Combating Autism Act Initiative Building Partnerships for Effective Change National Early Childhood...

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Combating Autism Act Initiative Building Partnerships for Effective Change National Early Childhood Meeting December 9, 2009 Bonnie Strickland, Ph.D. U.S. Department of Health and Human Services Health Resources and Services Administration Maternal and Child Health Bureau

Transcript of Combating Autism Act Initiative Building Partnerships for Effective Change National Early Childhood...

Combating Autism Act Initiative

Building Partnerships for Effective Change

National Early Childhood MeetingDecember 9, 2009

Bonnie Strickland, Ph.D.U.S. Department of Health and Human ServicesHealth Resources and Services Administration

Maternal and Child Health Bureau

Combating Autism Act History

S. 843 introduced April 19, 2005 by Sens. Santorum (R-PA) and Dodd (D-CT)

H.R. 2421 introduced in House by Mary Bono (R-CA) May 18, 2005

Passed Senate Aug. 3; then again Dec. 7, 2006 Passed House Dec. 6, 2006 Signed into law PL 109-416 Dec. 19, 2006 Amends PHS Act to “combat autism through

research, screening, intervention & education”

Combating Autism Act of 2006

The Combating Autism Act of 2006 authorizes programs to combat autism through research, screening, intervention and education.

Combating Autism Act Initiative

The goal of the Combating Autism Act Initiative (CAAI) is to enable all infants, children, and adolescents who have, or are at risk for developing, autism spectrum disorders (ASD) and other developmental disabilities to reach their full potential.

Combating Autism Act Initiative

CAAI will achieve this goal by developing a system of services that includes screening children early for possible ASD and other DD; conducting early, interdisciplinary, evaluations to confirm or rule out ASD and other DD; and, if a diagnosis is confirmed, providing evidence-based, early interventions.

Core Systems Outcomes

Facilitate the development of systems of services through:

1. Partnerships with families and consumers,

2. Access to care through the medical home,

3. Adequate financing,

4. Early and continuous screening,

5. Organization of services for easy use,

6. Transition to adult health care, work, and independence.

Combating Autism Act Initiative

$114.5 million for NIH research into causes, diagnosis, early detection, intervention and treatment

$16.5 million for CDC’s Disabilities Surveillance and Research Program

$37 million for HRSA to increase awareness, promote evidence based interventions, reduce barriers to screening & diagnosis, and train professionals to diagnose and provide evidence based interventions

Combating Autism Act Initiative

Under this authority, HRSA/MCHB has developed the Combating Autism Act Initiative (CAAI), a $37 million initiative to address ASD and other developmental disabilities by:

Increasing awareness; Reducing barriers to screening and diagnosis; Supporting research on evidence-based interventions for

children and adolescents with ASD or other developmental disabilities;

Promoting evidence-based guideline development for interventions; and

Training professionals to utilize valid screening tools to diagnose and to provide evidence base interventions.

Combating Autism Act Initiative

Funding Summary:$34 Million Available for Project Funding________________________________________$20 Million LEND/Developmental Behavioral

Pediatrics (DBP) Training $ 6 Million New LEND and LEND Expansions$ 6 Million Autism Research Networks$ 2+Million Info/Education/Tool Dissemination (State Demonstration, Evaluation)

Combating Autism Act Initiative

Under the CAAI, the Maternal and Child Health Bureau is initiating programs in four areas:

Combating Autism Training Programs; Autism Intervention Research Network Program; Combating Autism State Demonstration and Policy

Programs; and Combating Autism National Evaluation.

Combating Autism Training Program

Expansions of 18 existing Leadership Education in Neurodevelopmental Disabilities (LEND) training programs;

Four new LEND programs; Expansions to Developmental Behavioral Pediatrics

training programs; and A National Combating Autism Interdisciplinary

Training Resource Center cooperative agreement.

Combating Autism Training Programs

Leadership Education in Neurodevelopmental & Related Disorders Training Program (*=new LEND)

Organization City State Amount

University of Alabama at Birmingham Birmingham AL $200,000

University of Arkansas for Medical Sciences* Little Rock AR $550,000

Children’s Hospital of Los Angeles-School of Physical Therapy Los Angeles CA $200,000

