University of Saint Joseph School of Pharmacy Reaches to United Arab Emirates for New Academic Partnership

Earlier this decade, the University of Saint Joseph (USJ) took the bold steps of not only launching a Pharmacy doctoral program, but doing so in Downtown Hartford, developing a cutting-edge campus and curriculum above what was once the Hartford Civic Center mall. The program is thriving, driven in part by an innovative, modified-block curriculum that stresses experiential education throughout the three year program. Now, USJ is extending the Pharm.D.degree program connections beyond the United States.

The university has signed a letter of agreement to form a partnership with the College of Pharmacy at Gulf Medical University in the United Arab Emirates. The affiliation between the two schools includes inviting faculty and staff of the partner institution to participate in a variety of teaching, research, scholarship activities, and professional development. In addition, pharmacy students and postdoctoral students from both schools will participate in exchange programs for periods of study, research, and scholarship.

A signing ceremony, was held recently at USJ’s West Hartford campus, led by University of Saint Joseph President Rhona Free, Ph.D., and Dean of its School of Pharmacy Joseph Ofosu, Pharm.D., R.Ph., with Gulf Medical University Chancellor, Professor Hossam Hamdy.

“We are thrilled to create this partnership for the benefit of our respective students, faculty, and communities,” said President Free. “We look forward to a mutually beneficial experience for the Gulf Medical University’s College of Pharmacy and our School of Pharmacy located in downtown Hartford.”

The two institutions will carry out joint research and continuing education programs, and the schools will also organize symposia, conferences, short courses, and meetings on their research and scholarship issues.

Gulf Medical University’s planned Innovation and Research Centre will be the first of its kind in the region and will have devoted state-of-the-art innovation and incubation laboratories that are to include pharma product development, according to the university’s website. The Center aims to foster collaborations and partnerships with international institutions, universities, research labs, pharma companies and the healthcare industry.

Gulf Medical University (GMU), established in 1998, is a leading medical university in the Gulf region, located in Ajman, U.A.E. The campus is in the new Ajman metropolitan area, close to international airports in Dubai and Sharjah.

The USJ School of Pharmacy has an Open House scheduled for November 28, 6-8 p.m., at the school’s Hartford campus, 229 Trumbull Street.

https://youtu.be/p2W-ISsxqPM

Local Foundation Receives Major Grant to Expand Suicide-Prevention Program Nationally

The Hartford-based Jordan Porco Foundation has been selected as one of 13 non-profit organizations to receive a $100,000 grant from the Alkermes Inspiration Grants program. The grant will support Fresh Check Day, which is an uplifting mental health fair that builds a campus community around mental health and suicide prevention through engaging peer-to-peer education. Fresh Check Day, the foundation’s signature program, creates an approachable atmosphere where students are encouraged to engage in dialogues about mental health, and it helps to build a bridge between students and the mental health resources that exist on campus, in the community, and on a national level. Research supports that peer-to-peer education is one of the most effective ways to educate students, especially when the subject is suicide and mental health.

Since the first event in 2012, Fresh Check Day has grown exponentially, expanding throughout Connecticut, New England and nationwide.  There are now 26 colleges and universities in Connecticut that offer the program, and nearly 150 schools in 37 states.

“We are thankful to be awarded this grant in support of our signature program, Fresh Check Day. It helps in our national expansion and efforts to reach more young adults with our critical message of hope,” said Marisa Giarnella-Porco, President and CEO of the Jordan Porco Foundation.

The mission of the Jordan Porco Foundation, a 501(c) (3) public charity, is to prevent suicide, promote mental health, and create a message of hope for young adults. They accomplish this by providing engaging and uplifting peer-run programs. Their programs strive to start a conversation about mental health that reduces stigma while encouraging help-seeking and supportive behaviors.

“Addiction and mental illness affect millions of people and their families every day, and require an integrated approach to treatment that is scalable in communities across the country,” said Richard Pops, Chief Executive Officer of Alkermes. “Medicines play a role, but importantly, it is the innovative programs, like the Jordan Porco Foundation, designed to support people affected by these diseases and led by passionate leaders on the front lines that will ignite sustainable and meaningful change for patients.”

