# Presentation: 574191

## Partnership Meeting

DIVISION OF 
RESEARCH, TRAINING, 
AND EDUCATION
(DRTE)

M. Ann Drum
Division Director, DRTE
						October, 2003

**DIVISION OF **
**RESEARCH, TRAINING, **
**AND EDUCATION**
**(DRTE)**
**M. Ann Drum**
**Division Director, DRTE**
**	****	****	****	****	****	****October, 2003**

## Division of Research, 

- Division of Research,
- Training and Education

## DRTE

- Maternal and Child Health Bureau

**DRTE**
** ****TRAINING**
** ****RESEARCH**
** ****HEALTHY TOMORROWS**
** ****BRIGHT FUTURES**

## Division of Research, Training and Education

- Dr. Ann Drum, Director
- Dr. Chris DeGraw, Deputy Director
- LaTasha Covington
- Marlene Appleton
- 301-443-2340

**Research Branch**
- Dr. Ann Drum, Acting Chief
- Vacant
- Rita Haggerty
- Hae Young Park
- Darlene Granderson
- 301-443-2207

**Healthy Tomorrows **
- Jose Belardo, Director
- Madhavi Reddy
- 301-443-8041

**Bright Futures Initiative**
- Dr. Chris Degraw, Director
- 301-443-2340

## MCH Training Program 

- Maternal and Child Health Bureau

**MCH Training Program**** **

## Authorizing Legislation

- SEC. 502. [42 U.S.C. 702] (a)(2)(A)
- 	“amounts retained by the Secretary for training shall be used to make grants to public or nonprofit private institutions of higher learning for training personnel for health care and related services for mothers and children”

**Notes:**
Have great flexibility with authorizing legislation.

## Profile: MCH Training Program

- Profile: MCH Training Program

**	****Annual Budget - $36.7 million**
**	****11 categories of LONG TERM TRAINING**
**	****5 categories of CONTINUING EDUCATION**
**	****127 ACTIVE PROJECTS (at  77 universities in ****	****39 States and 2 jurisdictions)**

**Notes:**
Budget was increased by 3%
Long Term Training—2 categories--Interdisciplinary (4)--LEND (35), Schools of Public Health (12), Adolescent Health (7) and Pediatric Pulmonary Centers (7)

Unidisciplinary (8)--Behav Peds, Communication Disorders, Graduate Medical Education , Nursing, Nutrition, Pediatric Dentistry, Social Work

Have decided not to compete the OT and PT programs separately

Continuing Education (5)--Small CE grants, distance learning, Collaborative Office Rounds, MCH Institute, MCH in Public Health (certificate programs)

Competing this year—Developmental-Behavioral Peds, Nutrition, Nursing, Social Work, Communication Disorders, Collaborative Office Rounds (COR)

## Allocation of Training Program Funds Among Priorities, FY 2002

**  ****LEND****	****	****	****	****	****47%**
**  ****Schools of Public Health****	****	****11%**
**  ****LEAH****	****	****	****	****	****9%**
**  ****Pediatric Pulmonary Center’s****	****6%**
**  ****Distance Learning****	****	****	****6%**

- Map of MCH Training Grants, FY03

**Notes:**
Training grants are all across the country, so there is already a network of students who are participating in training experiences similar to yours.

## Strategic Planning Goals

** ****	****Workforce with knowledge, skills ****	****and attitudes to meet MCH population ****	****needs**
**	****Diverse workforce that is culturally ****	****competent and family centered**
**	****Develop effective MCH leaders**

**Notes:**
Strategic Planning efforts are underway, convened 1st meeting in May, share draft goals from that meeting.

Builds upon MCH Training Program Evaluation, and the Needs Assessment.

Cultural Competency, has recently been an emphasis in the guidances, but program staff and grantees expressed an interested in increased access to CC resources.  Through contracts with NCCC, provide URL, training for branch staff and TA to grantees.

Performance measures and admin data—as Dr. van Dyck has mentioned, we sent the package to Office of Management and Budget at the end of July.  I’ve shared drafts with Database to make sure we coordinate efforts around data collection.  

## Strategic Planning Goals

**	****Generate, translate and apply new ****	****knowledge**
**	****Increase national support and ****	****investments in MCH training**
**	****Advance interdisciplinary and ****	****collaborative training and practice**

**Notes:**
Strategic Planning efforts are underway, convened 1st meeting in May, share draft goals from that meeting.

## MCH Research Program 

- Maternal and Child Health Bureau

**MCH Research Program**** **

## Established in 1963 through an amendment to Title V

**	****“**To support applied research relating to maternal and child health services that has the potential to improve healthcare services and delivery for MCH populations.”

- MCH Research Program

## Public or nonprofit organizations of higher learning and public or nonprofit private agencies and organizations engaged in research or conducting maternal and child health or children with special health needs programs.

