Maternal and Child Health Training Program

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Funded Projects

Grant Title: Collaborative Study Group: Behavioral and Developmental Aspects of Child Emotional and Behavioral Health

Project Director(s):

Stephen H. Mott, MD
Trustees of Dartmouth College
Dartmouth Medical School
One Medical Center Drive
Lebanon, NH  03756
Phone: (603) 653-6060
FAX: (603) 653-9199
Email: stephen.h.mott@hitchcock.org

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Problem:

Developmental and psychiatric care resources are limited in Northern NE. Medical Home providers are often the only resource families have when they need help. Primary care providers will gain valuable knowledge and support through family focused, community-based teaching and collaboration.

Goals and Objectives:

Goal 1: This Collaborative project will help pediatricians develp knowledge, skills, and attitudes listed in the following objectives: Objective 1: 80% of particpants will understand the scope of behavioral health practice they can undertake in the course of their practices by 2012 Objective 2: 50% of participants will become actively involved in a community-based initiative intended to address psychosocial aspects of child health by 2012 Objective 3: 100% of participants will feel they know how to present symptoms and signs to a consulting child psychiatrist and understand basic psychopharmacology, by 2012

Methodology:

The project administers an annual COR Program Evaluation Survey to all of its participants. The effectiveness of the strategies and activities being used are assessed in several ways. One is through the institutional continuing education processes and requirements, which mandates taking attendance and outcome assessments (annual self-assessment survey of participants, including practice changes related to the case-based conference series). In addition, Drs. Donnelly and Mott will track processes and systems changes that have come from this project, which are likely to impact our attendees' and our learners' ability to access child psychiatric services and provide quality services for children in our region. There have been 50 participants attending COR at 3 sites, strengthening the mental health skills of providers in NH's northernmost, easternmost, and most populated counties. Measurable outcomes include, among others: a) increasing capacity in video-conferencing, b) frequent email and phone consultation among participating COR Group members, c) regular Child Psychiatry presentations at both states' (NH, VT) annual professional meetings on topics such as Pediatric Psychopharmacology, PTSD and ADHD, Autism Spectrum Conditions, d) a variety of successful collaborative projects, highlighting COR as a central training module to interagency, interdisciplinary training in behavioral health, etc.

Coordination:

This project relies greatly on the strength of the Medical Home environments represented by those particpating in the Group. As such, relationships with existing community-based networks will be enhanced through COR participants' increased understanding and appreciation of the need to access these services through the peer training, updates, and case-based discussion.

Evaluation:

The moderators will be responsible for monitoring the sessions for content and objectives with direction from the PI and Co-PI. Satisfaction of the pediatrician in the delivery of behavioral health care in his or her primary care practice; satisfaction of the pediatrician in the referral of pediatric patients to area MHPs, and satisfaction of the MHP in the process of receiving referrals from pediatricians and in ongoing communications and collaboration with pediatrician.

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