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Healthy Kansans 2010 Workgroup:
Early Disease Prevention, Risk
Identification and Intervention for Women,
Children and Adolescents
Deb Williams Facilitator
Linda Kenney Technical Assistant
Charge to the Work Group
General Charge – The workgroup is charged to
develop recommendations for major policy and
systems changes that can be implemented by the
public, private and/or non-profit sectors and that will
lead to improvements in early disease prevention,
identification and intervention among women,
children and adolescents in Kansas. The
recommendations proposed must impact on two or
more of the ten Healthy People 2010 Leading Health
Indicators.
Recommendations might be developed to include any
of the following areas, as appropriate:
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Overall recommendations for change;
Recommendations that address improved integration and/or
better interface of existing initiatives focused on women and
children;
Recommendations for public communications;
Recommendations for improving surveillance and meeting
data needs;
Recommendations for enhancing the current workforce; and
Recommendations that are highly targeted towards a specific
population and/or which address multiple populations in a
blanket approach.
Specific Charge – As it develops its recommendations, the
workgroup should specifically consider at a minimum the following
issues/needs as identified by the Steering Committee:
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Interventions with pregnant women;
Interventions for pre-conceptional health;
Screening programs;
Substance abuse during and immediately following pregnancy;
Early childhood interventions (0-5 years);
School-based initiatives (6-21 years);
After-school programs (6-21 years);
Chronic disease risk factors including tobacco use, physical
inactivity and poor nutrition;
Disease prevention and management for asthma, cancer,
diabetes, cardiovascular, etc.;
Immunization programs;
Injury – intentional and unintentional; and
Oral health
Three Recommendations
1.
2.
3.
Assure access to health care and preventive
services for children and parents.
Integrate efforts to affect the whole child’s
emotional and social well-being.
Promote the development and adoption of
healthy lifestyles.
Strategies for
1)
Assure access to health care and preventive
services for children and parents:

A) Develop health provider workforce capacity
(including those who work in mental health with 0-21
year olds)
B) Expand Health Wave eligibility and utilization for
women of reproductive age, pregnant women, children
and parents/guardians.
C) Assure preventive and restorative oral health services
for pregnant women, children and adolescents.


Strategies for:
2) Integrate efforts to affect the whole child’s
emotional and social well-being:
 A) Promote healthy parenting and other caregiving
(guardians, foster care, child care, pre-school,
community support, schools, etc. for children and
adolescents to assure health and emotional and social
well-being. (e.g. Implement David Olds Model
Nurse Home Visitor Program)
 B)
Train child and youth community
contacts/leaders to assess and address the whole child
including mental health, oral health and abuse of
alcohol, tobacco and other drugs.
Strategies for:
3) Promote the development and adoption of healthy
lifestyles:
 A) Educate and provide skills to Kansans,
especially children and adolescents, regarding
healthy lifestyles that impact the 10 leading health
indicators
 B) Assure that the environment (home, community,
school, worksite) supports and promotes Healthy
Habits (good dietary choices, daily physical activity,
tobacco free environment and breastfeeding in a
manner consistent with Best Practices).
Priorities:
Recommendation
Strategies
Action steps, #votes
1. Assure Access
A)Workforce Capacity
B) Expand Health Wave
C) Oral health services
1
A) Healthy parenting,
caregiving
B) Train youth community
leaders/contacts
C) Expand Immunization
Registry
1
A) Educate kids
B) Environmental support
2
2. Integrate
Child
3. Healthy
Lifestyles
Whole
2
1
4
1
4
6
Workforce – capacity development
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Begin promoting health careers at a young
age *
Create career pathways *
Recruit health professionals and paraprofessionals from low income population *
Train allied health professionals to screen for
dental decay *
Train allied health professionals to better
serve people with disabilities
Health Care Access
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Increase Health Wave eligibility for pregnant
women from 150%-200% *
Assure continuous coverage in Health Wave
for children *
Increase participation of oral health care
providers*
Early childhood mental health
Mental health reimbursement beyond
Community Health Centers
Community Capacity
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Training to home visitors *
Healthy Child/Family Charter – consistent
message *
Support development of “healthy community” *
Seek non-traditional funding resources
Support communities in addressing their
priorities at their pace
Work place
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Support breastfeeding
Adopt clean indoor air legislation for all
workplaces and public places *
Schools/Early Child Education
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Comprehensive Nutrition Policies
Adopt 24/7 tobacco free school grounds *
Expand Parents as Teachers, Head Start
Collect BMI at specified intervals as part of
school assessments
Promote adoption of state standards for health
education and physical education *
Environment/Systems Change
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Develop state mental health plan-assure inclusion of
early childhood/child mental health
Address abuse and neglect issues, including lack for
mental health counselors specializing in child mental
health *
Assure environmental supports for healthy
child/family charter *
Promote modeling healthy lifestyles behavior to
children *
Environment/Systems Change, cont.
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Recognize efforts to influence behaviors of
children and parents
Develop and implement state obesity plan *
Support implementation of comprehensive
tobacco use prevention *
Assure fluoridation of public water supplies in
Kansas communities
Data,Evaluation/Communication
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Explore adding additional indicators to the
Immunization Registry
Use technology to expand availability of lay
education materials
Use “branding” and “viral infectious media”
to promote Healthy Child/Family Charter
Coordinate messages, dissemination,
evaluation
Summary
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Develop and Implement Obesity Plan
Create Healthy Child/Family Charter
Support Comprehensive Tobacco Use
Prevention
Increase Health Wave Eligibility for pregnant
women
State standards for health education and
physical education
Summary, cont.
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Develop/support Health Career pathways
Continuous coverage for HealthWave
Training for home visitors/caregivers for
screening and intervention
Comprehensive nutrition policies for early
education through high school
Healthy Communities self-assessment to
support Healthy Habits