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Strengthen the Evidence for Maternal and Child Health Programs

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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.


Displaying records 1 through 20 (282 total).

Hess,C. n.d.. State MCH Director Program Development: Legal Assistance Project [Final report]. Washington, DC: Association of Maternal and Child Health Programs , 42 pp.

Annotation: This project was designed to improve the ability of State Maternal and Child Health Programs to: (1) effectively implement Title V of the Social Security Act; (2) coordinate with other related Federal programs; and (3) develop creative approaches for utilizing other such programs to meet the needs of mothers, children, adolescents, children with special health care needs, and families. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Coordination of Health Care, Data Collection, Information Dissemination, Medicaid, PL 99-457, Social Security Act, Title V, State MCH directors, WIC Program

Force J. n.d.. Project Copernicus [Final report]. Baltimore, MD: Maryland Department of Health and Mental Hygiene, 15 pp.

Annotation: Project Copernicus, a dual-State initiative for Maryland and Virginia, developed, demonstrated, and evaluated training programs in family-centered service coordination with target groups of professional service providers and parents in urban, rural, and suburban areas of Maryland and Virginia. Project Copernicus demonstrated how to provide family-centered care for families with children with special health needs by assisting both parents and professional service providers to develop and use family-centered service coordination activities (case management). [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, CSHCN, Case Management, Chronic illnesses and disabilities, Coordination of Health Care, Disabled, Education of Health Professionals, Families, Family-Centered Health Care, Fragmentation of Services, Parent Education, Parents, programs

Johnson J. n.d.. Parent-Pediatric Partnerships: Strengthening Families to Make the Vulnerable Invincible [Final report]. Honolulu, HI: Hawaii Department of Health, 16 pp.

Annotation: This project was a partnership between families and their medical home to develop a demonstration model for care coordination for environmentally at-risk infants and toddlers in low-income culturally diverse urban and rural settings. The families were being served as part of the eligible population under P.L. 99–457, with an individualized family support plan (IFSP) developed for each family. The target population included many families of different ethnic origins. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Children with Special Health care Needs, Cultural Diversity, Families, Family Centered Health Care, Family Support Programs, Hawaiians, Health Promotion, Healthy Tomorrows Partnership for Children, Low Income Population, PL 99-457, Parents, Preschool Children, Primary Care, Rural Population, Service Coordination, Urban Population

National Academy for State Health Policy. 2025. Strengthening postpartum care coordination to improve maternal health. Portland, OR: National Academy for State Health Policy, 7 pp.

Annotation: This brief outlines key policy considerations for supporting postpartum care coordination under Medicaid and identifies opportunities for Medicaid and Title V Maternal and Child Health Services Block Grant programs to partner to strengthen care coordination during the postpartum period. It discusses strategies to increase attendance at postpartum visits, support early identification of postpartum needs, and develop perinatal care coordination models that include supporting extended postpartum care. The document also explores ways to build capacity to implement postpartum care coordination, such as by assessing barriers to care, strengthening perinatal health care systems to address health care and social services needs, and supporting the maternity care workforce. Additionally, it provides guidance on measuring, evaluating, and sharing the impact of postpartum care coordination initiatives.

Keywords: Care coordination, Maternal health, Model programs, Postpartum care, State initiatives

The National Center for a System of Service for CYSHCN . 2025. Title V CYSHCN programs advancing the system of services for CYSHCN: From the field. American Academy of Pediatrics,

Annotation: This online resource from the American Academy of Pediatrics for state Title V programs and their partners describes strategies to improve systems of services for children and youth with special health care needs (CYSHCN) and their families. It presents vignettes from Arizona, Colorado, Iowa, Louisiana, Rhode Island, Utah, and Wyoming that highlight peer-to-peer learning and cross-sector partnerships. Featured activities include engaging families and young adults with lived experience, developing electronic referral systems, and integrating national standards for systems of care into needs assessment processes. The resource also discusses provider toolkits for developmental screening, Medicaid payment incentives for health care transition services, and the use of telehealth for care coordination in rural and frontier areas.

Keywords: Arizona, Child health, Children with special health care needs, Colorado, Developmental screening, Intersectoral collaboration, Iowa, Louisiana, Partnerships, Program coordination, Rhode Island, State initiatives, Title V programs, Utah Wyoming, Youth, Youth in transition programs

National Association of Chronic Disease Directors. [2024]. The connection between poor oral health and chronic disease. Atlanta, GA: National Association of Chronic Disease Directors, 43 pp.

