Search Results: MCHLine

Annotation: This report provides an introduction to the Head Start-State Collaboration Projects, which involve Head Start in state planning and policy making efforts that affect low income children and families. It includes some fact sheets on the Collaboration Projects, project profiles and contact list, legislation regarding Head Start-State Collaboration Projects, and an excerpt from the report of the Advisory Committee on Head Start Quality and Expansion.

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Keywords: Collaboration, Early childhood education, Family support, Head Start, Low income groups, Policy development, Program descriptions, Public private partnerships, State initiatives, Statewide planning

Annotation: The purpose of this paper is to describe a method used to assess community acceptance of a program to deliver comprehensive health care to children of low income families in New York City and to report the results. This paper is produced as part of the documentation and assessment of the effect of P.L. 89-97, Title II. [Funded by the Maternal and Child Health Bureau]

Keywords: Children and Youth Projects, Comprehensive health care, Federal MCH programs, Low income groups, New York, Program evaluation, Program evaluation, Questionnaires

Annotation: The objective of this study was to determine whether parents who participated in and completed the parent education program exhibited a decrease in stress, an increase in problem solving and had a stronger parent-child relationship. The project was aimed at parents or caregivers of children under 3 years of age who are of low-income and of varying cultural backgrounds. Three primary methods were used to meet the outcome objectives: group sessions (Approaches to Parenting), newsletter (approaches Bulletin) and seminars. Three measures given at pre-test, short-term post-test, and long-term post-test were used for evaluation. In summary, mothers who participated in the intervention were significantly less stressful, had higher self-esteem, and were less overprotective and rejecting of their children. [Funded by the Maternal and Child Health Bureau]

Keywords: Caregivers, Health Promotion, Low income groups, Minorities, Parent Education, Parent-Child Interaction, Parents, Stress

Annotation: This project conducted activities on the state and county level, primarily addressing the risk for poisoning, burns, scalds, and motor vehicle injuries for children 4 years of age and younger. Project objectives were to: (1) Develop strategies to make passive injury prevention measures available and accessible, (2) develop incentives for the use of passive injury prevention measures, (3) provide the public with information so that informed decisions could be made to prevent childhood injury, and (4) develop a plan for injury surveillance. [Funded by the Maternal and Child Health Bureau]

Keywords: Burns, Drowning, Injuries, Injury Prevention, Low income groups, Motor vehicle crashes, Poisoning, Safety

Annotation: This project aimed to reduce the incidence of poor health characteristics among low-income, culturally diverse populations by promoting the involvement of primary care physicians (pediatricians) in early screening and intervention. Project goals included increasing the level of preventive health care for underserved children, reducing the severity of psychosocial problems, increasing physicians' sense of involvement as part of a team in providing services to project children and their families, and demonstrating a practical process for accomplishing these goals which can be replicated across the nation. [Funded by the Maternal and Child Health Bureau]

Keywords: American Academy of Pediatrics, Child Abuse and Neglect Preventive, Continuing Education, Developmentally Delayed/Disabled, EPSDT, Hawaiians, Health Care, Health Supervision Guidelines, High risk children, Low income groups, Medicaid, Primary Care, Psychological Problems, Well Child Care

Annotation: This project provided a model program for American Indian families and the professionals who served them. The program goals were to identify cultural, systemic, institutional, and policy barriers that inhibit Native American family participation in the "Western" health care/case management system; improve case management by facilitating effective communication between Native American families and the non-Native American health care professionals who serve them; and increase Native American family participation in health care policy development and planning forums in order to promote changes that improve services for Native American children and families. Activities included developing a videotape illustrating effective cross-cultural communication strategies for non-Indian health care providers and training an Indian parent advocate to help families seen at IHS special pediatric clinics. [Funded by the Maternal and Child Health Bureau]

Keywords: American Indians, Case Management, Chronically Ill, Community-Based Health Care, Coordination of Health Care, Developmentally Delayed/Disabled, Family-Based Health Care, Indian Health Service (IHS), Low income groups, Parents, Rural Population

