Michigan Discretionary Awards

Project Title: Developmental-Behavioral Pediatrics Training Program

Grant Number: T77MC31740
Project Start Date: July 01, 2018
Project End Date: June 30, 2023
Organization: REGENTS OF THE UNIVERSITY OF MICHIGAN
Address: S. State St, Ann Arbor MI 48109
Project Director: Barbara T Felt
Phone Number: (734) 936-9777
Email: truefelt@umich.edu

Project Description

The prevalence of children with Autism Spectrum Disorder/Developmental Disabilities/Developmental Behavioral (ASD/DD/DB) conditions is increasing, but there is an unmet need for DB Pediatrics (DBP) evaluations due to a shortage of trained providers for under-served children in Michigan. To address unmet needs, the Aim of this project is to increase DBP training (targeting short/ medium-term (S/M) trainees, and fellows) in C.A.R.E. principles to increase the number of certified DBPs, as well as, support training in DBP for current and future pediatric practitioners. Training for leadership in C.A.R.E. (Clinic, Advocacy, Research, Education) will involve clinical training in interdisciplinary settings. Trainees will observe advocacy in action at the state level through faculty mentors. Fellows will be trained in research methods and complete a research project in a child development area. In addition to receiving clinical and research education, trainees will provide education to others.

Project Title: Training CED/COR Pediatric and Child Psychiatry

Grant Number: T20MC07463
Project Start Date: July 01, 2006
Project End Date: June 30, 2022
Organization: THE REGENTS OF THE UNIVERSITY OF MICHIGAN
Address: S State St Ann Arbor MI 48109
Project Director: Barbara T Felt
Phone Number: (734) 936-9777
Email: truefelt@umich.edu

Project Description

Developmental-behavioral, mental health and psychosocial problems described over 30 years ago as the "new morbidity" continue and are common presenting concerns in primary care visits. Unfortunately, there are too few DBPs or Child Psychiatrists in Michigan (and nationally) to best serve children, teens and families with such concerns. This leaves primary care providers tasked with the management of such morbidities but most primary care providers state that they feel unprepared to do so. Through educational efforts like the Collaborative Office Rounds, primary care providers participate in educational sessions and case discussions that target and improve their understanding of: the effect of psychosocial issues of child development; transient and serious psychopathology; how to collaborate and communicate with other health care team partners; and how to expand cultural competency and comprehensive health supervision.

Project Title: Healthy Start Initiative-Eliminating Racial/Ethnic Disparities

Grant Number: H49MC00148
Project Start Date: July 01, 2001
Project End Date: March 31, 2024
Organization: GENESEE COUNTY HEALTH DEPARTMENT
Address: S Saginaw St Flint MI 48502
Project Director: Suzanne M Cupal
Phone Number: (810) 768-7970
Email: scupal@gchd.us

Project Description

Reduce disparities in perinatal health in African American women and children and male partners. Increase access to care through home visiting case management, health education and care coordination. Services to pregnant women, children 0-18 months, post-partum women and fathers/partners.

Project Title: Family Professional Partnership/CSHCN

Grant Number: H84MC26214
Project Start Date: August 01, 2013
Project End Date: May 31, 2022
Organization: MICHIGAN PUBLIC HEALTH INSTITUTE
Address: Woodlake Cir Okemos MI 48864
Project Director: Julie Moore
Phone Number: (517) 324-8331
Email: jamoore@mphi.org

Project Description

While there is much about the health care system serving CYSHCN in Michigan that works well, families and providers often require additional support to effectively work together towards achieving optimal health for all children. CYSHCN often require a variety of services from multiple providers in a system that can be fragmented and confusing. For families from traditionally underserved groups, access to systems of care can be even more challenging. The providers who work with CYSHCN often only see the child in their clinic or office for one specific aspect of an overall treatment plan and are not always knowledgeable of other community programs and services available to families with CYSHCN for non-medical needs. The result is a service-delivery system that can be uncoordinated and difficult to access and places an even heavier burden on families who may be already struggling.

