PCMH-Kids Maternal Depression Behavioral Health Learning Collaborative Documentation:

• Sleep Solutions for Kids with ADHD
• Nine Foods to Eat and Avoid for Improved ADHD Symptoms

Rhode Island Patent Information Network

Click here for more information and upcoming RIPIN events.

South County Healthy Bodies. Health Minds. February News

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RI Department of Health "Screening to Suceed" updates:

Save the Date:

Bradley CADD Outpatient Clinic @ CHDC

Bradley Hospital's new outpaitnet clinic for Autism and Developmental Disabilities is now scheduling appointments.  The Bradley CADD Outpatient Clinic, located at the Children's Neurodevelopment Center, 335R Prairie Ave in Providence, was developed to provide outpatient care for the specialized behavioral health needs of individuals aged 5-21 with developmental challenges, including Autism Spectrum Disorders.  The clinic offers individual and family therapy, patent training in behavior management, and medication management.  The services that the clinic provides address behavioral health challenges that occur with developmental disabilities, including anxiety, mood dysregulation, ADHD, adjustment problems, aggression, and oppositional behavior, as well as challenges to parents and families.  The clinical staff includes psychologist, social workers, and a psychiatrist.  Psychiatric care can only be initiated when a child is involved in invidiual or family therapy through the clinic.
To schedule an appointment, call Bradley Outpatient Services at 432-1119; you will receive a call back from the clinic to schedule.

Pediatric Psychiatry Resource Network Resources

On December 1, 2016, Rajvi Broker-Sen, MD and Elizabeth Lowenhaupt, MD presented the Pediatric Psychiatry Resource Network (PediPRN) to the PCMH-Kids Stakeholder Meeting. Their presentation and documentation can be reviewed below.

Pedi PRN  Presentation
Pedi PRN Enrollment Form
Pedi PRN Survey Form
Pedi PRN Letter

CTC-RI and PCMH-Kids to Host Quarterly IBH Attention Deficit and Hyperactivity Disorder (ADHD) Learning Collaborative

On December 8, 2016 CTC-RI will host the quarterly IBH Learning Collaborative meeting for the six PCMH-Kids practices participating in the Attention Deficit and Hyperactivity Disorder (ADHD) program.

The meeting will be held at Rhode Island Quality Institute 50 Holden Street Providence RI 3rd floor from 7:30 to 9:00am. PCMH Kids practices participating in the ADHD Learning Collaborative are expected to attend and other primary care practices may also participate. Pre- registration is not required.

The PCMH Kids primary care practices participating in the ADHD learning collaborative will report out on their successes, barriers and progress made working with children and families in implementing "best practice". Deb Lobato, Ph.D, and Liz Cantor, Ph.D, will facilitate a discussion and provide PCMH Kids practices with content expert recommendations related to helping families and children address common issues.  Health Plans will additionally participate and share information on ADHD health plan resources that are available for primary care practices and patients/families. 

Health Plan Pediatric Behavioral Health Initiatives and Programs- BCBS RI and United

Click here for a list of interventions the plans intiative relative to ADHD and Health Plan resources.
Click here for a list of resources for Rhode Island United Health Care Providers.

Beyond Checklists: Care Planning for Children with Special Health Care Needs Webinar

PMCH Kids: Helping Children and Families with Attention Deficit and Hyperactive Disorder (ADHD)

Focusing on the needs of children and families who have attention deficit and hyperactive disorders and sharing “best practice” learning among pediatric practices are seen as critical elements to the success of practice transformation and improving population health.  With this in mind, six PCMH-Kids practices came together on 9/8/16 to discuss work their practice sites are doing to implement evidence based practice guidelines and behavioral health care strategies to improve care for children with attention deficit and hyperactive disorders. 

Why is this so important? According to Truven’s Rhode Island Behavioral Health Project Final Report, 13.7% of youth ages 4-17 years have ever had attention-deficit/hyperactivity.  Investing in effective prevention, early identification and treatment are seen as critical elements to help support children to reach their full potential and improve the health of tomorrow’s adults.

