-Centered Care 9. Developing Others Through Mentoring & Teaching 10. Interdisciplinary Team Building III. WIDER COMMUNITY 11. Working with Communities and Systems 12. Policy/Advocacy

17. http://www.leadership.mchtraining.net

18. How are Competencies Being Used? • MCH Training Programs: Setting Training Objectives, Leadership Portfolios • MCH Professionals: Orientation, Developing CE Plans, Job Descriptions • HRSA: Evaluating Leadership and Quality Training • AMCHP: Workforce Assessment—Results presented at this meeting Pacific Basin Leadership Development “MCH Adolescent Health Leadership Development Initiative” Mentoring Program for New MCH Directors

19. For more information about the MCH Training Program go to: http://www.mchb.hrsa.gov/training

20. MCHB’s Interdivisional Implementation of the Combating Autism Act of 2006 Goals: Enable all infants, children, and adolescents who have, or are at risk for developing, autism spectrum disorders (ASD) and other developmental disabilities to reach their full potential.

21. How we’ll achieve this goal Develop a system of services including: • screening children early for possible Autism Spectrum Disorders (ASD) and other Developmental Disabilities • conducting early, interdisciplinary, evaluations to confirm or rule out ASD and other DD and • if a diagnosis is confirmed, providing evidence-based, early interventions

22. Combating Autism Act Programs • Training Programs—LEND, DBP Division of Research, Training & Education • Autism Intervention Research Networks—Physical Health and Behavioral Health Division of Research, Training & Education • State Demonstration Grants—6 States Division of Services for Children with Special Health Care Needs State Resource Center Division of State and Community Health • National Evaluation Lead: Division of Services for Children with Special Health Care Needs

23. Healthy Tomorrows Collaborative grant program in partnership with the American Academy of Pediatrics Purpose: To engage communities to work to improve children’s health through prevention and better access to health care

24. Healthy Tomorrows • Projects funded for 5-years at $50,000/year • Required non-federal match in years 2-5 fosters long-term sustainability & leveraging of community resources—70% sustainability rate! • Projects usually target low-income populations and address: Prevention Access to health care services Community-based health care Service coordination

25. Healthy Tomorrows Partnership with AAP • TA to applicants and grantees. • Site visits are conducted in year 2 of each project. State MCH encouraged to participate! • Website • Program Overview • Click on Your State for description of funded HTPCP projects • Grant Cycle Information • National Evaluation of HTPCP • Evaluation Resources http://www.aap.org/commpeds/htpcp/

26. Healthy Tomorrows Examples of Projects’ areas of focus Teen pregnancy prevention Abstinence Child abuse & neglect in Native American populations Pediatric Oral Health Enhanced clinical services Homeless adolescent health Improved access to primary care Improved Medicaid and SCHIP enrollment Substance Abuse Mental Health Playground safety/injury prevention Health education Case management to increase early prenatal care Asthma Rural health School-based health

27. Prevention and health promotion for infants, children, adolescents and their families MCHB’s longstanding initiative to improve the quality of health promotion and preventive services for infants, children and adolescents and to respond to their current and emerging health needs

28. First complete revision • Includes CSHCN • Accompanied by Toolkit for • clinical implementation • Transparency of evidence- • base • One set of guidelines for • health promotion and • prevention — Replaces • AAP guidelines & • AMA “GAPS” brightfutures@aap.orgcdegraw@hrsa.gov

29. Since 1990: Goals • Promote desired social, develop- mental and health outcomes of infants, children and adolescents • Enhance health care professionals’ knowledge, skills and practice of developmentally appropriate health care in the context of family and community • Increase family knowledge, skills and participation in health-promoting and prevention activities • Foster partnerships between families, health professionals, public healthand communities to promote the health of children

30. Support State MCH Activities http://www.hsrnet.com/brightfutures/bfcompiled.pdf

31. Partnership with American Academy of Pediatrics • Website:www.brightfutures.aap.org http://www.brightfutures.aap.org Materials and Tools PUTTING BRIGHT FUTURES TO WORK State Programs – Education of Health Professionals Clinical Settings – Working with Families FULL TEXT OF THE BRIGHT FUTURES GUIDELINES Bright Futures Pocket Guide MULTIMEDIA

32. Contact DRTE: • (301) 443-2340