Project Title: National Fetal, Infant and Child Death Review Center Program

Grant Number: UG7MC28482
Project Start Date: July 01, 2015
Project End Date: June 30, 2022
Organization: MICHIGAN PUBLIC HEALTH INSTITUTE
Address: Woodlake Cir Okemos MI 48864
Project Director: Abigael Collier
Phone Number: (517) 614-0379
Email: acollier@mphi.org

Project Description

In 2016, there were more than 44,000 deaths of children and adolescents younger than age 20. Child death review teams provide unique opportunities to better understand these deaths and collect, analyze and disseminate information to improve health outcomes and decrease mortality. A national resource center is needed to provide states and local teams the support to conduct high quality reviews and to use their data to inform local, state and national prevention in collaboration with MCH partners.

Project Title: Maternal and Child Health Field-Initiated Research Program

Grant Number: R40MC32882
Project Start Date: September 01, 2019
Project End Date: August 31, 2020
Organization: REGENTS OF THE UNIVERSITY OF MICHIGAN
Address: 3003 S State St Ann Arbor MI 48109
Project Director: Lindsay K Admon
Phone Number: (734) 763-2441
Email: lindskb@med.umich.edu

Project Description

Landmark analyses have recently revealed that extremely high proportions of delivering women experience disruptions and transitions (“churn”) in health insurance coverage in the perinatal period. The most recent data estimate that 58% of all pregnant women experience a change in insurance in the nine months leading up to and including delivery, and 62% of women experience at least one month when they are uninsured during that time. The frequency of disruptions and transitions in insurance coverage in the perinatal period may contribute to the disparity in adverse gestational outcomes between the US and other developed countries. Better understanding these relationships has been deemed critical research gap by the Maternal and Child Health Bureau (MCHB) at the Health Resources and Services Administration.

Project Title: Healthy Start Initiative-Eliminating Racial/Ethnic Disparities

Grant Number: H49MC26189
Project Start Date: July 01, 2013
Project End Date: March 31, 2024
Organization: Institute for Population Health, Inc.
Address: Taylor St Detroit MI 48202
Project Director: Gwendolyn A Daniels
Phone Number: (313) 550-7302
Email: gdaniels@ipophealth.org

Project Description

Infant mortality remains a significant problem in Detroit. The MDHS state vital records data for three-year averages 2015-2017 was for African Americans.

Project Title: Networks for Oral Health Integration within the Maternal and Child Health Safety Net

Grant Number: UK7MC33232
Project Start Date: September 01, 2019
Project End Date: August 31, 2024
Organization: MICHIGAN PRIMARY CARE ASSN
Address: 7215 Westshire Dr Lansing MI 48917
Project Director: Faiyaz Syed
Phone Number: (517) 827-0887
Email: fsyed@mpca.net

Project Description

Preventive oral health services for children ages 6-11 years old in primary care practice.

Project Title: Regional Genetics Networks

Grant Number: UH7MC30775
Project Start Date: June 01, 2017
Project End Date: May 31, 2020
Organization: MICHIGAN PUBLIC HEALTH INSTITUTE
Address: Woodlake Cir Okemos MI 48864
Project Director: Cynthia Cameron
Phone Number: (517) 324-8315
Email: ccameron@mphi.org

Project Description

All patients in the Midwest region do not have access to quality genetic services. Under the leadership of the Michigan Public Health Institute, the Midwest Genetics Collaborative (MGN) will develop, pilot test, and disseminate innovative ways to increase connections among underserved populations and genetic services in Midwest region states: Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio, and Wisconsin. The MGN will collaborate with geneticists, families, clinicians, and professional and community-based organizations at local, state, and federal levels to accomplish its goals.

