Funded Projects

Grant Status: Active

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

Web Site: Boston Children's Hospital Project Exit Disclaimer

Project Director(s):

Leonard A Rappaport, MD, MS
Boston Children's Hospital
300 Longwood Ave
Boston, MA  02115
Phone: (617) 355-7030
Email: Leonard.Rappaport@childrens.harvard.edu

Problem:

Despite numerous advances in the identification and treatment of autism and developmental disabilities (ASD/DD), the benefits have not been shared equally by all patients and families. There is insufficient availability of specialists with necessary expertise and primary care providers do not feel qualified to fill the gap. To promote equity in care, achieve Healthy People 2020 objectives, and improve the health and well-being of all children with ASD/DD, there is an urgent need for qualified DBP leaders with outstanding MCH skills who collaborate with multiple disciplines in clinical care, teaching, advocacy, and research. Project Goals: Goal 1: To prepare fellows in DBP for leadership as clinicians, investigators, teachers and advocates primed to sustain and advance the field toward the highest quality and most accessible interdisciplinary care for all children with ASD/DD across the lifespan. Goal 2: To expand the capacity of the community and foster a pipeline of diverse and knowledgeable individuals with the skills to work with children with ASD/DD to increase access to patient- and family-centered, culturally competent care. Goal 3: To advance the field of DBP through collaborative partnerships, clinical and educational innovations, and dissemination of DBP knowledge to optimize equitable health outcomes of children with ASD/DD.

Methodology:

Our innovative, intensive training program will allow fellows to develop knowledge, skills, and competencies in DBP and MCHB leadership through (1) interdisciplinary clinical training in tertiary care and community settings; (2) comprehensive, learner-centered, interdisciplinary didactic curricula covering principles of DBP, MCH, teaching, research, leadership, and cultural competence; (3) opportunities to provide consultation, education and technical assistance to community providers and medium- and short-term trainees; and (4) participation in interdisciplinary collaborations and partnerships with family members and self-advocates, MCH/Title V programs, community groups, and research. Robust evaluation, outcomes assessment and continuous QI are critical components of the D-BPTP. HP2020 Objectives: Leading Health Indicators addressed include access to health care, mental health, and substance abuse. Focus Areas include disability, maternal, infant, and child health, access to health services, and social determinants of health.

Coordination:

We coordinate with our local LEAH and LEND programs as well as MCH/Title V programs, community health centers, and schools.

Evaluation:

Our robust evaluation system uses process and outcome measures to assess Project Goals and Objectives, MCH Leadership Competencies and Performance Measures, and ACGME milestones. We evaluate the program, trainees, and faculty at multiple points, with multiple indicators, using measures designed to capture change in important constructs. Annotation: We envision a future with clinical care accessible to all people with ASD/DD across the lifespan, informed by advances in science, and sustained by powerful partnerships between patients and their families, advocates, and clinical experts. The D-BPTP is designed to develop clinician leaders with the necessary skills to realize this vision in full.

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