2018-2019 PRODUCTS

THE POTENTIAL ROLE OF EARLY CHILDHOOD MENTAL HEALTH SPECIALISTS IN REDUCING PRESCHOOL SUSPENSIONS AND EXPULSIONS

Brett Buford, OTR/L & VyVy Nguyen, MPH

The main goal of our LEND project is to inform educators and child care providers about the benefits that Early Childhood Mental Health
Consultation can provide in these early childcare settings. Following an extensive literature review, members of this team created a
brochure that will be distributed to California preschool teachers with the intention of equpping these professionals with needed
resources in order to disrupt the "Preschool to Prison Pipeline". Overall, our proposed impact is to reduce the amount of early childhood
suspensions and expulsions in California.

COMMUNITY INFANT-FAMILY AND EARLY CHILDHOOD MENTAL HEALTH TREATMENT SERVICES: IMPACT ON CHILDREN AND THEIR FAMILIES

Stacey Landberg, CCC-SLP, Icxc Medina, MPH & Ya-Chih Chang, PhD

This 2-year policy project provides specific recommendations for identifying and providing evidence-based mental health services to
eligible infants and toddlers through county departments of mental health. Phase one of this project (2018-2019) includes a policy paper
informing the need for mental health screenings and services for young children, a key-informant questionnaire for 56 Department of
Mental Health (DMH) programs in California, and a contact list for potential key informants at each DMH programs.

CALIFORNIA MATERNAL AND CHILD HEALTH LEADERSHIP TRAINING NETWORK

Sai Kumar, MD

The California Maternal and Child Health Leadership Training Network (CAMCHLTN - camchltn.org) is a coalition of the state's 14 Maternal and Child Health training programs. The network seeks to foster effective statewide communication to promote research, advocacy, and professional development.  This calendar year, we had conducted 3 liaison conferences and have made progress with regards to the network's infrastructure.  We are currently evaluating possible advocacy opportunities in conjunction with the Surgeon General of California as a part of the network's focus next fiscal year.

THE IMPACT OF PRENATAL MERCURY EXPOSURE RELATED TO FISH INTAKE ON CHILD DEVELOPMENT OUTCOMES

Alexandra Bandier, MS

Literature review discussing the effects of prenatal mercury exposure from Fish intake and the developmental outcomes on children.

FAMILY CENTERED CARE CONSULTATION FOR LEND LEADERSHIP PROJECTS

Maia Pawooskar, Guadalupe Nolasco-Torres

LEND Family Centered Care Consultation was a pilot Leadership Project, where the Family Support Fellows provided consultation on family centeredness/family friendliness of other LEND Leadership Projects.  The Family Support fellows met with the other project teams to review project design, product development and the presence of the family perspective.

QUALITATIVE STUDY OF EDUCATIONAL RIGHTS AND FOSTER CAREGIVERS

Emily Merrill, OTR/L

In this study, we will retrospectively examine charts of approximately 200 foster children previously evaluated in a Foster Care HUB
associated with a large children's hospital network to determine how commonly the problem of educational rights for foster caregivers
results in negative impacts for children within the foster care system. Charts will be reviewed to elucidate information pertaining to seven
domains: caregiver type at time of appointment, whether foster parents or biological parents retained educational rights, the presence of
special healthcare needs, the impact of any existing medical condition on the child's education, whether the child has an existing IEP,
whether the child is served through the Regional Center, as well as including all systems of care involved in the child's case at the time
of the appointment. This information will be used in order to help us answer these two questions:Does caregiver type adversely impact
access to special education in this vulnerable population? Are foster children's health outcomes adversely impacted when foster
caregivers do not obtain educational rights?

CHLA PEDIATRIC DENTISTRY FELLOWSHIP

Ivy Fua, DD

Development of a Clinical Fellowship Training Program in Hospital and Special Care Pediatric Dentistry at Children’s Hospital Los
Angeles. This fellowship program is aimed at pediatric dentists who would like to expand their training in the areas of hospital dentistry,
treating children with special health care needs including craniofacial anomalies. Training also include leadership education in
neurodevelopmental and related disabilities, as well academic teaching and research.

THE EFFECT OF EXERCISE AND MOTOR INTERVENTIONS FOR CHILDREN AND ADOLESCENTS WITH ACUTE LYMPHOBLASTIC LEUKEMIA (ALL): A SYSTEMATIC REVIEW

Alison Coombs, PT

Acute lymphoblastic leukemia (ALL) is the most prevalent cancer among children and adolescents in the United States, representing 20% of all childhood cancers.  Children with ALL experience deficits in flexibility, strength, endurance, function, and participation both during and after medical intervention for ALL. The purpose of this leadership project is to publish a systematic review evaluating the effect of exercise and motor interventions on motor outcomes of children with ALL. Manuscript will be submitted in 2019.

Product coming soon

MAKING HEALTH A PRIORITY FOR INFANTS & YOUTH IN FOSTER CARE

Elizabeth Zepeda & Crystal Garcia

A policy brief integrating current research and perspectives from a range of professionals to provide a deeper and more expanded
understanding of the challenges facing this population in order to address and improve the health of infants and young children in foster
care.

COMBINING SENSORY INTEGRATION WITH OTHER APPROACHES IN MENTAL HEALTH

Caroline Hardin

The primary product was the creation of a synthesis matrix of relevant literature used to inform concepts and case studies in a textbook
chapter about the combination of sensory integration and mental health intervention approaches in clinical practice. The anticipated
audience of the textbook chapter includes occupational therapists and practitioners from other disciplines, such as physical therapists
and speech language pathologists. Other related deliverables included presentations at regional and international conference
presentations on clinical case applications of concepts in the textbook chapter.

Product coming soon

ASSESSMENT OF ZIKA VIRUS OR OTHER NEURODEVELOPMENTAL DISABILITY SYSTEMS OF CARE IN THE PACIFIC BASIN

Tiffany Zai, MPH

A cross-sectional study was conducted among 29 health professionals from American Samoa, Guam, and CNMI. They completed an adapted version of the Assessment of Chronic Illness Care 3.5 (ACIC), which is based on the chronic care model. The overall mean program score was calculated to determine the level of support for congenital Zika virus infection and neurodevelopmental disabilities care ranging from limited support (0-2) to fully developed support for care (9-11). Results showed an overall median (IQR) program score of 4.5 (3.2) for basic support for Zika virus and other neurodevelopmental disabilities care.

Product coming soon