Project Title: EMSC Partnership Grants

Grant Number: H33MC06677
Project Start Date: March 01, 2006
Project End Date: March 31, 2022
Organization: MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
Address: W Michigan Ave Lansing MI 48933
Project Director: Kathy Wahl
Phone Number: (517) 335-8489
Email: wahlk@michigan.gov

Project Description

Michigan has been an actively engaged participant in the EMS for Children program since its inception. The infrastructure that has been established will allow MI to further develop innovative methods to improve coordination and care for pediatric patients, collect and assess data that will improve outcomes and will facilitate integration of pediatric components in all facets of the MI emergency system. Statewide quality improvement initiatives will be implemented and aligned with established targets for the National EMSC State Partnership program objectives to monitor and measure impact at the state level. The ultimate goal is to expand and improve coordinated efforts to systematically improve the delivery and quality of pediatric emergency care in order to reduce pediatric morbidity and mortality.

Project Title: Hemophilia Treatment Centers (SPRANS)

Grant Number: H30MC24047
Project Start Date: June 01, 2012
Project End Date: May 31, 2022
Organization: Hemophilia Foundation of Michigan
Address: W Michigan Ave Ypsilanti MI 48197
Project Director: Susan F Lerch
Phone Number: (734) 544-0015
Email: slerch@hfmich.org

Project Description

People with hemophilia and related bleeding and clotting disorders require specialized comprehensive multidisciplinary care in order to prevent long term complications, such as joint disease, disability, chronic pain, and the development of inhibitors.

Project Title: Maternal, Infant and Early Childhood Home Visiting Grant Program

Grant Number: X10MC33587
Project Start Date: September 30, 2019
Project End Date: September 29, 2021
Organization: Health & Human Services, Michigan Department Of
Address: 235 S Grand Ave Lansing MI 48933
Project Director: Tiffany Kostelec
Phone Number: (517) 335-4663
Email: kostelect@michigan.gov

Project Description

The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program supports the delivery of coordinated and comprehensive high-quality and voluntary early childhood home visiting services to eligible families living in at-risk communities. The Health Resources and Services Administration (HRSA), which administers this program in partnership with the Administration for Children and Families, funds states, territories, and tribal entities to develop and implement evidence-based programs that best meet the needs of their communities.

Project Title: Pediatric Mental Health Care Access Program

Grant Number: U4CMC32321
Project Start Date: September 30, 2018
Project End Date: September 29, 2023
Organization: Health & Human Services, Michigan Department Of
Address: PO BOX 30195 Lansing MI 48909
Project Director: Debra Pinals
Phone Number: (517) 256-4115
Email: PinalsD@michigan.gov

Project Description

There is a crisis in access to evidence-based behavioral health care in Michigan. Despite the fact that the prevalence of children/youth and peripartum psychiatric illness is estimated at 15-20%, 65% of counties in Michigan have no child/perinatal psychiatrists (CAPPs) and the majority of children/youth (55%) do not receive treatment, particularly in rural and underserved urban areas impacted by poverty and trauma. Emergency rooms report increases in youth seen for suicidality and aggression secondary to trauma, autism spectrum disorders and other social determinants of health. Primary care physicians and school-based Child and Adolescent Health Centers (CAHCs) report inability to access CAPPs for their patients, and lack of education that could assist them in assessment and treatment of children/youth and peripartum women.

Project Title: Healthy Tomorrows Partnership for Children Program

Grant Number: H17MC32706
Project Start Date: March 01, 2019
Project End Date: February 29, 2024
Organization: REGENTS OF THE UNIVERSITY OF MICHIGAN
Address: 3003 S State St Ann Arbor MI 48109
Project Director: Tracey Larkin
Phone Number: (734) 764-7237
Email: larkint@umich.edu

Project Description

Adolescent patients access primary care services at lower rates than any other age group despite increased risk for morbidity and mortality due to high risk behaviors such as substance use, sexual activity, interpersonal violence, and suicide. While these high risk behaviors are common among adolescents, less than 20% receive recommended screening and counseling on them from their healthcare providers. In addition to the general healthcare disparities for adolescents described above, rural living is associated with a number of increased risks for adolescents. The AAP has noted that the current distribution of primary care pediatricians is inadequate to meet the needs of children living in rural areas. It is critical that the pediatrics practices that are located in rural areas are providing evidence-based, high quality, youth-friendly care to the adolescents they serve.