The primary goals of Fresh Check Day are to:

• Increase awareness of mental health resources and services available to students
• Challenge stigma and misconceptions around mental health and suicide that often deter individuals from seeking help
• Empower peers to be gatekeepers by understanding warning signs and knowing what to do if a friend is exhibiting signs of suicide or a mental health concern
• Increase willingness to ask for help if experiencing emotional distress

Now in its second year, Alkermes Inspiration Grants focuses on two key areas: improving or enhancing support or resources for people affected by mental health concerns or substance use disorder, and/or integrating the perspective of people affected by mental health concerns or addiction into drug development or care delivery. Alkermes is a global biopharmaceutical company with a “steadfast commitment” to developing innovative medicines for central nervous system (CNS) diseases.  The company has facilities in Ireland and the United States.

https://youtu.be/z_AQ5LJgVnQ

The Difference A Dollar Makes: UConn Research Finds Minimum Wage Increase Reduces Maltreatment of Children

It has been nearly a year since a study co-authored by UConn Assistant Professor of Public Policy Kerri M. Raissian appeared in the academic journal Children and Youth Services Review, but the interest hasn’t waned.  In fact, it now tops the list of downloaded articles in the past 90 days from the journal’s website. The article, which Raissian co-authored with Lindsey Rose Bullinger, asks – and answers – this question:  Does the minimum wage affect child maltreatment rates?

Short answer, according to their research:  yes. 

Raising the minimum wage by $1 per hour would result in a substantial decrease in the number of reported cases of child neglect, according to a study co-authored by Raissian and Bullinger.  They reviewed eleven years of records on child abuse and neglect and found that increases in the minimum wage correlate with declining child maltreatment rates.

A $1 increase would result in 9,700 (9.6 percent) fewer reported cases of child neglect annually as well as a likely decrease in cases of physical abuse, Bullinger explained on the website sciencedaily.com, where their study was featured earlier this year. This decline is concentrated among young children (ages 0–5) and school-aged children (ages 6–12); the effect diminishes among adolescents and is not significant, the study’s abstract points out.

“Our results suggest that policies that increase incomes of the working poor can improve children's welfare, especially younger children, quite substantially,” the authors conclude in their 70-page article on the study.

"Money matters," Bullinger noted on sciencedaily.com. "When caregivers have more disposable income, they're better able to provide a child's basic needs such as clothing, food, medical care and a safe home. Policies that increase the income of the working poor can improve children's welfare, especially younger children, quite substantially."

More than 30 states had minimum wages exceeding the federal requirement by an average of $1 during the study period, allowing the researchers to track changes in the number of reports to child protective service agencies with increases in the minimum wage.  Data from the National Child Abuse and Neglect Data System was used in the research.

The substantial decrease in child neglect cases is concentrated among toddlers and school-age children, but changes in the minimum wage had little impact on reports of neglect of teenagers. The researchers found no variation based on a child's race.

“Families with low incomes have a great ability to make a dollar go a long way. On average, the weekly SNAP (Supplemental Nutrition Assistance Program) food stamp benefit for a family of three is about $30. That’s about what a one dollar an hour minimum wage increase translates into for full-time workers. Other studies show that a $1,000 tax refund results in similar declines in child maltreatment – neglect, specifically. So for really low-income families that probably have pretty severe material deprivation or economic hardship, that extra dollar can make a really big difference,” Raissian told UConn Today.

Raissian’s research interests are linked by a common focus on child and family policy, according to the university’s website.  Her dissertation, “Assessing the Role and Impact of Public Policy on Child and Family Violence,” evaluated the efficacy of policies designed to reduce violence directed towards intimate partners, children, and other family members. Her professional background includes nearly 10 years of government and nonprofit sector experience, which focused on serving abused adults and children.

Bullinger is associate instructor in the school of public and environmental affairs at Indiana University at Bloomington.  Both attended Syracuse University’s Maxwell School of Citizenship and Public Affairs.

“Most of the states don’t have a minimum wage at or above $10; Connecticut does. It’s possible Connecticut may be at the threshold,” Raissian said in an interview featured in UConn Today. “It’s also really important to note that, while our study looks at the minimum wage, this could really be an income story – remember other studies find similar results when incomes are increased in other ways. Our very low-income families might be facing other reductions in their incomes that will be costly to us as a state. We should consider that, moving forward.”

