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This website was last updated: Friday, April 18, 2008 @ 9:56:41 AM
KP Cares Program
>> Why Care Coordination? >> Six Components of the Program
>> Why Kennebec Pediatrics? >> KP Cares Program Brochure
Children with behavioral and/or learning problems have special needs that require additional help and support. Parents, teachers and care providers have to work through many challenges to help special needs children achieve success. This program model will enable families of children with disruptive behavior disorders to access services and care coordination through the primary care provider.

Kennebec Pediatrics Cares Program (KP Cares) will provide outreach to families to help them consistently follow through on their treatment plans in school and home settings, reduce crises, and improve school performance and social functioning. KP Cares will enhance continuity and quality of care for children with behavior disorders by:
  • Creating a primary care team to provide supportive services to the child's family and school.
  • Adding the family perspective directly to team deliberations.
  • Coordinating more effectively with the child's therapeutic behavioral health support.
  • Creating a database containing key information on patients for the team's ongoing work with the child and family and for evaluation of the program.

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There are approximately 300 patients of Kennebec Pediatrics who have specific problems with school performance and other behavioral disorders. Before KP Cares, the practice had an initial contact with the patient, assessed their medical needs, and made referrals to specialists. The only method of managing these patients and their medications had been through the Nurse Manager's prescription notebook. The practice has found that children with certain behavioral and medical problems are extremely hard to care for once they are in crisis. KP Cares was developed to help coordinate care and services with the goal of decreasing crises and improving the child's success at home, school and with peers.

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Patient Database
The Patient Database was developed specifically for the program and contains patient-specific information such as medical providers, medication lists, previous testing, etc. The database facilitates care for the more than 300 children in the practice who have special needs. The database is kept confidential, accessible only to KP staff.
Care Notebook
The care notebook is an organizational tool designed to help families track their child's medical, behavioral and educational history. To improve coordination among caregivers, families carry the notebook with them and record important events that occur during medical or behavioral office visits on a “care summary sheet.” Care summary sheets also provide a chance for doctors and therapists to record questions for other care providers. Communication and confidentiality are assured because the families control caregiver access to the notebook. The notebooks also contain behavioral and medical action plans for use by the child's caretakers (including school and daycare) when an urgent situation arises.
Parent Helpers
Carol Jewett and Doris Pietroski are the Parent Helpers for KP Cares. Both Carol and Doris are parents of special needs children who are patients at Kennebec Pediatrics. Using personal experience getting evaluations and services for their own children from the state, school, and providers, the Parent Helpers will work with families to help them get the best services available. Carol and Doris will be able to assist families with their Care Notebook, coordinate school meetings, access specialty services, and more.

You can contact Carol and Doris by calling the office or send them an e-mail at carol.jewett@mainegeneral.org or doris.pietroski@mainegeneral.org.
Study
The Study will track the changes in how families function over the period of time they are involved with the KP Cares program. The goal is to measure improvement in quality of life, as reflected by better school attendance and performance, as well as a decrease in the frequency of behavioral crises. We are also measuring the use and functionality of our website, and the effectiveness of the psychiatry in the office education program.
Psychiatry in the Office
Jessica Oesterheld, M.D., from the Spurwink School will be holding case conferences for doctors, nurses, psychologists, and social workers. Case conferences will give providers an opportunity to improve the way they give care to patients with special needs, especially those with complex behavior problems.
Website
Kennebec Pediatrics developed this website for use with KP Cares in order to improve parents' access to available resources covering various medical and mental health issues.

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Looking for blank forms to put into your Care Notebook? You can download and print all the forms in the Care Notebook from our Forms Page!

You can download a colorful brochure about the KP Cares Program by clicking on the link below.

  KP Cares Program Brochure

Please Note: This brochure requires Adobe Acrobat Reader in order to view it. Adobe Acrobat Reader is free and most newer computers have it installed. If you do not have the Reader, you can download it to your computer by going to http://www.adobe.com/products/acrobat/. Click on ‘Downloads,’ choose ‘Free Acrobat Reader,’ and follow the instructions.

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