{"id":923,"date":"2017-09-07T09:25:26","date_gmt":"2017-09-07T13:25:26","guid":{"rendered":"https:\/\/multi.nycnewsnetwork.com\/nycpolitics\/2017\/09\/07\/3-nyc-health-hospitals-programs-focus-on-special-behavioral-health-needs-of-children\/"},"modified":"2017-09-07T09:25:26","modified_gmt":"2017-09-07T13:25:26","slug":"3-nyc-health-hospitals-programs-focus-on-special-behavioral-health-needs-of-children","status":"publish","type":"post","link":"https:\/\/nycnewsnetwork.com\/nycpolitics\/3-nyc-health-hospitals-programs-focus-on-special-behavioral-health-needs-of-children\/","title":{"rendered":"3 NYC Health + Hospitals Programs Focus on Special Behavioral Health Needs of Children"},"content":{"rendered":"

NYC Health + Hospitals<\/a>\u00a0announced three new or expanded prevention, diagnostic, treatment, and training programs to reflect its commitment to providing enhanced access to behavioral health services for children and adolescents. The programs include one to address early childhood development in children who may have experienced toxic stress, another to better train pediatric and adolescent providers on identifying and treating behavioral health conditions in primary care settings, and another to provide enhanced support in schools for students who have emotional, behavioral, or substance-use challenges.<\/p>\n

\u201cWhile more and more people are recognizing the value of seamlessly integrating behavioral health into primary care, less attention is paid to the importance of such integration in the care of children and adolescents,\u201d said Stanley Brezenoff, interim president and chief executive officer of NYC Health + Hospitals. \u201cOur youngest patients may be the most meaningful for this work because the long-term benefits can be greatest.\u201d<\/p>\n

The projects address the recognized need to better integrate behavioral health into primary care or to provide more service in the community. All the projects involve partnering with other organizations to support health outcomes, one of the goals of \u201cOne New York,\u201d the report issued in April 2016 outlining New York City\u2019s plan to transform NYC Health + Hospitals.<\/p>\n

\u201cThese innovative programs reflect our City\u2019s commitment to addressing the mental health needs of our children and adolescents early and in a holistic fashion,\u201d said First Lady Chirlane McCray, who leads ThriveNYC \u2013 the most comprehensive mental health plan of any city or state in the nation. \u201cExpanding support for our youth and investing in our workforce helps further a goal of ThriveNYC, to meet more young people where they are \u2013 whether that is in their pediatrician\u2019s office or in school.\u201d<\/p>\n

Healthy Steps<\/strong><\/p>\n

NYC Health + Hospitals\/Gotham Health, Gouverneur and NYC Health + Hospitals\/Coney Island have both launched Healthy Steps, an innovative national program focused on early childhood behavioral health. Created by Zero to Three\u2014a nonprofit organization working to ensure that all babies and toddlers have a strong start in life\u2014the program helps identify children at risk during early childhood development and introduces steps to prevent behavioral health issues.<\/p>\n

Healthy Steps integrates a specially trained child development professional, called a \u201cHealthy Steps Specialist,\u201d within the primary care team. This specialist partners with families during well-child visits, coordinates screening efforts, and problem-solves with parents for common and complex child-rearing and other challenges. Trained to provide tailored guidance and referrals, on-demand support between visits, and care coordination and home visits when needed, the specialist takes the steps needed to give children the best start to life.<\/p>\n

The Healthy Steps Specialist looks for symptoms of stress, anxiety, or lack of connectedness in young children. These symptoms occur in children from all social classes, but may be especially common among children impacted by poverty. Poverty may expose children to under-nutrition, early loss of caretakers, homelessness, or neighborhood violence. Unmitigated stresses like these can produce toxic stress, which negatively affects brain development in young children. \u201cToxic stress\u201d refers to a child\u2019s exposure to strong, frequent, and\/or prolonged adversity without adequate support.<\/p>\n

\u201cThe Healthy Steps Specialist knows how to support families to tap into their strengths,\u201d says Dr. Mary McCord, director of pediatrics at NYC Health + Hospitals\/Gotham Health, Gouverneur. \u201cThis support has been shown to reduce the chances of the child\u2019s early stresses developing over time into a behavioral health issue.\u201d<\/p>\n

The two NYC Health + Hospitals facilities each received a $369,000 grant from the New York State Office of Mental Health to institute Healthy Steps. NYC Health + Hospitals\/ Gotham Health, Gouverneur was the first to institute the Healthy Steps program in Manhattan. Both programs will serve speakers of English and Spanish, and NYC Health + Hospitals\/Gotham Health, Gouverneur will also serve speakers of Chinese\u2014one of only a few programs in the country to do so.<\/p>\n

