Iowa Children and Family Collaborative: An Integrated System of Maternal and Child Behavioral Health Care.

PREVENTION of mental depression; SMOKING prevention; PREVENTION of alcoholism; MATERNAL-child health services; HEALTH policy; ADVERSE childhood experiences; MATERNAL & infant welfare; SUBSTANCE abuse in pregnancy; FAMILY health; UNITED States. Dept. of Health & Human Services; MEDICAL screening; DOMESTIC violence; PUBLIC health; CHILD behavior; ORGANIZATIONAL goals; CONCEPTUAL structures; CHILD Behavior Checklist; PSYCHOLOGICAL tests; PEARSON correlation (Statistics); T-test (Statistics); FAMILY-centered care; MOTHERHOOD; PARENTING; INTERPROFESSIONAL relations; COCAINE; DRUGS; MENTAL depression; DESCRIPTIVE statistics; CHI-squared test; INTEGRATED health care delivery; HEALTH impact assessment; DRUGS of abuse; ANXIETY; AGGRESSION (Psychology); DATA analysis software; PRENATAL care; MENTAL health services; FAMILY services; SUCCESS

The article describes the Iowa Children and Family Collaborative, formed to improve outcomes for women who are pregnant and their children when parental substance use is present, and its successes, challenges and outcomes, providing an example of cross-system collaboration to improve child and family outcomes. Topics include the theoretical framework, the evaluation methods for pregnancy screens and children's assessments and the SART system, used as an integrated service delivery approach.