Text Box:

 


About Project Access

Project Access: Improving Care for Children with Epilepsy

Every year, approximately 50,000 new cases of epilepsy are diagnosed in children and adolescents under the age of 18.  Unfortunately, organized systems of services are not in place to provide timely access to care that could improve the quality of life for these children and their families. Children and youth living in medically underserved and rural areas as well as racial and ethnic minority populations often lack access to a medical home and encounter difficulties in having their epilepsy diagnosed.  The shortage of pediatric neurologists and epileptologists further hinders access to early detection and treatment. 

The Children’s Health Act of 2000 authorized the Department of Health and Human Services to implement demonstration projects in medically underserved areas to improve access to health services and encourage early detection and treatment for children with epilepsy and seizure disorders.

 

Phase II            

HRSA Project Access – Phase II 2007-2010

Project Access is a program sponsored by the Maternal and Child Health Bureau of the Health Resources and Services Administration (HRSA) http://www.mchb.hrsa.gov/.  The purpose of the HRSA program is to improve access to comprehensive, coordinated health care and related services for children and youth with epilepsy residing in medically underserved (MUAs) and rural areas.  Funding was awarded for two priority areas:  Priority 1 provided state implementation grants to improve access to care for children and youth with epilepsy and seizure disorders through a community-based system of services. Priority 2 funds a cooperative agreement to support the National Center for Project Access http://www.accessforepilepsy.org to provide national leadership to the Division of Services for Children with Special Healthcare Needs (DSCSHN) on improving access to comprehensive, coordinated health care and other services for children and youth with epilepsy. 

Epilepsy Foundation of Metropolitan New York

Text Box:  The Epilepsy Foundation of Metropolitan New York will partner with local hospitals and community health clinics to improve the system of care for Caribbean Hispanic, Asian Chinese and Caribbean-non- Hispanic immigrants in New York.  

The Epilepsy Foundation of Metropolitan New York has 40 years of experience as New York City’s only specialized provider of services to people with epilepsy.  In the process of providing services, we also regularly identify service system gaps and then advocate on the state and local level for additional necessary supports.  As a result, we provide New York City’s most comprehensive programs and services designed to ameliorate the challenges associated with epilepsy so that persons with epilepsy and their families are able to lead active and productive lives.  Our range of programs utilize a psycho-social approach and is staffed by  qualified professionals, allowing us to simultaneously address the physical, medical, cognitive, social, educational and vocational challenges people with epilepsy regularly confront.

Located in one of the United State’s major entry points for immigrants, The Epilepsy Foundation of Metropolitan New York wishes to focus this project on the three most dominant groups of recent immigrants as defined by the New York City Department of Planning http://www.nyc.gov/html/dcp/home.html; the Caribbean Hispanic, the Caribbean non-Hispanic and the Asian–Chinese, within the medically underserved communities in each borough as defined by HRSA.  We will develop a medical access model for children and youth with epilepsy and pattern this model after the medical home prototype, which will be the first of its type in New York City.  At its centerpiece will be parent coordinators to serve as the primary contact for other parents within each underserved community, as well as to enhance the awareness and understanding of epilepsy to community based organizations and other non traditional community supports, and to communicate the needs of parents to the medical community.

New York Project Access Partners:                  

Text Box:  New York Comprehensive Epilepsy Centers/Centros Comprensivos para la Epilepsia

New York Neurology Departments/Departamentos de Neurologia

National Centers

Six National Outcomes for Children and Youth with Special Health Needs and Corresponding National Centers

1. Families are Partners
Family Voices is a national family organization that promotes family participation and satisfaction via a network of 40,000 families and friends, a volunteer coordinator in each state, and ten regional coordinators. Family Voices serves as a national clearinghouse for information and education about ways to assure and improve health care for children with disabilities and chronic conditions. http://www.familyvoices.org

2. Medical Home
National Center of Medical Home Initiatives for Children with Special Needs provides support to physicians, families, and other providers caring for children with special health care needs, so that they have access to a medical home.
http://www.medicalhomeinfo.org

3. Early and Continuous Screening
National Center for Hearing Assessment/Management (NCHAM) supports early and continuous screening and works to ensure that all infants (newborns) and toddlers with hearing loss are identified as early as possible and provided with timely and appropriate audiological, educational, and medical intervention. http://www.infanthearing.org

4. Adequate Insurance
Catalyst Center: Improving Financing of Care for Children and Youth with Special Health Care Needs seeks to promote health coverage of all CYSHCN, eliminate underinsurance, disseminate innovative financing methods for services and enhance knowledge and collaboration among stakeholder groups around financing issues. Methods include short-term technical assistance to stakeholders, in-depth technical assistance to selected state teams, dissemination of existing research on financing, a series of small national “summit” meetings and new research on key financing topics. http://www.hdwg.org/projects/catalyst.htm

5. Community-Based Systems of Services and Satisfied Parents
Champions for Inclusive Communities (Champions InC) is striving to assist communities in building systems of services and supports that families can access easily. Working closely with state CYSHCN directors, Champions Inc is creating a community recognition program to highlight the strategies that communities are using to help families find the services and supports that they need. http://championsinc.org

6. Transition to Adult Life
Healthy and Ready to Work (HRTW): What's HEALTH got to do with transition? EVERYTHING! HRTW provides information and connections to health and transition expertise nationwide--from those in the know, doing the work and living it! http://www.hrtw.org

Related National Centers

National Center for Cultural Competence (NCCC) supports family participation and satisfaction and strives to increase the capacity of health and mental health programs to design, implement, and evaluate culturally and linguistically competent service delivery systems. http://gucchd.georgetown.edu/nccc/index.html

CAHMI Data Resource Center is part of the Child and Adolescent Health Measurement Initiative and provides leadership and resources for measuring and communicating information about the quality of healthcare for young children (0-3), teens (12-21), and children with chronic conditions. www.cshcndata.org

NCPA-final_withoutefa
        http://www.accessforepilepsy.org

Products and Tools

·                 Care Book

·                 Epilepsy Tools (Seizure Action Plan, Epilepsy Care Plan, Home Medication List)

·                 Health Care Transition Plan (Ages 14-17)

·                 English Educational Materials

·                 Spanish Educational Material

·                 Text Box:  Mandarin Education Materials

Community Resources

Please visit the Epilepsy Foundation’s website for parents: www.epilepsyandmychild.org. This is comprehensive website includes a variety of useful information for parents, families and caregivers on epilepsy, its impacts on the family, and educational aids to assist the family in caring for a child with epilepsy.  Some topics of interest include fears and concerns, treatment options, and back-to-school safety, and first-aid information.

Contact Us

We provide information in Spanish and Mandarin

257 Park Avenue South

Suite 302

New York, NY 10010

Tel: (212) 677-8550

Fax: (212) 677-5825

www.efmny.org

www.efa.org