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Meeting Attendees

Organization

General Meeting Notes

  • Mississippi

Costal family health starting this week with sessions. community garden is planted! J A Carmichael starting June 2nd (collaboration with Boys and Girls Club) 3hr sessions in the AM twice a week. HEAL partnership with local church for June 1st summer program. Intro session next week with parents. In person with kids, virtual with parents. 3 org participants - 2 FQHCs, 1 org/church - 3 different modalities of implementation - interesting/innovative outcomes

  • Illinois

  • Borinquen

Finished cohort 2 weeks ago - end of year celebration was successful. Sending video and pictures (formatting concerns). Summer break - restart mid/end of June mini group/alum reunion - 4 or 5 sessions (modify curriculum - quick review and next level learning) - drop off in participation in summer.

(worked with younger and older siblings - teenagers are a difficult engagement) - different approach with Teens - everyone in the family is accepted

  • El Rio

3rd week of current cohort. Participation is struggling a bit with recruitment - struggles with follow through. Those who are participant are very engaged - Tuesday, Thursday night classes - behavioral health consultants and family yoga - cooking classes are successful (cauliflower curry). Next Saturday AM in-person hike. Engagement is key and drop off is inevitable. 25 Grocery gift cards for cooking classes.

  • YMCA

3 YMCA’s - Denver, Miami and Tucson - wrap around series, existing opportunities with the Y. Value to work together to support youth and families.

Topic

Response by Organization

Reach

•Who are you targeting to recruit for COMMIT?

•How are you recruiting for COMMIT?

•Who is being reached?  Who is NOT being reached?

  • Mississippi

Targeting children who meet eligibility criteria and have parental support and interest for engagement.

Various modalities - tapping into established group, recruiting by provider refers through EHR search, working with organization who has the subpopulation/space

In process. Those who we can’t gain access to through the parents (either infrastructure barrier or lack of engagement/interest)

  • Illinois

Provider referrals have been most effective. COVID staff turnover and competing priorities - patients not coming in or having virtual capabilities. One health center was successful in setting up virtual program ( recruit from ongoing programs for easy transition)

  • Borinquen

Warm hand off from other providers - immediate sign up opportunities, referrals, waiting list for those who are identified while the program is ongoing

unreachable - too many activities in school/ difficulty with parent engagement - some older kids where able to come but still need parent buy in for lifestyle changes

  • El Rio

Use family med/peds/behavior health providers - across the board referrals in EMR - 7-11 children - beyond BMI to include family need for education/strategies for prevention (bigger pool)

primary care behavior health team - integrated in clinics - in exam room with provider - know more about the families - creating the connections/trust needed

Not being reached - families that can’t do the time commitment

Adoption

•How many sites and cohorts will you offer?

•How many staff are involved?  (new AND continuing!)

•How is COMMIT present in the rest of the health center functions?  (Meetings, physical space, integration into other services, etc)

  • Mississippi

One cohort with year 4 of MEND, both were in previous years - innovative with implementation

Costal has a pediatrician, clinical dietitian (new to MEND), reach care coordinator, 1 staff works in behavior health, 1 PE teacher - two virtual sessions to get new staff up to speed with MEND

JA - 1 clinical dietitian (WIC program) mothers and children primary focus

HEAL team - registered dietitians, WIC people, 1 RN - MEND certified trainer

Take away: Leveraging expertise and get them up to speed without doing a new training (advantage)

  • Illinois

  • Borinquen

Block off time on provider schedules to ensure MA participants in programs (protected time), same with nutritionist - sustainability

Do bill and get reimbursed - support from C-Suite (productivity has gone up) (12 kids in 1 hour)

Take away: Having a work flow that is supported by reimbursement is crucial

  • El Rio

Have one cohort - recreated components of MEND virtually - new innovative approach - 2 behavioral health, 3 dietitians, 1 yoga instruction, 2 health center evaluation participants, 1 family medicine provider (short visit assessments)

Take away: Having the ability to adapt formal curriculum is so important - rewriting process was an integrative process

Implementation

•What are your strategies?

•Additional materials?

•Any incentives or gifts?

•Tools to address barriers?

  • Mississippi

  • Illinois

  • Borinquen

  • El Rio

Maintenance

•What are your strategies?

•Additional materials?

•Any incentives or gifts?

•Tools to address barriers?

  • Mississippi

  • Illinois

  • Borinquen

  • El Rio

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