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Funded Projects

Grant Status: Active

Grant Title: International Collaborative Office Rounds 2 (iCOR2): Expanding Inter-Professional Learning Around Psychosocial, Developmental and Behavioral Health

Project Director(s):

Carol Weitzman, MD
Yale University
Office of Sponsored Projects
25 Science Park 3rd Floor, 150 Munson St.
New Haven, CT  06511
Phone: 203-785-7837
Email: carol.weitzman@yale.edu

Problem:

Primary care providers often lack adequate training in assessing, diagnosing and managing children with psychosocial, developmental and mental health problems and feel unprepared to meet today's practice demands. For children and families who live in poverty or low resource areas, or who face social, political or economic distress, the consequences of undiagnosed and untreated mental health and developmental problems are amplified. International Collaborative Office Rounds or "iCOR," launched in the last funding cycle of MCH COR grants, utilized videoconferencing technology to conduct monthly case-based discussions with national and international partners in General Pediatrics, Developmental- Behavioral Pediatrics (DBP), and Child and Adolescent Psychiatry (CAP). Program Description: iCOR2 represents a significant expansion of the iCOR model. We will partner with the Society for Developmental and Behavioral Pediatrics (SDBP), which will serve as the administrative hub of the project. Through a competitive process, we will identify iCOR2 sites of at least 5 individuals/site from General Pediatrics, DBP and CAP, and possibly other MCH professionals and trainees, who work together in their communities. Groups of 3 sites (minimum of 15 people) will be organized into what we call a "node" and linked through videoconferencing, according to their goals, interests, location and populations served. Over 5 years we will enroll a total of 18 sites and at least 90 participants that are geographically and culturally diverse. Each node will meet monthly for a minimum of 10-sessions/ year for 2 years. iCOR2 will ultimately include at least 6 nodes (nodes 1 and 2 in 2017-19, nodes 3, 4, and 5 in 2019-21, and node 6 in 2020-22) with 4 iCOR2 nodes concurrently running. The format will be casebased, with any didactic materials posted to a SharePoint site. To enhance US physicians' cultural competence, and their understanding of the effects of trauma and social, political and economic distress, some US sites will be linked to international ones. Leadership: An Executive Committee (EC) of national leaders in General Pediatrics, DBP and CAP with extensive experience in the COR model and inter-professional education will oversee the program including site selection, support to the nodes, development and implementation of the evaluation and dissemination of knowledge and materials from iCOR2.

Evaluation:

SDBP will provide critical infrastructure to evaluate and provide continuous quality improvement to the project. A needs assessment will be completed by each site at baseline and evaluations will be completed after each iCOR2 session and yearly. Pre- and post-testing of family-centered care and cultural competence will contribute to the overall evaluation of participant practice change and satisfaction. Impact: This project has the capacity to establish a long-term sustainable interprofessional program, with a far reach, that can educate a diverse cadre of primary care providers about psychosocial, developmental, behavioral and emotional issues facing children today.

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