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No, not at this point. The CM protocol is still in revision, so we're just not at that point yet. But thanks for the input, and for the offer to contact Valinda - we may take un on that offer later!

For young children that are screened with the ASO, the process is clear in most communities (to Early On} but with older children, the identification of mental health issuus would mean a referral to a mental health professional for assessinent, For Medicaid children the health plans should have practices/agencies identified in the community or for those with very severe issues, a referral to Genesee Health Systems (community mental health} would be warranted. Valinda Christopher is the children’s services director in Genesee. Would you like me to contact her? Mary

michigan sey> This would be the nurse case managers frarn the local health department using the teal, with 6-17 year olds. ffthey had afinding on the screener, they might send info the PCP for them to order further testing or follow-up, or perhaps the ISt for special ed, or CMH. We haver’t started yet, so not sure what they will find or where the refarral would go.

Naney.we Rave supported the use of the Pediatric Symptorn Checklist in discussions with Medicaid and primary care (as we didin LAUNCH) There are not any specific training videos, to my knowledge, but the Mass General website has all of the materials that one would need. | appreciate that they have a youth version (aver 13 years} and the tool in multiple languages inchudling a pictorial version. Since this teal is used in general pediatric care, | don’t foresee any issues with using the tool, f trust that it will be useful in primary care. Has anyone fat the CMH know that additional screening will be going on to rnake sure that they know that they may get calls from pediatric care/famillas? Of coursa, the PSC does nat screen for other developmental issues besides social emotional health. Wil the ccs have additional surveillance cuestions to ersure all of the develonrnental issues are addressed? Mary xxxEND_PAGE:dhhs03_b0656_2228_2229_1 002229

Hi Mary — We are working closely with Genesee County Health Department as they provide case management services to children in Flint with elevated blood lead levels. Our case management protocol includes developmental screening with the ASQ for younger children, . However, there are also some 6-17 year olds that may receive services, and | am considering substituting the PSC for the ASQ for that older group. A couple of questions for you: e Do you see any issues with using the PSC in this type of circumstance? e Weaccessed the tool, scoring materials, administration information are available for free online. Are there any training videos or materials specific to this tool that you are aware of? Would that be needed (it didn’t look like it to me). Thanks for any info you can offer! Nancy xxxEND_PAGE:dhhs03_b0656_2228_2229_2