MATERNAL and Child Health Bureau

1. DCAFH DSCH DRTE DHSPS DCSHCN censor MATERNAL and Child Health Bureau Office of the Associate Administrator OWH ODPD

2. The President The Secretary HRSA Administrator Associate Administrator for MCH Division of Research, Training & Education! DRTE (french pronunciation: dûr´té) Pronounced: dûr´të The BIG Picture

3. MCHB’s Division of Research, Training and Education Healthy Tomorrows Partnership for Children MCH Training Program MCH Research Program

4. MCH Training Program 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

5. MCH Training Program: Profile • Annual Budget - $36.7 million • 140 ACTIVE PROJECTS (at 82 universities in 39 States and 2 jurisdictions)

6. MCH Training Program: Programs 12 categories of LONG TERM TRAINING • Adolescent Health • Communication Disorders • Developmental-Behavioral Pediatrics • Graduate Medical Education • LEND • Nursing • Nutrition • Pediatric Dentistry • Pediatric Pulmonary Centers • Research Training Enhancement • Schools of Public Health • Social Work

7. MCH Training Program: Programs 5 categories of CONTINUING Education • Continuing Education • Distance Learning • Certificate in MCH Public Health • Collaborative Office Rounds • MCH Institute

8. MCH Training Program: Priorities • Strategic Planning • Cultural Competency/Diversity • Performance Measures and Administrative Data

9. 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 health services and delivery of care for MCH populations.”

10. MCH Research Program R-40 Program: • Applied • Extramural • Investigator-initiated • Multi-disciplinary in orientation • Review process similar to NIH • Uses PHS Form 398, supplemented by a set of HRSA/MCHB-specific instructions

11. MCH Research Program: Performance Profile • Budget: ~$10 million annually • Reviews between 90 to 100 new applications annually • Application Deadlines: March & August • No. of currently active projects: 40 to 50 • Large numbers of peer reviewed publications have resulted from this program

12. MCHB Strategic Research Issues: FYs 2004 – 2009 • Developed based on input from the field • Closely tied to MCHB’s Strategic Plan • Focus on MCHpublic health services and systems questions that may not be addressed by other Federal research programs

13. MCHB Strategic Research Issues: FYs 2004 – 2009 1. Public health 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

14. Types of Research Funded by the MCH Research Program • Health Services • Behavioral/psychosocial • Medical/Clinical • Epidemiological • Secondary data analysis

15. The MCH Research Program also supports: • Pediatric Emergency Care Applied Research Network (PECARN) • Pediatric Research in Office Settings Network (PROS) • Collaborative Ambulatory Research Network (CARN) • Dissertation Awards • Research Training Enhancement Awards

16. Healthy Tomorrows 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 health care

17. Healthy Tomorrows • Projects funded for 5-years at $50,000/year • Required non-federal match in years 2-5 of project period fosters long-term sustainability & leveraging of community resources—70% sustainability rate! • No FY 05 grant competition

18. Healthy TomorrowsExamples 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 Case management to increase early prenatal care Asthma Rural health School-based health

19. Healthy Tomorrows FY 04 competition included awards in the following targeted areas: ORAL HEALTH MENTAL HEALTH

20. MCHB’s health promotion and prevention initiative for infants, children, and adolescents

21. Since 1990 • Promote desired social, developmental 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 professionalsand communities to promote the health of children

22. Bright Futures Materials Over 1 million copies have been disseminated!

23. Partnership with American Academy of Pediatrics • Bright Futures Guidelines for Health Supervision of Infants, Children and Adolescents: Comprehensive Revision in 2005! • New Website:www.brightfutures.aap.org • New tools for Bright Futures implementation • Quality improvement for health promotion and preventive services in provider practices • New opportunities for Bright Futures in training

24. Contact DRTE: 301-443-2340