# Presentation: 741831

**Notes:**
Good Morning, I’m Laura Kavanagh, Chief of the MCH Training Branch and I am so delighted that you are here.
Welcome to what I believe is only the 2nd convening of all MCH supported training programs since its inception in 1943.  The last time we were all together was in 2004.  It is such an honor to be with all of you today.

This time together offers us an opportunity to reflect on our rich past, take stock of where we are today and set a course for our future.  

This morning I’m going to present a charge for the meeting, then turn it over to Dr. Drum who will reflect on our past, and Dr. van Dyck who will look into his crystal ball about our future.  We have engaging speakers and we’ve tried very hard to design a meeting which you will enjoy as adult learners.  

Later this morning I will share with you data and information about the current State of the MCH Training Program, but we didn’t want to start there.  Together throughout this meeting we want to plan for the future.

We have a terrific agenda for you that we hope will inspire you, intrigue you, and provide practical tools for you to use at home.

- 2008 Budget

## 	“We have enough people who tell is like it is—now we could use a few who tell it like it can be.”  

						Robert Orben

- 						Robert Orben

## 2008 Budget

- Level Funding for MCH Block
- Across the Board Congressional Recission, 1.747%

**Notes:**
How did training program proceed:

Cut contracts where could
Cut grants,
Across the board recission for all new and competing continuations

## 	Historical Perspective

- 1912, when Children’s Bureau formed, annual budget was $25,640, chief plus 15 FTEs
- 1943
- MCH			$5,820,000
- CCS			$3,870,000
- Child Welfare	$1,510,000
- Total			$11,200,000

## MCH Budget for 2007 and 2008 (PB), (H), (S) and (A) in millions

- 1-numbers may not add due to rounding

| Program | FY 2007 | 2008 (PB) | 2008 (H) | 2008 (S) | 2008 (A) |
| --- | --- | --- | --- | --- | --- |
| MCHBG | 693.0 | 693.0 | 750.0 | 673.0 | 666.2 |
| *State | 566.6 | 578.9 | 568.9 | 566.5 | 556.6 |
| *SPRANS | 99.9 | 102.2 | 100.4 | 79.9 | 78.6 |
| *CISS | 10.6 | 11.9 | 10.1 | 10.6 | 10.4 |
| *Earmark | 16.0 | ---- | 70.6 | 16.0 | 20.6 |

## MCH Budget for 2007 and 2008 (PB), (H), (S) and (A) in millions

- 1-numbers may not add due to rounding

| Program | FY 2007 | 2008 (PB) | 2008 (H) | 2008 (S) | 2008 (A) |
| --- | --- | --- | --- | --- | --- |
| Healthy Start | 101.5 | 100.5 | 120.0 | 101.5 | 99.7 |
| Hearing | 9.8 | ---- | 11.0 | 12.0 | 11.8 |
| EMSC | 19.8 | ---- | 22.3 | 20.0 | 19.5 |
| TBI | 8.9 | ---- | 8.9 | 10.0 | 8.8 |

**Notes:**
PB=President’s budget
H=House Mark
S=Senate Mark
E=Enacted

## MCH Budget for 2007 and 2008 (PB), (H), (S) and (A) in millions

- 1-numbers may not add due to rounding

| Program | FY 2007 | 2008 (PB) | 2008 (H) | 2008 (S) | 2008 (A) |
| --- | --- | --- | --- | --- | --- |
| Sickle Cell | 2.2 | 2.2 | 2.2 | 3.2 | 2.7 |
| Family to Family | 3.0 | 4.0 | 4.0 | 4.0 | 4.0 |
| Autism | ---- | ---- | 0.0 | 37.0 | 36.4 |

## Combating Autism Act

**Authorizes $168 Million in FY 08**
**$114.5 – NIH research into causes, diagnosis, early detection, intervention and treatment**
**$16.5 – CDC, Surveillance and Research**
**$37 – HRSA to increase awareness, promote evidence based interventions, reduce barriers to screening & diagnosis, and train professionals to diagnose and provide evidence based interventions**

## FY 08 Appropriations Report

- $37 Million to HRSA for “Autism and other related developmental disorders”
- No less than $6 million to continue and expand the Leadership in Neurodevelopmental and Related Disabilities (LEND) programs
- In addition, an increase of no less than $6 million for research on evidence based practices for interventions for individuals with autism and other Developmental Disabilities (DD), guidelines development and dissemination

## MCHB Autism Activities

- Training
- Expansion of 17 LEND Grants
- 4 New LEND Grants
- Expansion of some DBP Grants
- 1 New DBP Grant
- 1 National Interdisciplinary Training Resource Center

## MCHB Autism Activities

- Research
- 2 Intervention Research Networks
- State Demonstration
- 6 State Demonstration Grants
- 1 Public Health Coordinating Center
- National Evaluation

## 		                 SERVICES/POLICIES

**RESEARCH**

**TRAINING**

**	****	****                 ****SERVICES/POLICIES**

**	****	**

**Notes:**
Since the earliest days of the Children’s Bureau in the early 1900s, the Bureau has espoused an ideal model for improving the health of the nation’s mothers and children.  Through Title V of the Social Security Act, all three types of activities were included as part of the MCH Block Grant legislation, hoping that each informs the other.  As you can see, we like our triangles/pyramids.  

We believe that services and policymaking are enhanced by research and reasoned analysis,
And the highest quality training and research are informed by an understanding of and an appreciation for challenges faced by providers and policymakers.

Since the inception of the Children’s Bureau, the first grants in aid to states (now the MCH Block grant) states used some of funds to provide training to their staff, most trained were nurses.

Short term training was supported throughout the 1920s and 1930s and in 1947 the first federally funded long term MCH training programs at universities were established.  (Harvard, UCBerkeley, UNC and Johns Hopkins).  They were funded to establish departments of MCH within their schools of public health.    From the mid 1950s through the 1960s the Children’s Bureau funded mental retardation diagnostic clinics and training became a part of these programs.