Social & Emotional Health of Children: Medical Home and Home Visiting

Presented to the State Advisory Council (SAC) by:

Breena Holmes, MD
Maternal and Child Health Director at the Vermont Department of Health

Breena shared information on the role of the medical home and home visiting in supporting the social and emotional health of Vermont’s children with the State Advisory Council (SAC) on March 27th, 2017. This presentation can be found Here.

Breena discussed various home visiting models and programs throughout our state, as well as opportunities for connection and collaboration in the early childhood system.

Key takeaways included

  • 95% of Vermont children have at least one preventative health visit between the ages of 0-5, so the primary care office, or medical home, is a great place to reach children and families.
  • The new fourth edition of Bright Futures guidelines for pediatricians has been published and includes a focus on mental health and emotional well-being.
  • The need to integrate behavioral health into primary care settings, and the promise of existing pilots where social workers are housed in primary care, such as Developmental Understanding and Legal Collaboration for Everyone (DULCE) in Lamoille County and the JPB pilot at University Pediatrics through Help Me Grow.
  • Evidence-based home visiting models have been shown to improve social, emotional, economic and health outcomes for both children and parents and provide a great opportunity to increase the focus on social and emotional well-being.

The SAC responded positively and agreed with Breena’s professional assessment.

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