Search Results: MCHLine

Annotation: This notebook binder contains an assemblage of documents from 1981 on the consolidation of seven federal categorical programs into one maternal and child health services block grant. The documents include (1) a summary; (2) Public Law 97-35, Maternal and Child Health Services Block Grant Act; (3) an interpretation regarding the termination of certain grants; (4) final rules on the implementation of block grants; (5) House bill 3982; (6) Senate bill 79-492; (7) Senate report 1377; (8) conference report; (9-10) comparison of the House and Senate bills by the Association of State and Territorial MCH and Crippled Children Directors and by the American Academy of Pediatrics; (11) an additional conference report; (12) an excerpt from the Congressional Record; and (13) a work group memo regarding definitions to accompany the MCHS block grant act.

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Keywords: Block grants, Federal MCH programs, History, Social Security Act, Title V

Annotation: This paper compares the philosophy, theory and practice of nursing and social work to find to what extent overlapping, similarities, and divergencies may exist between them. 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]

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Keywords: Federal MCH programs, Children and Youth Projects, Nurses, Program evaluation, Social workers

Annotation: This paper reports a survey to make the Mount Zion Hospital and Medical Center, Comprehensive Child Care Project Staff knowledgeable and able to support all expressions of concern with substantive information. The survey among a sample of project families attempted to delineate the family's housing situation in regard to space, safety and sanitation; the nutritional status in regard to availability of food, shopping practices and dietary intake; and the children's educational placement and experiences in school and the parents' perception of the schools. The survey is also designed to document the adequacy and effectiveness of existing social services and agencies in the community to deal with these problems. This paper is produced as part of the documentation and assessment of the effect of P.L. 89-97, Title V. [Funded by the Maternal and Child Health Bureau]

Keywords: Children and Youth Projects, Comprehensive health care, Educational factors, Federal MCH programs, Housing, Nutritional status, Program evaluation, Social services, Surveys, Title V programs

Annotation: This toolkit explains how to implement two-generation postpartum care, combining dyadic care with behavioral health support and aid for social needs for postpartum families up to two years after birth. It outlines the UI Health Two-Gen model developed at the University of Illinois Health System since 2020, which addresses physical, behavioral, and social needs of both mothers and infants during well-child visits. The toolkit describes key components including primary care delivery, behavioral health services, care management, patient education, lactation consultation, visit co-scheduling, comprehensive screenings, and care team meetings. It provides practical implementation suggestions for healthcare organizations with varying resources, addressing funding considerations and sharing patient satisfaction data. The toolkit emphasizes how innovative approaches to postpartum care can help address the maternal health crisis, particularly leveraging the Medicaid Postpartum Extension being implemented in multiple states.

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Keywords: Behavioral medicine, Child health, Illinois , Intergenerational programs, Local programs, Maternal health, Models, Postpartum care, Social services

Annotation: This report examines the role of the Title V Maternal and Child Health (MCH) Services Block Grant in addressing the maternal and infant health crisis and related racial and ethnic disparities in the United States. It analyzes fiscal investments for pregnant women and infants across 59 states and territories, comparing federal and non-federal funding ratios and the extent of state matching contributions. The document includes a substantial discussion of methodology and findings linking state funding levels to maternal and infant mortality rates. Recommendations for federal and state-level policy changes are provided, such as designating specific funding percentages for the pregnant and infant population and adopting a maternal and infant health performance measure bundle. Appendices include substantial tables detailing state-specific funding percentages and mortality data.

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Keywords: Data, Funding, Infant health, Infant mortality, Maternal health, Maternal mortality, Measures, Policy, Policy development, Social Security, Title V, State MCH programs, Statistics, Title V programs

Annotation: This fact sheet provides an overview of the Medicaid program as part of a guide to key maternal and child health investments. The document explains that Medicaid is a federal-state partnership providing health care to low-income individuals and covers nearly 19% of adult women, 41% of all births, and 50% of all children in the United States. It includes a comparative table contrasting the Medicaid program with the Title V MCH Services Block Grant to States, detailing their authorization, administration, funding mechanisms, eligibility requirements, and populations served. The fact sheet describes the required alignment and coordination between Title V and Medicaid programs, including inter-agency agreements and cooperative arrangements to maximize health services and prevent duplication of efforts.

