Oral

The American Academy of Pediatrics recommends as a best practice for pediatric primary care. Key elements of the medical home are that health care is accessible comprehensive, continuous, family-centered, and culturally relevant. This session will address several of the elements of comprehensive pediatric care, specifically timely access to mental health and child development services. We will begin with an overview discussion of the medical home model. Our next presentation will describe a prevention and early intervention framework for mental health services in San Mateo County, California designed to promote primary prevention, support the treatment of those in need, and reduce the stigma too often associated behavioral health problems. Our next presentation will describe the issues around the assessment and intervention for medically involved infants and toddlers, focusing on the need to integrate developmental services with medical care for these young children with special health care needs. Next we will discuss the complexities of designing a program for large scale screening for high-risk pregnancies and improve birth outcomes. Finally we will describe an innovative approach to enhancing access to mental health services through the co-location of mental health services with medical care at an inner city community health center. These protocols expand upon the Macarthur Initiative on Depression & Primary Care model.

Session Objectives: At the end of this session, participants will be better able to: Discuss the concept of the medical home as it applies to medically underserved populations Discuss the challenges of developing and employing a standardized risk assessment form Understand the need to integrate medical and developmental services for infants and young children with special health care needs Develop protocols appropriate for their practice on how to manage various mental health problems

CE Credits: CME, Health Education (CHES), Nursing