Opportunities to Promote Children's Behavioral Health Health Care Reform and Beyond: Workshop Summary (2015) / Chapter Skim
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5 Intermediary Groups for Two-Generation Approaches
5 Intermediary Groups for Two-Generation Approaches
Pages 41-48
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From page 41... ...
It began in 1999 with a mission of improving health care quality and over time has expanded into the realms of public health, community health, and family engagement. Shika Anand, pediatric director at the Whittier Street Health Center in Roxbury, Massachusetts, described several initiatives as examples of the kind of work the institute supports.
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From page 42... ...
We still haven't figured out how to find them." INTEGRATED CARE IN EAST TENNESSEE Cherokee Health Systems is a comprehensive community health care organization based in east Tennessee that provides integrated primary care and behavioral health services. It has more than 20 clinics in 14 counties in which it provides integrated primary care, behavioral health, and substance abuse services to more than 60,000 patients.
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From page 43... ...
,2 which brings together stakeholders around integrated behavioral health and primary care, and holds a conference every year on collaborative care. The word family is included in the name specifically because the organization wants to change the health care landscape by focusing on the family.
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From page 44... ...
"They said, ‘She has to get diabetes first.' This is not the way we want to do it." INTEGRATED CARE IN SCHOOL-BASED HEALTH CENTERS Both schools and community health organizations could do a better job if they could intersect on behalf of children and adolescents, particularly children and adolescents who have suffered great inequities in the health care systems in communities, said John Schlitt, president of the SchoolBased Health Alliance. Referring to the 2,400 school-based health centers in the United States, he issued his own audacity challenge: "What if we thought differently about what medicine is and brought a team of providers together, integrated the notion of primary care, public health, oral care, and health education and nutrition, and brought that team together and brought that force into the school to help disadvantaged children?
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From page 45... ...
is an independent academy of state health policy makers, including representatives from Medicaid, children's health insurance programs, state insurance exchanges, state mental health agencies, and public health agencies. NASHP helps to identify, promote, and provide technical assistance around policy and program levers for change, with a further goal of spreading best practices
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From page 46... ...
Nationally and in states, much of the work to transform health care delivery systems, including efforts to improve behavioral health outcomes, access to services, and reduce health care costs, have focused on adults, but reforms also have an effect on children and families, and "We think that will happen even more." VanLandeghem focused her comments on four areas. An important opportunity for a two-generation approach to behavioral health is the "triple aim" of health care reform: improving patients' care experience, improving the health of populations, and reducing the per capita cost of health care.
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From page 47... ...
It is one of a number of programs that have a relationship with the workforce, she said, by keeping employers' costs down, both direct costs and costs related to absenteeism and workplace problems. She emphasized the need for building support among all of these people who have a vested interest in better health outcomes, whether inside or outside the health care system.
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From page 48... ...
Anand said the strongest programs employ community organizers who are able to change not just the health of children but the health of the community by focusing on food access, home visiting where children are exposed to asthma triggers in the home, organizing with tenants around the quality of housing, and safe routes to school. "You need somebody like that working in partnership across a prevention workforce to achieve all those kinds of goals." Another workshop participant pointed out that the distribution of the workforce historically has been at least as big of a problem as the size of the workforce.
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