Program/Project Name

Dayton Children's Hospital Foster and Kinship Care Program

Affiliation Name

Dayton Children's Hospital

Website URL

www.childrensdayton.org

Model Type

Medical Home

City

Dayton

State

OH

State specific location

Our Foster and Kinship Care program is located at The Child Health Pavilion at Dayton Children's Hospital

How is program/project funded?

County Funding, Health Insurance, Hospital general operating funds

Describe how it's funded

A combination of sources provide funding including Medicaid for clinical reimbursement, grant dollars from our county to support community health workers, and general operating funds for clinical operation support.

What services does it provide?

Entry to care health assessment, Comprehensive health assessment, Standardize screening (developmental, mental health), Subspecialty referrals, Ongoing primary care/medical home

Where does it provide services?

County-based

Description of program/project

Dayton Children's Hospital's Foster and Kinship Program is a medical home for children and adolescents who are either in the custody of a local children services agency or are in care with a kinship provider. Our program serves children in the custody of Montgomery County and also other local surrounding counties' children services agencies.

Our team consists of full time nursing staff, a care coordinator, community health workers, social work staff, a board-certified child abuse pediatrician and a general pediatrician with special interest and training in trauma-informed care. 

Comprehensive medical record review is completed for each child, with focus on creating a detailed summary of a child's past medical, developmental, behavioral/emotional and psychosocial history.

Our program provides developmental and behavioral/emotional screening, caretaker support, all needed medical care including examination, vision/hearing screening, immunizations, laboratory and/or radiology analysis as indicated, referral to pediatric specialists, linkage with community mental health providers and/or community support services. 

Our community health workers provide support including in-home follow up for various resources to kinship care providers. 

As a medical home, our goal is to maintain services uninterrupted if a child or adolescent is reunified with a prior caretaker, or is later returned to county custody. Children who are reunified or are permanently placed are welcome to remain at our office for ongoing medical and psychosocial care, and caretakers are encouraged to do so. 

Our social worker and care coordinator provide ongoing outreach to assure children continue to receive excellent continuity of care with our program, or in another community setting if this is optimal for the child and caretaker. 

County child protective service agencies receive detailed medical reports and ongoing updates from physician staff and also from the care coordinator and social worker. 

Our staff help to further educate caretakers in trauma-informed care practices to limit disruption in care.A special caretaker group led by our program's general pediatrician is held monthly for support and ongoing education.

How are patients tracked?

Commercial electronic medical record

Does the program provide special focus?

Mental health, Developmental Issues, Children in family foster care, Youth in group home/residential care, Young Children, Adolescents, Medical Home

Program/Project strengths
  • Collaboration with local children services agencies and community members.
  • Dedicated program team with specialized training and interest in at risk children and adolescents, trauma-informed care, and desire to provide optimal ongoing care for the physical, developmental, and emotional needs of every child and adolescent.
  • Medical home/ Continuity of care focus
  • Hospital administration support of program needs and longer-term goals
Program/Project challenges

Timely referral to mental health providers and psychiatric services due to limited resources.

Contact Name

Lori Vavul-Roediger MD

Email Address

vavulroedigerl@childrensdayton.org

Phone Number

937-641-3330

Last Updated

07/23/2021

Source

American Academy of Pediatrics