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2 The State of Mental, Emotional,and Behavioral Health for Children in the United States
Pages 5-14

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From page 5...
... ACHIEVING POPULATION IMPACT In describing his transition into the MEB field, Thomas Boat, dean emeritus of the College of Medicine at the University of Cincinnati and a professor of pediatrics in the Division of Pulmonary Medicine at the C ­ incinnati Children's Hospital Medical Center, explained how he used to be much more focused on physical health, particularly for children with cystic fibrosis or asthma. He came to realize that addressing social and emotional issues and family wellness can have a big impact on health outcomes.
From page 6...
... . For example, Boat noted that the metropolitan areawide Every Child Succeeds home visitation program in Cincinnati found that approximately 50 percent of families approached by the program declined enrollment in the program.1 The families most at risk were more likely to say no, whereas the families at lower risk would say yes.
From page 7...
... Boat explained health care is a system that must be better leveraged to integrate MEB promotion efforts for children -- especially through wellchild care. By using primary care practices, there are opportunities to link parenting programs to practice, embed parenting specialists that can engage families while they are already at an appointment, and fully integrate the emotional and behavioral dimensions of health into the anticipatory guidance that is a pillar of well-child care.
From page 8...
... Lynda Gargan, executive director of the National Federation of Families for Children's Mental Health, provided remarks from her experi­ ence acting as a voice for families in response to the worsening state of mental health for youth today. Gargan commented that it is difficult to speak on behalf of families because each family's experience is unique.
From page 9...
... She noted her organization provides national certification for this parent/family workforce through its Certified Parent Support Providers Program.3 NATIONAL PERSPECTIVES OF MENTAL, EMOTIONAL, AND BEHAVIORAL HEALTH Bonita Williams, national program leader for vulnerable populations within the Division of Youth and 4-H at the U.S. Department of Agriculture, shared information about the Children, Youth, and Families At Risk 3 For more information, see https://www.ffcmh.org/certification.
From page 10...
... The University of Nevada, Reno uses the opportunity to fund the Nevada Heart and Shield rural domestic violence program,4 which focuses on 4 For more on this program, see https://nifa.usda.gov/announcement/heart-shield-program end-family-violence-nevada.
From page 11...
... Under this program, knowledge about early social-emotional development increased, and parenting distress decreased following completion of the program. Results from the BEES Program suggest positive effects on parental functioning and overall quality of parenting.
From page 12...
... Strategies to do this include hiring staff from diverse backgrounds, providing ongoing cultural competency training, collecting data on the community being served, and soliciting feedback and input ­ from families so their perspective can be built into policies and strategies. Cardenas-Chaisson cautioned not to get paralyzed, waiting for the "perfect" data to be collected or better data to be identified.
From page 13...
... Furthermore, advocates should continue to promote recognition that all policies are health policies, and they should equitably serve children and their families. DISCUSSION A discussion that followed the presentations between the panelists and attendees highlighted topics such as engaging youth, leveraging families for policy change, and considering the costs to implement and scale programs nationwide for MEB health.
From page 14...
... Cardenas-Chaisson noted that Iowa recently passed a children's mental health initiative but with no funding attached to it, making it difficult to fully implement. Boat argued that to enhance MEB health and development, the health system must invest in promotion and prevention services, and the business community must invest in social enterprise.


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