Massachusetts Discretionary Awards

Project Title: Community Asthma Initiative Replication in New Communities

Grant Number: H17MC31605
Project Start Date: March 1, 2018
Project End Date: February 28, 2023
Organization: CHILDREN'S HOSPITAL CORPORATION, THE
Address: 300 Longwood Avenue, Boston, MA 02115
Project Director: Elizabeth R. Woods
Phone Number: (617) 355-6495
Email: elizabeth.woods@childrens.harvard.edu

Project Description

The Boston Children's Hospital (Children's) Community Asthma Initiative (CAI) provides nurse-supervised Community Health Worker (CHW) asthma education, case management, home visiting and environmental assessment in a culturally competent and linguistically appropriate manner for low-income children in Boston. CAI has demonstrated remarkable reductions in children with any (>1) emergency department visits (56%) and hospitalizations (81%) with an adjusted return on investment of 1.37 at three years, according to claims data. CAI proposes the current project to focus on replicating the CAI model in new communities in Massachusetts (MA). CAI is mentoring Pediatric Physicians' Organization at Children's (PPOC) primary care sites in the South Coast, Northern and Western MA to develop a primary care asthma home visiting and case management program that provides culturally competent care, and access to services in the medical home.

Project Title: Massachuestts SSDI Program

Grant Number: H18MC00024
Project Start Date: December 1, 2017
Project End Date: November 30, 2022
Organization: MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
Address: 250 Washington St Boston, MA 02108-4603
Project Director: Hafsatou Diop
Phone Number: (617) 624-5764
Email: hafsatou.diop@state.ma.us

Project Description

The goals of the Massachusetts (MA) SSDI program are to (1) Build and expand MA MCH data capacity to support the Title V MCH Block Grant Program activities by contributing data to support Decision making in MCH programs; (2) Advance the development and utilization of linked datasets; and (3) Develop surveillance systems to address neonatal abstinence syndrome (NAS). MA is currently experiencing an epidemic of opioid misuse and overdose that places substantial burden on state health and human service systems. MA has been particularly hard hit, experiencing a 475% increase in opioid-related deaths between 2000 (6/100,000) and 2018 (28.5%/100,000). Between 2012 and 2016, the opioid death rate tripled from 11.1 per 100,000 to 30.5 per 100,000. Data from 2018 indicate that approximately 15% (n=531) of all women died of an opioid overdose. The SSDI Director has been working with appropriate stakeholders to develop an NAS Dashboard to better understand the scope and nature of the epidemic.

Project Title: Massachusetts EMS for Children

Grant Number: H33MC06721
Project Start Date: April 1, 2018
Project End Date: March 31, 2022
Organization: MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
Address: 250 Washington St Boston, MA 02108-4603
Project Director: Rebekah Thomas
Phone Number: (617) 624-5557
Email: Rebekah.Thomas@state.ma.us

Project Description

The Emergency Medical Services for Children program collaborates with local, state, and federal partners to ensure pediatric patients receive the best care anywhere in the state.

Project Title: Impact of a Newborn Behavioral Intervention on the Mental Health and Parenting of First-Time Mothers

Grant Number: R40MC31763
Project Start Date: July 1, 2018
Project End Date: June 30, 2021
Organization: BRIGHAM AND WOMEN'S HOSPITAL, INC., THE
Address: 75 Francis St., Boston, MA 02115
Project Director: Lise C. Johnson
Phone Number: (617) 732-5952
Email: ljohnson11@partners.org

Project Description

No problems to report. As previously noted, with the recently revised NOA lifting the restrictions on the study, we will begin charging effort and expenses accordingly, including retroactively where appropriate, all of which will be reflected in the next progress report. The total estimated costs to date are approximately $10,000.

Project Title: Developmental-Behavioral Pediatrics Training Program (D-BPTP)

Grant Number: T77MC00011
Project Start Date: July 1, 2018
Project End Date: June 30, 2023
Organization: CHILDREN'S HOSPITAL
Address: REGIONAL CENTER FOR POISON CONTROL AND PREVENTION 300 LONGWOOD AVENUE BOSTON, MA 02115-5724
Project Director: Leonard A. Rappaport
Phone Number: (617) 355-7030
Email: Leonard.Rappaport@childrens.harvard.edu

Project Description

The goal of this project is the training of pediatric fellows, staff and community pediatricians in Behavioral Pediatrics.

