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Creating A Connected Caring Village: Innovation Bringing the Pieces Together

This presentation discusses how innovative approaches in developmental pediatrics, particularly at Madigan Army Medical Center, aim to bring together the pieces for creating a connected and caring village. It explores the challenges and unique aspects related to military children and families, highlighting the need for collaborative intervention strategies. The mission objectives include describing the military experience, identifying at-risk and resiliency factors, inspiring innovative interventions, and emphasizing the importance of technology and outcome measures in impacting positive change for military families.

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Creating A Connected Caring Village: Innovation Bringing the Pieces Together

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  1. Creating A Connected Caring Village: Innovation Bringing the Pieces Together Developmental Pediatrics, Madigan Army Medical Center

  2. DISCLOSURE STATEMENT The views expressed in this presentation are those of the author(s) and do not reflect the official policy of the Department of the Air Force, the Department of Defense or the U.S. Government.”

  3. Mission Objectives: • 1. Describe the Military Experience • 2. Identify at Risk and Resiliency for military children • 3. Inspire intervention to go where “no man has gone before”

  4. Mission Objectives: • 4. Encourage “outside the box” innovation • Lesson’s learned from collaborating • DoD 1st Autism Center • HealthSteps Pilot • 5. Look “beyond what you see” for a bright future • How Harnessing Technology and Focus on Outcomes Measures impact change

  5. Military Families • Over 1/3 of Active Duty members are married with children. • Almost2/3of Active Duty members have family responsibilities. Demographics Profile of the Military Community

  6. Military Children • 1 million children have experienced their father or mother be deployed • 2million children (Active Duty, National Guard) • 2% of children in the US are directly impacted by military service • 4million children (AD, NG, and Veterans)

  7. “Thank You for Your Service” • Military Families Serve! • Over 100,000 children are born to Active Duty service members each year • Over 40% of Active Duty military members and 30% of Guard/Reserve members have children under the age of 5 years. A significant number of these families/children receive their care in civilian practices, off –base.

  8. Age Breakdown of Children Ages of Military Children

  9. MilitaryFamilies • Experience normal trauma and stress • Experience unique trauma and stress • Influenced by both local and military culture • Appreciate feeling valued and supported

  10. “At-Risk” for Toxic Stress • Boys and younger children • Children affected by maternal depression • Young parents • Lower socioeconomic status

  11. Resiliency Factors • Key to military families who thrive is CONNECTIONSto: • Family • Friends • deployed loved one, • parent-child • the mission • These connections help families COPE! • Care-of-self is critical for the non-deployed parent to cope and take care of the at home family!

  12. Research – “BLUF” The Bottom Line up Front • Traditionally military families cope well with temporary separations • Some particular groups are at-risk • Supporting Families = Supporting Troops (Readiness)

  13. Change / Challenges are a way of life for Military Children and Family. How to make life events a stepping stone and not a stumbling block?

  14. It takes a Village: Creating a Home, School, Medical and Community Collaboration

  15. Mission Perspective – Tier Planning • Strategic – How action translates to outcomes • Operational -Conversion of strategy to tactics. • Tactical - Decisions that achieve greatestvalue

  16. Strategic – Mission CONNECTIONS / COPING • Empowered Medical Home - Healthy Steps • Special Needs Outreach - Exceptional Family Member Program • Military and Community Partnerships • Promoting Parent-Child attachment • Engaged Parent participation/Councils

  17. Operational-CONNECTIONS • JBLM CARES – 1st DoD Autism Center • Medical/Behavioral integrated school clinics • Community Bi-directionalOutreach – Multidisciplinary Teams • Connected Medical Homes, Day Care/Schools, Libraries and Children’s museums • Parent Mediated Intervention - Play Project – positive behavior • Screen for at-risk children - Developmental/Mental Health

  18. Tactical – COPING & SUPPORT • Smartphones: Emails, Texts, Apps, and videos • Wearable devices – camera’s / recording talking / step counters, Pressure sensors • Telehealth – local and international • Scheduled “Team” teleconferences

  19. Center for Autism Resources, Education and Services Children’s Autism Resources, Education and Services Autism Resources, Education and Services

  20. Center for Autism Resources, Education and Services Family with new diagnosis or PCS to JBLM • Physician and Therapist oversight of CARES center • 100% oversight of community Autism care for military beneficiaries • Training and research • Direct therapy for 100-150 children • Eliminate referral wait time • Recapture community cost • Reduce EFMP denials • Increase readiness 60% Case load turnover every 6-9 months to community care partners or PCS/ETS 40% remain in CARES for long term therapy

  21. Army To Open First Autism Center For Military Kids By Patricia Murphy• Jun 22, 2016 Major Racine believes it’ll make a big difference for her family."My husband sent me the link for the Facebook page for this program and tears came to my eyes immediately, because as a parent, this represents hope," she said.

  22. Summary - Innovative Military CARES Connects Military Families • Data Driven Ongoing Needs Assessment • Education, Medical Community Collaboration • Think outside the box • Highlight Successes / Return on Investment "Educating the professionals will benefit communities because they have the ability to advocate and educate parents.“ - Parent Fort Hood, Texas

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