Search Results: MCHLine

Annotation: This report focuses on highlighting evidence-based policies that can be implemented to address the root causes of disease. The report identifies and reviews five policy areas: access to healthcare, economic mobility, affordable housing, safe and healthy learning environments for children, and health-promoting excise taxes. Based on an extensive review of the evidence, the report recommends federal and state-level policies to improve health outcomes, advance health equity, and reduce healthcare spending. The report concludes that America's chronic disease and health disparities crisis require policy interventions targeting structural racism and the social determinants of health.

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Keywords: Evidence based medicine, Government financing, Health care disparities, Health policy, Health status disparities, Model programs, Policy analysis, Policy development, Taxes

Annotation: This toolkit compiles evidence-based and promising models and resources to support rural communities implementing maternal health programs across the United States. The modules in the toolkit contain resources and information focused on developing, implementing, evaluating, and sustaining rural programs to address the factors that affect and influence maternal health, such as health status, health behaviors, access to health care and social services, and quality of health care.

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Keywords: Access to health care, Evidence based medicine, Health care disparities, Health status disparities, Maternal health, Model programs, Rural health, Rural populations, Women

Annotation: This systematic review was conducted to support the United States Preventive Services Task Force in updating its 2014 recommendation on daily low dose aspirin use during pregnancy for individuals at increased risk for preeclampsia. The report reviewed updated evidence on the effectiveness and potential harms of daily aspirin use during pregnancy to prevent morbidity and mortality associated with preeclampsia. Data sources included MEDLINE, PubMed, Embase, and the Cochrane Collaboration Registry of Controlled Trials; results were limited to studies published between January 2013 and July 2019. The reviewed studies showed that daily aspirin use in pregnancy for individuals at increased risk for preeclampsia consistently led to beneficial effects on perinatal mortality, preterm birth, fetal growth restriction, and preeclampsia diagnosis.

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Keywords: Pregnant women, Drugs, Evidence based medicine, High risk groups, Literature reviews, Maternal health, Perinatal care, Preeclampsia, Pregnancy, Pregnancy complications, Pregnancy outcomes, Preventive health services

Annotation: This systematic review updates the 2012 evidence review used to inform the United States Preventive Services Task Force recommendations on the benefits and harms of screening for gestational diabetes mellitus. Since gestational diabetes mellitus is mostly asymptomatic, screening for it during pregnancy could identify women who could benefit from treatments to reduce the adverse consequences of this condition. Data sources included MEDLINE, Embase, and CINAHL between 2010 and May 2020; other sources included ClinicalTrials.gov, reference lists of primary studies and systematic reviews through June 2021. The results of this review showed that screening tests can identify women with gestational diabetes at or after 24 weeks of gestation and treatment is associated with improvement in various maternal and neonatal outcomes without serious harms.

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Keywords: Diabetes mellitus, Evidence based medicine, Gestational diabetes, Literature reviews, Pregnancy, Pregnancy complications, Pregnancy outcomes, Pregnant women, Screening

Annotation: In this video presentation, Dr. Nancy Byatt shares information on MCPAP-- the Massachusetts Child Pscychiatry for Moms program--which provides consultation to health care providers regarding behavioral/mental health and safe medications for pregnant or breastfeeding patients. MCPAP also helps to connect people to support groups and community-based services and serves as an example of behavioral and primary care integration that can be replicated.

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Keywords: Behavioral medicine, Depression, Maternal health, Mental health, Model programs, Perinatal health, Primary care, Service integration

Annotation: This presentation features Joy Burkhard and Kay Matthews, founders of 2020 Mom and Shades of Blue respectively, who outline strategies for strengthening the maternal behavioral health workforce through effective recruitment, funding, training, and retention approaches. Working with multidisciplinary teams from Nevada, Missouri, and Indiana, they aim to showcase best practices, explore diverse funding sources, and highlight innovative programs addressing maternal behavioral health needs. The speakers emphasize the critical nature of this work, noting that maternal mental health remains severely underserved with one-third of Americans living in mental health professional shortage areas, while primary care and obstetrical/gynecological services face similar resource gaps.