Feds Urged to Complete Study Assessing Safety of Crumb Rubber Playing Fields, Playgrounds

If at first you don’t succeed, try, try again.  That’s not only a well-worn adage from youth, it is apparently the game plan for Connecticut U.S. Sen. Richard Blumenthal and his multi-year quest for a comprehensive federal study of the health risks of crumb rubber turf, a surface made of recycled tires that is widely used on playgrounds and athletics fields in Connecticut and nationwide. Blumenthal, along with colleagues in the Senate, are this week urging a federal task force to finish a long-overdue study into potential health risks.  The crumb rubber used in artificial turf fields is mainly composed of recycled tires, which contain man-made and natural rubber, according to the state Department of Public Health.  Chemicals called polycyclic aromatic hydrocarbons (PAHs) and volatile organic compounds (VOCs) can be found in the crumb rubber.  Crumb rubber can also contain heavy metals such as zinc and copper.

After a year and a half, WTNH-TV reported, the Senators are convinced progress on a comprehensive federal study has stalled.

It isn’t the first time that Blumenthal has been a lead voice to prompt action.  In November 2015 Blumenthal and Senate colleague Bill Nelson of Florida urged the Consumer Product Safety Commission to conduct a study.  In March 2016, Blumenthal was among those urging Congress and the President to allocate sufficient funds to conduct the study.  “Parents deserve to know if there is a danger to their children playing on these fields,” he said that month at a news conference held at Yale University.

A synthetic turf study was undertaken in 2016 by four United States agencies  — EPA, Consumer Products Safety Commission, the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry — which has yet to be finalized.

With it’s completion in doubt, Blumenthal is highlighting the imperative to get scientific answers to guide communities that are considering how best to replace natural grass or other types of field surfaces.  It is estimated that there are more than 10,000 artificial-turf surfaces in use across the country.

Earlier this year, plans for a crumb rubber synthetic turf field in North Haven brought local opposition. The town decided to go forward with the less controversial encapsulated crumb-rubber infill over the traditional crumb rubber option, according to an article on the controversy published this month in The Atlantic.

Last year, Hamden opted not to go ahead with plans for crumb rubber, switching to a mix of cork shavings and coconut husk, called “GeoFill,” along with a “shock pad” in response to safety concerns. Bloomfield High School installed a synthetic turf field, South Windsor decided to use acrylic-coated sand instead of crumb rubber.  Madison and Guilford are also among the communities with crumb rubber surfaces for fields or playgrounds, according to published reports.

Testifying at the Connecticut State Capitol earlier this year, medical staff from the Children’s Environmental Health Center at the Icahn School of Medicine at Mount Sinai in New York City, urged that “Until the findings of these studies are available and conclusively demonstrate the safety of recycled rubber playground surfaces, we recommend a ban on the use of these materials where children play.”

Legislation that would have prohibited the installation of ground cover that contains shredded or ground rubber recycled from motor vehicle tires in municipal and public school playgrounds in Connecticut was approved by two legislative committees (Committee on Children, Committee on Planning & Development) in March, but the proposal was not considered by the full legislature in the session that concluded in June.

Blumenthal first became concerned about the artificial surface when his children were playing on the crumb-rubber athletic fields.  “I became concerned as a parent, as much as a public official, ten years ago, and at first was somewhat skeptical, but now very firmly believe that we need an authoritative, real study about what’s in these fields,” Blumenthal told ABC News two years ago.

The state Department of Public Health (DPH) website points out that “the advantages of these fields include less maintenance costs, ability to withstand intense use and no need for pesticides.”  To address public safety concerns, four Connecticut state agencies collaborated in 2010 to evaluate the potential exposures and risks from athletic use of artificial turf fields, the DPH website explains.

A two year investigation of releases from five fields during active play was conducted by the Connecticut departments of Public Health, Energy and Environmental Protection, University of Connecticut Health Center, and The Connecticut Agricultural Experiment Station. The study was peer-reviewed by the Connecticut Academy of Science and Engineering.

The overall conclusion of the report, according to the DPH website, is that “use of outdoor artificial turf fields does not represent a significant health risk.”  A news release issued by the department did note “higher contaminant levels at one indoor field indicate that ventilation of indoor fields should be considered.  Storm water run off findings indicate that proper management of this run off is prudent to address possible environmental effects.”

