1. Health Resources and Services Administration Maternal and Child Health Bureau Division of Research, Training & Education Presentation by Christopher DeGraw, MD, MPH

2. Health Resources and Services Administration Maternal and Child Health Bureau The BIG Picture… Xxxxxxxxxxxxxxxxxxxxx x x The fox

3. Health Resources and Services Administration Maternal and Child Health Bureau Division of Research, Training & Education

4. Health Resources and Services Administration Maternal and Child Health Bureau MCHB/Division of Research, Training & Education MCH Research Program MCH Training Program Healthy Tomorrows Partnership for Children

5. Health Resources and Services Administration Maternal and Child Health Bureau MCH Research Program “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 Stella Yu, ScD, MPH Director Established in 1963 through an amendment to Title V

6. Health Resources and Services Administration Maternal and Child Health Bureau 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

7. Health Resources and Services Administration Maternal and Child Health Bureau 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

8. Health Resources and Services Administration Maternal and Child Health Bureau MCHB Strategic Research Issues: FY 04 – 09  Developed based on input from the field  Closely tied to MCHB’s 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

9. Health Resources and Services Administration Maternal and Child Health Bureau MCH Research Program Health Services Behavioral/psychosocial Medical/Clinical Epidemiological Secondary data analysis Types of Research Funded:

10. Health Resources and Services Administration Maternal and Child Health Bureau 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)

11. Health Resources and Services Administration Maternal and Child Health Bureau MCH Training Program 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 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. Laura Kavanagh, MPP Chief, Training Branch

12. Health Resources and Services Administration Maternal and Child Health Bureau MCH Training Program 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 6 categories of Continuing Education Distance Learning Certificate in MCH Public Health Collaborative Office Rounds Knowledge to Practice MCH Institute MCH Pipeline

13. Health Resources and Services Administration Maternal and Child Health Bureau MCH Training Program, FY 09  Annual Budget - $41.5 million  126 Active Projects  at 73 universities  in 39 States & DC

14. Health Resources and Services Administration Maternal and Child Health Bureau MCH Training Programs, FY 09

15. Health Resources and Services Administration Maternal and Child Health Bureau 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 MCH Leadership Competencies

16. Health Resources and Services Administration Maternal and Child Health Bureau 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

17. Health Resources and Services Administration Maternal and Child Health Bureau http://www.leadership.mchtraining.net

18. Health Resources and Services Administration Maternal and Child Health Bureau MCH Training Programs: Setting Training Objectives, Leadership Portfolios MCH Professionals: Orientation, Developing CE Plans, Job Descriptions HRSA: Evaluating Leadership and Quality Training AMCHP: Workforce Assessment—Results presented at this meeting Pacific Basin Leadership Development “MCH Adolescent Health Leadership Development Initiative” Mentoring Program for New MCH Directors How are Competencies Being Used?

19. Health Resources and Services Administration Maternal and Child Health Bureau For more information about the MCH Training Program go to: http://www.mchb.hrsa.gov/training

20. Health Resources and Services Administration Maternal and Child Health Bureau MCHB’s Interdivisional Implementation of the 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. Combating Autism Act of 2006

21. Health Resources and Services Administration Maternal and Child Health Bureau How we’ll 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

22. Health Resources and Services Administration Maternal and Child Health Bureau Combating Autism Act Programs 1. Training Programs—LEND, DBP Division of Research, Training & Education 2. Autism Intervention Research Networks— Physical Health and Behavioral Health Division of Research, Training & Education 3. State Demonstration Grants—6 States Division of Services for Children with Special Health Care Needs State Resource Center Division of State and Community Health 4. National Evaluation Lead: Division of Services for Children with Special Health Care Needs

23. Health Resources and Services Administration Maternal and Child Health Bureau Healthy Tomorrows Collaborative grant program in partnership with the American Academy of Pediatrics Purpose: To engage communities to work to improve children’s health through prevention and better access to health care

24. Health Resources and Services Administration Maternal and Child Health Bureau 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 resources—70% sustainability rate!  Projects usually target low-income populations and address: Prevention Access to health care services Community-based health care Service coordination

25. Health Resources and Services Administration Maternal and Child Health Bureau Healthy Tomorrows Partnership with AAP Program Overview Click on Your State for description of funded HTPCP projects Grant Cycle Information National Evaluation of HTPCP Evaluation Resources http://www.aap.org/commpeds/htpcp/  TA to applicants and grantees.  Site visits are conducted in year 2 of each project. State MCH encouraged to participate!  Website

26. Health Resources and Services Administration Maternal and Child Health Bureau 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

27. Health Resources and Services Administration Maternal and Child Health Bureau Prevention and health promotion for infants, children, adolescents and their families MCHB’s 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

28. Health Resources and Services Administration Maternal and Child Health Bureau 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@aap.org cdegraw@hrsa.gov

29. Health Resources and Services Administration Maternal and Child Health Bureau  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 Since 1990: Goals

30. Health Resources and Services Administration Maternal and Child Health Bureau Support State MCH Activities http://www.hsrnet.com/brightfutures/bfcompiled.pdf

31. Health Resources and Services Administration Maternal and Child Health Bureau Partnership with American Academy of Pediatrics Website: www.brightfutures.aap.orgwww.brightfutures.aap.org http://www.brightfutures.aap.org Materials and Tools PUTTING BRIGHT FUTURES TO WORK FULL TEXT OF THE BRIGHT FUTURES GUIDELINES Bright Futures Pocket Guide State Programs – Education of Health Professionals Clinical Settings – Working with Families MULTIMEDIA

32. Health Resources and Services Administration Maternal and Child Health Bureau (301) 443-2340 Contact DRTE: