Childrens Hospital Of The Kings Daughters Inc

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PROJECT ABSTRACT: CHKD’S MENTAL HEALTH FACILITY – CHILDREN’S PAVILION ADDRESS: CHILDREN’S HOSPITAL OF THE KING’S DAUGHTERS 601 CHILDREN’S LANE NORFOLK, VA 23507 PROJECT DIRECTOR NAME: AMY SAMPSON CONTACT PHONE NUMBER: BRYANT THOMAS 757-535-3579 EMAIL ADDRESS: BRYANT.THOMAS@CHKD.ORG WEBSITE ADDRESS: HTTPS://WWW.CHKD.ORG GRANT PROGRAM FUNDS REQUESTED: CONGRESSIONALLY DIRECTED SPENDING (CDS): CONSTRUCTION PROJECTS I. ABSTRACT CHKD IS CONSTRUCTING A NEW 60-BED, 14-STORY, MENTAL HEALTH HOSPITAL FOR CHILDREN AND ADOLESCENTS ON CHKD’S MAIN HOSPITAL CAMPUS. THIS IS PHASE I OF THE CONSTRUCTION WITH ADDITIONAL BUILD OUT OF SHELLED SPACE INSIDE THE FACILITY TO TAKE PLACE OVER THE NEXT FEW YEARS. THIS NEW HOSPITAL WILL EMPLOY MORE THAN 400 PROFESSIONALS TO DELIVER MENTAL HEALTH CARE TO CHILDREN AGES 2 TO 18, FILLING CRITICAL GAPS IN STATE-AVAILABLE SERVICES AT A TIME WHEN RECORD-BREAKING NUMBERS OF FAMILIES ARE IN CRISIS. THE FACILITY WILL PROVIDE A FULL SPECTRUM OF MENTAL HEALTH CARE FOR CHILDREN, INCLUDING OUTPATIENT THERAPY, INPATIENT ROOMS WITH SLEEPING ACCOMMODATIONS FOR A PARENT, AND A “PARTIAL HOSPITALIZATION” PROGRAM IN WHICH CHILDREN WILL RECEIVE TREATMENT DURING THE DAY, AND RETURN HOME AT NIGHT. CHKD IS GRATEFUL TO HAVE RECEIVED $2.5 MILLION FOR EQUIPMENT AND FACILITIES IN THE FY 2022 LHHS BILL, MAKING THE FEDERAL GOVERNMENT CONTRIBUTION 1 PERCENT TO DATE TO THE CONSTRUCTION OF THE NEW PEDIATRIC MENTAL HEALTH FACILITY. CHKD EXPECTS TO FUND THE TOTAL CAPITAL, $224 MILLION, ASSOCIATED WITH THIS PROJECT THROUGH PHILANTHROPY, DEBT, STATE SUPPORT, AND RESERVES. IN 2019, BEFORE THE PANDEMIC, SUICIDE WAS THE 2ND LEADING CAUSE OF DEATH FOR YOUTH AND YOUNG ADULTS AGED 10-34, AND THE 9TH LEADING CAUSE OF DEATH OVERALL IN VIRGINIA. MOREOVER, ACCORDING MENTAL HEALTH AMERICA’S STATE OF MENTAL HEALTH IN AMERICA, VIRGINIA RANKS 28TH IN YOUTH EXPERIENCING AT LEAST ONE EPISODE OF MAJOR DEPRESSIVE DISORDER IN THE PAST YEAR AND RANKS 37TH FOR ACCESS TO MENT AL HEALTH CARE BASED ON PRE-PANDEMIC 2019 SURVEY DATA. DUE IN PART TO THE PANDEMIC, IN FIRST HALF OF 2021, CHILDREN’S HOSPITALS REPORTED A 45 PERCENT INCREASE IN THE NUMBER OF CASES OF SELF-INJURY AND SUICIDE IN AGES 5-17 AS COMPARED TO THE SAME TIME PERIOD IN 2019. VIRGINIA MUST EXPAND ACCESS TO MENTAL HEALTH SERVICES, ESPECIALLY FOR THE PEDIATRIC POPULATION, AS CAPACITY AND ACCESS ISSUES PLAGUE THE COMMONWEALTH. THE COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS, THE STATE’S ONLY PEDIATRIC PSYCHIATRIC FACILITY, IS CURRENTLY ONLY OPERATING 10 OF ITS 48 LICENSED BEDS AND IS 200 MILES FROM THE AREA IN WHICH CHKD OPERATES, AND CHKD CURRENTLY HAS A WAITLIST OF 3,400. THE CHILDREN AND FAMILIES OF THE COMMONWEALTH DESERVE EQUITABLE, QUALITY ACCESS TO THE MENTAL HEALTH SERVICES CHKD PROVIDES. CHKD IS SEEKING YOUR SUPPORT TO SERVE MORE PATIENTS ACROSS THE COMMONWEALTH.

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

GROWING EVIDENCE-BASED ASSESSMENT AND TREATMENT (GREAT) FOR CHILDREN - THE GROWING EVIDENCE-BASED ASSESSMENT AND TREATMENT (GREAT) FOR CHILDREN PROJECT AIMS TO INCREASE ACCESS TO AND PARTICIPATION IN EVIDENCE-BASED SCREENING, ASSESSMENT, TREATMENT, AND PREVENTION SERVICES FOR CHILDREN IN HAMPTON ROADS, VIRGINIA, WHO HAVE EXPERIENCED TRAUMATIC STRESS. PROVIDING THESE VITAL SERVICES FOR OUR DIVERSE COMMUNITY OF CHILDREN AGES 12 MONTHS - 18 YEARS WILL REDUCE HEALTH DISPARITIES AND INCREASE CHILD AND FAMILY RESILIENCE. THE POPULATION SERVED BY THIS PROJECT INCLUDES CHILDREN AGES 12 MONTHS - 18 YEARS FROM ACROSS THE EASTERN REGION OF VIRGINIA WHO ARE REFERRED TO THE CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS CHILD ADVOCACY CENTER (CAC) FOR AN ALLEGATION OF MALTREATMENT OR CONCERNS FOR TRAUMATIC STRESS, AND CHILDREN AGES 7-18 WHO PRESENT AT THE HOSPITAL'S EMERGENCY DEPARTMENT (ED) FOR MEDICAL NEEDS RELATED TO HAVING EXPERIENCED A TRAUMATIC EVENT. SPECIFICALLY, GREAT WILL SUPPORT THE CAC'S CLINICAL CAPACITY TO INCREASE ACCESS TO SERVICES AND SUPPORT FOR CHILDREN AGES 12-36 MONTHS, CHILDREN AGES 7-18 WITH PROBLEMATIC SEXUAL BEHAVIORS, AND SPANISH-SPEAKING CHILDREN, WHILE ALSO PROVIDING EVIDENCE-BASED PRACTICES (EBPS) FOR OUR DIVERSE POPULATION OF AT-RISK CHILDREN. GREAT AIMS TO INCREASE THE CAPACITY OF CLINICIANS TO DELIVER PARENT-CHILD INTERACTION THERAPY - TODDLER TO EXPAND ACCESS TO SERVICES FOR CHILDREN AGES 12-36 MONTHS OF AGE, A POPULATION CURRENTLY UNSERVED BY OUR MENTAL HEALTH SERVICES AND UNDERSERVED BY CLINICIANS IN OUR COMMUNITY. CLINICIANS WILL ALSO INCREASE CAPACITY TO PROVIDE ADVANCED TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY (TF-CBT) FOR PROBLEMATIC SEXUAL BEHAVIORS (PSB) AND PSB-CBT, EBPS EFFECTIVE IN REDUCING PSBS IN CHILDREN AGES 7-18 WHO ARE ALSO CURRENTLY UNDERSERVED IN HAMPTON ROADS. BECAUSE THE NEED FOR EBPS IN OUR COMMUNITY FOR CHILD TRAUMATIC STRESS IS SO GREAT, CLINICIANS FROM CHKD MENTAL HEALTH SERVICE LINE WILL INCREASE CAPACITY TO PROVIDE CHILD AND FAMILY TRAUMATIC STRESS INTERVENTION (CFTSI) FOR CHILDREN PRESENTING AT CHKD'S EMERGENCY DEPARTMENT FOLLOWING A TRAUMATIC EXPERIENCE. THE PROJECT ALSO AIMS TO ENHANCE THE CAPACITY OF 1,000 KEY STAKEHOLDERS AND MULTIDISCIPLINARY PARTNERS (200 EACH PROJECT YEAR) TO IDENTIFY, REFER, AND SERVE CHILDREN WHO HAVE EXPERIENCED TRAUMATIC STRESS. WE WILL COLLABORATE WITH NCTSN CATEGORY I AND II CENTERS ON DEVELOPING AND IMPLEMENTING SCREENING AND ASSESSMENT PROCESSES, IMPLEMENTING CULTURALLY AND LINGUISTICALLY SENSITIVE EBPS, AND EVALUATING IMPACT AND CHILD OUTCOMES. GREAT PROJECT ACTIVITIES WILL RESULT IN 500-650 CHILDREN BEING SCREENED FOR TRAUMA RELATED SYMPTOMS AND 150 CHILDREN PARTICIPATING IN MENTAL HEALTH ASSESSMENTS EACH GRANT YEAR. WE ANTICIPATE SERVING 100 CHILDREN PER YEAR USING TF-CBT, PCIT, PCIT-T, ADVANCED TF-CBT FOR PSB, PSB-CBT, AND CFTSI. BY THE END OF THE PROJECT, 3,050 CHILDREN WILL BE SCREENED FOR THE NEED FOR MENTAL HEALTH ASSESSMENT, AND OF THOSE SCREENED, 500 WILL COMPLETE TRAUMA-FOCUSED MENTAL HEALTH ASSESSMENTS. OF THE CHILDREN RECOMMENDED FOR TRAUMA TREATMENT, 375 WILL PARTICIPATE WITH THEIR CAREGIVER(S) IN THE SELECTED EBPS, AND 225 CHILDREN WILL PARTICIPATE IN EVALUATION ACTIVITIES TO INFORM OUR UNDERSTANDING OF TRAUMATIC STRESS AND THE EFFICACY OF EBPS IN OUR COMMUNITY.