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Keywords: Interagency cooperation, MCH programs, Medicaid, Social Security Act, Title V

Annotation: This report highlights the common threads between housing and reproductive justice, emphasizing the importance of policy solutions that de-silo maternal health and address social and structural barriers. The first section describes how structural racism and structural disinvestment—including residential segregation, poor housing access and conditions, residential instability and gentrification, and the carceral apparatus—contribute to deleterious health outcomes among Black women and birthing people. The second section outlines how Black pregnancy is policed across the reproductive lifespan through forced evictions and displacement during pregnancy, double jeopardy of racism and discrimination in health care settings, and threatened Child Protective Services (CPS) involvement after birth. The third section highlights the status of housing reform in Washington, D.C. and potential opportunities for change. The report ends with Mamatoto Village’s housing justice framework, a summary of federal housing programs and policies, and links to annotated bibliography of key articles.

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Keywords: Barriers, Blacks, Civil rights, Federal programs , Housing, Housing programs, Maternal health, Policy development, Pregnancy, Racism, Social factors, Underserved communities

Annotation: This brief explains how state Medicaid programs can be used to address social determinants of health, including economic stability, education, neighborhood and physical environments, employment, social support networks, and access to health care. It describes how states have been given flexibility through managed care programs and Section 1115 demonstration waivers to address non-clinical aspects of care such as case management, housing supports, employment supports, and peer support services. Included is a summary of the new guidance issued by the Centers for Medicare and Medicaid (CMS) in 2023 on the expansion of opportunities to address health related social needs.

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Keywords: Managed care, Medicaid, Social determinants of health, State programs

Annotation: This report examines states’ use of Medicaid section 1115 demonstrations to cover housing, nutrition, and other HRSN services and supports for pregnant and postpartum individuals and young children who are experiencing or at risk of unmet HRSNs.

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Keywords: Comparative analysis, Housing, Low income groups, Medicaid, Nutrition, Social determinants of health, Social factors, State programs

Annotation: This report examines multisector, community-driven partnerships in Baltimore and Cincinnati that utilize an accountable community for health model to improve health outcomes for pregnant and postpartum individuals. It details the implementation of the B’more for Healthy Babies and Cradle Cincinnati initiatives, focusing on life-course approaches to care and the reduction of mortality disparities among Black women and Indigenous communities. The document identifies strategies for addressing social drivers of health, such as stable housing and behavioral health support for individuals with substance use disorders, while highlighting results like decreased infant mortality and teen birth rates. perinatal workforce, including doulas and midwives, and expanded support for evidence-based home visiting services. A detailed graphic illustrates a multi-level life-course framework, and a photograph shows clinical care provided by a midwife

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Keywords: Community programs, Life course, Model programs, Partnerships, Postpartum care, Pregnancy, Social factors

Annotation: This report presents an overview of important elements to consider when incorporating social determinants of health (SDoH)--defined as the nonmedical factors that influence health outcomes--into a community health strategy. It describes SDoH factors, including education access, quality healthcare, strong neighborhood and built-environment, economic stability, and social and community context, and it explains how data provides an additional layer of valuable information. Principles for the ethical use of SDoH, importance of SDoH in identifying barriers to care, tracking the policy landscape, assessing SDoH programs, and common challenges are among the topics addressed.

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Keywords: Community programs, Health equity, Initiatives, Model programs, Program development, Public health, Social factors

Annotation: This issue brief highlights Action 2.7 from the White House Blueprint for Addressing the Maternal Health Crisis, focusing on addressing systemic discrimination in healthcare through guidance on prohibiting discrimination based on race, color, national origin, age, disability, and sex. The document examines how structural racism, interpersonal racism, and discrimination impact maternal health outcomes, with particular attention to the lasting effects of historical policies like redlining and current disparities in treatment and health outcomes across different populations. It provides detailed data on mistreatment during maternity care, highlights the intersectionality of discrimination, and outlines specific state-level innovations and evidence-based strategies being implemented to combat discrimination in maternal healthcare settings, including cultural competency training programs and equity-focused quality improvement initiatives.

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Keywords: Age factors, Cultural competence, Ethnic factors, Health equity, Maternal health, Model programs, Racial factors, Racism, Social discrimination, Sociocultural factors, State initiatives, Training

Annotation: This brief summarizes several initiatives to advance health and/or racial equity in home visiting. Some examples include: Home Visiting Collaborative Improvement and Innovation Network 2.0 (HV CoIIN 2.0) Health Equity Collaborative, Michigan Home Visiting Initiative (MHV), and Massachusetts Racial Equity Movement. The brief also highlights the National Leadership Academy for the Public's Health (NLAPH) program.

