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Published byElwin Fields Modified over 9 years ago
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Behavioral Health Screening in Pediatric Preventive Care The HUSKY Health Approach Robert W. Zavoski, MD, MPH Medical Director, CT Department of Social Services
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Connecticut Medicaid - Overview Enrollees: – 668,000 (17% of total population) – 449,000 in family coverage (1 in 4 Connecticut children, 40% of all CT births) Model of care – “managed fee for service” via administrative service organizations (ASOs) – Behavioral Health Partnership - children (2007), adults (2011) – Dental Health Partnership – 2009 – Medical ASO - 2012
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Screening in HUSKY Health Early Periodic Screening Diagnostic Testing (EPSDT) Developmental Screening (2008) Person-Centered Medical Home (2012) Intensive Care Management (2012)
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Developmental and Behavioral Screening in Health Supervision Recommended by the American Academy of Pediatrics and the National Clearing House with use of validated tools – AAP.org/Bright Futures site lists and describes recommended tools AAP also recommends ‘surveillance’ – routine assessments of risks and progress, as well as promotion of resilience
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Rationale for Screening Developmental disabilities are common Disabilities can be ameliorated or successfully treated Screening and counseling can be easily included in a routine preventive health visit Many tools are either parent or patient self- administered
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Provisos to the Rationale for Screening “Easy” isn’t that easy Development and Behavior are used together – Research to support routine developmental screening in young children is strong – Research to support routine behavioral screening or surveillance at any age is sparse – U.S. Preventive Health Services Task Force: routine developmental screening - I rating routine autism screening – no recommendation specific behavioral screening – variable recommendations
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HUSKY Health – next steps Medical/behavioral Health integration Health homes with DMHAS for those with serious and persistent mental illness Routine universal behavioral screening for all under EPSDT
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Questions? Robert Zavoski, MD, MPH Medical Director CT Department of Social Services robert.zavoski@ct.gov
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