Annotation: This report provides information on the link between poor oral health and chronic disease and on efforts of the National Association of Chronic Disease directors (NACDD) to develop a national framework for medical-dental integration (MDI) and discusses NACDD's work with five states (Colorado, Connecticut, North Dakota, South Carolina, and Virginia) on projects whose purpose was to document successful approaches for increasing the effectiveness of state oral health and chronic disease collaborations with dental clinics and community providers to screen for chronic conditions such as hypertension, pre-diabetes, and diabetes. Each project is discussed, along oral health outcomes for each state and future directions. zzz

Keywords: Chronic illnesses and disabilities, Colorado, Connecticut, Diabetes, Hypertension, North Dakota, Oral health, Service coordination, Service integration, South Carolina, State programs, Virginia

Cofano L, Isman B, Jacob M, Payne K, Wood C. 2024. Guidebook for policy consensus tool: Steps to create a successful oral health consensus-building session (Rev. ed.). Washington, DC: Children's Dental Health Project; Reno, NV: Association of State and Territorial Dental Directors, 33 pp.

Annotation: This two-part policy tool is designed to support a facilitated process for state oral health stakeholders to collectively make decisions about priorities based on suggested criteria. It also provides a planning checklist to move forward strategically. Part one assists state oral health programs in assessing opportunities for socio-political, policy, and systems change. It considers scientific data collection, professional judgment, community input, and feasibility in needs assessment and policy development to improve oral health resources and services. Part two focuses on developing policy actions or systems-development plans to take advantage of or create new opportunities to advance the public’s oral health. The guidebook contains a series of templates that can be reproduced and adapted to meet specific project needs. This tool was previously issued as "The policy tool guidebook: Steps for creating a successful oral health policy tool session" (2009).

Keywords: Children, Collaboration, Community coordination, Health policy, Manuals, Needs assessment, Oral health, Public health programs, Strategic plans

Association of State and Territorial Dental Directors and American Mobile and Teledentistry Alliance. 2023. Mobile and portable school-based/school-linked oral health programs: Delivery models to expand care for children and adolescents. Reno, NV: Association of State and Territorial Dental Directors, 25 pp.

Annotation: This report provides guidance for developing and implementing a school-based or school-linked mobile or portable oral health program. It discusses challenges and strategies for overcoming these challenges. Selected challenges discussed include workforce considerations; state dental practice acts, legislation, and other regulations limiting the provision of oral health care; community opposition; infrastructure issues; and infection-control issues. Strategies include program planning, developing policies and procedures, community engagement and education, care coordination, developing business plans and budgets, and implementing quality measures and evaluation.

Keywords: Budgets, Health programs, Infection control, Legislation, Oral health, Prevention programs, Program planning, Quality assurance, Regulations, School health, Service coordination

Heaton LJ, Tiwari T, Tranby E. 2023. Oral-systemic interactions and medical-dental integration: A life course approach. Boston, MA: CareQuest Institute for Oral Health, 18 pp. (Research report)

Annotation: This report provides information on a life course approach to oral health that focuses on the oral-systemic interactions upon which a medical-dental integration (MDI) model can be built. The report offers an over- view of the bidirectional nature of oral and systemic diseases across different life phases and how integrated health care delivery can improve access to care and health outcomes. It also discusses gaps in, challenges to, and barriers to creating integrated models and provides recommendations for improving the future of MDI.

Keywords: Health care delivery, Oral health, Prevention, Program coordination, Service integration

California Oral Health Technical Assistance Center. 2023. School-linked dental program manual. San Francisco, CA: California Oral Health Technical Assistance Center, 5 sections.

Annotation: This manual provides information about school-linked oral health programs (programs that identify children who need oral health care and then coordinate care with a health professional in the community) for local oral health agencies in California. The manual offers background information about the California Dental Disease Prevention Program and presents a school-linked program model. The model covers selecting schools; programs' educational and outreach requirements; planning, including developing referral criteria, creating a network of dentists, using a referral-management and collection platform, and establishing performance measures; and developing protocols. Also discussed are referral management and care coordination and evaluation.