Project Title: Developmental and Behavioral Pediatrics Training Grant

Grant Number: T77MC31739
Project Start Date: July 1, 2018
Project End Date: June 30, 2023
Organization: BOSTON MEDICAL CENTER CORPORATION
Address: One Boston Medical Center Place, Boston, MA 02118
Project Director: Marilyn Augustyn
Phone Number: (617) 414-7418
Email: Augustyn@bu.edu

Project Description

In collaboration with families and their communities, our DBP Fellows and faculty have leveraged MCHB support over the years to create many training, programmatic, and research initiatives with local, national, and international impact. We continue to refine our approach and develop new strategies to foster DBP leaders nationally and pediatric leaders locally. We will use renewed support from MCHB to address the need for the training of mission-driven professionals as well as for innovative and sustainable DBP interventions designed to address disparities in low-income and culturally diverse populations. Our lifespan approach acknowledges the impact of developmental challenges, chronic toxic stress and other social determinants on each child’s social, emotional and cognitive development, school success, and long-term outcomes including health and employability. With early diagnosis and treatment, the life trajectory of vulnerable children with ASD or DD can be optimized.

Project Title: Child and Adolescent Injury and Violence Prevention Resource Centers Cooperative Agreement

Grant Number: U49MC28422
Project Start Date: June 1, 2018
Project End Date: May 31, 2023
Organization: EDUCATION DEVELOPMENT CENTER, INC.
Address: 43 Foundry Ave Waltham, MA 02453-8313
Project Director: Jennifer Leonardo
Phone Number: (617) 969-7100
Email: jleonardo@edc.org

Project Description

Despite significant progress in reducing injury mortality and morbidity, more children and adolescents ages 0-19 die from injuries and violence than from all diseases combined. In 2016, 14,000 children and adolescents ages 0-19 died of an injury. Another 227,000 were hospitalized and 8.7 million visited the emergency department for treatment of a non-fatal injury. CSN provides training and technical assistance to state and jurisdiction health departments through a Child Safety Learning Collaborative and state technical assistance webinars. CSN also coordinates the Children's Safety Now Alliance, a national alliance of child safety experts committed to raising public awareness of child safety issues and providing state of the art resources and technical assistance to state and jurisdiction health departments. Further, CSN holds webinars and produces and disseminates a variety of resources on priority child safety issues. Resources can be accessed at www.ChildrensSafetyNetwork.org.

Project Title: Healthy Tomorrows Partnership for Children

Grant Number: H17MC26775
Project Start Date: March 1, 2014
Project End Date: February 28, 2020
Organization: HOLYOKE HEALTH CENTER, INC.
Address: 230 Maple St., Holyoke, MA 01040-5144
Project Director: Jay A. Breines
Phone Number: (413) 420-2111
Email: jay.breines@hhcinc.org

Project Description

The childhood overweight/obesity epidemic has a disproportionate impact on Holyoke’s low income Hispanic/Latino children, who have rates of overweight/obesity and obesity related diseases at markedly higher rates than the corresponding national and state averages.

Project Title: Universal Newborn Hearing Screening and Intervention Program

Grant Number: H61MC00002
Project Start Date: April 1, 2017
Project End Date: March 31, 2020
Organization: MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
Address: 250 Washington St Boston, MA 02108-4603
Project Director: Sarah Stone
Phone Number: (617) 624-5912
Email: sarah.stone@state.ma.us

Project Description

Late identification of hearing loss and lack of access to appropriate and timely services can have life-long negative consequences for infants who are deaf or hard of hearing. Appropriate intervention to ensure optimal development of language, literacy and social-emotional development is needed.

Project Title: Massachusetts Family to Family Health Information Center

Grant Number: H84MC08005
Project Start Date: June 1, 2018
Project End Date: May 31, 2022
Organization: Federation for Children with Special Needs
Address: 529 MAIN ST STE 1M3 BOSTON, MA 02129-1117
Project Director: Patricia Nemia
Phone Number: (617) 236-7210
Email: pnemia@fcsn.org

Project Description

MA families raising CYSHCN need information about a variety of services, including how to navigate complex and diverse health care delivery systems; health care financing and community services; and to understand their role as partners in decision-making about their child/youth’s health needs. They also need support in building meaningful family/provider partnerships to ensure their children’s care is family-centered and consistent with their family culture, traditions and values. Despite an abundance of public and community supports in MA, 50% of families with CYSHCN surveyed for the 2010 MA Title V needs assessment reported difficulty accessing community services; 50% said their children do not receive care in a medical home. Additionally, 37.2% of MA families reported their health insurance is inadequate and are seeking assistance with health care costs.