University of Colorado Denver* Aurora CO $550,000

University of Connecticut Health Center* Farmington CT $550,000

Children’s Research Institute Washington DC $200,000

University of Illinois at Chicago* Chicago IL $549,999

Indiana University, School of Medicine Indianapolis IN $200,000

University of Kansas Medical Center Research Institute Kansas City KS $195,155

Children’s Hospital Boston MA $200,000

Combating Autism Training Programs

University of Nebraska Omaha NE $200,000

Albert Einstein College of Medicine Hanover NH $200,000

Albert Einstein College of Medicine Bronx NY $200,000

University of Rochester Rochester NY $200,000

University of North Carolina at Chapel Hill Chapel Hill NC $200,000

The Children’s Hospital of Philadelphia Philadelphia PA $200,000

University of Tennessee at Knoxville Memphis TN $200,000

Vanderbilt University Medical Center Nashville TN $200,000

University of Utah Salt Lake City UT $200,000

University of Vermont Burlington VT $200,000

University of Washington Seattle WA $200,000

West Virginia University Morgantown WV $199,997

TOTAL: $5,795,151

Combating Autism Developmental Behavioral Pediatrics Training Grants

Organization City State Amount

Albert Einstein College of Medicine New York NY $192,467

Leland Stanford Junior University* Palo Alto CA $142,467

Boston University Boston MA $192,467

Children’s Hospital Boston Boston MA $192,467

Case Western Reserve University Cleveland OH $192,467

Rhode Island Hospital* Providence RI $142,467

University of Arkansas for Medical Sciences* Little Rock AR $111,143

University of Oklahoma Health Sciences Center* Oklahoma City OK $142,467

University of Pennsylvania School of Medicine Philadelphia PA $221,943

Yale University New Haven CT $192,467

TOTAL: $1,722,822

Combating Autism Training ProgramsThe Association of University Centers on Disabilities

(AUCD) in Silver Spring, Md., will receive a grant for the National Interdisciplinary Training Resource Center. Through this grant AUCD will:

provide technical assistance; build and sustain partnerships with service systems

already serving children with ASD and other DD; translate research into evidence-based practice; and utilize existing and develop new data systems to capture

and report project outcomes.

Autism Intervention Research (AIR) Networks Program

The purpose of the AIR Networks is to establish and maintain a network infrastructure, designed to be a platform from which to conduct research on evidence based practice for interventions to improve the health of children and adolescents with ASD and other DD.

Autism Intervention Research Networks Program

The AIR Networks will:

Conduct research on evidence based practices; Develop evidenced based guidelines and validate

tools for interventions to improve health; and Disseminate information on research, guidelines, and

tools to health professionals and the public, especially families impacted by ASD and other DD.

Autism Intervention Research Networks Program

The general Hospital Corporation of Boston will receive an award of $4 million to conduct research on interventions to improve the physical health and well-being of children and adolescents with ASD and other developmental disabilities.

The Regents of the University of California at Los Angeles will receive $2 million to conduct research on the behavioral, mental, social, and/or cognitive health and well-being of children and adolescents with ASD and other developmental disabilities.

Combating Autism State Demonstration and Policy Programs

State Autism Demonstration grants will implement State autism plans and develop models for how to develop systems of services for children with ASD and other developmental disabilities.

A State Public Health Coordinating Center will coordinate with the State Autism Demonstration grants and will develop and implement a strategy for defining, supporting, and monitoring the role of State public health agencies in assuring that children and youth with ASD receive early and appropriate identification, diagnosis, and intervention.

Combating Autism State Demonstration and Policy Programs

State Implementation Grants for Improving Services for Children and Youth with ASD

Organization City State Amount

Alaska Department of Health and Social Services Anchorage AK $300,000

The Hope School Springfield IL $300,000

The Curators of the University of Missouri Columbia MO $397,957

Utah Department of Health Salt Lake City UT $300,000

Washington Department of Health Olympia WA $300,000

Wisconsin Department of Health and Family Servs. Madison WI $300,000

TOTAL: $1,797,957

Combating Autism State Demonstration and Policy Programs

The State Association of Maternal and Child Health Programs (AMCHP) will receive a $250,000 award to develop the State Public Health Coordinating Center for Autism.

Combating Autism National Evaluation

Information from this evaluation study will contribute to the HHS Secretary’s Report to Congress on progress related to ASD and other developmental disabilities as required by the “Combating Autism Act of 2006.”

Partnerships

A working group has been established with CDC to look at areas of collaboration and cooperation between HRSA and CDC on autism related activities, some examples are:

Collaborate on Act Early Regional Summits; Joint site visits for States with HRSA/CDC grants; Investigate using HRSA State infrastructure to drill

down to the State and local levels for public information campaigns;

Partnerships (cont’d) Work together to improve knowledge of physician-

in-training and other health care provider knowledge of child development and early warning signs of autism through work with Developmental-Behavioral Fellowship grantees;

Work together on evaluation components for both agency’s activities; and

Create a map of overlap for activities related to autism activities for both agencies.

Combating Autism Act Initiative

Bonnie Strickland, Ph.D.Director, Division of Services for Children with

Special Health Care NeedsMaternal and Child Health BureauHealth Resources and Services Administration5600 Fishers Lane, Room 18-31Rockville, MD 20857Telephone: 301-443-9331

Email: [email protected]