Chalkboard Drawings

WHAT WE ARE LEARNING

Father and Son

Catalytic Practices

During the first phase of PSP, our partners at the Center for the Study of Social Policy (CSSP) explored how pediatric professionals can promote healthy social and emotional development and nurturing parent-child relationships. The intention of this work was to review existing programs that support parents to foster the social and emotional development of their young children and which have been designed for use in pediatric primary care (and related) settings. These programs have research evidence or are building their evidence of effectiveness.

 

Ultimately, we sought to identify and learn about what might be common practices across programs as a means to obtain a full picture of how pediatric primary care can best support all children and families and achieve key outcomes in their social and emotional development.

Through a robust review and analysis of nearly 70 evidence-based and evidence-informed programs, followed by in-depth site visits with 13 selected programs, the team identified 14 common practices, each observed across several of the program sites.

Enabling Conditions

There are a number of structural barriers that make it challenging for pediatric practices to embrace a focus on children's social and emotional development and nurturing relationships, however, we see these barriers as opportunities. We are posing the question: what are the conditions that enable change to take hold?

To date, four conditions have been prioritized:

  1. Public Financing & Reimbursement

  2. Early Relational Health (Training & Professional Development)

  3. Integrated Technology & Screening

  4. Measurement

Railroad Set

01

Public Financing & Reimbursement

Capacity constraints and intricate regulations make it difficult for states and managed care organizations to navigate and understand how to secure financing to improve pediatric practices promoting healthy social and emotional development and nurturing parent-child relationships.

Through a partnership between the Center for the Study of Social Policy (CSSP), Manatt Health, DCR Initiatives, and Johnson Group Consulting, this body of work focused on leveraging Medicaid, the Children's Health Insurance Program (CHIP), and the Title V Maternal and Child Health (MCH) Services Block Grant to help finance practice change.

The following resources describe strategies and tools that state Medicaid/CHIP/Title V agencies, managed care plans, pediatric care providers, and others can use to optimize the social and emotional development of young children through pediatric practice.

02

Early Relational Health

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03

Integrated Technology & Screening

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03

Integrated Technology & Screening

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03

Integrated Technology & Screening

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04

Measurement

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03

Text

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04

Measurement

While structural barriers make it challenging for pediatric practices to embrace a focus on children's social and emotional development and nurturing relationships, we see these barriers as opportunities. By creating the conditions we are tilling the soil for successful implementation and adoption of change to take hold.