Search Results: MCHLine

Annotation: The goal of this project was to develop a regionalized system of care for chronically ill children and their families. To achieve this goal, the project identified the needs of children with chronic illnesses and their families, developed a network of existing resources for this population, and established new resources. Activities included developing a network of parents, community providers, and health professionals; conducting education/training sessions for school and Title V personnel, parents, and health professionals; producing educational packets and training materials; and developing a computerized information and referral system for state MCH and school system staff. [Funded by the Maternal and Child Health Bureau]

Keywords: Chronically Ill, Coordination of Health Care, Families, Networking, Play Therapy, Referrals

Annotation: This scholarly project describes the development of an educational guide, "Exploring Postpartum Care: A Guide for Mothers," designed to provide mothers with comprehensive information on their postpartum journey from an occupational therapy perspective. The guide aims to bridge the gap in current hospital discharge education by addressing mothers' physical, emotional, and mental health needs during the postpartum period. Organized using the Ecology of Human Performance (EHP) model, the guide covers topics such as mental health, pelvic floor health, body mechanics, pain management, routines, roles, breastfeeding, nutrition, self-care, social support, supplies, healing timeline, precautions, and community resources. The project also outlines the implementation plan for the healthcare system to distribute the guide to all postpartum mothers at discharge, with the goal of expanding occupational therapy's role in providing follow-up and addressing concerns related to the guide's content.

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Keywords: Occupationsl therapy, Patient Education, Patient discharge, Postpartum care

Annotation: This Clinical Practice Guideline includes recommendations on treatment and management of perinatal mental health conditions including depression, anxiety, bipolar disorders, and acute postpartum psychosis, with a focus on psychopharmacotherapy.

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Keywords: Annxiety, Depression, Disease management, Mental health, Mood disorders, Perinatal care, Postpartum care, Prenatal care, Psychotropic drugs, Therapeutics, Therapy

Annotation: This chart provides information about state-specific legislation that mandates the coverage of medically necessary foods by employer-sponsored health insurance, Medicaid, and coverage and related services funded by other state programs such as the Supplemental Food Program for Women, Infants, and Children (WIC); Title V; or relief funds. Contents include descriptions of medical foods products, abbreviations and definitions, a list of coverage types for dietary treatments of disorders identified through newborn screening, and a list of states that provide phenylketonuria (PKU) only coverage. Details about covered services and any benefit limits or age and income restrictions are included. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Diet therapy, Dietary assessment, Financing, Food supplements, Genetic disorders, Health insurance, Medicaid, Metabolic diseases, Newborn infants, Newborn screening, Nutrition, Phenylketonuria, Postnatal care, Regulations, Special health care needs, State legislation, State programs, Title V programs, Unfunded mandates, WIC program

Annotation: This website provides resources from an initiative to prevent birth defects and improve the health of mothers by identifying alternatives for treatment of common conditions during pregnancy and during the childbearing years. Contents include information and resources for parents and clinicians on medication use before and during pregnancy, and while breastfeeding. Topics include planning for pregnancy, the effects of medications during pregnancy, lists of safe medications during pregnancy, discussing current medications, accidental exposure, and a peer-reviewed database of drugs to which women who are breastfeeding may be exposed.

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Keywords: Adverse effects, Breastfeeding, Drug therapy, Drugs, Federal initiatives, Pregnancy, Pregnant women, Self medication

Annotation: This website describes a comprehensive, focused, and integrated approach to identifying and treating depression in mothers participating in home visiting programs. The program involves three phases instituted over two years: (1) on-site training of home visitors in identification of maternal depression and role in the program, (2) training of therapists in Cincinnati in in-home cognitive behavioral therapy, and (3) ongoing training and support of therapists. Information about maternal depression, the program's research base, a training calendar, and additional resources about postpartum depression and postpartum support are included.

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Keywords: , Behavior change, Cognitive therapy, Comprehensive programs, Depression, Home visiting, Maternal health, Mental health, Postpartum care, Therapeutic programs, Training

Annotation: This brief describes a program that uses in-home cognitive behavioral therapy to treat maternal depression as an added component for home visiting programs. Topics include the impact of maternal depression on women, children, and families; the program's research and results, return on investment, design, and implementation; and opportunities and potential roles for states and home visiting programs.

Keywords: Behavior change, Cognitive therapy, Comprehensive programs, Costs, Depression, Financing, Home visiting, Maternal health, Mental health, Postpartum care, State programs, Therapeutic programs, Training

Annotation: This tool summarizes authorization requirements for psychotropic medications to ensure appropriate medication use for children and youth covered by Medicaid. Contents include a table highlighting prior authorization parameters used by 14 states to reduce the inappropriate use of psychotropic medications among children and youth covered by Medicaid including those in foster care.

