State governments provide health coverage for millions of children through their Medicaid and Children’s Health Insurance Programs. Providing cost-effective screening and treatment services saves states money and promotes healthy children. Infant, children and adolescent health needs, include well-child visits, vaccinations and developmental screenings. These reflect the guidelines in Bright Futures, a national health promotion and disease prevention initiative, which addresses children's health needs. Well-child visits offer an important opportunity for physicians to identify and treat problems earlier.
Dr. R.J. Gillespie has trained providers across the state of Oregon on the implementation of various screening tools, including for developmental delays, autism, adolescent depression and substance abuse, and maternal depression. “Our state [Oregon] has embraced the 'collective impact' model which suggests that we can accomplish a lot more working together than we can working in silos.”