The Community Child Health Team ModelChild Health Specialty Clinics, University of Iowa

Debra Waldron, MD, MPH, FAAP; Director and Chief Medical Officer Vickie Miene, MA, LMHC; Director of OperationsBarb Khal, MA; Director of Public Health Mary Larew, MD, FAAP; Medical Director

The Community Child Health Team Model (CCHT) is a community utility model that has been successfully implemented in targeted Iowa communities to enhance coordination of care for children and youth with special health care needs (CYSHCN) and in some settings for families and youth with behavioral, emotional, and mental health concerns.

The CCHT Model infuses lessons learned from national literature on care coordination, family support, and the science of improvement methodology. In this model, services and supports are wrapped around the child and family while care coordinators and service providers work within the existing community, regional, and state infrastructures.

This model was developed by Child Health Specialty Clinics (CHSC) at the University of Iowa, and includes elements from two evidence-based projects: Community Circle of Care (CCC) and the Child and Youth Psychiatric Project of Iowa (CYC-I).

CCC is a community-based Systems of Care program for children and families with behavioral and mental health need in northeast Iowa.

CYC-I was developed to support Primary Care Providers in their treatment of children and youth with behavioral and mental health needs.

CHSC serves children and youth, birth through 21 years of age, who live in Iowa and have a chronic condition, are at an increased risk for a chronic condition, and have a need for special services. Chronic conditions may include physical, developmental, behavioral, or emotional issues.

As a public health entity, CHSC works to build partnerships and expand available services and supports for local communities. CHSC promotes quality family-centered and community-based services and supports local health homes and best practice protocols.

Subspecialists & Mental Health

ProvidersCHSC helps families access specialized

care including mental health services.

Education Support Services

CHSC staff may accompany parents and

caregivers to school meetings and if

necessary consult on Individualized Education

Plans (IEPs). CHSC Regional Centers

CHSC operates through a network of 13

regional centers located in communities across

the state of Iowa.

School-Based ServicesTeachers, counselors, and

other school staff are included in family team meetings and service

planning to assure that each child is receiving the best

school experience possible.

RespiteCHSC connects

families with options to provide respite

services for them and their child.Social Supports

Families have the opportunity to participate

in traditional family-oriented activities along with additional supports

to ensure a positive social experience.

Youth Peer to Peer Support

The Achieving Maximum Potential (AMP) youth group provides peer

support opportunities for youth 13 years and older who have experienced

out-of-home placements.

Informal SupportsCHSC helps families

identify available informal supports such as community groups

and faith-based organizations.

Care CoordinationCHSC connects the

child and family with the most appropriate

services in order to meet individualized

treatment goals.

Health HomeCHSC consults with

Primary Care Providers to help

children and youth remain in their health

home.

Diagnosis & AssessmentAll children and youth

receive a comprehensive evaluation, a completed diagnostic assessment, and initial medication

management in collaboration with their Primary Care Provider.

Family SupportCHSC’s team of

experienced parents and family caregivers provides families with one-on-one

problem solving and emotional support as they

care for their child with special health care needs.

Child Health Specialty ClinicsUniversity of Iowa100 Hawkins Drive247 CDDIowa City, IA 52242www.chsciowa.org Toll free: 1-866-219-9119

State System Development via Title V

CHSC is Iowa’s Title V program for children and

youth with special health care needs and has provided

services to Iowa families for over 60 years.

Iowa CYSHCN Stakeholders

CHSC helps coordinate providers and other

stakeholders that deliver services to Iowa’s

children and youth with special health care

needs.

Continued Quality Improvement

CHSC continues to develop the CCHT Model

through evaluation activities designed to

measure program effectiveness.

Parent Peer to Peer Support

CHSC’s Family Navigators have

personal experience raising a child with special health care

needs.