Search Results: MCHLine

Annotation: This final report describes a Healthy Start project from 2001 to 2005 to reduce the disparities in infant morbidity and mortality among the Minneapolis and St. Paul African American and American Indian communities. Report contents include an overview of racial and ethnic disparity focused on by the project; and descriptions of project implementation, management and governance, project accomplishments, and project impact. Additional contents include the local evaluation and project data (on diskettes). Attachments include the project implementation plan in chart format, sample project brochures, a pregnancy journal for pregnant women and tip sheets for health professionals to use with the journal, articles published about the program and an orientation manual for project staff. [Funded by the Maternal and Child Health Bureau]

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Keywords: American Indians, Blacks, Consumer education materials, Ethnic factors, Final reports, Healthy Start, Infant morbidity, Infant mortality, Local initiatives, MCH services, Minnesota, Prevention programs, Racial factors

Annotation: This impact report describes the Healthy Start activities in infant mortality reduction from June 2001 through May 2005 for several Native American tribal partners in Wisconsin. Activities included early access to prenatal care with associated risk factors of maternal alcohol, tobacco, and other drug abuse or use; transportation; and provision of a culturally competent health care service delivery system. Report sections describe service initiation and accomplishments, mentoring, consortium and collaboration, impact of consortium program, and other Healthy Start components. Attachments include program brochures and a report with examples of services rendered to members of the various tribes. Also included is a set of four CD-ROMs containing the Honoring Our Children Curriculum and materials, with the following parts: 1) prenatal care, 2) smoking and pregnancy, 3) the importance of breastfeeding booklet, 4) smoking and pregnancy, 5) alcohol and drugs and pregnancy booklet, 6) safe sleeping for baby booklet, and 7) teen pregnancy--it's everybody's baby. [Funded by the Maternal and Child Health Bureau]

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Keywords: American Indians, Culturally competent services, Curricula, Final reports, Health services delivery, Healthy Start, Infant mortality, MCH programs, Prevention programs, Program descriptions, Wisconsin

Annotation: This report describes a Healthy Start project from 2001-2005 to address racial disparities in infant mortality and morbidity within the Native American populations in a 27 county area in Northern Michigan. Topics include providing access to early prenatal care and culturally sensitive perinatal services; addressing maternal smoking, improving awareness, and screening and referral for substance abuse; increasing infant immunization rates and access to specialty services; and increasing the number of infant deaths reviewed. Contents include an overview of the project; descriptions of project implementation, management and governance, and accomplishments; and the impact of the project on systems of care, the community, the state, and the role of local government. A copy of the local evaluation report is included in the appendices. Information on the status of fetal infant mortality review is discussed. Project forms, services tables, and other data are also provided. A binder contains samples of proudcts developed during the project and includes maps, brochures, fact sheets, booklets, posters, informational packets, reports and presentations, and videos and DVDs. Products are also included on the CD-ROM. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, American Indians, Final reports, Healthy Start, Infant mortality, MCH services, Michigan, Prenatal care, Prevention programs, Program descriptions, Racial factors

Annotation: This Healthy Start final report describes a Marion County, Indiana, program from 2001-2005 to address the factors that directly contribute to infant mortality in the project area. Factors discussed include racial disparities among African American, Hispanic and Appalachian women and families who experienced high rates of poor birth outcomes, as well as social and economic problems in the community associated with poor birth outcomes such as alcohol and drug use. Report contents include an overview of the racial and ethnic disparity in the project area; components of project implementation, management and governance; and a summary of accomplishments and the impact of the project on local systems of care, the community, and the state. Copies of local evaluation reports for each project year are provided along with a list of products produced during the project. Appendices include numerous lists, forms, measures, and tables of project data. [Funded by the Maternal and Child Health Bureau]

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Keywords: Alcohol abuse, Barriers, Blacks, Drugs, Final reports, Healthy Start, Hispanic Americans, Indiana, Infant mortality, MCH services, Prevention programs, Program descriptions, Racial factors, Socioeconomic factors, Substance abuse

Annotation: This is one of a series of four reports identifying innovative state efforts to enhance access to care, coverage, and efficiency in health care spending. This report focuses on selected state programs for advanced care and disease management in people with chronic conditions. Each state profile includes the purpose or goal of the program, key participants, a program description, the survey time frame, required legislation or authority, funding mechanisms, efficiencies, and challenges and future plans. States discussed are North Carolina, Colorado, Indiana, Florida, Texas, Washington, Vermont, Kentucky, and New Mexico. Contact information and additional notes are provided.