Project Title: OrganWise Families

Grant Number: R40MC30763
Project Start Date: April 1, 2017
Project End Date: March 31, 2020
Organization: BASSUK CENTER ON HOMELESS AND VULNERABLE CHILDREN & YOUTH, INC., THE
Address: 200 Reservoir St Ste 200 Needham, MA 02494-3146
Project Director: Ellen L. Bassuk
Phone Number: (781) 247-1770
Email: ebassuk@bassukcenter.org

Project Description

To promote healthy eating and regular exercise for children who are experiencing homelessness, this project implements and evaluates OrganWise Families, an innovative intervention to reduce obesity in 3 to 5-year-old children

Project Title: Head Start, Parenting, and Residentially Mobile Young Children's Health and Well-being

Grant Number: R40MC31760
Project Start Date: July 1, 2018
Project End Date: June 30, 2019
Organization: TRUSTEES OF TUFTS COLLEGE INC
Address: 136 Harrison Avenue, Pre-Award Research Administration, Boston, MA 02111
Project Director: Tama Leventhal
Phone Number: (617) 627-3455
Email: tama.leventhal@tufts.edu

Project Description

The project's goal is to use rigorous methods to deepen our understanding of the connection between residential mobility, Head Start participation, and low-income children’s health and well-being, as well as the role of parents in promoting highly mobile children’s health and well-being. The project has two specific objectives: (1) investigating if participation in Head Start (via random assignment) conditions how low-income children’s residential mobility (no moves, 1, or 2+) is associated with their health and well-being (physical, socioemotional, & cognitive development); and (2) exploring the extent to which parenting behaviors (disciplinary practices, provision of developmental stimulation, & safety practices) mediate the association between Head Start participation and residentially mobile children’s health and well-being. To address the objectives, we use the National Head Start Impact Study 2002-2006 (HSIS), a representative, randomized trial of a federal preschool program.

Project Title: Promoting healthy mother-child relationships: A pragmatic clinical trial for women in opioid treatment

Grant Number: R40MC31764
Project Start Date: July 1, 2018
Project End Date: June 30, 2021
Organization: Trustees Of Boston University
Address: 881 Commonwealth Avenue, Boston, MA 02215
Project Director: Ruth Paris
Phone Number: (617) 353-7717
Email: rparis@bu.edu

Project Description

Increasing rates of substance-exposed newborn births in Massachusetts (2004-2013) were five times the US average. In utero opioid exposure rose 11% from 2015-2017 according to Massachusetts Department of Children and Families. To address this increase, the study will adapt and test an evidence-informed intervention to mitigate the negative effects of maternal opioid misuse, trauma, and child maltreatment, improve parent-child relationships, and promote optimal parenting and parenting capacities.

Project Title: Boston Children’s Hospital Collaborative Office Rounds

Grant Number: T20MC30801
Project Start Date: July 1, 2017
Project End Date: June 30, 2022
Organization: CHILDREN'S HOSPITAL CORPORATION, THE
Address: OFFICE OF SPONSORED PROGRAMS 300 LONGWOOD AVENUE BOSTON, MA 02115-5724
Project Director: Alison Schonwald
Phone Number: (617) 306-5733
Email: alisonschon69@gmail.com

Project Description

While one in five US children experiences a mental health disorder, and one in six a developmental disability, primary care providers report insufficient training and support to manage the children in need. Subspecialist developmental behavioral pediatricians and psychiatrists cannot meet the demand for direct care. In response, this project will support the care provided to 25% of Massachusetts children by providing ongoing case-based training to clinicians on the front lines. Our model highlights best practices that are preventive and evidence-based, collaborative and well-coordinated.