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Keywords: Staff development, Work force, Behavioral medicine, Recruitment, Retention, Nevada, Missouri, Indiana, Texas

Annotation: The Postpartum Discharge Patient Safety Bundle was revised in 2021 to incorporate respectful concepts and data collection tools. The bundle provides actionable steps that can be adapted to a variety of facilities and resource levels to improve quality of care and outcomes during a critical period in which patients are at risk for maternal morbidity and mortality. It emphasizes the importance of establishing systems for scheduling timely postpartum visits, screening for risk factors, providing standardized discharge education about warning signs including mental health concerns, and ensuring patients receive a comprehensive discharge summary. It also highlights the importance of coordinated clinical pathways between inpatient and outpatient settings, trauma-informed care, and addressing biases that affect quality of care. Bundle components include implementation details and resources, a data collection plan, an evidence-informed "change package," and learning modules.

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Keywords: Data collection, Evidence-based medicine, Health care quality indicators, Health metrics, Maternal morbidity, Maternal mortality, Measures, Postpartum care, Prevention, Protocols, Quality improvement, Resources for professionals, Safety, Standards

Annotation: The database aggregates sample evidence-based/informed strategies that can be used as-is or adapted to develop Evidence-based or informed Strategy Measures (ESMs) for each of the MCH National Performance Measures (NPMs). The strategies are listed by National Performance Measure, from NPM 1-Well Woman VIsit throught NPM 15-Continuous and Adequate Insurance. [Funded by the Maternal and Child Health Bureau]

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Keywords: Evidence based medicine, Model programs

Annotation: This toolkit provides information about an environmental scan of emerging models of behavioral and oral health integration, as well as organizational or service-delivery barriers that organizations face when attempting to adopt coordinated or integrated care models. Topics include background and rationale for oral health and behavioral health integration, an environmental scan of integrated models, and policy considerations. Examples of models are presented.

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Keywords: , Behavioral medicine, Health services delivery, Mental health, Oral health, Service coordination, Service integration

Annotation: This report summarizes factors influencing adolescent well-care performance in six top-performing state Medicaid programs. State Medicaid officials from the states with the highest adolescent well-care visit performance – RI, CT, TX, NY, NH, and MA – were interviewed to understand the factors contributing to their success.

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Keywords: Adolescent health, Evaluation, Evidence based medicine, Health supervision, Medicaid, State programs, Well child care

Annotation: This training about standardizing the process of selecting teeth for dental sealant placement is geared toward oral health professionals. It comprises a PowerPoint presentation and pre- and post-tests. The training reviews evidence-based guidance for sealant use, addresses questions, and presents findings and recommendations. Examples of sound, cavitated, and noncavitated lesions on tooth surfaces and discussions about whether to select teeth for sealants are included.

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Keywords: Dental sealants, Evidence based medicine, Health education, Oral health, Training

Annotation: This blog provides a space for state Title V maternal and child health professionals and their partners to learn about efforts to build better preventive care systems for optimal adolescent and young adult wellbeing across the country.

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Keywords: Behavior, Adolescent health, Behavioral medicine, Communication, Prevention programs, Social media, State Title V programs, State initiatives, Young adults

Annotation: This textbook for clinicians, residents, students, and allied health professionals provides information and themes pertinent to dentistry for children at all ages. Contents include information about oral care from conception to age 3, ages 3–6, 6–12, and adolescence. Topics include the responsibilities of non-oral-health professionals related to infant oral health, the effect of oral disease on children, dental sealants, advances in tissue engineering, and the importance of assisting the pediatric patient to transition to an adult dental home. Citations from health literature and policies and clinical guidelines of the American Academy of Pediatric Dentistry and American Academy of Pediatrics are included. The book includes an expert consult website featuring case studies and procedural videos along with a fully searchable version of the text.

Keywords: Adolescent health, Adolescents, Age factors, Age groups, Child development, Child health, Children, Evidence based medicine, Infant health, Infants, Oral health, Oral health care, Pediatric dentistry, Preventive health services, Textbooks

Annotation: This webinar reviews new clinical content in the Bright Futures Guidelines and the associated Periodicity Schedule, and discusses how to use evidence to decide on content for your practice's health supervision visits and how to identify strategies, tools, and resources to maximize efficiency for health promotion and preventive services.

