Health Accountability

Health Accountability Team (The HAT)

CHARGE

Young  father and his daughter having breakfast togetherTo support the development/enhancement of a family-centered health system that supports attachment, focuses on prevention and early intervention, and seeks to ensure health-literate consumers. The Health Accountability Team (HAT) is chaired by Sue Mackey Andrews. Membership includes parent/family members, MAAP, CDS, CDC, Higher Education, Head Start/Early Head Start, early care and education.

SCHEDULE

2014 schedule will be set.

ACTIVITIES AND ACCOMPLISHMENTS

Doctor giving baby girl checkup in doctor officeSince 2008, our work has included a comprehensive review of data to determine the status of child and family health in Maine. We catalogued which areas already had a “champion” to create improvements (to monitor), which areas had some effort underway (to support) and which areas lacked leadership (to lead).  Two areas emerged – Comprehensive Developmental (0-5) screening and Adverse Childhood Experiences (ACEs).

Comprehensive Developmental Screening was defined by the HAT to include:

  • All five areas of developmental screening: (a) Cognition, (b) Communication, (c) Physical–Growth/Large Motor Skills, (d) Adaptive/Fine Motor Skills, (e) Social-Emotional
  • Adverse Childhood Experiences (ACES)
  • Vision and Hearing
  • Lead Screening
  • M-CHAT (Autism)
  • Mental Health Screening (parental depression, etc.)
  • Nutrition and Obesity
  • Oral Health
  • Safety
  • Sleep Behaviors

Screening Studies:

  1. Completed one study of screening activities in Maine through Oldham Associates, focusing on 0-5 screening
  2. Supported by the Hanley Leadership Team V in the completion of a second study of screening activities, focused on kindergarten entry.

Supported the adoption of and participation in the Developmental Systems Integration (DSI) effort for 0-3 developmental screening in conjunction with the Departments of Health and Human Services, Education and Quality Counts.

ADVERSE CHILDHOOD EXPERIENCES (ACEs)

  • Conducted the Maine ACEs Study
  • Established the Maine Resilience Building Network (MRBN) in February 2012, which grew to a presence in all 16 counties – some counties have more than one initiative site. Diverse membership includes parents/families, Maine Academy of Pediatricians (MAAP), Maine Association for Infant Mental Health (MeAIMH), early care and development including Early Head Start/Head Start, Maine Families home visiting, behavioral health, education, public health, medical/health care, community coalitions, higher education, media, United Way, social service agencies, Child Abuse and Neglect Councils (CANs), Strengthening Maine Families. The MBRN is co-facilitated by Council member Sue Mackey Andrews and Dr. Leslie Forstadt, UMO. It meets the fifth Thursday of the month from 9-1:30 at Educare of Central Maine (Waterville). An orientation to the MRBN has been developed. (Link: Orientation pdf)

FUTURE PLANNING
2014-17 Initiatives include:

  • The HAT is currently determining our 2014-17 focus with respect to 0-5 comprehensive screening, inclusion of poverty as a key health issue for early childhood, improving access to early intervention and family support services.
  • Under consideration by the MBRN:
    • Conducting ACEs/Resilience Summits statewide
    • Developing a Family Resilience Support Curriculum
    • Partnering with MAAP to institute ACEs screening in pediatric/family practice well child visits
    • Partnering with early care and development programs to institute ACEs screening in 0-5 programs and services
    • Developing continuing professional education seminars to include Focus and Promotion of Resilience, Confronting Vicarious Trauma, etc.

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