Vertical Integration

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Vertical Integration

 

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.
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