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Effective Use of the PSAP Screening Tool within a Community Health Program Model

Effective Use of the PSAP Screening Tool within a Community Health Program Model. Early Intervention Partnerships Program (EIPP). Initiated 2003 Community Health Program Model Targeting high risk pregnant and post partum mothers

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Effective Use of the PSAP Screening Tool within a Community Health Program Model

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  1. Effective Use of the PSAP Screening Tool within a Community Health Program Model

  2. Early Intervention Partnerships Program (EIPP) • Initiated 2003 • Community Health Program Model • Targeting high risk pregnant and post partum mothers • Services provided by a MCH Team (RN, SW, & CHW) at eight sites across state • Home visiting and group services Additional Information on EIPP available at www.mass.gov

  3. EIPP Eligibility • Eligibility for EIPP is determined before a home visit is conducted. • Specific eligibility criteria • How eligibility screening is conducted is not standardized

  4. At the initial home visit, a comprehensive health assessment (CHA) is conducted. A CHA is a health assessment in the broadest sense of the word encompassing 14 key assessment areas (KAA’s). KAA’s Access & Utilization of Care Women’s Health Oral Health Nutrition Breastfeeding Physical Activity Cognitive & Perceptual Environmental Health & Safety ATOD Violence Emotional Health Healthy Parenting Neonatal & Developmental Assessment Medical History & Physical Assessment EIPP Initial Assessment Tool: CHA

  5. Adapted the PSAP Tool for EIPP • The PSAP Screening Tool was separated out into its three topic areas • The three PSAP topic area questions were then incorporated into the EIPP CHA KAA’s

  6. PSAP Tool Substance/Alcohol Use Screening Domestic Violence Screening Emotional Health Screening CHA KAA’s KAA#9: Alcohol, Tobacco, & Other Drugs (ATOD) KAA#10: Violence KAA#11: Emotional Health PSAP & CHA

  7. At intake, 21% (423/2062) of EIPP Participants reported Tobacco Use At intake, 13% (262/2062) of EIPP Participants reported Substance Abuse in their home On the initial CHA, 34% (702/2062) of EIPP Participants had a positive screen Alcohol, Tobacco, & Other Drugs (ATOD)

  8. At intake, 11% (226/2062) of EIPP Participants reported violence in their home On initial CHA, 32% (662/2062) had a positive IPV screen with violence occurring within the previous year Violence

  9. At intake, 42% (868/2062) EIPP Participants reported a history of depression including post partum depression On initial CHA, 57% (1174/2062) were assessed to have a positive emotional health screen of 1 or higher with a history of mental health concerns Emotional Health

  10. Conclusion • Use of the PSAP tool improves identification • Highest increase in identification from the violence screen • Ease of use reported by EIPP Staff

  11. Contact Information Beth Buxton-Carter, LCSW Program Director Massachusetts Department of Public Health 250 Washington Street 5th Floor Boston, MA 02108 617.624.5910 beth.buxton-carter@state.ma.us

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