The BIG Picture

1. The BIG Picture The President The Secretary HRSA Administrator Associate Administrator for MCH Division of Research, Training & Education! DRTE (french pronunciation: dûr´té) Pronounced: dûr´të

2. MCHB/Division of Research, Training & Education

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

4. MCH Training Program 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

5. MCH Training Program: Profile • Annual Budget - $37 million • 133 ACTIVE PROJECTS (at 79 universities in 38 States and 2 jurisdictions)

6. MCH Training Program: Programs 10 categories of LONG TERM TRAINING • Adolescent Health • Communication Disorders • Developmental-Behavioral Pediatrics • LEND • Nursing • Nutrition • Pediatric Dentistry • Pediatric Pulmonary Centers • Schools of Public Health • Social Work

7. MCH Training Program: Programs 6 categories of CONTINUING Education • Continuing Education • Distance Learning • Certificate in MCH Public Health • Collaborative Office Rounds • MCH Institute New Program: MCH Pipeline Program

8. Current Distance Learning • Youth Suicide Prevention, Harvard University,http://www.ncspt.org • Frontier Models of Leadership: Learning from Communities, University of Alaskahttp://services.tacc.utah.edu/rmphec/distance_learning.html • Public Health Nutrition for the 21st Century, University of North Carolinahttp://www.sph.unc.edu/nutr

9. Current Distance Learning • University of Massachusetts—Internet-based Early Intervention Training,http://ddleadership.org • Dartmouth—Pediatrics in Practice: A Center for Teaching and Learning Health Promotion,http://www.pediatricsinpractice.org/cont_health.html • University of Minnesota—A Distance Learning MPH Program to Prepare MCH Leaders

10. MCH Training Program: Priorities • Strategic Planning • Leadership competences • Measuring Performance Medium Term Trainees

11. www.mchb.hrsa.gov/training

12. MCH Research Program Established in 1963 through an amendment to Title V “To supportappliedresearch relating tomaternal and child health servicesthat has the potential to improve health services and delivery of care for MCH populations.”

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

14. MCH Research Program: Performance Profile • Budget: ~$ 8.5 million annually • Reviews ~120 new applications annually • Application Deadlines: Feb & July • No. of currently active projects: 40 to 50 • Large numbers of peer reviewed publications have resulted from this program

15. 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

16. MCHB Strategic Research Issues: FY 04 – 09 1. Public health 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

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

18. 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)

19. 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

20. Healthy Tomorrows • Projects funded for 5-years at $50,000/year • Required non-federal match in years 2-5 of project period fosters long-term sustainability & leveraging of community resources—70% sustainability rate!

21. 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

22. Prevention and health promotion for infants, children, adolescents and their families

23. Since 1990 • 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 professionalsand communities to promote the health of children

24. Bright Futures Materials

25. Partnership with American Academy of Pediatrics • Website:www.brightfutures.aap.org • New tools for Bright Futures implementation • Quality improvement for health promotion and preventive services in provider practices • New opportunities for Bright Futures intraining

26. State Case Studies http://www.hsrnet.com/brightfutures/bfcompiled.pdf

27. How-to Guide for States and Communities

29. Contact DRTE: 301-443-2340