Effective Use of the PSAP Screening Tool within a Community Health Program Model

1
Effective Use of the PSAP Screening Tool within a
Community Health Program Model
2
Early Intervention Partnerships Program (EIPP)

• Initiated 2003
• Community Health Program Model
• Targeting high risk pregnant and post partum
  mothers
• Services provided by a MCH Team (RN, SW, CHW)
  at eight sites across state
• Home visiting and group services

3
EIPP Eligibility

• Eligibility for EIPP is determined before a home
  visit is conducted.
• Specific eligibility criteria
• How eligibility screening is conducted is not
  standardized

4
EIPP Initial Assessment Tool CHA

• KAAs
• Access Utilization of Care
• Womens Health
• Oral Health
• Nutrition
• Breastfeeding
• Physical Activity
• Cognitive Perceptual
• Environmental Health Safety
• ATOD
• Violence
• Emotional Health
• Healthy Parenting
• Neonatal Developmental Assessment
• Medical History Physical Assessment

• At the initial home visit, a comprehensive health
  assessment (CHA) is conducted.
• A CHA is a health assessment in the broadest
  sense of the word encompassing 14 key assessment
  areas (KAAs).

5
Adapted the PSAP Tool for EIPP

• The PSAP Screening Tool was separated out into
  its three topic areas
• The three PSAP topic area questions were then
  incorporated into the EIPP CHA KAAs

6
PSAP CHA

• PSAP Tool
• Substance/Alcohol Use Screening
• Domestic Violence Screening
• Emotional Health Screening

• CHA KAAs
• KAA9 Alcohol, Tobacco, Other Drugs (ATOD)
• KAA10 Violence
• KAA11 Emotional Health

7
Alcohol, Tobacco, Other Drugs (ATOD)

• At intake, 21 (423/2062) of EIPP Participants
  reported Tobacco Use
• At intake, 13 (262/2062) of EIPP Participants
  reported Substance Abuse in their home

• On the initial CHA, 34 (702/2062) of EIPP
  Participants had a positive screen

8
Violence

• At intake, 11 (226/2062) of EIPP Participants
  reported violence in their home

• On initial CHA, 32 (662/2062) had a positive IPV
  screen with violence occurring within the
  previous year

9
Emotional Health

• At intake, 42 (868/2062) EIPP Participants
  reported a history of depression including post
  partum depression

• On initial CHA, 57 (1174/2062) were assessed to
  have a positive emotional health screen of 1 or
  higher with a history of mental health concerns

10
Conclusion

• Use of the PSAP tool improves identification
• Highest increase in identification from the
  violence screen
• Ease of use reported by EIPP Staff

11
Contact Information

• Beth Buxton-Carter, LCSW
• Program Director
• Massachusetts Department of Public Health
• 250 Washington Street 5th Floor
• Boston, MA 02108
• 617.624.5910
• beth.buxton-carter_at_state.ma.us