Search Results: MCHLine

Annotation: The primary purpose and goal of this project was the validation of scales for measuring cognitive and physical or general adaptive morbidity, the Pediatric Cerebral Performance Category Scale (PCPC) and Pediatric Overall provides the means of evaluation needed to reach the EMSC goal to evaluate emergency medical care of children as outlined in the EMSC 5 year plan. A secondary purpose of the study was to obtain supplemental data on the nature and severity of adverse outcomes of psychosocial adjustment for children and families with a broad range of cognitive and functional outcomes following childhood emergencies. This study and other work by the investigator will facilitate the identification of the population of children and families at high risk for emergencies in order to guide the development of a suitable intervention in a future phase of study. A cohort of 200 PICU discharges were accumulated consecutively over a 22 month enrollment period to a maximum of 25 patients in each of the eight cells of the study. The patients were then followed up with the Vineland Adaptive Behavior Scale and a battery of psychological tests. We find that the POPC and PCPC scales differentiate well between children of varying cognitive and general adaptive functional abilities as measured by the StanfordBinet, Bayley, and Vineland instruments. They should provide a useful tool for future studies which require outcome assessment. Maternal assessments may not be suitable substitutes for clinician assessments as mothers tend to rate children lower (less morbidity) than the nurse rater. Additional outcome analyses are still in progress. [Funded by the Maternal and Child Health Bureau]

Keywords: Emergency Medical Services for Children, Emotional Health, Mental Health, Morbidity, Research

Annotation: The project's goals were to: (1) Develop and implement structures and processes in defined community areas to plan and implement a family-centered, community-based health care delivery system for children; (2) develop data system capacity and function statewide to ensure family-centered, community-based primary care services for children; and (3) share experiences in family-centered, community-based system change in the area of primary health care for children with other State, regional, and national maternal and child health providers. At the State level, strategies were directed toward developing a system of children's primary health care delivery that was family centered and community based. At the local level, child health steering committees in established projects were to continue to plan and implement child health system changes in their service areas. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Child Mortality, Community Based Health Services, Databases, Family Centered Health Care, Information Systems, Primary Care, Standards of Care, State Programs

Annotation: This project had two components: Part 1, based in the Department of Health's Office of Emergency Medical Services, coordinated project efforts and served as a focus for emergency medical services for children (EMSC) in the State, including children with special health needs and minority children and their families. Part 2 involved the State's emergency medical services (EMS) community in three subcontracts that addressed (1) training for emergency medical technicians, paramedics, physicians, and nurses; (2) pediatric trauma issues; and (3) pediatric illness issues. [Funded by the Maternal and Child Health Bureau]

Keywords: Databases, Education, Emergency Medical Services for Children, Injury Prevention, Preventive Health Care, Professional Education in EMSC

Annotation: The goal of this project was to reduce the incidence of low birthweight by improving the preconceptional health of women who were at high risk for delivering a low birthweight infant. High-risk women were identified at delivery and were followed for 2 years. Client services were then provided by community health workers, who made home visits and developed a risk reduction plan for each client. Intervention protocols were developed for each risk factor and involved referral to the appropriate resource, followup to ensure client compliance, and reinforcement of professional counseling or supplemental teaching. [Funded by the Maternal and Child Health Bureau]

Keywords: Community-Based Health Services, Florida, High risk groups, High risk mothers, High risk pregnancy, Indigent Patients, Infant Mortality, Intervention, Low Birthweight, WIC Program

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: The purpose of this project was to develop and demonstrate effective intervention strategies for the 10–15 year age group that can be carried out within a school-based comprehensive health care system to reduce the occurrence of premature and unprotected sexual intercourse in adolescents. More than 300 10-year-old children and their parents enrolled to receive annual health maintenance evaluations and a series of activities to enhance parent-child communication, parental knowledge of adolescent social and sexual development, and problem-solving and decision-making skills. [Funded by the Maternal and Child Health Bureau]

Keywords: Adolescents, Blacks, Decision Making Skills, Healthy Tomorrows Partnership for Children, Hispanics, Minority Groups, Parent Child Interaction, Parent Child Relationship, Preventive Health Care Education, School Dropouts, School Health Programs, School Health Services, Sexual Activity, Sexually Transmitted Diseases