Population Health Topics to Be Focus of Statewide Public Health Conference

“From Patient to Population Health - Disparities Matter” is the focus this year as the Connecticut Public Health Association (CPHA) expects approximately 300 public health practitioners from around the state to gather at the CPHA Annual Meeting and Conference, being held on October 30. The day-long conference will include more than 30 sessions on various public health topics, along with two keynote speakers and a range of professional development opportunities for attendees.  The keynote speakers will be Mark Masselli, Founder/President/CEO of Community Health Center, Inc., based in Middletown, and State Senator Doug McCrory of Hartford, Democratic Deputy President Pro Tempore, elected to the Senate this past year. 

Conference objectives include:

• Understand how public health policies and programs influence health disparities throughout life for patients and populations.
• Identify evidence-based strategies that can reduce health disparities and improve community health outcomes
• Influence health policies in state and country through disparities research and dissemination of evidence
• Promote the formation of collegial professional networks and the exchange of ideas among members of the public health community

Among the topics to be discussed in sessions throughout the day are youth suicide prevention, pregnancy screening in community-based settings, addressing the needs of people with complex social and health needs, substance abuse, health disparities, healthy eating and hunger, and nutrition education.  Sessions will also focus on early intervention, asthma, drinking water safety, intimate partner violence, and the impact of Federally Qualified Health Centers in improving health outcomes.

Represented among the presenters are the Community Health Center Association, UConn, the state Departments of Public Health and Mental Health and Addiction Services, the Connecticut Data Collaborative, Institute of Living, March of Dimes Foundation, Western Connecticut Health Network, Connecticut Hospital Association and the State Innovation Model Program Management Office.

A welcome address, via video, will be offered by U.S. Sen. Chris Murphy.

The Connecticut Public Health Association, which celebrated its 100^th anniversary last year, has been committed to improving the quality of the public health profession and advocating for policies and programs that promote health and prevent disease.  The organization provides professional development and education, public health advocacy, mentorship and communications to members and the public. This year’s conference is being held at AquaTurf in the Planstville section of Southington.

Three Foundations Join Forces to Advance Obesity Prevention Efforts in Connecticut

If an ounce of prevention is truly worth a pound of cure, efforts in Connecticut may hold the key to turning around the nation’s obesity epidemic – especially among children. Connecticut has the 10th lowest adult obesity rate in the nation, according to a study released earlier this year. The state’s adult obesity rate is 26 percent, up from 16.0 percent in 2000 and from 10.4 percent in 1990.  That places Connecticut 42^nd among the 50 states.  The childhood obesity rate is 30 percent for 10-17 year olds, ranking 29^th among the states, and 15 percent for 2-4 year olds qualifying for federal nutrition assistance, the 12^th highest obesity rate in the country.  And that is where the focus of three Connecticut-based foundations will be, as they combine forces to award $194,884 in grants for obesity prevention projects in Connecticut.

The grants are being funded with contributions from the Children's Fund of Connecticut ($139,884), the Connecticut Health Foundation ($30,000), and Newman's Own Foundation ($25,000) and will be administered by CFC's non-profit subsidiary, the Child Health and Development Institute (CHDI).

Funded projects will inform and advance efforts to prevent obesity by improving early feeding practices for diverse socio-economic, racial, and ethnic groups across various early childhood settings.

"Childhood obesity is a wide-spread public health crisis disproportionately impacting racial and ethnic minorities and low-income children. Once obesity sets in it is very difficult to reverse; however, we are still searching for effective ways to prevent it," said Judith Meyers, President and CEO of the Children's Fund of Connecticut.

"New research on infant and toddler feeding practices shows promising results. These grants to improve infant and toddler feeding practices will help us learn more about what works so we can get ahead of the curve."

The competitive application process administered by CHDI yielded the following funded projects:

• Healthy Eating through Group Well Child Care: $59,904, Yale University

Under the direction of Marjorie Rosenthal, MD, MPH, the project examines the impact of embedding a healthy eating curriculum within group well child care, an evidenced-based model of primary care delivery at the Yale New Haven Hospital Primary Care Center. Expected outcomes include less rapid weight gain for infants in the first six months and improvement in mothers' weight over the first year of her child's life.

• Barriers to Participation in CACFP in CT: $64,998, UConn, Rudd Center for Food Policy and Obesity

Tatiana Andreyeva, PhD, Associate Professor at the UConn Rudd Center, will lead a study that documents and addresses barriers to participation in the federal Child and Adult Care Food Program (CACFP) among Connecticut child care centers serving infants and toddlers from low-income families. Connecticut has one of the lowest CACFP participation rates in the nation. The project team will use surveys and stakeholder interviews to assess perceived and actual barriers to CACFP participation and assess outreach and recruitment strategies currently used in Connecticut to increase center enrollment in CACFP.

