B. Keith English, M.D., Lauren O’Connell, M.D., and Kathryn Larson

Department of Pediatrics and Human Development 2/12/2016

Update on MDHHS-Funded Autism Program

•  Developed an “Approved Autism Evaluation Center” (AAEC) in partnership with Wardcliff Abilities Center evaluations began in January, 2016

•  Olga Napolova from MSU CHM academic general pediatrics and Kathryn Larson led this effort

Expansion of Evaluation Services

MSU Faculty Positions

1.  Developmental-Behavioral Pediatrician (DBP) – still recruiting!

2.  Psychologist – recruitment underway

Posted Positions

•  Leadership Development in Neurodevelopmental and Related Disabilities (LEND)

•  Division of Maternal and Child Health (HRSA – Health Resources and Services Administration)

•  (To) “provide interdisciplinary training to enhance the clinical expertise and leadership skills of professional dedicated to caring for children with neurodevelopmental and other disabilities, including autism”

LEND

•  Thanks especially to Jane Turner, Marisa Fisher, Lauren Aerni-Flessner and the amazing LEND grant proposal team

•  LEND application submitted first week in February– partnership with MSU, Wayne State, U of M, U of M Dearborn Central Michigan and Western Michigan

MSU Spearheaded the MI-LEND Application

•  Co-Directors of the Michigan LEND – Sharon Milberger, ScD

Wayne State University – Jane Turner, MD

Michigan State University

MI-LEND Application submitted

MI-LEND Organizational Chart

MI-LEND Consortium Reach of Services

•  Continuing Medical Education -- for physicians in practice.

•  Graduate Medical Education – for residents in training in pediatrics and family medicine and medicine/pediatrics (more later)

•  Undergraduate Medical Education (UGME). for medical students – included in the current curriculum and will be expanded in the new CHM Shared Discovery Curriculum.

Ongoing Training Initiatives in Autism

•  We plan to implement an expanded curriculum in autism and related disorders for pediatric residents in all 3 MSU-affiliated training programs (Sparrow Children’s Center in Lansing; Hurley Children’s Hospital in Flint; Helen DeVos Children’s Hospital in Grand Rapids).

•  Effort is being by Lauren O’Connell, M.D., MSU-Hurley DBP faculty member in Flint

Expanded training in Autism for Pediatric Residents

1.  Increased knowledge in etiology of ASD 2.  Competence in ASD screening in primary care 3.  Increased knowledge in appropriate referral 4.  Improved ability to explain screening, referral

and treatment options to families 5.  Competence in appropriate followup for

children with ASD

Expanded Residency Curriculum in ASD: Objectives

1.  Focus on knowledge, skills, and performance in practice (e.g., screening in primary care clinic)

2.  Dr. O’Connell is working with the 3 pediatric residency program directors to plan implementation of the expanded curriculum and pre- and post-implementation assessment of knowledge and skills

Expanded Residency Curriculum in ASD

•  Support for Lansing-based DBP and psychologist positions.

•  Building stronger partnerships between DBP colleagues in Grand Rapids (Richtsmeier and new colleague to start in July, 2016), Flint (O’Connell) and Lansing (new hire).

Current & Extended Funding (10/1/15 – 9/30/16) I

•  LEND application submitted •  Development of proposal for

DBP Fellowship Training program

•  Expansion of training and outreach – MSU Autism Conference, May 23rd

•  Telemedicine Pilot

Current & Extended Funding (10/1/15 – 9/30/16) II

•  Pilot will focus on the Upper Peninsula and/or Traverse City and target interventions at physicians who are caring for children with autism, using telemedicine to educate and support physicians in 2 main areas:

–  (A) Workshops provided for primary care clinics to identify and improve rates of autism screening and referral for evaluation when indicated. Tele-intervention on the clinic and provider level will include education, implementation, and quality improvement.

–  (B) Tele-consultation between PCP and developmental behavioral pediatrician/mental health providers regarding therapeutic options, including medications

Telemedicine Pilot -- 2016

(1) After initial evaluation in person by a pediatric subspecialist (DBP/academic general pediatrics/child psychiatry/pediatric neurology/genetics), tele-consultation will be employed for follow-up appointments. (2) We then plan to expand telemedicine to include more complex, direct interactions with patients and families (diagnosis, interventions, therapy, etc.)

Telemedicine – Future Directions

•  Recruitment for three investigator positions in autism-related research underway in Lansing (one position offered to Emanuela Santini; strong candidate for leadership position has visited twice – Dan Goldowitz)

Expanding Research in Autism/NDD I

•  Three developmental neuroscientists being recruited to Grand Rapids in partnership with pediatric neurology expansion at HDVCH – 19 applicants for the first 3 positions; search committee now planning first interviews

Expanding Research in Autism/NDD II