Keywords: California, Care coordination, Community coordination, Community programs, Measures, Oral health, Pediatric dentistry, Program evaluation, Referrals, School dentistry, School health, State programs

Maternal Health Learning and Innovation Center. 2023. Expand capacity to screen, assess, treat, and refer for maternal depression and related behavioral disorders. Chapel Hill, NC: Maternal Health Learning and Innovation Center, 10 pp. (White House blueprint evidence to action briefs)

Annotation: This issue brief highlights Action 1.14 from the White House Blueprint for Addressing the Maternal Health Crisis, focused on expanding capacity to screen, assess, treat, and refer for maternal depression and related behavioral disorders. The document examines evidence-supported interventions for addressing perinatal depression, including universal screening protocols, psychiatric consultation services, and care coordination support. It presents current data on the prevalence and disparities in maternal mental health screening and treatment across different populations and geographic areas, with particular attention to racial, ethnic, and socioeconomic factors. The brief outlines specific state-level innovations being implemented to improve maternal mental health care, such as Illinois's DocAssist program and Montana's PRISM consultation line, and provides evidence-based measures for tracking progress in expanding behavioral health support services.

Keywords: Assessment, Coordination, Depression, Health care disparities, Maternal health, Mental health, Model programs, Postpartum depression, Referrals, Screening, State initiatives

Buys B, Cene C, Pressley Byrd D, Brickhouse A, Woydak C. 2023. Toolkit for partnership with community based doulas in clinical settings. Chapel Hill, NC: Clinical Scholars , 19 pp.

Annotation: This toolkit guides the development and implementation of community-based doula programming into clinical settings specifically to prevent maternal and infant mortality inequities in Black birthing families. The document describes the partnership Sistas Caring 4 Sistas, an established community-based doula program in Asheville, NC, and the UNC-affiliated Mountain Area Health Education Center (MAHEC), It presents a framework for collaboration between healthcare clinics and community-based doulas covering planning considerations, project work components including capacity building and clinical shift implementation, and policy change initiatives. The toolkit includes evaluation methods, lessons learned, and recommendations for getting started with such partnerships. It emphasizes the importance of organizational leadership support, mutual respect, and adequate administrative infrastructure for healthcare institutions seeking to partner with community-based doula organizations.

Keywords: Blacks, Childbirth, Community coordination, Community health services, Doulas, Health inequities, Local initiatives, Program development

South Dakota Oral Health Coalition. 2022. 2022-2027 oral health plan. Pierre, SD: South Dakota Oral Health Coalition, 8 pp.

Annotation: This plan was created with a vision of empowering all South Dakotans to embrace oral health as a critical component of overall health and well-being throughout life. The plan includes the following goals: improve oral health literacy and awareness of the importance of oral health; prevent oral diseases; increase the availability, accessibility, and use of oral health care; and coordinate state oral health efforts. For each goal, objectives and strategies are presented.

Keywords: Access to health care, Health care utilization, Oral health, Prevention, Program coordination, South Dakota, State materials, Strategic plans

Bopp V, Schroeder S, Kiefer C. 2021. Medical-dental integration manual. Bismarck, ND: Oral Health Program, North Dakota Department of Health; Grand Forks, ND: Center for Rural Health, University of North Dakota, 51 pp.

Annotation: This manual is intended for health professionals interested in integrating a dental hygienist into a medical care team. It discusses billing, contracting, rules and regulations, and scope of dental hygiene practice specific to North Dakota. It also provides information related to workflow, patient data, and education relevant to health professionals outside North Dakota. The manual discusses scheduling a visit, the oral health screening process, integrating a dental hygienist into the workflow, electronic medical and dental records, care coordination, charging and billing services, rules and regulations, and medical resident and clinical staff evaluation.

Keywords: , Care coordination, Health education, North Dakota, Oral health, Pediatricians, Primary care, Regulations, Service integration, State programs

Menon M, Huber R, Russell R. 2021. Lessons learned from the ECCS CoIIN Coordinating Center's evaluative efforts . Boston, MA: National Institute for Children's Health Quality, 170 pp.

Annotation: This report presents findings from a five-year nationwide initiative to improve population-based children's developmental health and family well-being outcomes across 12 states. The evaluation focuses on four key areas: building connections between state and local early childhood systems, expanding early childhood systems through infrastructure and capacity building, implementing policy changes, and developing partnerships. The report examines efforts to increase age-appropriate development skills among 3-year-old children and reduce developmental disparities. [Funded by the Maternal and Child Health Bureau]

Keywords: Collaboration, Community coordination, Developmental screening, Early childhood development, Federal initiatives, Model programs, Partnership, Policy development, Service delivery systems, State initiatives

Missouri Department of Health and Senior Services, Missouri Oral Health State Plan Workgroup, and Missouri Coalition for Oral Health. [2020]. Missouri oral health plan 2020-2025. Jefferson City, MO: Missouri Department of Health and Senior Services, 18 pp.