• Supporting Healthy Eating in Low-Income Toddlers: $64,982, UConn, Allied Health Sciences

Under the direction of Valerie B. Duffy, PhD, RD and Jennifer L. Harris, PhD, MBA, the project will develop and assess a coordinated communications program to deliver consistent messages to low-income parents in East Hartford about best practices for feeding toddlers (1-2 year olds). The messages will be delivered through pediatric clinics, WIC offices, and Family Resource centers in East Hartford. The project will coordinate infant feeding messages and promote responsive feeding across diverse populations and settings.

Funding is also supporting Connecticut Children's Medical Center's Office for Community Child Health to develop and disseminate training for pediatric primary care providers. The training will address key messages to educate parents about best practices in feeding infants and toddlers.

These projects represent the second cycle of funding from CFC in the early childhood obesity prevention arena. Since 2015, CFC has awarded more than $420,000 to advance early childhood obesity prevention.

The work of the first round of grantees helped CFC and CHDI identify public policies that contribute to obesity prevention, test the effectiveness of messages promoting obesity prevention in infants and toddlers, support breast feeding strategies for hospitals, and harness existing medical record data to identify early childhood obesity risks.

The current round of funding was informed by the Robert Wood Johnson Foundation's recently released Feeding Guidelines for Infants and Young Toddlers: A Responsive Parenting Approach, which highlights new areas of research and practice in obesity prevention.  The data-rich State of Obesity: Better Policies for a Healthier America, published earlier this year, was a project of the Robert Wood Johnson Foundation and the Trust for America’s Health.

Unhealthy Food Marketing Targets Hispanic Youth, UConn Researchers Find

Hispanic children and youth, particularly youth in Spanish-speaking households, visited food/beverage websites at higher rates than their non-Hispanic counterparts, despite fewer visits to the Internet overall, according to a research study published by University of Connecticut faculty members. “The frequency with which youth in Spanish-speaking households visited popular food and beverage websites compared with primarily English-speaking Hispanic youth raises further concerns due to the potential for these sites to reinforce preferences for an ‘‘American’’ diet among less acculturated youth, which could contribute to Hispanic youth’s worsening diet with greater acculturation,” Maia Hyary and Jennifer Harris point out in the inaugural issue of the journal Health Equity, published in September.

They stress that “Further research is needed to understand why Hispanic youth disproportionately visit food/beverage websites to help inform potential actions to reduce their exposure to unhealthy food marketing.”

The researchers warn that “given higher rates of obesity and diet-related diseases among Hispanic youth, food and beverage companies should not target marketing of unhealthy products to Hispanic youth online.”

Dr. Jennifer L. Harris is Director of Marketing Initiatives at the Rudd Center for Food Policy and Obesity and Associate Professor in Allied Health Sciences at University of Connecticut. She leads a multidisciplinary team of researchers who study food marketing to children, adolescents, and parents, and how it impacts their diets and health. Maia Hyary is a PhD student at the Heller School for Social Policy and Management at Brandeis University and a former Rudd Center Research Associate.

Food and beverage companies often target marketing for nutrient-poor products such as candy, sugary drinks, snack foods, and fast-food restaurants to Hispanic audiences, including youth, the researchers state.  They cite previous research that has documented disproportionate exposure to unhealthy food marketing by Hispanic youth in their communities and on TV, but theirs is the first examination of the phenomenon on the internet.

Sites that were relatively more popular with Hispanic youth than with non-Hispanic youth included ChuckeCheese.com, HappyMeal.com, the Lunchables website, FrostedFlakes.com, and two Spanish language websites (ComidaKraft.com and McDonald’sMeEncanta.com). Among Hispanic children (under 12 years), ChuckECheese.com, FrootLoops.com, HappyMeal.com, TacoBell.com, LuckyCharms.com, and SubwayKids.com were relatively more popular.

Health Equity is a new peer-reviewed open access journal that “meets the urgent need for authoritative information about health disparities and health equity among vulnerable populations,” according to the publication’s website, “with the goal of providing optimal outcomes and ultimately health equity for all.” The journal intends to provide coverage ranging from translational research to prevention, diagnosis, treatment, and management of disease and illness, in order to serve as a primary resource for organizations and individuals who serve these populations at the community, state, regional, tribal, and national levels.

