A Medical Home that is integrated vertically offers (or refers to) the following menu of services and programs based on the level of care needed:
Universal, Primary
PREVENTIONS for Toxic Stress
- Connected Kids
- Bright Futures anticipatory guidance
- Building Piece of Mind Handouts
- “Face” time and Caregiver Mental Health (initial visit)
- Emotions are the First Language (9 month visit)
- Tantrums, Time Out, and Time In (18 months)
- Building Emotional Intelligence (36 months)
Targeted, Secondary
INTERVENTIONS for Toxic Stress
- Safe Environment for Every Kid (SEEK): This program offers a practical approach to the identification and management of targeted risk factors for child maltreatment for families with children aged 0-5, integrated into pediatric primary care. By addressing these problems, SEEK aims to strengthen families, support parents, and thereby enhance children's health, development, and safety, while helping to prevent child maltreatment.
- Video Interaction Project (VIP): a study that videotapes parent/child interactions and analyzes them to improve the child's cognitive, language, and social development.
- Nurse-Family Partnership (Home Visiting): A maternal and early childhood health program that fosters long-term success for first-time moms, their babies, and society.
Indicated, Tertiary
TREATMENTS for Toxic Stress
- Parent-Child Interaction Therapy: Empirically-supported treatment for conduct-disordered young children that places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns.
- Trauma-focused cognitive behavioral therapy: An evidence-based treatment approach shown to help children, adolescents, and their caregivers overcome trauma-related difficulties.