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Maternal and Child Health Bureau. Division of Research, Training & Education. Presentation by Christopher DeGraw, MD, MPH. The BIG Picture…. Xxxxxxxxxxxxxxxxxxxxx x x. The fox. Division of Research, Training & Education. MCHB/Division of Research, Training & Education.

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Maternal and child health bureau
Maternal and Child Health Bureau

Division of

Research, Training & Education

Presentation by

Christopher DeGraw, MD, MPH

Maternal and child health bureau

The BIG Picture…



The fox

Mchb division of research training education
MCHB/Division of Research, Training & Education

Healthy Tomorrows

Partnership for Children

MCH Training


MCH Research


Mch research program
MCH Research Program

Stella Yu, ScD, MPH


Established in 1963 through an amendment to Title V

“To supportappliedresearch relating tomaternal andchild health servicesthat has the potential to improve health services and delivery of care for MCH populations.”

Mch research program profile
MCH Research Program: Profile

  • Budget: ~$ 8 million annually

  • Reviews ~60-70 new applications annually

  • Application Deadline: Summer (annual)

  • No. of currently active projects: 60 to 70

  • Large numbers of peer reviewed publications have resulted from this program

Mch research program1
MCH Research Program

R-40 Program:

  • Applied

  • Extramural

  • Investigator-initiated

  • Multi-disciplinary in orientation

  • Review conducted by DIR

  • MCHR-$300,000 up to 3 years

  • SDAS-Secondary Data Analysis Studies

    $100,000 for 1 year

Mchb strategic research issues fy 04 09
MCHB Strategic Research Issues: FY 04 – 09

  • Developed based on input from the field

  • Closely tied to MCHB’s Strategic Plan

  • Focus onMCHpublic health services and systems questionsthat may not be addressed by other Federal research programs

1. Publichealth service systems and infrastructures

2.Eliminate health disparities

3. Services and systems to assure quality of care

for MCH populations

4. Promoting the healthy development of MCH populations

Mch research program2
MCH Research Program

Types of Research Funded:

  • Health Services

  • Behavioral/psychosocial

  • Medical/Clinical

  • Epidemiological

  • Secondary data analysis

Mch research networks
MCH Research Networks

  • Pediatric Emergency Care Applied Research Network (PECARN)

  • Pediatric Research in Office Settings Network (PROS)

  • MCH Research Network On Pregnancy-Related Care (MCHPRC)

  • Autism Intervention Research Networks – Behavioral and Physical Health (AIR-B & AIR-P Networks)

Mch training program
MCH Training Program

Laura Kavanagh, MPP

Chief, Training Branch

The MCH Training Program seeks to train the next generation of leaders who will provide or assure the provision of quality services for the MCH population.

Quality services for mothers, children and adolescents require professionals who are:

  • Attuned to the special needs of children, adolescents and children with special health care needs;

  • Trained to provide or assure the provision of interdisciplinary, family-centered, and culturally competent services;

  • Focused on improving the health of the entire population

Mch training program1
MCH Training Program

6 categories of

Continuing Education

  • Distance Learning

  • Certificate in MCH Public Health

  • Collaborative Office Rounds

  • Knowledge to Practice

  • MCH Institute

  • MCH Pipeline

10 categories of

Graduate Training

  • Adolescent Health

  • Communication Disorders

  • Developmental-Behavioral Pediatrics

  • LEND

  • Nursing

  • Nutrition

  • Pediatric Dentistry

  • Peds Pulmonary Centers

  • Schools of Public Health

  • Social Work

Maternal and child health bureau

MCH Training Program, FY 09

  • Annual Budget - $41.5 million

  • 126 Active Projects

    • at 73 universities

    • in 39 States & DC

Maternal and child health bureau

MCHLeadership Competencies

Leaders aren't born they are made. And they are made just like anything else, through hard work. And that's the price we'll have to pay to achieve that goal, or any goal.

Vince Lombardi

Mch leadership competencies
MCH Leadership Competencies


1. MCH Knowledge Base

2. Self-reflection

3. Ethics & Professionalism

4. Critical Thinking


5. Communication

6. Negotiation & conflict resolution

7. Cultural Competency

8. Family-Centered Care

9. Developing Others Through Mentoring & Teaching

10. Interdisciplinary Team Building


11. Working with Communities and Systems

12. Policy/Advocacy

How are competencies being used
How are Competencies Being Used?

