Maternal and Child Health Federal Consolidated Programs

Objectives: The Special Projects of Regional and National Significance Program (SPRANS) carries out maternal and child health (MCH) projects to support training and research; oral health integration; genetic disease testing, counseling, and information development and dissemination programs; newborn screening for sickle cell anemia and other genetic disorders; and comprehensive hemophilia diagnostic and treatment centers. The Community Integrated Service Systems program works to develop and expand home visitation; participation of obstetricians and pediatricians; integrated service delivery systems; maternal and child health centers; services for rural populations; and integrated state and community service systems for children and youth with special health care needs. The Heritable Disorders Program serves to improve the ability of States 1) to provide newborn and child screening for heritable disorders and 2) to expand screenings as the capacity to screen for genetic and congenital conditions expands. Newborn and child screenings occur at intervals across the life span of every child. Newborn screening universally provides early identification and follow-up for treatment of infants affected by certain genetic, metabolic, hormonal and/or functional conditions. The Supporting Fetal Alcohol Spectrum Disorder (FASD) Screening and Intervention program trains primary care providers to reduce the incidence of prenatal alcohol exposure and improve developmental outcomes in children with suspected or diagnosed FASDs. The program reaches providers in states, territories, tribes, or communities that have high rates of binge drinking among pregnant women, especially in rural areas. The Screening and Treatment for Maternal Mental Health and Substance Use Disorders (MMHSUD) program helps address maternal mental health conditions that affect women during and after pregnancy by expanding health care providers’ capacity to screen, assess, treat, and refer pregnant and postpartum people for maternal depression and related behavioral disorders. The Pediatric Mental Health Care Access (PMHCA) program promotes behavioral health integration in pediatric primary care by developing new or expanding existing statewide or regional pediatric mental health care telehealth access programs that help these and other providers diagnose, treat, and refer children with behavioral health conditions. PMHCA works to address the shortages of psychiatrists, developmental-behavioral pediatricians, and other behavioral health clinicians to support children and adolescents with behavioral concerns. The Integrated Maternal Health Services program fosters the development and demonstration of integrated maternal health services models, such as the Maternity Medical Home, which is modeled after the patient-centered medical home. The models developed and demonstrated support comprehensive care for pregnant and postpartum people who experience health disparities and have limited access to basic social and health care services. The Alliance for Innovation on Maternal Health (AIM) program promotes safety and quality of care during and immediately after childbirth and addresses the high rates of maternal morbidity and mortality in the U.S. It is the national, cross-sector commitment designed to lead in the identification, development, implementation, and dissemination of maternal (patient) safety bundles for the promotion of safe care for every U.S. birth. The AIM Technical Assistance Center supports all entities participating in the AIM program to increase birthing facility engagement, support bundle implementation and sustainability, manage reporting and analysis of state AIM data, and promote safe care for pregnant and postpartum people. The purpose of State Maternal Health Innovation program is to reduce maternal mortality and severe maternal morbidity by supporting state-led demonstrations focused on improving maternal health and addressing maternal health di