Opportunities to Promote Children's Behavioral Health Health Care Reform and Beyond: Workshop Summary (2015) / Chapter Skim
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7 Implementing Innovations in Other Settings
7 Implementing Innovations in Other Settings
Pages 55-60
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From page 55... ...
THE CHILD WELFARE SYSTEM More than 3 million children required services or responses from the child welfare systems in the United States in 2013.1 Most of the children in these systems are under 1 year of age or are preschoolers, with the numbers tapering off as they get older. These systems are outside of traditional mental health services systems, noted Mark Chaffin, a psychologist and professor of public health at Georgia State University.
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From page 56... ...
IMPLEMENTING EVIDENCE-BASED PROGRAMS Bernadette Melnyk, associate vice president for health promotion, university chief wellness officer, and dean of the College of Nursing at Ohio State University, said that she has spent most of her career developing and testing interventions to improve mental health outcomes in children, teens, and their families and then figuring out how to get evidence-based interventions implemented. For example, multiple randomized controlled trials demonstrated that a program she helped develop for parents of premature babies decreased parental stress and improved child outcomes through 3 years of age.
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From page 57... ...
The ACA is now calling for reimbursement to health care providers who follow the evidence-based recommendations for primary care screening and behavioral counseling by the USPSTF, said Melnyk. However, the number of evidence-based recommendations for children is relatively few because of insufficient evidence to guide practice recommendations in many areas of child health, she noted.
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From page 58... ...
Anyone who interacts with parents of young children could promote reading, and physicians and nurses are particularly influential messengers, according to polls. They are in "a unique and powerful position to influence how parents interact with their children around literacy and learning." INTEGRATED PROGRAMS IN SCHOOLS Olga Acosta Price, associate professor at the George Washington University's Milken Institute School of Public Health and director of the Center for Health and Health Care in Schools, turned to the subject of schoolbased health programs.
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From page 59... ...
Schools and school health providers can be a part of these developing entities if local communities are committed to supporting child health. Finally, innovative and growing models of telehealth can bring primary and mental health care to shortage areas, whether rural or urban.
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From page 60... ...
Screens for developmental issues or mental health concerns would be an extension of these policies. Another advantage of the school setting is that many parents are not able to take their children to primary care clinics during the day when they are working, another workshop participant observed, so school-based programs can reach children where and when they are available.
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