Friday, April 4, 2025
4/4/2025
Healthy Tomorrows Partnership for Children Program - i) Project Abstract: Project Title: Pediatric Care Coordination Project for Substance Exposed Infants-Drug Endangered Children-Parental Polysubstance use Problem: a) Children at risk due parental drug use, maternal health at risk due to pregnant woman abusing opioids , b) shortage of cross-trained healthcare provider workforce, c) lack of system linkages and care integration between pediatric primary care, child protective services and substance use provider systems, and d) lack of integrated health care provisions that could address physical, mental, social and emotional health among children and adolescents and their families served directly by the school-based health center. Goals and Objectives 1. Increasing access to integrated pediatric behavioral health care for substance exposed infants (SEI), drug endangered children (DEI) and their families 1. Form and designate a multidisciplinary advisory board. 2. Create, a structured communication protocol between pediatric primary care, SUD and behavioral health services, and child protective services 3. To increase access to evidence-based harm reduction interventions 4. Provide cross-system training on stigma, SUD treatments, system of care 2. Strengthen cross-system screening and assessment of SEI, DEC and parental substance use by focusing on co-occurring disorders, bright futures, social determinants of health (SDOH), parental engagement 1. Implement and expand Bright Futures screening 2. Screen, for comorbidities and SBIRT for SEI-DEC and parents with SUD issues. 3. Introduce standardize SUD screening to current CPS integrated assessment. 4. Collaborate with MCH Title V and American Association of Pediatric 3. Strategically recruit participant diverse racial, ethnic, linguistic, cultural, geographic, religious, and class backgrounds, and different gender and sexual orientations to include underserved and underrepresented communities. 1. Incorporate training on SSDOH, health equity, cultural humility and bilingual practices in in child protective services, SUD and pediatric primary care center 2. Increase, SEI, DEC and parents with SUDs from the most vulnerable background. 3. Incorporate, screening of SSDOH among SEI, DEC and parents with SUDs 4. Provide assessment stop-gap behavioral health services to improve ease of use 4. Establish cross system collection and tracking data on prevention, treatment and recovery data on SEI, DEC, pregnant persons and their families 1. Create a data sharing protocol between CMMHRN, SATTC 2. Coordinate data guided outcome decisions on assessment, screening 3. Create a cross-system electronic health screen and referring protocol Methodology, Coordination and Evaluation: This project will recruit a project coordinator and a behavioral health provider at the CMMRN and SATTC, create an Advisory Board, evaluation. The proposed new intervention aims to introduce a new set of measures for care coordination. Evaluation plan will assess 1) the extent to which the program objectives have been met, and 2) the extent to which these can be attributed to the project. There are process, utilization and outcome measures that will contribute to the evaluation. Both quantitative and qualitative data will inform the evaluation process.
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