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Keywords: Access to health care, Case studies, Chronic illnesses and disabilities, Colorado, Cost effectiveness, Fiscal management, Florida, Health care financing, Indiana, Kentucky, New Mexico, North Carolina, Service coordination, State programs, Texas, Vermont, Washington

Annotation: This guide is geared toward families who are involved in the child welfare system. The guide provides information about the experiences families have had with the child welfare system as well as system laws and policies, people in the system, ways to advocate for a family's rights, parents' responsibilities, and practical tips from parents. The guide is divided into 10 sections covering the following topics: (1) a description of the system, (2) a description of child protective services, (3) the service planning process, (4) how families can participate in services in their own homes and communities, (5) how out-of-home placement works, (6) what happens when families cannot afford treatment services for their children, (7) choices for permanent placements, (8) the Indian Child Welfare Act, (9) rights and responsibilities, and (10) the approaches being used to improve the system. The guide also includes a list of terms, a discussion of related federal laws and policies, and a resources section.

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Keywords: Administrative policy, Advocacy, Child protective services, Child welfare, Child welfare agencies, Children, Communities, Costs, Families, Family support services, Indian health services, Legislation, Low income groups, Responsibility

Annotation: This supplement is an outgrowth of the 1999 report by the Surgeon General on mental health and illness. This report undertakes to probe more deeply into mental health disparities affecting racial and ethnic minorities and the role that cultural factors play in mental health. The report is divided into seven chapters including the introduction. Chapter two lays the foundation for understanding the relationships between culture, mental health, mental illness, and mental health services. Chapters three through six provide information about each racial and ethnic minority group: African Americans, American Indians and Alaska Natives, Asian Americans and Pacific islanders, and Hispanic Americans; including historical context and current status; and access to, availability of, and utilization of mental health services. Chapter seven concludes with promising directions and courses of action to reduce disparities and improve the mental health of racial and ethnic minorities. Each chapter concludes with a list of references. The appendices discuss the inclusion of minorities in clinical trials used to development treatment guidelines and a resource directory of relevant federal and private organizations. The report concludes with an index.

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Keywords: Alaska Natives, American Indians, Asian Americans, Blacks, Cultural diversity, Cultural factors, Culturally competent services, Disabilities, Ethnic factors, Hispanic Americans, Mental disorders, Mental health, Minority groups, Pacific Islanders, Racial factors, Research, Trends

Annotation: This study, conducted during 2000 and 2001, involved site visits and in-depth interviews with partners in five sites across the country serving children with special health care needs (CSHCN). These sites were (1) Children's Village in Yakima, Washington, (2) the Massachusetts Mental Health Services Program for Youth in Cambridge, Massachusetts, and Somerville, Massachusetts; (3) the Center for the Vulnerable Child in Oakland, California; (4) Metropolitan Hospital in Harlem, New York; and (5) the Dawn Project in Indianapolis, Indiana. The study identifies key strategies used by the study sites for integrating mental and physical health care services for CSHCN and their families. It also identifies factors that facilitate and hinder integration and includes recommendations for addressing major barriers to integration of physical and mental health services for CSHCN. Volume 1 of the publications provides a synthesis of study results and volume 2 contains the five case studies. [Funded by the Maternal and Child Health Bureau]

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Keywords: California, Case studies, Children with special health care needs, Health care delivery, Indiana, Massachusetts, Mental health services, New York, Program descriptions, Program evaluation, Service coordination, Washington

Annotation: This handbook focuses on improving coordination among public agencies such as WIC, migrant health centers, Indian Health Service and Tribal Health System, and community health centers. The handbook is intended to serve as a reference tool for local agencies pursuing coordination efforts. The first section of the handbook includes summaries of 12 model sites. Subsequent sections highlight innovative coordination strategies such as policy and administrative coordination, clinical coordination, and community-based initiatives. Suggestions for overcoming barriers to improving coordination and ways to assess and develop coordination strategies are also offered. Six appendices describe WIC and primary care service providers and list partner agencies that completed interviews, reactor panel members, state WIC agencies, Indian Health Service/Tribal Health System nutrition contacts, and state primary care associations.

