Maternal and Child Health Bureau

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Maternal and Child Health Bureau

• Division of
• Research, Training Education

Presentation by Christopher DeGraw, MD, MPH
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The BIG Picture
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The fox
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Division of Research, Training Education
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MCHB/Division of Research, Training Education
MCH Research Program
MCH Training Program
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MCH Research Program
Established in 1963 through an amendment to Title
V

• To support applied research relating to maternal
  and child health services that has the potential
  to improve health services and delivery of care
  for MCH populations.
• http//www.mchb.hrsa.gov/research

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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

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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

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MCHB Strategic Research Issues FY 04 09

• Developed based on input from the field
• Closely tied to MCHBs Strategic Plan
• Focus on MCH public health services and systems
  questions that may not be addressed by other
  Federal research programs

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
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MCH Research Program
Types of Research Funded

• Health Services
• Behavioral/psychosocial
• Medical/Clinical
• Epidemiological
• Secondary data analysis

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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)

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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

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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

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MCH Training Program, FY 09

• Annual Budget - 41.5 million
• 126 Active Projects
• at 73 universities
• in 39 States DC

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MCH Training Programs, FY 09
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MCH Leadership 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
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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

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http//www.leadership.mchtraining.net
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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 AssessmentResults presented at this
  meeting
• Pacific Basin Leadership Development
• MCH Adolescent Health Leadership Development
  Initiative
• Mentoring Program for New MCH Directors

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

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How well 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

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Combating Autism Act Programs

• Training ProgramsLEND, DBP
• Division of Research, Training Education
• Autism Intervention Research NetworksPhysical
  Health and Behavioral Health
• Division of Research, Training Education
• State Demonstration Grants6 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

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Healthy Tomorrows
Collaborative grant program in partnership with
the American Academy of Pediatrics
Purpose To engage communities to work to
improve childrens health through prevention and
better access to health care
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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 resources70 sustainability rate!
• Projects usually target low-income populations
  and address
• Prevention
• Access to health care services
• Community-based health care
• Service coordination

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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

http//www.aap.org/commpeds/htpcp/

• Program Overview
• Click on Your State for description of funded
  HTPCP projects
• Grant Cycle Information
• National Evaluation of HTPCP
• Evaluation Resources

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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
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MCHBs 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
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• 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_at_aap.org cdegraw_at_hrsa.gov
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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 health and communities to
  promote the health of children

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

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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
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