PHOTO:  Dr. Jennifer L. Harris, Maia Hyary

National Immunization Month Concludes as School Year Begins

National Immunization Awareness Month (NIAM) is an annual observance held in August to highlight the importance of vaccination for people of all ages, and communities throughout Connecticut are responding with local initiatives aimed at increasing public awareness and understanding. NIAM was established to encourage people of all ages to make sure they are up to date on the vaccines recommended for them. Communities nationwide – including in Connecticut - have continued to use the month each year to raise awareness about the important role vaccines play in preventing serious, sometimes deadly, diseases.

NPHIC, in collaboration with CDC’s National Center for Immunization and Respiratory Diseases, developed information focusing on various age populations, including Babies and young children (July 31-August 6); Pregnant women (August 7-13); Adults (August 14-20); Preteen/Teen (August 21-27); Back to School (July/August).

Among the Connecticut communities participating through the end of the month are Bridgeport, Danbury, Hartford, Naugatuck Valley, New Britain, New Haven, Norwalk, Stamford, Torrington, Waterbury and West Haven.  In West Haven on Thursday, for example, there will be an information table at the West Haven Farmer’s Market.  That same day in New Haven, immunization coordinators will be on hand at the New Haven Health Department offices. Other communities have been utilizing social media, meeting with parents and students to assist with immunization information at the start of the school year, providing explanatory materials and making health department staff available for public information sessions.

The Connecticut Department of Public Health (DPH) explains that most vaccine-preventable diseases are caused by germs that are called viruses or bacteria. Vaccines to help prevent these diseases generally contain weakened or killed viruses or bacteria specific to the disease. Vaccines help your body recognize and fight these germs and protect you each time you come in contact with someone who is sick with any of these diseases.

There are a series of steps that your body goes through to develop immunity through vaccination, the DPH website explains:

• a vaccine is given by a shot (influenza vaccine may be given by a nasal spray and rotavirus vaccine is given by mouth).
• over the next few weeks your body makes antibodies and memory cells against the weakened or dead germs in the vaccine.
• the antibodies can fight the real disease germs if you are exposed to the germs and they invade your body. The antibodies will help destroy the germs and you will not become ill.
• antibodies and memory cells stay on guard in your body for years after vaccination to safeguard you from the real disease germs.

The Connecticut Vaccine Program is Connecticut’s childhood vaccination program. It ensures all children in the state get the vaccinations they need, when they need them, to stay healthy. The state buys vaccine at the lowest possible price through a government contract, and gives the vaccines at no cost to clinics, private doctors, and other health care providers. These providers then vaccinate children without charging patients for the cost of the vaccine (health care providers may still charge an administration fee). Without this program, some insurance companies may not cover the full cost of vaccine, making it too expensive for some families.  There are hundreds of health care providers enrolled in the Connecticut Vaccine Program (CVP) throughout the state, according to the department.

Most vaccines are given to babies and young children, DPH points out, but “some are needed throughout your lifetime to make sure you stay protected. This protection is called immunity. Vaccines are an important and safe way to keep you healthy.”

Stamford Taking Strides to Respond to Student Mental Health Concerns; Research Recommendations Lead to Progress

Stamford Public Schools, acting on recommendations developed by the Child Health and Development Institute of Connecticut (CHDI), is making strides in addressing students mental health needs that may provide effective approaches for schools systems in Connecticut and nationwide that are looking to better address mental health issues, especially in light of increased public attention on issues from suicide prevention to trauma response. “While appreciating that the schools’ primary role is to educate children, many districts such as Stamford are increasingly seeking ways to address behavioral health concerns as an important way of supporting academic achievement, school climate and overall well-being,” said Dr. Jeana Bracey, Director of School Community Initiatives at CHDI.

Results reported in an Issue Brief published by CHDI highlight some of the measurable “improved outcomes” in Stamford Public Schools following an intensive study and systemic recommendations for what is described as a “trauma-informed model for school mental health”:

• Data from 76 Stamford students who completed specific programs in FY 17 and 31 students in FY 16, showed significant reductions in PTSD symptoms and problem severity symptoms.
• Feedback from parents and teachers indicate a decrease in the severity of behavioral concerns in the classrooms and at home.
• School personnel report important changes in culture and climate that reflect an understanding of trauma, how it impacts students, and how to better address students’ needs using supportive and restorative approaches, rather than punitive measures.