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Keywords: Adolescents, Children, Drug therapy, Foster care, Medicaid, Mental health, Quality assurance, State programs, State regulations

Annotation: This guideline focuses on the optimal use of antiretroviral (ARV) agents for the treatment of human immunodeficiency virus (HIV) infection in adults and adolescents in the United States. Contents include information on the scope of the guideline, methodology for collecting the evidence that the guideline is based on, and recommendations for treatment. Companion documents and client resources are also included.

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Keywords: Adults, Communicable diseases, Cost effectiveness, Drug therapy, Guidelines, HIV: Adolescents, Patient care, Pregnant women, Safety, Treatment effectiveness, Virus diseases

Annotation: This resource guide provides information to programs and individuals interested in using tele-intervention (TI) to provide family-centered early intervention to families of children who are deaf/hard of hearing who have chosen a spoken language outcome. Topics include benefits and challenges, implementation of TI sessions, technology to support TI, privacy and security considerations, licensing issues, evaluating TI outcomes, and reimbursement issues for TI. Video examples and a list of related publications and resources are included.

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Keywords: Communication, Deafness, Early intervention, Hearing disorders, Infants, Language barriers, Language development, Language therapy, Service delivery, Telecommunication devices, Telemedicine

Annotation: This guide provides information about adolescent depression and treatment options. It introduces adolescent depression and its causes and symptoms and getting an accurate diagnosis. It then discusses treatment, including talk therapy and medications; risks and benefits of antidepressants, as well as family history and treatment. Risk of suicide is also presented, creating good monitoring systems and safety plans, treatment research, and how to be an effective advocate for an adolescent with depression. The guide concludes with resources.

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Keywords: Adolescents, Advocacy, Antidepressant drugs, Cognitive therapy, Consumer education materials, Depression, Families, Monitoring, Parents, Safety, Treatment

Annotation: This book represents an effort to facilitate the development of cultural competence and cultural proficiency among physical therapists. The book covers theory, practice, and professional development areas of study that have frequently been omitted from the traditional curriculum for rehabilitation professional students or continuing education for the practitioner. Chapters 1,2, and 3 address the domains of culture and cultural competence from a broad perspective. Chapter 4 identifies special considerations that need to be addressed when doing an ethnography of a client. Chapter 5 is devoted to understanding disability. Chapter 6 focuses on present-day circumstances of disparities in health status, health care, and physical therapy. Chapters 7 and 8 are about poverty and racism. Chapter 9 is about communication. Chapter 10 introduces the concept of service learning and explores the relationship between service learning and cultural competence. Chapter 11 discusses the social construct of disability. Chapter 2 provides specific strategies to enable individual physical therapists and the profession of physical therapy to work toward increased cultural competence.

Keywords: Chronic illnesses and disabilities, Communication, Cultural competence, Health, Health care disparities, Health status disparities, Physical therapists, Physical therapy, Physical therapy education, Poverty, Racism, Rehabilitation

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Keywords: Cultural competence, Curriculum development, Occupational therapy, Professional education

Annotation: This fact sheet provides physicians with information on the appropriate use of antidepressant medication as a component of a comprehensive treatment program for children and adolescents with depression. The fact sheet includes information about (1) the recent Food and Drug Administration (FDA) decision to require a black box warning for antidepressant medications, (2) the prevalence and impact of child and adolescent depression, (3) an overview of treatment effectiveness of suicidality, (4) what prompted the FDA warning, (5) suicidality in adolescents, (6) recognition and diagnosis of child and adolescent depression, (7) risk factors for suicide, (8) whether talking about suicide signals increased likelihood that a child will hurt him or herself, (9) treating child and adolescent depression, (10) suggestions for physicians when prescribing antidepressant medication to pediatric patients, (11) which medications will carry the warning label, (12) treatment of depression outcome measures, and (13) future directions.

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Keywords: Adolescent health, Antidepressant drugs, Attempted suicide, Child health, Depression, Diagnosis, Drug therapy, Mental health, Pediatricians, Physicians, Risk factors, Suicide, Suicide prevention, Treatment

Annotation: This fact sheet, geared toward children, adolescents, and families, includes practical advice about treating depression in children and adolescents, as well as information about the recent Food and Drug Administration (FDA) decision to require a black box warning for antidepressant medications. The fact sheet explains (1) what a black box warning is and what prompted the FDA warning, (2) whether antidepressants can help children and adolescents with depression, (3) whether antidepressants increase the risk of suicide, (4) what other factors increase the risk of suicide, (5) whether talking about suicide increases the risk that a child or adolescent will hurt himself, (6) how to be certain that a child or adolescent has depression, (7) what treatment should consist of, (8) how parents can help monitor their child or adolescent, (9) what other treatments are available, (10) whether depression will pass without treatment, (11) whether children or adolescents can continue taking antidepressants currently being prescribed, and (12) how parents can advocate for a child or adolescent who has depression.

