Project Description:
PROBLEM: Children with developmental & behavioral problems, such as autism and other neurodevelopmental disabilities (ASD/ND), and their families need culturally and linguistically competent MCH leaders to address health disparities and to design & deliver effective, family-centered interventions in coordinated systems of care. There are not enough developmental and behavioral pediatricians (DBP) to fill open positions and meet the need in the U.S. (300)
GOALS: In a Life Course Theory Framework (LCT), A. Prepare DBP as long-term trainees (LT/F) for MCH leadership & increase knowledge & skills of medium- (MT) & short-term (ST) trainees. A1 increase workforce; A2 train LT/F; A3 train MT/ST; A4 track leadership trajectory; A 5 apply LCT. B. Advance ASD/ND knowledge/skills of medical practitioners in Rocky Mt region using medical home model.B1 train pediatric residents; B2 provide CE; B3 provide TA; C. Contribute to innovative & evidence based practice for children with ND/ASD. C1provide LT/F research support; C2 conduct research; C3 QI for ASD/ND; C4 disseminate research findings; C6 establish visiting professorship D. Promote health equity, wellness, and reduce disparities in health and healthcare. D1Collaborate with CO Childrens Healthcare Access Program; D2 Advocacy skill development (goals 25 200; objective 25-300)
METHODOLOGY: Increase complement of DBP fellows, while engaging in core didactic, research, leadership training, and community outreach pertaining to ASD/ND. MT and ST trainees have ND/ASD didactic &/or clinical exposure. TA & CE needs of general and DB pediatricians within the Rocky Mt. region are identified & addressed through the development of a DBP Consortium, with involvement of DBP faculty and fellows with state, regional & national partners, focusing on ND/ASD teaching, clinical care, and research. (25-1500)
HP 2020 OBJECTIVES: Access(AHS-5.2); Disability(DH-5,13,14,18, 20); Early/Middle Child(EMC-2.4, EMC-3). Health Comm. (HC/HIT-2.1-2.4; 3-4); Hearing (ENT-VSL-21); Maternal, Infant, & Child Health (MICH-29.1-.4; 30.1-.2; 31.1-.2); Mental Health(MHMD-6); Oral Health (OH7); Early/Middle Child(EMC-2.4, EMC-3). H-7). When developed, Social Determinants objectives may be added.)
COORDINATION: CO DBP coordinates: a) Instate, with CO LEND; Pediatric Nursing Leadership; Department of Public Health and Environment: Title V, Medical Home, Part C, Colorado chapters of Arc, Autism Society, El Grupo VIDA, Family Voices; b) Regionally and nationally, with: Autism Treatment Network , National Fragile X; Rocky Mt. Regional LEND; PacWest LEND & Rocky Mountain Public Health Consortia, CADDRE, SEED, & CASCADE.
EVALUATION:CO DBP Protocol: a) Supports program delivery/modification, reporting, and outcome documentation via data collection; competencies assessments; trainee self-assessment and faculty input; graduate surveys of MCH service & leadership; scholarly endeavors & output; CE & TA feedback; and, b) is responsive to emergent needs and HRSA/MCHB requirements.
ANNOTATION: CO DBP trains MCH leaders in effective identification, diagnosis, intervention, and research skills in ND/ASD; increases and strengthens skills of the medical providers and MCH workforce, and enriches the ND/ASD evidence base within a Life Course Theory Framework.
Core Function(s):
Training Trainees, Performing Direct and/or Demonstration Services, Performing Research or Evaluation, Developing & Disseminating Information, Continuing Education/Community Training