The review of Stamford’s mental health services and supports for K-12 students, initiated in 2014   following a series of student suicides and an increase in the number of students experiencing suicidal thoughts and hospitalization, included an examination of the behavioral health needs of students, as well as the districts’ strengths and areas of concern in addressing these needs.  The process included focus groups and interviews and led to recommendations for improving Stamford’s school-based and school-linked mental health services and supports in four priority areas initially:

• Ensuring Sufficient Clinical Staff Capacity
• Providing Professional Development in Mental Health
• Engaging in Mental Health Planning and Oversight
• Promoting Data Collection and Evaluation

In the 2 ½ years since CHDI began to work with Stamford, the local school district has expanded the number of evidence-based services for students from zero to four, implemented district-wide trauma and behavioral health training and supports for staff, and collaborated to build internal capacity and integrate community and state resources and services for students.

Overall, officials report positive feedback from parents, teachers and other school personnel to the changes, and their impact on students and the school communities.

The Issue Brief notes that “Lessons learned in Stamford can help guide other districts seeking to improve their mental health services and supports.”  Among the recommendations to achieve a system “that is more responsive to the needs of their students,” are a commitment from district administrators and school board members, a comprehensive needs assessment, an examination of public and private funding sources, a blending of school-based and community-based services, establishment of peer groups to support mental health staff, and creating small pilot projects that would provide information that would inform subsequent efforts.

In Stamford, CHDI assisted in training school social workers and psychologists to deliver Cognitive Behavioral Intervention for Trauma in Schools (CBITS), a school-based group intervention for grades 5-12, and its counterpart for younger elementary school children, Bounceback.  CBITS began in July 2015 and has been used in 46 schools across the state, reaching more than 800 students.  The results in Stamford mirrored those in other communities utilizing the approach; it has been shown to reduce PTSD and depression symptoms and psychosocial dysfunction in children who have experienced trauma.

Significantly, of the children who likely met the criteria for PTSD prior to treatment, approximately half of them no longer met the criteria for PTSD after 10 sessions of CBITS/Bounce Back.

The Child Health and Development Institute (CHDI)’s goal is to improve the health and well-being of Connecticut’s children by building stronger and more effective health and mental health systems that result in better outcomes for all children in Connecticut, especially the underserved.  The organization pursues these objectives with research, evaluation, training and technical assistance and support for demonstration projects that inform system change.

Best Run Cities in USA? Not in Connecticut, Study Finds

A new analysis of the best run among the 150 largest cities in America shows that Connecticut’s three largest fail to make the top half of the list, with Bridgeport coming closest. Bridgeport is ranked #77, New Haven is #122, and Hartford ranked #145. 

In order to determine the best- and worst-run cities in America, WalletHub’s analysts compared 150 of the most populated cities across six key categories: 1) Financial Stability, 2) Education, 3) Health, 4) Safety, 5) Economy and 6) Infrastructure & Pollution.

The top ten best run cities are: Nampa, ID; Provo, UT; Boise, ID; Missoula, MT; Lexington, KY; Las Cruces, NM; Billings, MT; Bismarck, ND; Fort Wayne, IN and Louisville, KY.

For each city, the analysts constructed a “Quality of City Services” score – comprising 33 key performance indicators grouped into six service categories – that was then measured against the city’s total per-capita budget.  The website evaluated those dimensions using 33 relevant metrics, with each graded on a 100-point scale, with a score of 100 representing the highest quality of service.

In the “financial stability” ranking, only four cities ranked lower than Hartford, which was #146.  New Haven was #143 and Bridgeport #128 in that category.  In the education ranking, New Haven was #115, just ahead of Bridgeport at #116 and Hartford at #121.

Bridgeport reached the top ten nationally in the “health” category, at #8.  Hartford was #42 and New Haven #56.  The cities were again bunched toward the bottom of the list of 150 cities in the “economy” category, with Bridgeport at #142, New Haven #143 and Hartford #146.

Connecticut largest cities fared better in the “infrastructure and pollution” category, with Hartford ranked #36, New Haven #60, and Bridgeport lagging at #115.