THE INCREASING VA'S EVIDENCE-SUPPORTED TREATMENTS (INVEST) FOR CHILDREN PROJECT

CHILDREN'S HOSPITAL OF THE KING'S DAUGHTER'S DAUGHTERS PARTIAL HOSPITALIZATION PROGRAM - PROJECT FUNDS WILL BE USED TO SUPPORT STAFFING AND PROGRAMMING FOR CHKD’S PARTIAL HOSPITALIZATION PROGRAM. THE PARTIAL HOSPITALIZATION PROGRAM PROVIDES INTENSIVE DAY TREATMENT AS A STEP-DOWN FROM ACUTE HOSPITALIZATION OR A STEP-UP FROM OUTPATIENT SERVICES FOR CHILDREN AND ADOLESCENTS WHO HAVE HIGH, BUT NOT IMMINENT, SAFETY CONCERNS OR A SIGNIFICANT DISRUPTION TO EMOTIONAL, BEHAVIORAL, OR SOCIAL FUNCTIONING. THE GOAL OF PARTIAL HOSPITALIZATION IS TO STABILIZE PATIENTS WHO DISPLAY ESCALATED PSYCHIATRIC CONDITIONS ASSOCIATED WITH A RECENT SYMPTOM ESCALATION AND DECLINE IN FUNCTIONING, SO THAT THE PATIENT’S MENTAL HEALTH DISORDER CAN THEN BE MANAGED AT A LOWER LEVEL OF CARE. PATIENTS ATTEND THIS PROGRAM MONDAY - FRIDAY FROM 8:30 A.M. TO 3:15 P.M. IN A STRUCTURED, THERAPEUTIC ENVIRONMENT THAT OFFERS INDIVIDUAL, GROUP, AND FAMILY THERAPIES AS WELL AS PSYCHIATRIC MANAGEMENT. FAMILIES ARE ALSO PROVIDED SUPPORT FROM PROGRAM CLINICIANS TO WORK THROUGH CHALLENGES THAT MAY EXIST IN THE HOME ENVIRONMENT. DISCHARGE PLANNING INCLUDES COORDINATION OF OUTPATIENT SERVICES TO SUPPORT EACH CHILD’S CONTINUED PROGRESS TOWARD GOALS AND HEALTH. CHKD’S PHP ONLY BEGAN SEEING PATIENTS AT THE END OF JANUARY, 2023. WE ARE EXPECTING TO GROW THE PROGRAM SIGNIFICANTLY OVER THE NEXT YEAR TO SERVE THE DEMAND IN THE COMMUNITY. CHKD HAS BUDGETED 2470 PATIENT DAYS FOR FY24 AND THE PROJECTED LOS IS 4-6 WEEKS. WE ARE ANTICIPATING ON SERVING APPROXIMATELY 100 PATIENTS IN FY24. THE PATIENT POPULATION SERVED BY THE PARTIAL HOSPITALIZATION PROGRAM SHALL CONSIST OF PEDIATRIC PATIENTS WITH ANY THE FOLLOWING PRIMARY PSYCHIATRIC/MENTAL HEALTH DIAGNOSES: - GENDER DYSPHORIA; BIPOLAR AND RELATED DISORDERS; DEPRESSIVE DISORDERS; ANXIETY DISORDERS; OBSESSIVE-COMPULSIVE AND RELATED DISORDERS; TRAUMA AND STRESSOR-RELATED DISORDERS; DISRUPTIVE, IMPULSE-CONTROL AND CONDUCT DISORDERS; FEEDING AND EATING DISORDERS; SOMATIC SYMPTOM AND RELATED DISORDERS; NEUROCOGNITIVE DISORDERS; OR SUCH OTHER EXISTING PSYCHIATRIC/MENTAL HEALTH DIAGNOSES THAT CAN BE SAFELY MANAGED IN A PARTIAL HOSPITALIZATION SETTING. DESCRIPTION OF CARE, TREATMENT, SKILLS ACQUISITION, OR OTHER SUPPORTS