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Keywords: Barriers, Communities, Community health centers, Community programs, Indian Health Service, Initiatives, Model programs, Primary care, Program coordination, Public agencies, Service coordination, WIC Program

Annotation: This volume is first in the 2000 series of monographs of the Comprehensive Community Mental Health Services for Children and Their Families Program, a federal grant program that assists communities in building fully inclusive organized systems of care for children who are experiencing a serious emotional disturbance and their families. The monograph examines promising practices of five American Indian children's mental health projects that integrate traditional American Indian helping and healing methods with the systems of care model.

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Keywords: American Indians, Child mental health, Community programs, Culturally competent services, Health care systems, Inclusion, Mental disorders, Service integration

Annotation: This report describes the result of a three-year project and site visit assessing the In-Care Network, a non-profit corporation that provides therapeutic foster care services for Indian youth in Billings, MT. The report gives an overview of the In-Care Network, background and context, the approach, and lessons learned. Topics include demographics; sovereign nation status and jurisdiction; management and staffing; access to care, services, and treatment; care coordination, cultural issues; family involvement; strengths and challenges; essential elements and unique features of In-Care and Montana; and recommendations for other states and communities. The appendices include site visit interview and In-Care Network documents available. [Funded in part by the Maternal and Child Health Bureau]

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Keywords: American Indians, Case studies, Child health services, Child protective services, Children, Collaboration, Foster care, Health personnel, Local initiatives, Montana, Pediatric care, Program descriptions

Annotation: This report summarizes the results of the evaluation of the Northern Plains Healthy Start program during its demonstration phase. This program covers nineteen American Indian tribal organizations in four states (North Dakota, South Dakota, Nebraska, Iowa). Chapter two of the report provides an overview of the Northern Plains Indian communities, and the issues and concerns that led to developing the program. Chapter three provides an overview of the program as designed and implemented. Chapter four presents data on client characteristics and service use from the Minimum Data Set (MDS) client data system and the postpartum survey. Chapter five presents trends in infant mortality and other birth outcomes for the Northern Plains and its two comparison areas. The final chapter presents conclusions and lessons learned from the Northern Plains Healthy Start experience.

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Keywords: American Indians, Evaluation, Healthy Start, Indian Health Service, Infant mortality, Iowa, Nebraska, North Dakota, Prevention programs, South Dakota

Annotation: This annotated listing of federal domestic assistance programs is drawn from the Catalog of Federal Domestic Assistance. It is organized by kind of program: maternal and child health programs of significant investments ( one billion or more, or managed by the Maternal and Child Health Bureau); health care; populations (age, diagnosis related, homeless, Native Americans, refugees and migrants); community development; and training and infrastructure (research and technical assistance). Each entry includes information about objectives of the program, types of assistance, and obligations (budgeted amounts). An alphabetical index of program names is included. [Funded by the Maternal and Child Health Bureau]

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Keywords: Age groups, American Indians, Community development, Diagnosis related groups, Directories, Environment, Federal MCH programs, Federal aid, Health services, Intervention, Technical assistance, Training

Annotation: This book focuses on the social and behavioral aspects of women's health in order to understand the complexities and differences in women's health and life situations. Topics include health and illness distribution among women in the United States; shared women's health issues and issues specific to those with disabilities; health practices, working, living conditions, and medical care; cultural complexities; race, class, culture, and age aspects in health issues, power and social control; and challenges and choices for the 21st century. Each chapter contains an introductory summary and list of references.

