Opportunities to Promote Children's Behavioral Health Health Care Reform and Beyond: Workshop Summary (2015) / Chapter Skim
Currently Skimming:
9 Looking Forward: Reflections for Public Policy
9 Looking Forward: Reflections for Public Policy
Pages 67-76
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 67... ...
ESTABLISHING A HEALTHY TRAJECTORY David Shern represented the National Association of State Mental Health Program Directors, which has been trying to bring a strong prevention focus to the evolving role of state mental health authorities. He also was former president of Mental Health America, known formerly as the National Mental Health Association, which was founded more than a century ago as the Committee on Mental Hygiene to try to emulate the public hygiene movement that at the time was revolutionizing health.
|
From page 68... ...
But emerging science shows that the antecedents for many of these problems involve healthy child behavioral-health development, he continued. Genetic vulnerability interacting with exposure to toxic stress and trauma causes changes to our neurological, immunological, and endocrine systems that becomes biologically embedded and establishes a life course trajectory that evidences itself in behavioral health issues or challenges, which then can produce academic challenges, decreased socioeconomic status, and a cycle of poverty, noted Shern.
|
From page 69... ...
Insurers and others could come to see this in their long-term business interests, either because it improves health care in an efficient manner or provides cost offsets. Compton said that NIH needs to provide a consistent focus on systemslevel research, which in the case of NIDA means integrating drug abuse prevention and intervention services within health care reforms.
|
From page 70... ...
TRANSLATIONAL RESEARCH AND PRIMARY CARE INNOVATIONS Jorielle Brown, director of the Division of Systems Development in the Center for Substance Abuse Prevention at SAMHSA, said that promoting behavioral health has brought people together who were not talking before. Prevention is at the cross-section of primary care, mental health, and substance abuse, she said, and "We need to take the opportunity to capitalize on the focus on prevention." SAMHSA has two key areas in which it can move forward, Brown said.
|
From page 71... ...
Partnerships with primary care provider organizations led to public service announcements in more than 30,000 doctors' offices. "Having these types of resources available is key." PAYMENT REFORMS AND WORKFORCE DEVELOPMENT Terry Stancin, professor of pediatrics, psychiatry, and psychological sciences at Case Western Reserve, director of the Child and Adolescent Psychiatry and Psychology Department, vice chair for research in psychiatry at MetroHealth Medical Center, and president of the Society for Developmental and Behavioral Pediatrics, which is an interdisciplinary organization that has worked on and supported team-based, interprofessional services for children, focused first on issues of payment reform.
|
From page 72... ...
David Hawkins, the Social Work Endowed Professor of Prevention at the University of Washington School of Social Work, forwarded the idea of tracking what people look up on the Internet, which provides an indication of people's interests and concerns. Creating a norm that people want to know about parenting and can receive such information from their health care provider could drive beneficial actions, he said.
|
From page 73... ...
Another workshop participant, Ron Manderscheid, Executive Director of the National Association of County Behavioral Health & Developmental Disability Directors, suggested to incorporate the vision of prevention and behavioral health into the framework for Healthy People 2030, which is now in the planning stages. HEALTH CARE SETTINGS Another prominent issue in the discussion was the variety of settings in which behavioral health care can be delivered.
|
From page 74... ...
There is a lot of work being done to try to partner with researchers and policy makers to try to make that strategic." Similarly, getting this work into comparative effectiveness research at the PatientCentered Outcomes Research Institute and elsewhere could help build the research base for prevention. Valuable models exist that combine service and research, including programs under the Maternal, Infant, and Early Childhood Home Visiting program; the Administration for Children and Families; NIDA; and SAMHSA.
|
From page 75... ...
Compton, for example, said that this lack has been a major theme across NIH, and that NIDA has been particularly attentive to the issue, with a recent council review and a series of recommendations on the diversity of the scientific workforce. Attrition of minority researchers is particularly noticeable from graduate school to the postdoctoral level and from the postdoctoral level to the faculty level, he said, so NIDA is focusing its attention at these transitions, helping with such things as grant writing and career development.
|
From page 76... ...
76 OPPORTUNITIES TO PROMOTE CHILDREN'S BEHAVIORAL HEALTH A major issue for the forum is "how to make some things happen in a timely way," McCabe noted. "Where do we best put our energy and resources?
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.