PROVIDED: A. PARTIAL HOSPITALIZATION PROGRAM REPRESENTS AN INTENSIVE OUTPATIENT LEVEL OF PSYCHIATRIC CARE DELIVERED IN A LICENSED CLINIC SETTING DURING THE WEEK. B. MULTIDISCIPLINARY ASSESSMENTS AND MULTIMODAL INTERVENTIONS ARE PROVIDED IN A 40-HOUR PER WEEK SECURE, MEDICALLY STAFFED, AND PSYCHIATRICALLY SUPERVISED TREATMENT ENVIRONMENT. C. ACTIVE FAMILY/GUARDIAN/NATURAL SUPPORTS INVOLVEMENT IS IMPORTANT. LEGAL GUARDIANS SHALL BE INCLUDED DURING EVALUATION AND TREATMENT AND DISCHARGE PLANNING UNLESS CONTRAINDICATED. D. WEEKLY CONTACT BETWEEN PATIENTS AND THE ATTENDING PSYCHIATRIST IS REQUIRED FOR THIS LEVEL OF CARE. NOT ONLY WILL CHKD BRING TREATMENT TO THOSE WHO ARE CURRENTLY FORCED TO LEAVE THE AREA FOR CARE OR, EVEN WORSE, FOREGO CARE, IT WILL OFFER CUTTING-EDGE, INDIVIDUALIZED CARE FOR ALL OF ITS MENTAL HEALTH PATIENTS THAT ISN’T AVAILABLE WITHIN THE REGION TODAY. CHKD’S PROGRAM WILL BE BASED PRIMARILY ON COGNITIVE BEHAVIORAL THERAPY (CBT), DIALECTICAL BEHAVIOR THERAPY (DBT), PARENT-CHILD INTERACTION THERAPY (PCIT), FAMILY-BASED THERAPY FOR ANOREXIA NERVOSA, AND MILIEU THERAPY, AS APPROPRIATE FOR THE CHILD. CHKD IS COMMITTED TO EVIDENCE-BASED PRACTICES TO PROVIDE THE HIGHEST QUALITY OF CARE. FOR ALL CHILDREN IN CHKD’S PROGRAM, FAMILY COUNSELING, ENGAGEMENT AND INVOLVEMENT WILL BE A CENTERPIECE OF THEIR TREATMENT EXPERIENCE. CHKD’S PARTIAL HOSPITALIZATION PLAN WILL SUPPORT THE HEALTH SYSTEM’S MISSION TO PROVIDE A COMPREHENSIVE CONTINUUM OF SERVICES TO ENSURE THAT CHILDREN CAN ACCESS THE MOST APPROPRIATE LEVEL OF CARE IN THE COMMUNITY IN WHICH THEY RESIDE, ALLOW FOR EARLIER INTERVENTION, AND REDUCE THE NEED FOR INPATIENT HOSPITALIZATION OVER TIME. CHKD OUTPATIENT SERVICES WILL BE OFFERED TO PATIENTS REQUIRING EVALUATION AND EVIDENCE-BASED TREATMENT THAT INCLUDES PSYCHOTHERAPY, PHARMACOTHERAPY, AND CARE CO

HEALTH CARE AND OTHER FACILITIES

CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS AIMS TO ENHANCE ITS CHILD ADVOCACY CENTER (CAC) WITH DESIGNATED FUNDING TO SUPPORT CHILD VICTIMS OF MALTREATMENT IN HAMPTON ROADS, VIRGINIA, AND NORTHEASTERN NORTH CAROLINA. THE PROJECT FOCUSES ON PROVIDING TRAUMA-FOCUSED SERVICES THROUGH A MULTIDISCIPLINARY TEAM APPROACH, ENSURING COMPREHENSIVE CARE THAT INCLUDES MEDICAL SERVICES AND EVIDENCE-BASED SUPPORT.

HEALTH CARE AND OTHER FACILITIES