Annotation: The project objectives were to: (1) Develop community capability to increase breastfeeding incidence and duration through education and advocacy, specifically through Breastfeeding Action Teams composed of Title V and other health professionals; (2) incorporate breastfeeding promotion and lactation management into curriculums of student/resident health professionals; and (3) establish a clearinghouse of breastfeeding resources at the Best Beginnings Program at Kansas University Medical Center, to be available to health care providers statewide. [Funded by the Maternal and Child Health Bureau]

Keywords: Advocacy, Breastfeeding, Breastfeeding Promotion, Curricula, Health Promotion, Information Services, Information Sources, Patient Education

Annotation: This project aimed to supplement the three (out of 110) hours in pediatric and childbirth training mandated by the U.S. Department of Transportation's curriculum standards for basic EMT training. The project trained EMTs who were nominated by state EMS directors and who returned to train other EMTs in their states. Audiovisual aids were made available to graduates for their use in local training. By the end of 1988 the project trained 190 EMTs. [Funded by the Maternal and Child Health Bureau]

Keywords: Continuing Education, Education of Health Professionals, Emergency Medical Services, Emergency Medical Technicians (EMTs), Injuries

Annotation: This guide is meant to serve as a resource for school nurses and other school personnel to alert them to the signs and symptoms of complications of the sickle cell diseases and to educate them about what to do if they encounter a child with such signs and symptoms. The guide is divided into the following sections: (1) introduction, (2) what is sickle cell disease?, (3) warning signs, (4) what is sickle cell trait? (5) complications related to sickle cell disease, (6) medical management, (7) psychosocial issues, (8) the teacher, and (9) the social workers. The guide also includes the following appendices: (1) glossary, (2) bibliography, (3) New Jersey sickle cell/hemoglobinopathies treatment centers, and (4) New Jersey genetic centers for testing and family counseling.

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Keywords: Child health, Genetic counseling, Genetic disorders, Genetic services, New Jersey, Patient care management, Psychosocial factors, School health services, Sickle cell disease, Sickle cell trait, Social workers, Teachers

Annotation: This set of posters depict services needed for the health and welfare of infants. They address the topics of birth registration, proper care before birth, infant welfare stations, baby clinics, and child hygiene bureaus.

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Keywords: Birth certificates, Child welfare, Community health services, Infants, Mothers, Posters, Prenatal care

Annotation: This document encourages families to partner with health professionals on getting preventive health services and to take a lead role in promoting health at home and where they live, work, and play. Topics include how information sharing between families and health professionals can promote child health, the Affordable Care Act's preventive health services for children, the Bright Futures initiative, and tips for a healthy lifestyle. [Funded by the Maternal and Child Health Bureau]

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Keywords: Bright Futures, Child health, Children, Families, Family centered care, Health care reform, Health promotion, Parent professional relations, Patient Protection and Affordable Care Act, Preventive health services, Public private partnerships, Special health care needs

Annotation: This website provides resources for the well-woman visit, including recommendations, an evidence review, a well-woman chart, and other resources. It is aimed at obstetricians-gynecologists, other health care providers, and patients.

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Keywords: Access to health care, Disease prevention, Preventive health services Health screening, Women's health

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 resource outlines best practices for equitable maternal care, addressing the disparities experienced by women of color, particularly given the near 40% increase in maternal mortality since 2020. It identifies both individual-level strategies, such as screening and documenting social needs and practicing empathy, and systemic efforts, including offering implicit bias training, integrating health equity into quality improvement processes, and diversifying the maternal care workforce. The resource features hospitals in action, describing programs like the HoPE Doula Program and the Swedish Doula Services Program, which integrate community-based doulas to provide continuous support, advocacy, and connection to resources for pregnant and postpartum families. Additionally, it details the University of Chicago’s STAMPP-HTN (Systematic Treatment and Management of Postpartum Hypertension) program, a quality improvement bundle utilizing nurse educators and remote blood pressure monitors to improve immediate postpartum care for women with hypertensive disorders, which successfully eliminated follow-up disparities among Black and White women.