Keywords: Abuse, Access to health care, American Indians, Asian Americans, Blacks, Caregivers, Contraception, Hispanic Americans, Homosexuality, Research programs, Sociocultural factors, Socioeconomic factors, Women's health, Women's health services, Workplace

Annotation: This report reviews the history of the Promoting Success in Zero to Three Services Project and considers the implications of that study for maternal and child health care services for developing public policy. The project involved case studies in six communities: Fremont County, Colorado; Lawndale Community in Chicago, Illinois; Scott County, Indiana; Kent County, Rhode Island; Travis County, Texas; and Snohomish County, Washington. The report details the programs that were established in each community. The project itself focused on defining early intervention services for families with young children, developing systems at the local level, accessing data to integrate services, promoting leadership and support for developing systems to provide needed services. The authors include recommendations for national and state policymakers, and for community planners and policymakers. An executive summary contains the main points of the full report. [Funded in part by the Maternal and Child Health Bureau]

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Keywords: Case studies, Child health services, Children with developmental disabilities, Children with special health care needs, Colorado, Community based services, Early intervention, Family centered services, Family support services, Illinois, Indiana, Infants with developmental disabilities, Infants with special health care needs, Maternal health services, Policy development, Preschool children, Public policy, Rhode Island, Service integration, Texas, Toddlers, Washington

Annotation: This is a report of assistance to the Indiana State Department of Health (ISDH) from Health Systems Research, Inc. (HSR). ISDH officials identified two primary objectives in their request for technical assistance: 1) enhancing the capacity of the Title V Children's Special Health Care Services (CSHCS) program to provide comprehensive primary care to special needs children; and 2) defining and clarifying the future role of Indiana's Title V program, which includes the Maternal and Child Health (MCH) and CSHCS programs, in the context of the state's implementation of a Medicaid managed care system. Site visits led to the development of the following two products which are described in the report: 1) a comprehensive proposal for adopting and implementing a Medicaid-financed care coordination system for children with special health care needs; and 2) draft addenda to contracts with managed care providers outlining appropriate protocols and quality standards for delivery of services for children with special health care needs. [Funded by the Maternal and Child Health Bureau]

Keywords: Children with special health care needs, Contract services, Indiana, Managed care, Medicaid, Program proposals, Standards, Title V programs

Annotation: This project strove to: (1) Enhance coordination between the New Mexico agency that provides MCH and children with special health needs (CSHN) services, the New Mexico Health Department, and the Indian Health Service in order to develop a culturally competent system of health care that is responsive to the needs of American Indian children and their families; (2) increase the effectiveness of health care professionals working with American Indian families by increasing their understanding of cultural barriers to providing health care services to Indian children with special needs; and (3) increase the effectiveness of SPRANS projects serving American Indian children in other States by providing technical assistance to increase their knowledge of culturally competent services. [Funded by the Maternal and Child Health Bureau]

Keywords: American Indians, Case Management, Children with Special Health care Needs, Cultural Sensitivity, Families, Interagency Cooperation, Service Coordination

Annotation: This training manual is intended for the service providers of children with special health needs and their families. It is designed to provide information and activities that stimulate increased awareness of the barriers that cultural differences can present to effective service delivery; facilitate learning of effective methods for preventing cultural differences from becoming barriers and for overcoming barriers that do exist; and facilitate changes that will increase the cultural competency of individuals and organizations who provide health care services to Native American children and their families. The manual includes activity pages, handouts, and visual aids. Although specific information about Native American issues is presented, the activities can be applied to a variety of cultural groups. [Funded by the Maternal and Child Health Bureau]

Keywords: American Indians, Children with special health care needs, Culturally competent services, Family centered services

Annotation: In this report, the United States Conference of Local Health Officers (USCLHO) addresses the numerous obstacles encountered at the local level to the provision of services to limited/non-English speaking groups and provides recommendations for action to be taken by both local health departments and Federal health policymakers. The report contains 3 main sections: 1) a review of the literature on issues related to the impact of languages other than English as spoken by clients who access local health care; 2) a report on the findings from a 1992 USCLHO survey of local health departments to gauge the status of local health services specifically targeting limited/non-English speakers; and 3) a series of case profiles portraying specialized local health department programs that seek to improve access to health services for linguistic minorities in 7 urban areas.

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Keywords: Access to health care, American Indians, Asian Americans, Blacks, Community health services, Health policy, Hispanic Americans, Limited English speakers, Migrant health, Minority health, Public health programs, Public health services, Sociocultural factors

Annotation: This survey of adolescent pregnancy programs summarizes the histories of four programs: Maternal and Child Health Services Block Grant, Community Health Centers, Migrant Health, and Indian Health Service.

Keywords: Adolescent pregnancy, Community health centers, Federal programs, History, Indian Health Service, MCH programs, Migrant health, Title V programs