Assisting the practices in their quality improvement effort were Healthcentric Advisor practice facilitators Laurent Capizzo MBA, PCMH CCE Senior Manager of Health IT and Practice Improvement and Putney Pyles BSN, RN, PCMH CCE Senior Project Coordinator.  Their presentation “Quality Improvement Strategies to Increase Success” (insert link) offered suggestions for how to best identify problems and how to measure and track success. 

CTC-RI will be contracting with Elizabeth Cantor PhD and Deb Lobato PhD who will provide behavioral health subject matter expertise for the PCMH Kids practices that are participating in this important work.   This learning collaborative has been made possible through funding from Tufts Health Plan and CTC-RI. 

PCMH-Kids ADHD Behavioral Health Learning Collaborative Documentation:

4/27/16 ADHD Best Practice Protocols Presentation: PCMH-Kids BH Learning Collaborative
4/27/16 Agenda

• ADHD Management Plan Sample 1
• How to Establish a School-Home Daily Report Card
• Medication Management Information
• What Can I Do When My Child Has Problems With Sleep
• Educational Rights for Children with ADHD
• ADHD Coding Fact Sheet for Primary Care Clinicians
• AACAP Best Principals for Integration of Child Psychiatry into the Pediatric Health Home

PCMH-Kids Care Coordination Training and Sharing Day Documentation:

ADHD Learning Collaborative AIM, Work Plan and Baseline Measure Worksheet
ADHD Learning Collaborative Second Data Point Worksheet
2/24/16 Care Coordination Training and Sharing Day Agenda

• Module 1: Care Coordination Training
• Module 1: Pediatric In Session Worksheet
• Module 1: Pediatric Pre Session Survey
• Module 2: Parents as Practioners
• Module 2: Questions and Tips Handout
• Module 2: Care Coordination as a Continuous Partnership
• Module 3: CNDC Vanderbilt Sample
• Module 3: Framework Care Coordination Domain Activities
• Module 3: Integrating Care Coordination Work in our Everyday Work
• Module 4: Community Based Service Guide
• Module 4: Pediatric Care Coordination

Two Developmental Workshops: Understanding and Enhancing Social-Emotional Abilities in Children with Autism Spectrum Disorder

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National Center for Medical Home Implementation Supporting Implementation of the Pediatric Medical Home Model

The National Center for Medical Home Implementation, in collaboration with the American Academy of Pediatrics, recently updated a comprehensive table of published evidence that outlines how implementation of the pediatric medical home model improves patient experience, increases quality of care, and decreases healthcare costs. View the table, along with other information about evidence supporting the pediatric medical home model, on the NCMHI Web site.

The Role of Physicians in Dental Prevention

Caries is an infectious transmissible disease that is passed from mother to child – if we reach the mother before she has children or is pregnant, or to the child when they are very young, we may be able to prevent bacterial colonies from inoculating the child in any meaningful way. For those who are already at risk, there are approaches that allow us to control those bacteria without having to resort to removing tooth structure.

Both biology and socioeconomics play important roles in the development of caries. Evaluating risk is critical to understanding a child’s likelihood of future dental disease. Risk is a matter of assessing the balance between a member’s caries risk factors, and caries protective factors. Examples of caries risk factors include: Previous history of caries, Parent/caregiver history of caries, Heavy plaque, Frequent Snacking, Deep pits or fissures Low salivary flow, Exposed roots and the presence of Orthodontics Appliances.

Examples of caries protective factors include: the availability of fluoride, including fluoride in drinking water, the use of fluoride rinses, fluoride toothpaste and in office fluoride treatments, particularly varnishes. Antimicrobials such as chlorohexidine, and Xylitol, can also arrest bacterial growth. As we also noted salivary flow is another inhibitor – when there is little or no saliva, saliva stimulators can be used or other buffers, such as the ingredients in baking soda, to raise the pH in the mouth and make the environment less acidic.

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The Rhode Island Department of Health: Oral Health of Rhode Island Children

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