Project Title: Healthy Start Initiative-Eliminating Racial/Ethnic Disparities

Grant Number: H49MC00131
Project Start Date: July 01, 2001
Project End Date: March 31, 2024
Organization: Inter-Tribal Council of Michigan, Inc. Consortium of Michigan's Federal Tribes
Address: Ashmun St Sault S Marie MI 49783
Project Director: Elizabeth K Kushman
Phone Number: (906) 632-6896 Extn-138
Email: elizabeth@itcmi.org

Project Description

The infant mortality rate in the core project area has dropped by 30%; from 14.6 per 1,000 (’94-’96) to 10.2 per 1,000 (‘13-‘15). Despite progress, the rate remains higher than 1.5 times the national average, and is almost double the rate for White infants (5.4 per 1,000) in Michigan. The target population is American Indian women, infants and fathers. Although geographically dispersed, the American Indian population in Michigan is closely connected through family relationships, historical ties, cultural practices and traditions. The availability of Healthy Start services at multiple sites across a wide geographic area creates continuity and accessibility for the population, which is mobile and underserved. Several risk factors are especially prevalent within the target population, including high rates of smoking, substance abuse, and violence The proposed project “Maajtaag Mnobmaadzid: Healthy Start” builds on the infrastructure and foundation of improved outcomes already achieved.

Project Title: Healthy Start Initiative-Eliminating Racial/Ethnic Disparities

Grant Number: H49MC03591
Project Start Date: August 01, 2004
Project End Date: March 31, 2024
Organization: SPECTRUM HEALTH
Address: Michigan St NE Grand Rapids MI 49503
Project Director: Peggy VanderMeulen
Phone Number: (616) 267-7834
Email: peggy.vandermeulen@spectrumhealth.org

Project Description

Grand Rapids, MI, has a historically high African American infant mortality rate. The rate has dropped from 24.4 infant deaths per 1000 live births in 2003 when we first applied for federal healthy Start funding to 13.1 in 2017, but is still 2.6 times higher than the white IMR and much higher than the national average. At 12.8% in 2017, the African American Low Birth Weight rate is neaerly twice as high as the White rate. Strong Beginnings seeks to lower the African American IMR and eliminate these disparities.

Project Title: Awareness and Access to Care for Children and Youth with Epilepsy

Grant Number: H98MC26257
Project Start Date: September 01, 2013
Project End Date: August 31, 2023
Organization: COMMUNITY HEALTH, MICHIGAN DEPARTMENT OF
Address: S Walnut St Lansing MI 48933
Project Director: Lonnie Barnett
Phone Number: (517) 241-7700
Email: BARNETTL@MICHIGAN.GOV

Project Description

Michigan lacks well-coordinated systems of care for children and youth with epilepsy between primary care providers, specialists, and local community resources. As a result, children and youth with epilepsy – particularly those in rural and underserved communities – have uneven access to comprehensive health services, educational resources, and support for the development of self-management skills.

Project Title: National Fetal, Infant and Child Death Review Center Program

Grant Number: UG7MC31831
Project Start Date: July 01, 2018
Project End Date: June 30, 2022
Organization: MICHIGAN PUBLIC HEALTH INSTITUTE
Address: 2436 Woodlake Circle,Suite 300 Okemos MI 48864
Project Director: Rosemary N Fournier
Phone Number: (517) 324-8378
Email: rfournie@mphi.org

Project Description

There are 182 Fetal and Infant Mortality Review (FIMR) teams in the U.S. in 28 states and 2 US affiliated jurisdictions. Some are part of state programs; others are not. Some are associated with Healthy Start; others are not. Some use their own data systems; some participate in the National Center for Fatality Review and Prevention database system. There is a need to provide support to network isolated teams; build relationships with Healthy Start; provide teams with TA and training; give teams tools to make quality recommendations, move them to action, and report actions into one national system; improve the quality and consistency of data; and better identify and respond to outcomes from reviews to improve adverse maternal and child outcomes.

