Help Me Grow: An Innovative Approach to Funding Care Coordination Carlota Schechter Consultant, Help Me Grow National Center Connecticut Children’s Medical Center Hartford, Connecticut New England Alliance for Children’s Health November 9, 2015
Reframing the Goal Goal: The promotion of children’s optimal healthy development Broadens the Stakeholders : Health Care Mental Health Early Intervention Early care & Education Child Protection Services Child Advocacy Early Intervention Special Education
Help Me Grow Help Me Grow is a system that ….identifies at-risk children and ….connects them to the services they need. A centralized information and referral center provides care coordination to families and others who may be concerned about a young child.
The Problem Experts agree on the importance of… Early Detection and Linking children to supports HOWEVER… Children with developmental or behavioral problems are eluding early detection And even when identified, at-risk children are not getting the services they need.
Help Me Grow Vision Imagine a care coordination system where … coordinators are available are 24 hours a day, every day to… 1 ) Answer parent or other caregivers questions about their children’s development, and 2) Connect families to the necessary resources in their communities.
Help Me Grow Vision All states have a Help Me Grow systems so that… Knowledge of and access to services Families have Support in learning about child development Support in making connections Identify at-risk children Child Health Care, Early Care & Education, Partner with families to promote Human Service Providers can healthy development Understand gaps in services Public officials, advocates and Know how to ensure system capacity other key stakeholders to meet needs
1 7 2 Well-child visits Information loops Provider solicits (Surveillance & back to provider family concerns Screening) from HMG 3 Help Me Grow Identify 6 behavioral and/or Care Coordination Family developmental connected concern to resources 5 4 HMG Care Coordinator Provider or family provides resources contact Help Me Grow
The Help Me Grow System Core Components 2 1 4 3 Data collection Community Centralized Child health to understand all outreach telephone access care provider aspects of the to promote use of point for outreach HMG system, HMG and facilitate connecting to support including gaps in networking for children and their early detection and barriers to families and families to services and intervention services service providers and care coordination
Guam: The Help Me Grow System Help Me Grow History: Building on Success 1998 – 2004 2005 2008 – 2010 2010 – 2013 2014+ HMG Pilot Program First Help Me Grow Commonwealth Grant WK Kellogg Grant National Reach and Early Growth Replication Site in Replication in 5 States Replication in 10 and Impact in Connecticut Orange County, CA Additional States 23+ Affiliates
The Help Me Grow National Network 23 States and Growing! Missouri Alabama New Jersey California New York Colorado Oregon Connecticut Puerto Rico Delaware South Carolina Florida Utah Iowa Vermont Kentucky Washington Louisiana West Virginia Michigan Wyoming Minnesota District of Columbia
HMG in New England States Connecticut : Implementing HMG for 13 years Vermont: Started implementation Fall 2015 Maine: Started the planning Spring 2015
Braiding Funding Connecticut’s Braided Funding for Help Me Grow Early Intervention (Part C) • Early Childhood Special Education • (Part B) Children and Youth with Special • Health Care Needs Home Visiting (MIECHV) •
Help Me Grow Partners Early Childhood Comprehensive Systems • Early Head Start • Learn the Signs. Act Early • Maternal, Infant, and Early Childhood Home Visiting • (MIECHV) Project LAUNCH • Race to the Top • Reach Out & Read • Strengthening Families • IDEA Part C Early Intervention • IDEA Part B Special Education •
Example: Washington We make the connections Washington families need to be healthy. Help Me Grow Washington is a free program that connects families to the resources needed to give ALL kids the best start and to make sure they are growing and developing on track.
Help Me Grow Data From 12 States Number of • 31,022 children Children • Caregivers: Mothers Who • Providers: contacted • Healthcare HMG ? • Mental Health care • Early Intervention
Top 5 Presenting Issues/Concerns Top 5 in order: 1. Communication Issues 2. Behavioral Issues 3. Developmental Concerns 4. Developmental Information & Resources 5. Educational Needs & Resources
Outcomes, Impact & Effectiveness Cost Benefits of “De - medicalizing” Childhood Developmental and Behavioral Concerns Policy briefs available at www.HelpMeGrowNational.org
www.HelpMeGrowNational.org
Key Strategies To promote children’s optimal healthy development…. Leverage existing community resources Serve all children including vulnerable populations Maintain low cost by linking to existing programs and services Facilitate cross-sector collaboration Child health, early care & education, family support, basic needs support
Thank you Carlota Schechter www.helpmegrownational.org
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