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Keywords: Community based services, Doulas, Health care disparities, Health equity, Hypertension, Maternal health, Postpartum care, Quality improvement, Resources for professionals

Annotation: This series of handouts for pregnant women and parents of infants and young children provides simple tips on nutrition and oral health issues. Topics include brushing a young child’s teeth, choosing healthy drinks, encouraging children to drink water with fluoride, giving children healthy snacks, taking care of oral health for pregnant women, and taking care of an infant’s oral health. The series is written in simple language and is available in English and in Spanish. One handout, Using Silver Diamine Fluoride on Children's Teeth, is also available in Arabic, Chinese, Haitian Creole, Persian, and Somali.

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Keywords: Asian language materials, Chronic illnesses and disabilities, Consumer education materials, Fluorides, Infants, Injury prevention, Non Englishs language materials, Nutrition, Oral health, Oral hygiene, Pregnant women, Preventive health services, Spanish language materials, Special health care needs, Young children

Annotation: This paper provides recommendations for health professionals that represent a consensus by the American Academy of Pediatrics and Bright Futures about the periodicity of health services for infants, children, and adolescents. The recommendations emphasize the importance of continuity of care in comprehensive health supervision, including oral health supervision, and the need to avoid fragmentation of care.

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Keywords: Adolescents, Children, Comprehensive health care, Health supervision, Infants, Oral health, Pediatric care, Preventive health services, Young adults

Annotation: This manual is designed to help non-oral-health professionals implement fluoride-varnish application for infants, children, and adolescents ages 6 months to 21 years who are enrolled in Massachusetts’ Medicaid program. The manual includes instructions on how to complete the online Smiles for Life training, which is required for health professionals to apply fluoride varnish for this population. It also discusses how to begin using fluoride varnish in a practice as well as how to keep fluoride varnish notes and how to bill for fluoride varnish application. Basic information about fluoride varnish application and information to share with parents and other caregivers is included.

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Keywords: Adolescents, Children, Clinical coding, Consumer education materials, Dental caries, Disease prevention, Fluorides, Infants, Manuals, Massachusetts, Medicaid, Oral health, Oral health care, Preventive health services, Reimbursement, Resources for professionals, Risk assessment, State programs, Training, Young adults

Annotation: This toolkit provides comprehensive guidance for healthcare organizations to enhance their climate resilience planning and emergency preparedness efforts. It presents strategies, actions, tools, and resources organized around key elements including risk assessment, health equity, community engagement, infrastructure vulnerabilities, healthcare collaboration, and communications. Developed by the Office of Climate Change and Health Equity in partnership with healthcare professionals, the toolkit includes case studies of successful climate resilience initiatives at healthcare facilities across diverse settings.

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Keywords: Collaboration, Community based services, Disaster planning, Emergencies, Environmental health, Model programs, Risk management

Annotation: This website provides information about the Healthy Start program, administered by the Maternal and Child Health Bureau (MCHB), that works to improve health outcomes before, during, and after pregnancy in high-risk communities. The program focuses on enhancing mothers' health, preventing infant death, and eliminating health disparities through comprehensive, personalized care. The website offers several key resources, including a downloadable Healthy Start Fact Sheet providing program overview, links to evaluation reports showing program effectiveness, information about the Healthy Start EPIC Center for training and technical assistance, and access to the CAREWare database system for data management. Visitors can also find a program locator tool to find local Healthy Start sites, details about grant awards from 2019-2024 (including specific community-based doula initiatives), and contact information for additional questions. The site highlights program accomplishments, showing that Healthy Start participants receive early prenatal care, well-woman visits, and depression/interpersonal violence screenings at higher rates than national averages. The website also explains the structure of the Community Consortium approach and describes the Alumni Peer Navigator initiative that employs former program participants to help current families access needed services.

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Keywords: Health care disparities, Health promotion, Healthy Start, Infant health services, Infant mortality, Maternal health services, Perinatal care, Prevention

Annotation: This brief, which is intended for dentists who participate in Medicaid, outlines strategies to consider for maximizing practice productivity, reducing patient cancellations and missed appointments, and reducing administrative burdens. Strategies discussed include taking advantage of patient-support resources, incorporating scheduling best practices, using staff and expanded workforce models, and behaving compassionately toward patients experiencing challenges with keeping appointments.

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Keywords: Communication, Dentists, Family support services, Low income groups, Medicaid, Oral health, Parent support services, Productivity