Annotation: This report provides information about Missouri’s 2020–2025 oral health plan. It includes eight goals: (1) support access to preventive oral health services and emergency dental care; (2) provide oral health information to health professionals; (3) support oral health workforce development; (4) identify, investigate, monitor, and report on oral health problems, determinants, and disparities; (5) coordinate and participate in policy development to improve oral health in Missouri; (6) implement and collaborate with oral-disease-prevention programs; (7) reduce oral health disparities; and (8) implement, evaluate, and report on the 2020–2025 plan. Activities are described for each goal.

Keywords: , Access to health care, Missouri, Oral health, Prevention, Program coordination, Public policy, State programs

Schroeder S, Knutson S. 2020. Medical-dental integration in North Dakota. Grand Forks, ND: University of North Dakota School of Medicine and Health Sciences, Center for Rural Health, 2 pp.

Annotation: This fact sheet describes the reach, patients served, and outcomes of a medical-dental integration model employed in the University of North Dakota’s Center for Family Medicine in Bismarck. The model includes offering oral health screenings, fluoride varnish application, dental referrals, and care coordination for patients in the primary care setting while also educating medical residents and direct care staff quarterly on the association between oral health and overall health.

Keywords: Health screening, North Dakota, Oral health, Program coordination, Referrals, Service integration, State programs

Schroeder S, Knutson S. 2020. Evaluation report: Medical-dental integration at the University of North Dakota Center for Family Medicine. Grand Forks, ND: Center for Rural Health, University of North Dakota; Bismarck, ND: Oral Health Program, North Dakota Department of Health, 57 pp.

Annotation: This report provides information about an evaluation of the North Dakota Department of Health’s Oral Health Program after it hired a public health hygienist to provide oral health education to medical residents and staff and to provide preventive oral health services and oral health education to children and their families with low incomes who were uninsured. The report introduces the program and discusses evaluation results related to the medical- dental integration model, patient data, and oral health training for medical residents.

Keywords: , Care coordination, Dental hygienists, Evaluation methods, Health education, Low income groups, North Dakota, Oral health, Prevention, Service integration, State programs

McManus M, White P, Borden C. 2019. Incorporating pedatric-to-adult transition into NCQA patient-centered medical home recognition: 2019 update. Washington, DC: Got Transition™/Center for Health Care Transition Improvement, 13 pp. (Practice resource)

Annotation: This resource is intended to facilitate the application of nationally-recognized transition tools to address specific criteria developed by the National Committee for Quality Assurance (NCQA) in their 2017 Patient-Centered Medical Home standards. Contents include NCQA criteria and guidance cross-walked with relevant sample tools. Topics include team-based care and practice organization, knowing and managing patients, patient-centered access and continuity, care management and support, care coordination and care transitions, and performance measurement and quality improvement. Descriptions of the tools are also provided. [Funded by the Maternal and Child Health Bureau]

Keywords: Children, Measures, Medical home, Patient care management, Patient care teams, Program coordination, Program improvement, Quality assurance, Special health care needs, Standards, Transitions, Youth

U.S. Substance Abuse and Mental Health Services Administration. 2019. Intensive care coordination for children and youth with complex mental and substance use disorders: State and community profiles. Rockville, MD: U.S. Substance Abuse and Mental Health Services Administration, 435 pp.

Annotation: This document updates a 2014 profiles report, by (1) categorizing states' intensive care coordination (ICC) efforts into sustainability, implementation or pre-implementation groups; (2) identifying key informants; and (3) expanding the questionnaire template used in surveying the states. This updated profiles report is intended to assist states interested in improving outcomes for children and youth with complex mental and substance use disorders by developing or revamping ICC. includes lessons learned from 40 states and a small number of local jurisdictions that have implemented ICC, with and without high quality Wraparound, and is intended to support innovation around state efforts.

Keywords: Access to care, Children, Mental disorders, Mental health services, Service coordination, State programs, Substance abuse, Youth

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The MCH Library is one of six special collections at Georgetown University, the nation's oldest Jesuit institution of higher education. The library is supported through foundation, private, university, state, and federal funding. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by Georgetown University or the U.S. Government. Note: web pages whose development was supported by federal government grants are being reviewed to comply with applicable Executive Orders.