Project Title: Leadership Education in Adolescent Health (LEAH) Training Program

Grant Number: T71MC00009
Project Start Date: July 1, 2017
Project End Date: June 30, 2022
Organization: CHILDREN'S HOSPITAL
Address: REGIONAL CENTER FOR POISON CONTROL AND PREVENTION 300 LONGWOOD AVENUE BOSTON, MA 02115-5724
Project Director: S. Jean Emans
Phone Number: (617) 355-7170
Email: jean.emans@childrens.harvard.edu

Project Description

Youth are America’s promise. Investing in youth means valuing their contributions and promoting positive youth development so that each teen can become a healthy, productive, and caring adult. To realize this goal requires an infrastructure of trained health leaders uniquely qualified to partner with public health agencies, schools, community organizations, and providers to improve adolescent and young adult health (AYAH) with a comprehensive systems approach. LEAH programs must have faculty with the expertise and track record to train future leaders and impact clinical care and AYAH outcomes. Improving AYAH requires health professionals who can partner with Title V and others to achieve Healthy People (HP) Objectives.

Project Title: Leadership Education in Neurodevelopmental and Realted Disabilities

Grant Number: T73MC00020
Project Start Date: July 1, 2016
Project End Date: June 30, 2021
Organization: CHILDREN'S HOSPITAL
Address: Developmental Medicine/Institutue for Community Inclusion 300 Longwood Ave Boston, MA 02115-5724
Project Director: David T. Helm
Phone Number: (857) 218-4327
Email: david.helm@childrens.harvard.edu

Project Description

There is a shortage of trained personnel to meet the needs of an increasing number of children diagnosed with autism spectrum disorder and related developmental disabilities. This project will train an interdisciplinary cadre of professionals, family members and self advocates to help meet this need.

Project Title: UMMS E.K. Shriver Center Leadership Education in Neurodevelopmental Disabilities

Grant Number: T73MC00056
Project Start Date: July 1, 2016
Project End Date: June 30, 2021
Organization: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Address: 55 Lake Ave N. WORCESTER, MA 01655-0002
Project Director: Carol Curtin
Phone Number: (774) 455-6527
Email: carol.curtin@umassmed.edu

Project Description

Children and youth with ASD/DD experience myriad health and social disparities that are in part due to an inadequately trained workforce and poorly coordinated systems of care. We train leaders to create and deliver integrated, culturally competent, person- and family-centered policies and systems of care.

Project Title: MATERNAL AND CHILD HEALTH TRAINING GRANT

Grant Number: T76MC00001
Project Start Date: June 1, 2015
Project End Date: May 31, 2020
Organization: HARVARD UNIVERSITY, SCHOOL OF PUBLIC HEALTH
Address: OFFICE OF FINANCIAL SERVICES 677 Huntington Ave Boston, MA 02115-6028
Project Director: Henning Tiemeier
Phone Number: (617) 432-1081
Email: tiemeier@hsph.harvard.edu

Project Description

The poor performance of the US in international rankings of MCH argues for expanding the MCH workforce. The purpose of this project is to educate graduate students, provide technical assistance and continuing education for existing MCH professionals and develop the knowledge base of MCH.

Project Title: MCPH LEADERSHIP EDUCATION PROGRAM AT BUSPH

Grant Number: T76MC00017
Project Start Date: June 1, 2015
Project End Date: May 31, 2020
Organization: TRUSTEES OF BOSTON UNIVERSITY
Address: 715 Albany St., Boston, MA 02118-2526
Project Director: Lois McCloskey, DrPH
Phone Number: (617) 638-5882
Email: loism@bu.edu

Project Description

The BU Center of Excellence in MCH seeks to ensure the health of women, children, and families through leadership training, research dissemination, and CE/TA with our practice partners. We emphasize systems thinking, increasing diversity in MCH workforce, and interprofessional education.

Project Title: Tufts DBP Training Program

Grant Number: T77MC31741
Project Start Date: July 1, 2018
Project End Date: June 30, 2023
Organization: TUFTS MEDICAL CENTER, INC.
Address: 800 Washington Street, Boston, MA 02111
Project Director: Karen J. Miller
Phone Number: (617) 549-2132
Email: kmiller7@tuftsmedicalcenter.org

Project Description

Approximately 25% to 30% of all complaints to a general pediatrician are developmental or behavioral in origin. Many pediatricians indicate low comfort level in addressing such issues within clinical practice. In addition, the increasing identification of developmental and behavioral disorders in children has led to high demand for properly trained DBPs. DBP is the pediatric subspecialty in greatest demand and with least supply, with too few DBPs meeting patients’ needs. Currently, DBPs in academic training centers are on average 50 years old, reflecting the need for DBP training sites to “feed the pipeline” of the next generation of DBP providers. DBP training programs need to address the culturally diverse needs of patients and families, promote and support screening and early diagnosis of developmental disorders, support care coordination in the medical home, address emerging issues such as transitions and physical health.