Project Title: Leadership Education in Neurodevelopmental and Related Disorders Training Program

Grant Number: T73MC30119
Project Start Date: July 01, 2016
Project End Date: June 30, 2021
Organization: WAYNE STATE UNIVERSITY
Address: Woodward Ave Detroit MI 48202
Project Director: Sharon M Milberger
Phone Number: (313) 577-2654
Email: smilberger@wayne.edu

Project Description

Of Michigan’s children ages 0-17 years 18.4% (430,000) have special health care needs. Less than half receive coordinated, ongoing, comprehensive care within a medical home. Only 41.3% of these adolescents receive services necessary to successfully transition to adult health and community systems.

Project Title: Universal Newborn Hearing and Screening

Grant Number: H61MC00056
Project Start Date: March 31, 2001
Project End Date: March 31, 2020
Organization: MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
Address: W Michigan Ave Lansing MI 48933
Project Director: Dawn M Shanafelt
Phone Number: (517) 373-4411
Email: shanafeltd@michigan.gov

Project Description

Of the 111,507 Michigan infants born in 2017, 107,359 had a hearing screening completed, with 104,130 (96%) screened before one month of age. EHDI followed 8,399 infants requiring follow-up for failed final hearing screenings/re-screenings. Of the 1,258 infants referred, 595 (47%), were lost to follow- up/documentation (LTF/D). Of the 167 infants diagnosed with hearing loss, 96 (57%) were diagnosed by three months of age and 93 (56%) received early intervention services by six months of age. Home visits through the Guide by Your Side™ (GBYS) program were provided to 75 (45%) families in this reporting period; this is an increase from 58 (33%) families in 2016.

Project Title: Healthy Start Initiative-Eliminating Racial/Ethnic Disparities

Grant Number: H49MC00047
Project Start Date: July 01, 2001
Project End Date: March 31, 2024
Organization: KALAMAZOO COUNTY HEALTH AND COMMUNITY SERVICES DEPARTMENT
Address: Gull Rd Kalamazoo MI 49048
Project Director: Terra Bautista
Phone Number: (269) 373-5165
Email: tmbaut@kalcounty.com

Project Description

Kalamazoo is a community where systemic inequities that are race-based and income based overlap and compound each other. An innovative application of the Perinatal Risk analysis identified that race-based and income-based disparities were associated with differential risk categories; individuals of color exhibited excess risk associated with preconceptional and interconceptional health conditions, where as poor individuals have excess mortality risk associated with infant unsafe sleep practices. Subsequent stratified regression of vital statistics illustrated the multiplicity of those health risk for women of color in Kalamazoo. Women of color have higher prior-poor birth outcomes (the primary risk factor for current pregnancy) worse health (gestational and chronic disease, Sexually Transmitted Infection (STI), limited access to healthcare (prenatal and postpartum visits) and poorer health practices (smoking).

Project Title: Healthy Start Initiative-Eliminating Racial/Ethnic Disparities

Grant Number: H49MC24118
Project Start Date: June 01, 2012
Project End Date: March 31, 2024
Organization: County of Ingham, Health Department
Address: S Cedar St Lansing MI 48911
Project Director: Sally R Meyer
Phone Number: (517) 887-4322
Email: smeyer@ingham.org

Project Description

Strong Start | Healthy Start is an initiative to enhance the health of African-American and Hispanic families and improve birth outcomes in Ingham County. We provide services which include home visiting for expectant and parenting moms with a child up to age two. We also offer free health education workshops that are open to educate pregnant and parenting women, families, and the community.

Project Title: MCHB State Systems Development Initiative

Grant Number: H18MC00025
Project Start Date: October 01, 1993
Project End Date: November 30, 2022
Organization: Michigan Department Of Health & Human Services
Address: LANSING MI 48909
Project Director: Lynette Biery
Phone Number: (517) 284-4028
Email: BieryL@michigan.gov

Project Description

In an era of increasing accountability, shrinking resources and transformation of the health care system, there is a need to demonstrate the impact and value of improving MCH outcomes. This funding opportunity supports the development of timely and reliable data, analysis and interpretation to inform MCH program planning.

Date Last Reviewed:  November 2020