Annotation: This project sought to demonstrate that a system of reimbursable, cost-effective, home-based support services can be implemented for families with chronically ill children. The project objectives were to facilitate the provision of home-based care for chronically ill children through the following activities: (1) Developing a regional network of medically skilled respite providers; (2) establishing self-help mutual support groups for chronically ill children and their parents and siblings; (3) training professionals, paraprofessionals, and volunteers; and (4) disseminating project findings and recommendations. [Funded by the Maternal and Child Health Bureau]

Keywords: Arthritis, Asthma, Bronchopulmonary Dysplasia, Chronic illnesses and disabilities, Congenital Heart Disease, Cystic Fibrosis, Families, Feeding Disorders, Hemophilia, Home-Based Health Care, Kidney Disease, Leukemia, Low income groups, Muscular Dystrophy, Nurses, Respiratory Technologies, Respite Care, Sick Kids (Need) Involved People (SKIP), Sickle Cell Disease, Support Groups, Tay-Sachs Disease, Ventilator Dependence

Annotation: This project aimed to reduce postneonatal mortality rates associated with inadequate parenting skills and poor utilization of prenatal and child health care services. Activities included establishment of a resource mothers program in which church women were trained to assist pregnant women in negotiating the health care and social services systems, and implementation of a teen peer counselor program. The project also established self-sustaining local coalitions to monitor and address problems that contribute to poor pregnancy outcomes. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Adolescents, Blacks, Clergy, Community-Based Health Services, High risk groups, High risk pregnancy, Infant Mortality, Low income groups, Postneonatal Mortality, Pregnant Women, Prenatal Care, Religious organizations, Rural Populations

Annotation: This project sought to increase the incidence and duration of breastfeeding in the state. The purpose of the project was to develop statewide strategies for breastfeeding promotion. Clients targeted were those least likely to breastfeed. Activities included developing and implementing industry policies that support working, breastfeeding women; conducting a public media campaign and establishing a toll-free hotline; counseling and educating low-income and minority women through WIC and MCH programs; and providing professional education. [Funded by the Maternal and Child Health Bureau]

Keywords: Breastfeeding, Infants, Low income groups, Minorities, Mothers, Nutrition, Outreach, WIC Program

Annotation: This project addressed the dramatic rise in homelessness and substance abuse, the relationship between the two problems, and the increasing number of homeless families. The Family Shelter Project provided leadership and coordination for a broad range of health, social, and educational services to be provided to pregnant women, mothers, and children in a therapeutic community which has been established within a city shelter for homeless families. In addition, the project established a professional development collaborative to enhance the capacity of health professionals and those in related professions to serve the homeless, particularly the substance-abusing maternity services population. [Funded by the Maternal and Child Health Bureau]

Keywords: Child Abuse and Neglect, Collaboration of Care, Education of Health Professionals, Families, High risk groups, Homeless, Low income groups, Mothers, Pregnant Women, Prenatal Care, Substance Abuse, Urban Populations

Annotation: These toolkits for consumers and employers provide information to address the challenges of low income wage earners returning to work while continuing to breastfeed. Contents include five individual toolkits. A toolkit for mothers provides information on how to talk with supervisors, coworkers, and child care providers and how to store and handle breast milk, as well as checklists, tips, sample schedules, and food ideas. A toolkit for family members explains the role grandparents and partners play while dispelling myths that can be held by others, and how to give support and care for a breastfed infant. Additional toolkits are designed to help employers comply with state and federal laws; offer guidance for mothers and employers on interpreting the laws and resources; and provide sample letters and policies.

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Keywords: Breastfeeding, Employer initiatives, Legislation, Low income groups, New York, State programs, Supported employment, Workplace health promotion

Annotation: This resource provides a geographic representation of child health in the United States. Contents include national and state-specific data on pediatric health care delivery at the Primary Care Service Area level. A range of maps is available including the number of children under age 18 per pediatrician, the number of children in linguistically-isolated households, median household income, the number of pediatric residents and fellows, and estimated vaccine coverage rates. An interactive mapping tool is available to members of the American Academy of Pediatrics.

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Keywords: Access to health care, Children, Data sources, Geographic regions, Health care disparities, Immunization, Integrated information systems, Interactive media, Language barriers, Low income groups, Patient care planning, Pediatricians, Statewide planning, Work force

Annotation: This report provides suggestions for how states that choose to implement programs to advance prevention of oral disease in primary care for beneficiaries of Medicaid and the Children’s Health Insurance Program (CHIP) can select a family of measures to assess progress. It explains what the different measures in the family of measures are (outcome measures, process measures, and balancing measures) and provides measurement strategies for each type of measure.

