The primary focus of the Bureau of Maternal and Child Health is to reduce maternal and infant morbidity and mortality rates through coordination with community-based programs such as Local Health Departments, Federally Qualified Health Centers, and Community Based Organizations. The programs provide a variety of prenatal and pediatric health education and counseling, developmental screening, and referrals to medical and community services as needed for pregnant women, infants, and children with special medical, environmental or social needs. The primary goals of these programs are to:
- Promote health through increased access to high quality medical care and prevention services
- Provide education and information to assist clients to achieve maximum self-sufficiency; link to services based on clients' needs through integration with other programs; and
- Strengthen communities by coordination and linkage of community and state resources to provide the clients with the best possible care offered.
The following programs are administered by the Bureau of Maternal and Child Health:
Family Case Management - is a statewide program that provides comprehensive service coordination to improve the health, social, educational, and developmental needs of pregnant women, and infants (0 - 12 months) from low-income families in the communities of Illinois (410 ILCS 212/15). Family Case Management aims to "assess current needs within the State and provide goals and objectives for improving the health of mothers, children, and for reducing infant mortality" (77 Ill. Adm Code 630.20). The Family Case Management program provides assessment of client needs, linkage with Medicaid and primary medical care, referral for assistance with identified social needs, and coordination of care through face-to-face contacts and home visits at regular intervals throughout pregnancy and the infant's first year of life.
HealthWorks - Clients are referred to HWIL from DCFS Lead Agencies after the initial 45 days the child is in care. Grantees are expected to provide follow-up services and communicate regularly back to the Lead Agencies regarding issues pertaining to these cases and to maintain complete medical records for the child.
The primary goals of HWIL are to:
- Ensure that each child receives preventive health care services
- Ensure that each child in connected with a Primary Care Provider (PCP)
- Develop health care plans for incorporation into each child's overall DCFS service plan.
High Risk Infant Follow-up - Infants and children (ages 0 - 2 years old) are referred to the high-risk infant follow up program either through the IDPH Adverse Pregnancy Outcomes Reporting System (APORS) or based on assessments done in the Family Case Management program which determine: that the infant has been diagnosed with a serious medical condition after newborn discharge; when maternal alcohol or drug addiction has been diagnosed; or when child abuse or neglect has been indicated based on investigation by the Illinois Department of Children and Family Services (See 410 ILCS 525/3 and 77 Ill. Adm. Code 840.210). The primary goals of HRIF are to:
- Minimize disability in high-risk infants by early identification of possible conditions requiring further evaluation, diagnosis, and treatment
- Promote optimal growth and development of infants
- Teach family care of the high-risk infant
- Decrease stress and potential for abuse.
Better Birth Outcomes - provides intensive prenatal case management services to high risk pregnant women in defined geographic areas of the state with higher than average Medicaid costs associated with poor birth outcomes and higher than average numbers of women delivering premature infants. The goals of program are: to decrease infant mortality and morbidity, to improve pregnancy outcomes and, to reduce the incidence of prematurity and low birth weight. This is achieved through: early identification and enrollment of high-risk pregnant women during the first trimester of pregnancy, assessment of client needs and care plan development and implementation, provision of a standardized prenatal education curriculum, linkage to and coordination of care with primary care, obstetrical care and any appropriate specialty care, education and referral regarding contraceptive care, referral for childbirth education and parenting classes, and coordination of care with other needed social services.
Perinatal Depression - The Perinatal Depression Treatment program provides the following client services in the Chicago area:
- Perinatal depression screening
- Psychiatric care to women referred by the Family Case Management (FCM) and Healthy Families Illinois (HFI) programs
Best Practices in Inter-Conception Health - The Best Practices in Inter-Conception Health (BPIH) Program provides inter-conceptional case management services to a target population in Chicago of women to:
- delay the onset of subsequent pregnancy
- increase intervals between subsequent pregnancy in women at greater risk of short inter-conception periods
- decrease infant mortality and morbidity
- improve pregnancy outcomes and
- reduce the incidence of prematurity and very low/low birth weight.
Illinois Perinatal Quality Collaborative Partnership - assesses current trends and issues related to negative maternal/infant outcomes and through its collaborative identifies strategies to address them. A partnership between BMCH and ILPQC enhances FCM services by allowing for training and implementation of these strategies statewide though the FCM provider networks. The ILPQC operates targeted collaborative learning opportunities designed to reduce maternal morbidity in Illinois.