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 helps reduce alcohol use during pregnancy and improves outcomes for children with FASD nationwide, especially in communities where there is a high rate of binge drinking during pregnancy, including rural areas and medically underserved communities. The program focuses on educating primary care providers and increasing the use of screening, intervention, and referral processes for high-risk pregnancies. The Screening and Treatment for Maternal Mental Health and Substance Use Disorders (MMHSUD) program aims to expand health care providers’ capacity to screen, assess, treat, and refer pregnant and postpartum people for maternal mental health and substance use disorders. This is accomplished by establishing, improving, and/or maintaining statewide, tribal, or regional networks that provide real-time psychiatric consultation, a spectrum of resource and referral services, and culturally and linguistically appropriate training to maternity care providers and clinical practices. The Pediatric Mental Health Care Access (PMHCA) program promotes behavioral health integration in pediatric primary care by supporting the planning and development of State, regional or tribal pediatric mental health care tele-consultation access programs that help these, and other providers including in emergency departments and schools 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 purpose of the program is to improve maternal health outcomes in the United States by increasing access to quality, equitable, 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 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