2009 <strong>CityMatCH</strong> Urban MCH Leadership <strong>Conference</strong>A bird's eye view of state adolescent health policy (and how you can get involved)PRIMARY CONTACT:Megan L. Foreman, BAPolicy AssociateNational <strong>Conference</strong> of State Legislatures7700 E. First PlDenver, CO, 80230Phone: (303) 856-1401Fax: (303) 364-7800Email: megan.foreman@ncsl.orgWebsite: www.ncsl.orgCATEGORYAdolescent health / pregnancy preventionFOCUSProgram Policy FocusCONTENTThe presentation will include an overview of state legislatures across <strong>the</strong> country: What do <strong>the</strong>y look like?How do <strong>the</strong>y function? What does red or blue have to do with it? Who are legislators? How do <strong>the</strong>y liketo receive and process information? With <strong>the</strong> nitty-gritty taken care of, we'll talk about <strong>the</strong> adolescen<strong>the</strong>alth issues state legislatures around <strong>the</strong> nation are debating. Hundreds of bills in <strong>the</strong> hopper aroundadolescent wellness, sexual education, teen pregnancy prevention, suicide, graduated driver licensing,dating violence, and much more. We'll explain how <strong>CityMatCH</strong>'s member representatives can getinvolved in <strong>the</strong> legislative process and describe <strong>the</strong> role every state employees can play in helping electedofficials make good decisions for adolescent health. No presentation would be complete in 2009 without astate budget update (maybe more appropriately, a "downdate?").38
2009 <strong>CityMatCH</strong> Urban MCH Leadership <strong>Conference</strong>Infant safe sleep: Assessing knowledge and practice in physician clinicsPRIMARY CONTACT:Sandra J Frank, JDExecutive DirectorTomorrow's Child/Michigan SIDS112 E. AlleganSuite 500Lansing, MI, 48933Phone: (517) 485-7437Fax: (517) 485-0163Email: sfrank@tcmisids.orgWebsite: www.tcmisids.orgCO-PRESENTER(S)/AUTHOR(S):Suzanne Bronheim, PhD, bronheis@georgetown.edu(Author, Presenter)Mary Adkins, MSW, madkins@tcmisids.org(Author, Presenter)Sandra Herman, PhD, sherman@msu.edu (Author)CATEGORYInfant mortality and morbidityRacial and ethnic health disparitiesFOCUSProgram Policy FocusBACKGROUNDDespite <strong>the</strong> Back to Sleep successes, almost one-third of <strong>the</strong> infant deaths in Michigan continue to involveunsafe sleep practices and SIDS. The key to reducing <strong>the</strong>se deaths is parent education. Altering behaviorsrelated to infant sleep practice requires changes in knowledge, practice and beliefs. Safe sleep messagesand patient education have been contradictory. Sustainable, replicable, evidence-based models wereneeded to assure accurate, consistent education. This study focused on obstetrical/gynecological andpediatric clinics – <strong>the</strong> natural networks for pregnancy, delivery and infant care – and <strong>the</strong> need for, andimpact of, enhancing <strong>the</strong> role physician clinics play in reinforcing safe sleep.Michigan communities with high disparity in infant mortality: Kent, Genesee, and Ingham Counties. Inthree health plans serving commercial and Medicaid members; each plan identified <strong>the</strong> two largest ob/gynand two largest pediatric clinics.METHODSThis was <strong>the</strong> second phase of a systems approach to infant safe sleep. The first phase wasinstitutionalizing education in hospitals by assessing provider knowledge/practice, adopting policies,standardizing education, and auditing compliance. This project built on that strategy by determining <strong>the</strong>roles physician practices play in supporting families to implement safe sleep measures, and exploring <strong>the</strong>feasibility of establishing policies and curricula.OBJECTIVES• Create baseline data about family education practices.• Identify patterns of patient education regarding safe sleep.39