Childrens Health Committee

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Childrens Health Committee
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• All children begin life healthy
• Vaccine preventable diseases are eliminated
• Children and youth engage in good health
  practices
• Adolescents are sexually responsible
• Children and youth are physically healthy
• Children and youth are mentally well

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• Healthy Starts
• Kimberlee Wyche-Etheridge, MD, MPH,
• Metro Public Health Dept., Chair
• Patricia Temple, MD,
• Vanderbilt Childrens Hospital, Vice Chair

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The Influence of Infant Health on Education

• TN Ranks 37th for of mothers receiving
  adequate prenatal care, 42nd for births to
  teens, 46th for preterm births, 48th for infant
  mortality
• In Davidson County, 11.7 of infants are born
  premature (For White infants 9.6, for Black
  infants 16.8)
• Total annual infant health care costs total
  33.8 billion, 15.5 billion of which is for
  babies born premature
• The average premature baby has a health care
  cost in the first year of life of 41,610. A
  healthy baby has an average cost of
  2,766Source Health Nashville and Davison
  County, MPHD 2002

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The Influence of Infant Health on Education
Prematurity Rates of Developmental Handicap ?
20-25 of infants born weighing less than 1,000
gms or 2.4 lbs, will develop severe
disabilities. 34-65 will have learning
disabilities ? 19 will have an IQ below
85 ? 10-15 of infants born weighing between
1001-1500gms or 2.4 lbs to 3.3 lbs, will develop
severe disabilities. ? 14 will have an IQ
below 85 ? Disabilities include language delays,
visual deficits, and attention difficulties ?
These early deficits are strongly related with
later academic and learning problems, and school
failure ? When these children reach school age,
they have lower scores on tests of reading,
writing, math, spelling and executive
functioning.
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The Influence of Infant Health on Education

• In order to most effectively improve the
  well-being of Nashvilles future students, a
  concerted effort must be made to decrease the
  absolute number of premature babies born in the
  County.

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Goal 1To establish a Fetal Infant Mortality
Review (FIMR) process in Davidson County to
better be able to assess the nontraditional risk
factors that are contributing to poor and
disparate birth outcomesGoal 2To encourage
breast feeding for all infants, especially
African American infants Goal 3To increase the
number of women of reproductive age that receive
routine preconception care/interconception
careGoal 4To provide at least one initial home
visit to all postpartum women living in Davidson
County
Responses
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• Vaccinations
• Joel Bradley, MD,
• Cumberland Pediatrics Foundation, Chair
• Becky Green,
• Metro Public Health Dept., Vice Chair

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Identify populations with low immunization
coverage rates. 2. Educate anti-vaccine
activists on the importance of immunization.3.
Assess the immunization needs of immigrant and
refugee populations. 4. Systematically implement
physical exams for children in grades 3,5,7, and
9 to introduce vaccines for older children.
Objectives
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• Healthy Practices
• Tina Bozeman, EdD, MNPS, Chair
• Lisa Beck, YMCA, Vice Chair
• Mary Kate Mouser,
• Vanderbilt Childrens Hospital, Vice Chair

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1. Increase physical activity of all children in
and out of schools2. Provide nutritious food
options and nutrition education for all
children3. Improve the health status and
practice of school faculty and staff4. Provide
coordinated school health education
Objectives
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How can you help? Questions?
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• Adolescent Sexual Responsibility
• Kim Mansfield, MNPS, Chair
• Rev. Sonnye Dixon, Hobson United Methodist
  Church, Vice Chair
• DYuanna Allen, Metro Public Health Dept., Vice
  Chair

