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THE CHILDREN'S
HEALTH INITIATIVE (CHI)
About the Children's Health Initiative
Recent Activities
Anticipated Activities
About the Children's Health
Initiative
Under the leadership of Dr. Katherine E. Grimes, the Children's
Health Initiative (CHI) brings together a group of clinicians and
researchers who are dedicated to research and training regarding
ways to improve quality of care for children with mental health
needs.
Previous Activities
- Robert Wood Johnson Foundation, Demonstration Project
- Center for Substance Abuse Prevention (CSAP), Performance Measurement
- Maternal and Child Health Bureau, Institute for Community Health:
IC3 Integrated Comprehensive Care for Children, Evaluation
- Washington Circle Group, Child Mental Health Quality Measurement
- Office of Minority Health, DHHS, Health Disparities Initiative
Recent Activities
• MHSPY Evaluation
The Mental Health Services Program for Youth (MHSPY) intervention
combines mental health, pediatric and substance abuse services
to maintain Medicaid youth with serious emotional disturbance
(SED) in their homes and communities.
The MHSPY study monitors results in four discrete outcome domains
for children with serious emotional disturbance who are at-risk
of out-of-home placement: (1) functional status, (2) utilization,
(3) cost, and (4) satisfaction. (See the MHSPY Model)
The study employs a longitudinal, multi-wave process using standardized
measures of clinical functioning, service utilization, cost and
satisfaction for children ages 3 through 19. Multiple standardized
measures are administered to assess the overall level of functioning
of the target population and identify the presence of change in
mental health status at intake and every six months while the
participant is enrolled in the program. These measures include
the Child and Adolescent Functional Assessment Scale (CAFAS),
Child Global Assessment Scale (CGAS), Child Patient Assessment
Tool (PAT), ChildBehavior Checklist (CBCL), Youth Self Report
(YSR), Teacher Report Form (TRF), Family Centered Behavior Scale
(FCBS), as well as a Family, Youth and Agency Satisfaction Surveys.
Service utilization data is also maintained on all medical services,
including mental health and substance abuse, pharmacy, emergency
room use, surgery, medication, lab for all enrolled MHSPY youth.
• IC3
Consultation on evaluation and measurement strategies for the
Integrated Comprehensive Care for Children (IC3), to support MHSPY
communities, youth and families as key stakeholders to engage
in a planning process for the integration of physical and behavioral
health for children, adolescents and their families.
• NCQA
Participation on the National Committee for Quality Assurance
(NCQA) Behavioral Health Measurement Advisory Panel
• CHCS
Consultation to the Center for Health Care Strategies, to support
participation in the Child Welfare Quality Improvement Collaborative
on behalf of MHSPY.
• THE MENTAL HEALTH STRATEGY FOR
CANADA
National Advisory Committee, Evergreen Framework: The Child &
Youth Mental Health Framework for Canada
Anticipated Activities
for 2009-2010
- SAMHSA's Community Mental Health Services for Children and
Their Families Program - Building Better Futures: Growing Community
Connections
- Founding member of Massachusetts Consortium for Excellence in
Care - focus on system of care training and implementation
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Contact Info:
Katherine E. Grimes, MD, MPH - Principal Investigator
120 Beacon St, 4th Fl.
Somerville, MA 02143
617-503-8456 (phone)
617-503-8470 (fax)
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