October 2003

1

DCAFH

• New Leaders Orientation Meeting
• Division of
• Child, Adolescent and
• Family Health
• David Heppel, MD, Director

2
DCAFH
David Heppel Peter Conway, Deputy Director Mark
Nehring Doris Zuessman
Infant and Early Childhood Health Branch Phyllis
Stubbs-Wynn, Chief Lorraine Brown, Dena Green,
Paul Rusinko, Joe Zogby, Yolanda Baker
Injury and Emergency Medical Services Branch
Chief -Vacant Byron Bailey, Stephanie Bryn,
Carol Delany, Betty Hastings, Dan Kavanaugh,
Shkeda Johnson, Maxine Jones, Ivy Vedamuthu
Office of Adolescent Health Trina M.
Anglin, Chief Sharon Adamo, Isadora Hare,
Audrey Yowell, Diane Marshall
3
DCAFH Activities

• Adolescent Health Support Network (National
  Adolescent Health Information Center, State
  Adolescent Health Coordinators Network, National
  Adolescent Health Center for State MCH Personnel,
  Association of Maternal and Child Health
  Programs)
• Bright Futures
• Child Abuse/Neglect
• Child Care
• Child Fatality Review
• Community Integrated Services Systems (CISS)
• Comprehensive Adolescent Health
• Early Childhood Health and Development
• Emergency Medical Services for Children (EMSC)
• Environmental Health
• Health and Safety of Children in Foster Care
• Health Literacy
• Immunization
• Integrated Health and Behavioral Health Care for
  Children, Adolescents and their Families

• Injury Violence Prevention/Childrens Safety
  Network
• Lead Poisoning
• Medical Home
• Mental Health
• Nutrition/Physical Fitness
• Oral Health
• Parenting/Parental support
• Partners in Program Planning for Adolescent
  Health (PIPPAH)
• Partnership for Information and Communication
  (PIC)
• Poison Control Centers Support Program
• Quality Measurement/Improvement
• State Childrens Health Insurance Program (SCHIP)
• School Health and Safety
• State Early Childhood Comprehensive Care Systems
• Sudden Infant Death Syndrome (SIDS)
• Suicide Prevention
• Traumatic Brain Injury (TBI)

4
Office of Adolescent Health Themes

• National Initiative to Improve Adolescent Health
  by 2010
• Healthy Youth Development
• Partnership Formation
• Support to States and Communities

5
Office of Adolescent Health Programs

• Partnership with Professional Organizations
• Partners in Program Planning for Adolescent
  Health
• Promotion of Mental Health
• Integrated Health and Behavioral Health Care for
  Children, Adolescents and Their Families
• Mental Health in Schools
• School Health and Safety
• National Center on School-Based Health Care
• National Coordinating Committee on School Health
  and Safety

6
Office of Adolescent Health Programs

• National Adolescent Resource Centers
• National Adolescent Health Information Center
• Public Policy and Education Center for Middle
  Childhood, Adolescent, and Young Adult Health
• State Adolescent Health Resource Center for MCH
  Personnel

7
Infant and Child Health Branch

• Areas of Emphasis
• Sudden Infant Death Syndrome
• Child Health Systems Development
• (SCHIP)
• Community Organization
• Health and Safety in Child Care
• State Maternal and Child Health Early Childhood
  Comprehensive Systems Grants

8
Early Childhood Development/Healthy Child Care
America

• CORE PROGRAMS AREAS
• 1. Quality Assurance
• 2. Infrastructure Building
• 3. Outreach

9
MCHB STATE EARLY CHILDHOOD COMPREHENSIVE SYSTEMS
DEVELOPMENT INITIATIVE

• GOALS
• To provide leadership to the development of
  cross service systems integration partnerships in
  support of children in early childhood and
  enhance their ability to enter school healthy and
  ready to learn.
• To support States and communities in their
  efforts to build early childhood service systems
  that address the following
• access to medical homes
• social-emotional development
• early care and education
• parenting education
• family support

10
Injury/EMS BranchInjury/Violence Prevention

• Health, Mental Health Safety in Schools
• With the American Academy of Pediatrics and the
  National Association of School Nurses
• Approximately 125 guidelines developed by 14
  panels
• National Youth Bullying Prevention
  Media Campaign
• Childrens Safety Network

11
Injury/EMS BranchEmergency Medical Services
for Children

• To reduce child and youth mortality and
• morbidity sustained due to severe illness
• or trauma
• 56 Partnership grants with States and territories
• Enhancing Pediatric Patient Safety
• National Trauma Registry for Children
• Clinical Practice Guidelines for Children
• Enhancing technical assistance to States
• National Emergency Medical Services for Children
  Data Analysis Resource Center (NEDARC)
• National Resource Center (NRC)
• Pediatric Emergency Care Applied Research Network
• EMS Partnership for Children

12
Injury/EMS BranchTraumatic Brain Injury

• To improve access to health and other services
  for persons with traumatic brain injury and their
  families
• First grants awarded in 1997, now in 6th year
• 46 States, DC and Northern Marianas have
  participated thus far
• Reauthorization of TBI under Child Health Act
  w/key new provisions
• First grants for Protection Advocacy Services
  in 2002

13
HRSA/MCHB Poison Control ProgramIntroduction

• 2.4 million poisonings reported to poison control
  centers (PCCs) each year
• Majority of poisonings occur to children less
  than 6 years of age
• For every 1 spent on PCC services, 7 are saved
  in medical costs
• PCCs serve as part of the Nations surveillance
  and first response system to the threat of
  bioterrorism

14
HRSA/MCHB Poison Control ProgramBackground

• Congressionally authorized program
• FY 2003 funding 22 million
• Bioterrorism response resource

15
HRSA/MCHB Poison Control ProgramActivities

• Grants to poison control centers
• Toll-free number development
• (800-222-1222)
• Patient management guidelines
• Institute of Medicine (IOM) study

16
HRSA/MCHB Poison Control ProgramCurrent Issues

• Reauthorization of P.L. 106-174
• Continued destabilization of PCCs as a result of
  State budget crises
• Growing pains associated with implementation of
  the toll-free number
• Pending results of IOM and grants program
  evaluation studies

17
MCHB Oral Health Program

• MCHB Leadership Role
• Block Grants and SPRANS
• Partnerships
• States and Communities
• Health Professions
• National Organizations Foundations
• HRSA Field Offices
• Other Federal Agencies

18
Oral Health LEADERSHIP

• MCHB Leadership Role (cont.)
• Model guidelines and tools
• anticipatory guidance
• needs assessment
• public health program models
• community development
• how to manual
• standardization tool

19
Oral Health LEADERSHIP

• MCHB Leadership Role (cont.)
• Oral Health Support Systems
• National Resource Center
• Statewide oral health program assessments
• Sealant programs
• School-based/school-linked programs
• http//www.mchoralhealth.org/
• National Oral Health Policy Center

20
DCAFH Activities

• Partnership for Information and Communication
  (PIC)
• Purpose To share information about MCH issues
  with decision makers
• Membership National Governors Association,
  National Conference of State Legislatures,
  Association of State and Territorial Health
  Officials, National Association of County and
  City Health Officials, CityMatCH, AMCHP,
  Grantmakers in Health, Healthy Mothers/Healthy
  Babies Coalition, Family Voices, Washington
  Business Group on Health, National Institute for
  Health Care Management Foundation

21
Contact Information

• David Heppel
• DHeppel_at_hrsa.gov
• 5600 Fishers Lane
• 18A-30 Parklawn Building
• Rockville, MD 20852
• 301-443-2250