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A Public Health Approach to Intervention: A New Framework for Strengthening Children's Mental Health and Well-Being

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Title: A Public Health Approach to Intervention: A New Framework for Strengthening Children's Mental Health and Well-Being


1
A Public Health Approach to Intervention A New
Framework for Strengthening Children's Mental
Health and Well-Being
  • Georgetown University Center for Child and Human
    Development
  • National TA Center for Childrens Mental Health
  • Webinar
  • July 30, 2008

2
Key Themes Concepts
  • Shift to a population focus (all children)
  • Emphasize the importance of environments
  • Include a focus on childrens positive mental
    health
  • Involve and engage new partners
  • Adapt themes to meet the needs of community
    (local adaptation)

3
Structure of the Monograph
  • Chapter 1 An Overview
  • Chapter 2 Language
  • Chapter 3 Public Health and its Application to
    Childrens Mental Health
  • Chapter 4 An Intervention Framework
  • Chapter 5 Applying the Framework

4
  • Setting the Scene for the New Framework

5
The Current Approach Childrens Mental Health
Care System
  • Childrens mental health care system has made
    great strides, particularly in the last 20 years.
  • This system focuses almost exclusively on
    treating problems.
  • What happens if nothing is done to check the
    growing numbers of children who develop problems?

6
Public Health System
  • The public health system also impacts childrens
    health.
  • Public health focuses on promoting health and
    preventing problems in addition to treating
    problems.
  • Mental heath is not yet a significant focus for
    the public health system.

7
Integrating Mental Health and Public Health
  • Childrens mental health care system will add a
    focus on promoting positive mental health and
    preventing problems.
  • Public health system will increase their focus on
    mental health.
  • Other systems will recognize the part they play
    in supporting the positive mental health of all
    children.

8
Language
  • It is difficult for people to communicate across
    systems.
  • There are no common definitions for key terms
    including health, mental health, and positive
    mental health.
  • The monograph offers definitions to use as
    starting points for discussion.

9
Money
  • Mental health treatment services are already
    limited in the US.
  • Promotion/prevention services are likely to be
    seen as in competition for the same dollars as
    treatment.
  • Insurance reimbursement process is not designed
    for preventing problems before they occur.
  • Other funding sources are scarce and require time
    and energy to pursue.
  • The monograph offers examples of places that are
    innovating in this area.

10
Key Components of a Public Health Approach
  • Population Focus
  • Promotion and Prevention
  • Determinants
  • Process

11
Public Health Approach Process
  • Three core functions
  • Ten essential elements

12
  • The New Framework

13
Approach to Children's Mental Health Grounded in
Public Health Core Functions
  • Public policies, community programs,
    family/individual services, and more
  • Gathering and analyzing data to drive decisions
  • Quality, access, and sustainability

14
  • Special Focus on Intervening

15
Intervention Framework for Health
Promoting Health
Reclaiming Health
Treating Problems
Preventing Problems
16
Integrating Language in New Intervention Framework
17
A conversation with Sandra Spencer          Execut
ive Director Federation of Families for
Children's Mental Health                    
Interviewed by Joyce Sebian
18
Reference Slides
  • Visit the Georgetown Website to download an
    enhanced slide show
  • July 19th TA Conference Call

http//gucchd.georgetown.edu/programs/ta_center/ta
calls2008.html
19
The Vision
  • Communities, as well as society at large
  • will work to positively shape and
    strengthen children's physical, social, cultural,
    political, and economic environments in ways that
    promote optimal well-being and help prevent
    mental health problems. 
  • will provide a full continuum of services and
    supports, from promoting health and preventing
    problems to treating problems and reclaiming
    health, that help all children manage
    environmental, social, and emotional challenges,
    thrive, and be contributing members of society.

20
Selected Sectors that Impact Childrens Mental
Health
  • Education
  • Early Education/Head Start
  • Maternal Child Health Bureau
  • Child Care
  • Primary Medical Care
  • Juvenile Justice
  • Child Welfare
  • Early Education
  • Families
  • Media

21
Positive Health and Health Problems as
Independent Dimensions
Valuing Mental Health A Framework to Support the
Development of a Provincial Mental Health Policy
for Newfoundland and Labrador, September 2001.
http//www.gov.nl.ca/publicat/MentalHealthPolicyPa
per.pdf Downloaded April 9, 2007
22
IOM Report Fan
Citation 1994 Institute of Medicine (IOM) report
entitled Reducing the Risks for Mental Disorders
Frontiers for Preventive Intervention Research
23
PH/MH Core Monograph Team
  • Searchlight Consulting LLC
  • Jon Miles, Ph.D.
  • Georgetown University Center for Child and Human
    Development,
  • National TA Center for Childrens Mental Health
  • Rachele C Espiritu, Ph.D.
  • Neal M Horen, Ph.D.
  • Joyce Sebian, M.S. Ed.
  • Elizabeth Waetzig, J.D.
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