Implementing Evidence-Based Prevention by Communities to Promote Cognitive, Affective, and Behavioral Health in Children Proceedings of a Workshop (2017) / Chapter Skim
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6 How to Sustain Funding
6 How to Sustain Funding
Pages 45-54
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From page 45... ...
• Community Benefit funding under the Affordable Care Act can meet a wide variety of needs, including program sustainability.
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From page 46... ...
TAKING ADVANTAGE OF SOCIAL NETWORKS As demonstrated by the experience in Tooele City, programs that produce positive outcomes after implementation are more likely to be sustained. Replicating such successes requires the diffusion of innovation, observed Marc Atkins, professor of psychiatry and psychology at the University of Illinois at Chicago, who works with colleagues to redesign community mental health services for urban children in poverty.
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From page 47... ...
Key informants "get new information into a setting," said Atkins. "They actually don't have a major influence on picking up the intervention." Rather, they encourage other people to adopt and use an intervention.
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From page 48... ...
Not that we want them to do therapy, but they have the major influence, and our work is in support of them." Achieving this goal requires realigning mental health resources in urban communities, Atkins explained. In Chicago Public Schools, the Chicago Park District, and elsewhere, staff who in the past waited in clinics for families who often did not show up have been reallocated to the settings that are most important for children.
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From page 49... ...
In this way, Community Benefit funding can meet an "amazing" variety of needs, noted Thau, including physical improvements and housing, economic development, community support, leadership development and training for community members, coalition building, community health improvement advocacy, and workforce development. In Franklin County, for example, the community coalition introduced the data generated from the funding under Communities That Care into the Community Health Needs Assessment.
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CMS has put out guidance on how states can make sure that they are reimbursing pediatricians for doing maternal depression screenings. It has worked with the Substance Abuse and Mental Health Services Administration on the development of certified behavioral health centers that merge community behavioral health and physical health.
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"We just make sure that everything that the mental health providers are doing is billable, which involves writing treatment
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One problem with the centers is that they do not have benchmarks that relate to children's behavioral health, he said, which makes it hard for them to address that issue to the extent that it needs to be addressed. He said a second problem is that community members working on prevention programs cannot bill through the federally qualified health centers, though he and his colleagues have started establishing collaborations between the community mental health staff and federally qualified health centers to affect both health and mental health in a synergistic way.
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From page 53... ...
Furthermore, added Whelan, data are available from adult health care, public health, and social services that could provide valuable information for programs directed at youth. Kelleher wondered if the idea of reciprocity might be better than that of sustainability, emphasizing engagement between communities and programs rather than a one-way flow of support from communities to programs.
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