\u201cWe are excited to receive funding for this innovative program,\u201d said Dr. Morris Gagliardi, Chief Medical Officer of NYC Health + Hospitals\/Gotham Health, Gouverneur. \u201cThis will provide the community much needed support for families and children. Addressing toxic stress to mitigate potential behavioral health issues in young children is critical.\u201d<\/p>\n

\u201cFeedback from our community has let us know that greater access to behavioral health services is needed, which is why we have made this program a priority,\u201d said Anthony Rajkumar, chief executive officer of NYC Health + Hospitals\/Coney Island.<\/p>\n

Project TEACH<\/strong><\/p>\n

Forty pediatricians from throughout NYC Health + Hospitals participated in a specialized Project TEACH program in February, focused on the integration of behavioral health and primary care. The providers\u2014specialists in both pediatrics and adolescent medicine\u2014learned practical and effective ways to better screen their young patients and facilitate further evaluation for children and teens who screen positive.<\/p>\n

\u201cIn the past, infectious diseases were at the core of pediatric practice. Today, behavioral health issues are the new morbidity,\u201d said Warren Seigel, MD, co-chair of the Pediatric Council and a provider at NYC Health + Hospitals\/Coney Island. \u201cProject TEACH offers a whole different way to screen and treat for the conditions we most frequently encounter in a medical home setting: depression, anxiety, and behavioral health issues.\u201d<\/p>\n

The program offers practical suggestions about things providers can do. For example, while parents or guardians are in the waiting room, they can fill out a simple screening questionnaire, the answers to which might trigger more focused questioning during the appointment. When a behavioral health concern is flagged, the primary care physician often has the tools to treat the patient, frequently without medication or referral to a psychiatrist. When a child actually needs medication, the primary care provider can start that treatment, track the initial patient response, and determine whether a referral is in fact needed.<\/p>\n

As part of the program, there is also ongoing support via phone available to primary care providers on weekdays.<\/p>\n

Topics covered in the training program included the importance of universal social emotional screening, the use of assessment tools, diagnosis and treatment of the most common childhood mental health disorders, effective use of psychopharmacology, and ways to incorporate consultation. Each participant brought back the knowledge from the training to share with colleagues throughout the system.<\/p>\n

Project TEACH is a collaboration of the New York State Office of Mental Health, New York State Department of Health, Conference of Local Mental Hygiene Directors, American Academy of Pediatrics, and New York State Academy of Family Physicians. Its mission is to strengthen and support the ability of primary care providers to provide mental health services to youth in the providers\u2019 practices.<\/p>\n

100 Schools Project<\/strong><\/p>\n

OneCity Health, a subsidiary of NYC Health + Hospitals, and three other New York City-based Performing Provider Systems\u2014Community Care of Brooklyn, Bronx Health Access, and Bronx Partners for Healthy Communities\u2014launched the 100 Schools Project with a pilot last September. The program is now active in 40 schools, and this fall, 58 more schools will be engaged in the work. Through the 100 Schools Project, schools are learning how to connect students who have emotional, behavioral, or substance-use challenges with top-tier local mental health providers while enabling the students to remain in school.<\/p>\n

The four Performing Provider Systems are funding and overseeing the project, while a community partner\u2014the Jewish Board of Family and Children\u2019s Services\u2014is coordinating the initiative.<\/p>\n

At each school, local mental health and substance abuse providers from the four Performing Provider System networks who have been trained by experts from the Jewish Board of Family and Children\u2019s Services are teaching educators, administrators, and guidance counselors how to recognize signs of distress, how to approach students and, where appropriate, their families, how to access local behavioral and mental health providers, and how to handle behavioral crises.<\/p>\n

\u201cTo engage adolescent New Yorkers and improve their mental health, it\u2019s sometimes more important to go where they are than to wait for them to come to you,\u201d says Dr. Ross Wilson, Interim Chief Executive Officer of OneCity Health Services. \u201cOur partnership with a venerable community-based organization alongside other leading New York City health care providers allows us to keep kids in school and may better address their particular needs.\u201d<\/p>\n

The original five pilot schools were in the Bronx, while the schools added in 2017 extended the project\u2019s reach to Brooklyn, Queens, and Manhattan.<\/p>\n","protected":false},"excerpt":{"rendered":"

NYC Health + Hospitals\u00a0announced three new or expanded prevention, diagnostic, treatment, and training programs to reflect its commitment to providing enhanced access to behavioral health services for children and adolescents. 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