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• Bright Futures 4th Edition Webinars And Slide Decks

Keywords: Adolescent development, Adolescent health, Anticipatory guidance, Child development, Child health, Communities, Disease prevention, Emotional development, Evidence based medicine, Families, Guidelines, Health promotion, Health screening, Health supervision, Infant development, Infant health, Injury prevention, Mental health, Nutrition, Oral health, Pediatric care, Perinatal health, Physical activity, Preventive health services, Protective factors, Psychosocial development, Safety, Sexual health, Standards, Videos, Weight management

Annotation: This toolkit provides information for health professionals about how to create an integrated health system that incorporates oral health. It discusses how to create an integration plan and factors to consider when integrating care. Integration care models for women’s health, early childhood health, older adult health, chronic disease, and behavioral health are provided. Each model includes factors to consider and practical examples.

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Keywords: Behavioral medicine, Chronic illnesses and disabilities, Collaboration, Health promotion, Older adults, Oral health, Service integration, Women’s health, Young children

Annotation: This report discusses the relationship between oral health and behavioral health and the consequences that lack of awareness about the importance of oral health and access to comprehensive oral health care can have for people living with chronic conditions, including diabetes and heart and lung diseases, and for those with behavioral health conditions. The connection between oral health and mental health is discussed, along with the importance of improving oral health coverage and integrating overall health care, mental health care, and oral health care.

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Keywords: Behavioral medicine, Cardiovascular diseases, Chronic illnesses and disabilities, Diabetes mellitus, Health insurance, Mental health, Oral health, Service integration

Annotation: This systematic review examines the benefits and harms of primary care-relevant interventions to prevent perinatal depression (i.e., depression during pregnancy and postpartum depression). Sources consulted for the review include MEDLINE, PubMED, PsyINFO, and the Cochrane Central Register of Controlled Trials; references of relevant publications and government web sites were also searched. The review looked at publications published in English between January 1, 2012, and February 6, 2018. The evidence review concluded that counseling interventions can be effective in preventing perinatal depression; a variety of other intervention approaches provided some evidence of effectiveness, but lacked a robust evidence base and need further research.

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Keywords: Evidence based medicine, Intervention, Literature reviews, Maternal health, Mental health screening, Postpartum depression, Pregnancy, Women's health

Annotation: This blog posting describes the initial phase of Simply Strategy’s assignment to study the problems associated with gaps in care in maternal behavioral health and develop a state-wide strategic plan in the State of Missouri. The document explains that the methodology utilized journey mapping, typically a consumer tool, to analyze a mother’s interaction with the current health system and identify opportunities for improvement, recognizing that one in seven mothers will experience a behavioral health need. Experts—including diverse professionals from state departments and clinical and community health backgrounds—were invited to strategic planning sessions where three maternal personas were used to illuminate specific issues. This process included a facilitated data-collection exercise with more than 100 public health professionals and clinical providers and over 20 individual depth interviews, resulting in a map that will be detailed in part two of this series

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Keywords: Needs assessment, Behavioral Medicine, Maternal health, Mental health, Missouri, State initiatives, Strategic plans

Annotation: This compilation of trainings and other resources is designed to help the maternal and child health work force understand and use evidence-based information to improve health care within their communities. [Funded by the Maternal and Child Health Bureau]

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Keywords: Child health, Evidence based medicine, Guidelines, Maternal health, Public health, Resources for professionals, Training

Annotation: This resource presents the U.S. Preventive Services Task Force recommendation on screening for preeclampsia in pregnant women with blood pressure measurements throughout pregnancy. The recommendation statement; supporting documents, including the research plan, evidence review, evidence summary, clinical summary; and related information for health professionals.

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Keywords: Childbirth, Evidence based medicine, Hospitals, Preeclampsia, Pregnancy induced hypertension, Pregnant women, Prenatal care, Reproductive health, Screening, Women's health