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Keywords: Adolescent health, Advocacy, Antidepressant drugs, Attempted suicide, Child health, Consumer education materials, Depression, Diagnosis, Drug therapy, Mental health, Parents, Risk factors, Suicide, Suicide prevention, Treatment

Annotation: This report updates clinicians on the latest recommendations concerning the diagnosis, evaluation, and treatment of hypertension in children and adolescents. The report evaluates evidences of early target-organ damages in children and adolescents with hypertension; provides the rationale for early identification and treatment; and provides revised recommendations, based on recent studies, for the use of antihypertensive drug therapy. Treatment recommendations also include updated evaluation of nonpharmacologic therapies to reduce additional cardiovascular risk factors. The report also describes how to identify hypertensive children who need additional evaluation for sleep disorders that may be associated with blood pressure elevation. Appendices include demographic data, computational charts, and a scheme used for classification of the evidence, along with references.

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Keywords: Adolescent health, Child health, Diagnosis, Drug therapy, Hypertension, Resources for professionals, Risk factors, Screening, Therapeutics

Annotation: This report describes a project to prepare leaders in the field to promote service, teaching, and research to improve the quality of life of children with disabilities and their families, to address the need for doctoral prepared pediatric physical therapists, and to increase the research on the effectiveness of interventions and service delivery for children with disabilities. Report contents include descriptions of the purpose of the project, goals and objectives, methodology, evaluation, and results and outcomes. Additional sections list publications and products, dissemination and utilization of results, future plans and follow-up, and type and amount of support and resources needed to replicate the project. [Funded by the Maternal and Child Health Bureau]

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Keywords: Children with special health care needs, Final reports, Health services delivery, Leadership training, MCH research, Pediatrics, Physical therapy, Professional education

Annotation: This report brings together a growing body of scientific research demonstrating substantial disparities in pharmaceutical therapy for Hispanic Americans. The report discusses disparities in relation to asthma and Hispanic children, mental illness, and status of research; genetics and individualized response to drugs in Hispanics in relation to asthma, diabetes, heart attack, and Alzheimers disease; clinical implications of variations in genes regulating drug metabolism; undertreatment of coexisting conditions; and communication, culture, and implications of optimal pharmaceutical care. Statistical information is presented in figures throughout the report. The report includes conclusions, recommendations, and references.

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Keywords: Alzheimers disease, Asthma, Children, Communication, Cultural factors, Culture, Diabetes, Drug therapy, Genetics, Heart diseases, Hispanic Americans, Mental disorders, Pharmaceuticals, Research, Treatment

Annotation: This report describes the Boston University Occupational Therapy Leadership Center project during the period 1997-2003. The purpose of the project was to improve the health status of mothers and children by training leaders in pediatric occupational therapy who are knowledgeable about broader issues and aspects of health and can have an impact on intervention for children and their families in practice, research, education, and advocacy, and in influencing public policy related to health care.Topics include (1) purpose of project, (2) goals and objectives, (3) methodology, (4) evaluation, (5) results and outcomes, (6) publications and products, (7) dissemination and utilization of results, (8) future plans and follow-up, and (9) type and amount of support needed to replicate.The report contains 14 appendices, including presentations, forms, publications, fact sheets, and other related materials. A CD-ROM is included. [Funded by the Maternal and Child Health Bureau]

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Keywords: Child health, Families, Final reports, Health care delivery, Leadership, Massachusetts, Occupational therapy, Public policy, Women's health

Annotation: This final report describes the Center for Leadership in Pediatric Physical Therapy Education program, based at the University of Washington School of Medicine, during the period July 1, 1997, to June 30, 2003. The project's goal was to provide leadership in pediatric physical therapy education to address the needs of populations of mothers and children, particularly those with special health care needs, through the support of post-professional graduate training; the development and dissemination of curriculum resources; and the provision of consultation, technical assistance, and continuing education. Report sections include (1) purpose of project and relationship to Social Security Act (SSA) Title V maternal and child health (MCH) programs, (2) goals and objectives, (3) methodology, (4) evaluation, (5) results and outcomes, (6) publications and products, (7) dissemination of results, (8) future plans and follow-up, and (9) support and sources needed to replicate. The report includes 10 appendices, including an evaluation plan, summaries, presentations, descriptions of activiities, and more. An abstract is included. [Funded by the Maternal and Child Health Bureau]

Keywords: Continuing education, Final reports, Health personnel, Children with special health care needs, Leadership training, Physical therapists, Physical therapy education, Professional training, Washington