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-- Tennessee ranks 41 for teen birth rates (Kids
Count, 2006)-- Davidson County 2nd highest teen
birth rate in state-- Davidson County 2nd
highest rate of Chlamydia infection among
teens-- Identify concentrated areas of
particular need at the zip code level
Background
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Adolescents are sexually responsible
Goal
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1. Implement evidence-based education programs
that encourage sexual responsibility2. Improve
healthy lifestyle behavior of pregnant and
parenting teens3. Provide primary pregnancy
prevention information to teens most at-risk
Objectives
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MNPS Middle and High School Principals School
Counselor Counseling CoordinatorMetro Public
Health Department Choices Young Adult Health
Coordinator TN Adolescent Pregnancy and
Prevention Program CoordinatorCommunity
Stakeholders Pastor, Hobson United Methodist
Church Rape and Sexual Abuse Center, Vice
President for Educational Services
Committee Membership
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• Primary, Specialty, and Oral Care (PRISOC)
• Mary Bufwack, PhD, United Neighborhood Health,
  Chair
• Jeff McKissack, Matthew Walker Comp. Health
  Center, Vice Chair
• Michelle Vaughan, DMD, Metro Public Health Dept.,
  
• Vice Chair

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-- Meet students unmet health needs-- Reduce
barriers to learning Keep students in
school Foster school success Reduce student
failure-- Support families Value parents
involvement Keep parents working Connect school
and families Influence health of entire
family Improve family access service
eligibility-- Represent wise investment Keep
children out of higher cost care
Goals
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Options -- Provide Early and Periodic Screening
Diagnosis and Treatment to high school
students -- All children are provided
adequate primary care services -- All children
are provided adequate specialty care
services -- All children are provided adequate
oral health services
Major Strategy
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Access to health care is often limited for
children and youth in Davidson County -- At
least 10 have no insurance -- 40 receive
TennCare -- 40 of families of special needs
children do not have adequate insurance --
Cover Kids is expanding and offers opportunities
Our Challenge
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Utilization of health care is often limited for
children and youth in Davidson County -- Only
half of those on TennCare utilize services
during the year -- At 3 years 80 receive
appropriate screening while only 10 of teens
do -- 20 of families of special needs children
do not find services can be used easily -- Only
about 20 receive dental care
Our Challenge
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• Mental Health
• Frances Clark, PhD,
• Metro Public Health Dept., Chair
• Sharon Wright, MNPS, Vice Chair

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Goal 6 Children and youth are mentally
wellObjective 1 Develop proactive strategies
to meet the mental health needs of our children
in Davidson County in both our schools and our
communities by encouraging and promoting
awareness and a range of mental health/substance
abuse services along the continuum of care.--
Partner with the Bridges to Care Behavioral
Health Expansion-- Provide a City Wide Annual
Children Youth Mental Wellness Day-- Provide
educational programming to help raise
awareness-- Develop/Sponsor a mental Wellness
Speakers Bureau-- Expand Teen Edge to be a
clearinghouse for mental health/substance abuse
resources for youth-- Promote Positive School
Environment Teams to work on mental health and
substance abuse issues
Mental Health
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Objective 2 Mental Health and Substance Abuse
Screenings should be available to all children
and youth in Davidson CountyObjective 3 For
the Children and Youth where mental
health/substance abuse needs are identified, a
treatment matching approach will be implemented
through a Coordinated System of Care
Future Objectives
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Initial Opportunities Activities
Develop proposals to fund collaboration
activities and initiatives, for example Proposal
to the U.S Department of Education for the
Integration of Schools and Mental Health Systems
to support infrastructure development, planning,
and evaluation Projects funded by the Robert Wood
Johnson Foundation that support innovative
programs to improve access of immigrant
populations to mental health services Evaluation
of individual projects and of the Alignment
Nashville process Social network analysis to
assess changes over time in agency collaboration,
communication, involvement, gaps in services,
etc. Need funding for a baseline survey in the
next 6 months 2nd and 3rd surveys covered by DOE
grant if awarded
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Subcommittee Needs

• Spokespeople participating in the speakers
  bureau
• Volunteers to participate in public awareness
  campaigns and education
• Help in developing and disseminating outreach
  materials including translation into additional
  languages
• Mental health clinicians and social workers to
  volunteer for specific projects, e.g.,
  after-school outreach and counseling efforts
• Individuals with expertise in database
  development, data entry and analysis
• Volunteers to provide input in project
  subcommittees
• Funding to support baseline evaluation efforts