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Keywords: Dental caries, Low income groups, Medicaid, Oral heath, Prevention, Primary care, Programs, State Children's Health Insurance Program

Annotation: This report provides ideas for how states can use a driver diagram on oral health produced by Medicaid and the Children's Health Insurance Program (CHIP) to advance prevention of oral disease in primary care, plan a quality-improvement (QI) project, and determine how to improve outcomes. The report offers background, presents the driver diagram, explains the driver diagram, and provides ideas for activities to promote change.

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• Program Website

Keywords: Dental caries, Low income groups, Medicaid, Oral heath, Prevention, Primary care, Programs, State Children's Health Insurance Program

Annotation: This video discusses how children who are Medicaid or Children's Health Insurance Program beneficiaries can benefit from having fluoride varnish applied to their teeth in the primary care setting. The video shares quality-improvement methods that can help states improve the provision of oral health care to these children by primary care health professionals. Topics include developing an aim statement, using a driver diagram, identifying drivers to consider for achieving the aim, starting small to test whether change ideas are working, and using the plan-do-sudy-act method.

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Keywords: Dental caries, Low income groups, Medicaid, Oral heath, Prevention, Primary care, Programs, State Children's Health Insurance Program

Annotation: This strategic framework for Montana presents the vision statement and core values and beliefs of the Montana Oral Health Network. Also discussed are strategic directions for the network; goals and objectives; prioritizing and sequencing implementation of strategies; monitoring progress and setbacks; and evaluation. Goals include achieving a cohesive and active oral health network of stakeholders, ensuring that oral health professionals and other health professionals understand and employ innovative and integrated care approaches, ensuring that Montanans understand the importance of oral health and use their knowledge to improve their oral health; and improving the provision of oral health care to those who are underserved.

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Keywords: Access to health care, Health education, Health education, Low income groups, Montana, Oral health, Prevention, Program evaluation, Service integration, State information

Annotation: This report provides background on an initiative launched as a partnership between the American Academy of Pediatric Dentists and the Office of Head Start with the purpose of establishing dental homes for young children who may otherwise go without oral health care. The report explains the requirements of the contract, offers background on both organizations, and discusses what the initiative hopes to accomplish for infants and children enrolled in the Head Start program or Early Head Start program. It also details what the initiative will do to provide parents and Head Start staff with evidence-based information about how to help prevent tooth decay, and it describes how a national network of pediatric and general dentists will be organized under the initiative.

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Keywords: Access to health care, Collaboration, Dental caries, Head Start, Infant health, Initiatives, Low income groups, Prevention, Tooth decay, Young children

Annotation: This brief describes the impact that a ban on community water fluoridation would have on children. It provides information on tooth decay and discusses what states could expect if water fluoridation were banned, including projected state Medicaid costs and effects on children, parents, and other adults enrolled in Medicaid. It also discusses whether using fluoridated toothpaste provides sufficient protection against tooth decay.

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Keywords: Costs, Dental caries, Fluoride, Legislation, Low income groups, Medicaid, Oral health, Prevention

Annotation: This brief offers lessons from six states on how federal Medicaid cuts result in reductions in access to oral health care for people with low incomes. Examples are provided about how cuts have restricted access to care, shifted costs from one part of the health care system to others (e.g, hospital emergency departments), and led oral health professionals to leave the Medicaid network. Information is presented on how cuts have affected California, Maryland, Massachusetts, Missouri, Oregon, and Pennsylvania.

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Keywords: Access to health care, California, Costs, Low income groups, Maryland, Massachusetts, Medicaid, Missouri, Oral health, Oregon, Pennsylvania, State information

Annotation: This guide is designed to help Head Start staff understand what a dental periodicity schedule is. It provides background on the Head Start program performance standard that addresses an oral exam, describes elements of an oral exam, and offers information on the timing of oral exams and who can conduct them. It is available in English and Spanish.

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Keywords: Head Start, Health screening, Infant health, Low income groups, Oral health, Prevention, Spanish language materials, Young children