Project Title: Building Systems of Services for Children and Youth with Special Health Care Needs

Grant Number: U1TMC31757
Project Start Date: July 1, 2018
Project End Date: June 30, 2023
Organization: Trustees Of Boston University
Address: 881 Commonwealth Avenue, Boston, MA 02215
Project Director: Margaret Comeau
Phone Number: (617) 426-4447
Email: mcomeau@bu.edu

Project Description

Data from the National Survey of Children’s Health (NSCH) show that only 3.8% of CYSHCN were uninsured in 2016 (Data Resource Center, 2017). Unfortunately, however, inadequate health insurance and inequities in health care coverage are still prevalent (Ghandour et al., 2015). Hispanic, non-white, older CYSHCN, and those with greater functional limitations are more likely to be uninsured than other CYSHCN. Hispanic CYSHCN whose primary language at home is Spanish are more likely to be uninsured than those whose primary language at home is English. Lack of health insurance is greater among CYSHCN in families whose household income is below 199% of the Federal poverty level. Furthermore, in 2016, 29.6% of families whose CYSHCN had insurance reported the insurance was inadequate and 15.8% of families reported having problems paying for their child’s care (Data Resource Center, 2017).

Project Title: Healthy Weight Research Netowrk (HWRN)

Grant Number: UA3MC25735
Project Start Date: July 1, 2016
Project End Date: June 30, 2021
Organization: UNIVERSITY OF MASSACHUSETTS
Address: 55 Lake Ave N., Worcester, MA 01655-0002
Project Director: Linda G. Bandini
Phone Number: (774) 455-6520
Email: Linda.Bandini@umassmed.edu

Project Description

Obesity and its strong association with chronic disease may limit life expectancy in the US. If the current obesity epidemic does not abate, children today face a shorter life span than their parents' generation. Concomitantly, the prevalence of ASD is rising and is at the forefront of developmental conditions that demand research attention. The health disparities experienced by people with disabilities are well documented and are highlighted in Healthy People 2020 guidelines. A growing body of research is documenting that children and adults with ASD/DD are at increased risk of obesity. Although considerable research exists on obesity in children generally research is limited children with ASD/DD. Furthermore, for children with ASD/DD who are also disadvantaged by poverty, immigrant status, or are from racial/ethnic minorities, the risk of obesity is likely greater.

Project Title: Supporting Healthy Start Performance Project

Grant Number: UF5MC26845
Project Start Date: June 1, 2014
Project End Date: May 31, 2019
Organization: JSI RESEARCH AND TRAINING INSTITUTE,INC.
Address: 44 Farnsworth St Boston, MA 02210-1209
Project Director: Susan Friedrich
Phone Number: (603) 573-3315
Email: s_friedrich@jsi.com

Project Description

The purpose of this project wass to promote consistency in service delivery across Healthy Start (HS) programs and support HS grant recipients in providing effective, evidenced-based service delivery through training and technical assistance. The Healthy Start EPIC Center assisted in strengthening the implementation of HS activities by providing capacity building assistance (CBA), including ongoing technical assistance training and education to HS grant recipients in the implementation of activities in accordance with the program’s approaches to reduce disparities in infant mortality and adverse perinatal outcomes.

Project Title: Safe Infant Sleep System Integration (SISSI) Program

Grant Number: UF7MC30768
Project Start Date: July 1, 2017
Project End Date: June 30, 2022
Organization: NATIONAL INSTITUTE FOR CHILDREN'S HEALTH QUALITY, INC.
Address: 30 Winter St Fl 6, Boston, MA 02108-4720
Project Director: Pat Heinrich
Phone Number: (617) 391-2700
Email: pheinrich@nichq.org

Project Description

The rate of SIDS continues to decline, while the rate of SUID has remained relatively unchanged. The lack of progress in reducing rates of SUID is mainly the result of steady increases in accidental suffocation and strangulation in bed. While SUID is a public health issue across population groups, significant disparities in SUID rates exist across race, ethnicity, and geography. Data for 2010-2013 combined reveal that American Indian/Alaska Native and non-Hispanic black populations suffer disproportionately from SUID in the United States (rates of 190.5 and 171.8 infant deaths per 100,000 live births, respectively). Additionally, rates of SUID vary substantially by geographic region of the U.S.

Date Last Reviewed:  July 2020