- MCH Research Program:
-  Who Can Apply?

## MCH Research Programs

- Extramural Research Program
- Networks (PROS, ACOG, PECARN)
- New Investigators Dissertation Program
- New Investigators Research Training Enhancement Program
- MCH Minority Research Infrastructure Support Program

## MCH Research Program: Characteristics 

- Applied
- Extramural & Multi-year Funding
- Investigator-initiated
- Multi-disciplinary focus (behavioral, medical/clinical, health services, epidemiological)
- Review Process similar to but independent from that of NIH
- Uniquely focused on Health Disparities and Vulnerable Populations

## MCH Research Program: Components

**Annual Budget ~$10 M (plus 5 Mill. for Emergency Medical Service Center Research Network)**
**MCH Research Review Committee 14 members appointed by Secretary of HHS**
**   **
**54 Active Projects**
**Dissemination of Findings**

## Examples of Currently FundedMCH Extramural Research Projects 

**Satisfaction with & Utilization of Prenatal Care**
**Project EAT II: Adolescent Eating Patterns and Weight Status: A Longitudinal Study **
**Health Insurance Coverage of Special Needs Children**
**Predicting African American Children’s School Competence**
**Community-based Violence Prevention for High-Risk Youth**
**Assessing the Stress/Preterm-Low Birthweight Relationship**
**Reducing Barriers to Care for Vulnerable Children with Asthma**
**Drug-Abusing Mothers: Infant Massage – Parenting Enhancement**

**Notes:**
Emphasize Adolescent Eating Patterns and Effect of Stress/Mental Health on Pregnancy Outcomes

Note that all focus on underserved areas

PECARN, collaborative effort with EMSC

## Healthy Tomorrows

- Maternal and Child Health Bureau

**Healthy Tomorrows**
** ****Partnership For Children Program**** **

- HEALTHY TOMORROWS
- Partnership for Children Program

- Collaborative grant program in partnership with the **American Academy of Pediatrics**

**Purpose:** To engage communities to work to improve children’s health through prevention and better access to healthcare

## Projects funded for 5-years at 50K/year
Required non-federal match in years 2-5 of project period
159 Healthy Tomorrows projects have been funded in 47 states since 1989

- Required non-federal match in years 2-5 of project period
- 159 Healthy Tomorrows projects have been funded in 47 states since 1989

- HEALTHY TOMORROWS
- Partnership for Children Program

- HEALTHY TOMORROWS
- Partnership for Children Program

- ELIGIBILITY

- As cited in 42 CFR Part 51a.3 (a), any public or private entity, including an Indian tribe or tribal organization (as defined at 25 U.S.C. 450b) is eligible to apply for Federal funding under this part.  Community-based organizations, including faith-based organizations, are eligible to apply.

## HEALTHY TOMORROWS PROGRAM: 

- HEALTHY TOMORROWS PROGRAM:
- Examples of Projects’ Areas of Focus

** ****Teen pregnancy prevention**
** ****Abstinence**
** ****Child abuse & neglect in Native American populations**
** ****Pediatric Oral Health **
** ****Enhanced clinical services **
** ****Homeless adolescent health **
** ****Improved access to primary care  **
** ****Improved Medicaid and SCHIP enrollment **
** ****Substance Abuse**
** ****Mental Health**
** ****Playground safety/injury prevention**
** ****Health education**

- HEALTHY TOMORROWS
- Partnership for Children Program

- EVALUATION

- Healthy Tomorrows Partnership for Children Program evaluation in 1999 was part of MCHB’s effort to document the impact of its investment in Title V Block Grant programs, in which the HTPCP is a component.

- HEALTHY TOMORROWS
- Partnership for Children Program

- CONCLUSION

- Required match fosters long-term sustainability & leveraging of community resources—70% sustainability rate!

## Bright Futures

- Maternal and Child Health Bureau

**Bright Futures**
**For Infants, Children and Adolescents**** **
**Initiative**** **

## Bright Futures Initiative

**Bright Futures**** is**
**A ****vision**
**A** **philosophy**
**A set of** **expert guidelines**
**A ****practical developmental approach to providing**** **
**	****health supervision**

## Bright Futures has been used in :

**Bright Futures has been used in :**

**Clinical Practice**
**Education and Training**
**Program Development/Public Health  Practice**
**Policy Development**

## ANY QUESTIONS? 

- Maternal and Child Health Bureau

**ANY QUESTIONS? **

- OFFICE OF THE DIRECTOR:	301-443-2340
- TRAINING BRANCH: 			301-443-2190
- RESEARCH BRANCH:		301-443-2207
- HEALTHY TOMORROWS:		301-443-2340
- BRIGHT FUTURES:			301-443-2340