Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act of 2009 (S1404)--Section-by-Section Analysis

Section I: Title - Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act of 2009.

Section II: Findings and Purposes - The purpose of this Act is to fund demonstration projects to take evidence-based behavioral health interventions for parents and caregivers to a minimum of 10 federally qualified community health centers (FQHCs) across the nation to prevent child maltreatment and promote family well-being by addressing parenting practices and skills. The bill provides grants for the participating FQHCs and contracts to eligible entities to provide technical assistance, project coordination, and to design and implement a cross-site evaluation plan for all FQHCs participating in the demonstration projects, and to also provide training and programmatic support to the participating FQHCs.

Section III: Definitions - This section provides definitions of key terms, including federally qualified health centers, caregivers, center-based evidence-based preventing parenting skills program, home visitation programs, mental health services, and screening.

Section IV: Grants for Demonstration Projects on Integrated Family-Centered Preventive Services - The bill requires the Secretary of Health and Human Services through the National Center for Injury Control and Prevention at the Centers for Disease Control and Prevention to award competitive grants to eligible FQHCs and contracts to eligible entities for technical assistance, coordination and cross-site evaluation. Specifically, the bill would:

   1. Fund demonstration projects of evidence-based and promising parenting programs and mental health services at a minimum of 10 FQHCs;

   2. Provide universal access to a family-centered integrated and voluntary services model that prevents child maltreatment and promotes family well-being that may include:
         1. Implementation of evidence-based preventive parenting skills training programs for parents and caregivers at the FQHCs or at permanent or temporary residences to prevent child maltreatment and its consequences and to support children's optimal social, emotional, physical, and academic development;
         2. Screening to identify parental risk factors for maltreatment such as depression, substance use, and intimate partner violence; and
         3. Access to individualized quality mental health services offered at the FQHCs or at off-site locations in partnership with the health centers conducted by trained mental health professionals for parents and caregivers. These services will screen for child maltreatment risk factors to help parents and caregivers overcome the impediments to effective parenting and change their behaviors toward child rearing and parenting.

   3. Require each FHCQ participating in the demonstration to:
         1. Design and implement an evaluation plan to assess the impact of the integrated services model. Evaluation outcomes include health outcomes, cost effectiveness, patient satisfaction, access to services, reduction of child maltreatment incidence, and improvement of family functioning;
         2. Implement critical system factors for successful implementation of the integrated services model to prevent child maltreatment. Such factors include use of best available technology, training of culturally competent workforce, establishment of cooperation among FQHCs participating in the demonstration project, and building internal and external support for the project;
         3. Implement an integrated care model that involves behavioral health specialists in the health centers working collaboratively in integrated teams to deliver services that prevent child maltreatment and promote family well-being.

   4. Fund eligible entities to provide technical assistance, project coordination, and design and implementation of a cross-site evaluation plan for all FQHCs participating in the demonstration projects. The cross-site evaluation will assess the impact and feasibility of the integrated services model on the reduction of child maltreatment and injuries, to increase family's access to services, to evaluate effectiveness of the response FQHCs' organizational systems to the model, and to identify lessons learned and outline recommendations for system- wide areas for improvement and changes.

   5. Provide authorization for the demonstration grant program of $10 million for FY 2010 and such sums as necessary for each of fiscal years 2011 through 2014. At least 10 percent of the amounts appropriated shall be for the technical assistance and project coordination grant(s).

For more information, please contact Annie Toro, J.D., M.P.H, in the Public Interest Government Relations Office at (202) 336-6068.