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Keywords: Child health, Early childhood development, Ethnic groups, Family support services, Health equity, Home visiting, Model programs, Race, Social factors

Annotation: These training sessions for Maternal and Child Health (MCH) professionals, recorded on February 15th and 22nd, 2022, offer a comprehensive guide to leveraging social media effectively. Presented by an expert with experience working with high-profile clients like Malala and President Obama, the training is divided into two sessions: "Platforms for a Purpose" and "Campaigns that Count." The first session covers developing marketing strategies, understanding audience relationships, selecting appropriate platforms based on demographics, influencer marketing, and case studies, concluding with an extensive Q&A. The second session builds on this foundation, addressing website development, campaign creation, brand voice establishment, resource allocation across multiple channels, strategic platform selection with posting schedules, and metrics for measuring success, again ending with audience questions. Together, these sessions provide practical guidance for MCH professionals to effectively integrate social media into their programmatic and policy initiatives.

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Keywords: Social media [suggested keyword], Administrative policies, Title V programs, Communication, Marketing

Annotation: This report offers recommendations for policy makers to integrate individuals with lived expertise as partners in program and policy design, implementation, and evaluation to more effectively address food insecurity. Access to affordable, nutritious food is a significant challenge for many individuals enrolled in Medicaid. Experts with lived experience joined state policy makers and representatives from national health care and social services organizations to address hunger by increasing cross-agency partnerships and identifying solutions.

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Keywords: Child health, Evaluation, Federal programs, Food insecurity, Health care disparities, Health equity, Health status disparities, Hunger, Medicaid, Policy development, Poverty, Social factors

Annotation: In this informal Q&A coffee chat format, AMCHP policy experts discuss key developments in national health policy following the administrative transition, with particular focus on potential changes to the Affordable Care Act and Medicaid. A significant portion of the discussion centers on efforts to extend postpartum Medicaid coverage from 60 days to one year through the American Rescue Plan's state option, which would require state plan amendments for implementation. The experts also address critical issues of racial inequities in maternal and child healthcare delivery and examine the implications of the Anti-Racism in Public Health Act, offering insights into the future landscape of maternal health policy from 2021 onward.

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Keywords: Health policies, Social policies, Medicaid, Maternal health, Children's health, Health insurance programs, Race

Annotation: This document outlines the Association of Maternal and Child Health Programs' (AMCHP's) guiding principles and values for family engagement and partnership, structured in two main sections. The first section describes key principles about family leaders, recognizing them as essential partners who bring unique expertise, visionary perspectives, and the ability to question the status quo while looking beyond their own family's experiences. The second section details AMCHP's responsibilities in fostering authentic partnerships, emphasizing the organization's commitment to respectful listening, mutual respect, open communication, comprehensive support (including training and accommodations), and the integration of family leaders in decision-making at program and policy levels.

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Keywords: MCH programs, Family centered health care, Family centered services, Collaboration, Social values, Family engagement

Annotation: This tip sheet outlines potential roles for Title V Maternal and Child Health (MCH) programs, highlighting specific examples of state-level collaborations. It features case studies including DC's Joyful Food Markets partnership with Martha's Table for food access, Florida and Iowa's workforce development initiatives for motivational interviewing training, New Mexico's Medical Home Portal for bilingual health resources, and Minnesota's Help Me Connect program for connecting families to early childhood services. The document emphasizes Title V programs' capacity to establish shared decision-making through partnerships with state AAP chapters, Medicaid programs, and other agencies to improve child and adolescent health outcomes.

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Keywords: Title V programs, Bright Futures, Pediatric care, Social determinants of health, Collaboration

Annotation: This report explores how community-based maternal support services provided by community-based doulas and maternity community health workers can improve maternal health outcomes. It also highlights the results of a national environmental scan of organizations that are actively working toward eliminating maternal health disparities and building community connections through the community-based maternal support model. Common barriers to implementing this model are identified, and opportunities for Medicaid stakeholders to provide support and increased access to these services are highlighted.

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Keywords: Barriers, Childbirth, Community based services, Community health workers, Doulas , Maternal health, Medicaid, Model programs, Public health, Risk factors, Social support, initiatives

Annotation: This packet provides the best strategies for participating practices so pediatric providers across the country can benefit from their learning from a quality improvement framework with 18 pediatric primary care practices to test and refine strategies to improve their effectiveness in fostering patients’ social and emotional development from birth to age 3. These core practices and strategies serve as a roadmap for the participating pediatric providers and includes additional resources developed as part of this initiative or identified as useful. The document summaries strategies for each core element and lists additional resources. Sample forms are included.

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Keywords: Emotional development, Model programs, Parent professional relations, Pediatric care, Pediatrics, Quality improvement, Social development, Young children