  • MCH Training Programs:

    Setting Training Objectives, Leadership Portfolios

  • MCH Professionals:

    Orientation, Developing CE Plans, Job Descriptions

  • HRSA:

    Evaluating Leadership and Quality Training

  • AMCHP:

    Workforce Assessment—Results presented at this meeting

    Pacific Basin Leadership Development

    “MCH Adolescent Health Leadership Development Initiative”

    Mentoring Program for New MCH Directors

Maternal and child health bureau

For more information about the MCH Training Program

go to:

Mchb s interdivisional implementation of the
MCHB’s Interdivisional Implementation of the

Combating Autism Act of 2006


Enable all infants, children, and adolescents who have, or are at risk for developing, autism spectrum disorders (ASD) and other developmental disabilities to reach their full potential.

How we ll achieve this goal
How we’ll achieve this goal

Develop a system of services including:

  • screening children early for possible Autism Spectrum Disorders (ASD) and other Developmental Disabilities

  • conducting early, interdisciplinary, evaluations to confirm or rule out ASD and other DD and

  • if a diagnosis is confirmed, providing evidence-based, early interventions

Combating autism act programs
Combating Autism Act Programs

  • Training Programs—LEND, DBP

    Division of Research, Training & Education

  • Autism Intervention Research Networks—Physical Health and Behavioral Health

    Division of Research, Training & Education

  • State Demonstration Grants—6 States

    Division of Services for Children with Special Health Care Needs

    State Resource Center

    Division of State and Community Health

  • National Evaluation

    Lead: Division of Services for Children with Special Health Care Needs

Healthy tomorrows
Healthy Tomorrows

Collaborative grant program in

partnership with the

American Academy of Pediatrics


To engage communities to work to improve children’s health through prevention and better access to health care

Healthy tomorrows1
Healthy Tomorrows

  • Projects funded for 5-years at $50,000/year

  • Required non-federal match in years 2-5 fosters long-term sustainability & leveraging of community resources—70% sustainability rate!

  • Projects usually target low-income populations and address:


    Access to health care services

    Community-based health care

    Service coordination

Healthy tomorrows partnership with aap
Healthy Tomorrows Partnership with AAP

  • TA to applicants and grantees.

  • Site visits are conducted in year 2 of each project.

    State MCH encouraged to participate!

  • Website

  • Program Overview

  • Click on Your State for description of funded HTPCP projects

  • Grant Cycle Information

  • National Evaluation of HTPCP

  • Evaluation Resources

Healthy tomorrows2
Healthy Tomorrows

Examples of Projects’ areas of focus

Teen pregnancy prevention


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

Case management to increase early prenatal care

Asthma Rural health

School-based health

Maternal and child health bureau

Prevention and health promotion

for infants, children, adolescents

and their families

MCHB’s longstanding initiative to improve the quality of health promotion and preventive services for infants, children and adolescents and to respond to their current and emerging health needs

Maternal and child health bureau

  • First complete revision

  • Includes CSHCN

  • Accompanied by Toolkit for

  • clinical implementation

  • Transparency of evidence-

  • base

  • One set of guidelines for

  • health promotion and

  • prevention — Replaces

  • AAP guidelines &

  • AMA “GAPS”

Maternal and child health bureau

Since 1990: Goals

  • Promote desired social, develop- mental and health outcomes of infants, children and adolescents

  • Enhance health care professionals’ knowledge, skills and practice of developmentally appropriate health care in the context of family and community

  • Increase family knowledge, skills and participation in health-promoting and prevention activities

  • Foster partnerships between families, health professionals, public healthand communities to promote the health of children

Support state mch activities
Support State MCH Activities

Partnership with american academy of pediatrics
Partnership with American Academy of Pediatrics


Materials and Tools


State Programs – Education of Health Professionals

Clinical Settings – Working with Families


Bright Futures Pocket Guide


Maternal and child health bureau

Contact DRTE:

  • (301) 443-2340