Transcript Click to Add Title - Georgia Training Institute

Grow
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& Thrive
A project for
Maternal & Child Health,
Early Childhood
Comprehensive Service
System (ECCS) – Peach
Partners, Department of
Public Health (DPH)
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This training is designed
to build the capacity
of program leaders and
administrators
to actively engage staff and families
in conversations
about child health related to finding
and using a medical and dental home,
developmental screenings, and
referrals.
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Preparing Practitioners to Support Parents
in Finding and Using a Medical Home
and as a Participating Partner
in Preventive Care,
Developmental Screening
and Early Intervention
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Let’s Get Started, Energizer: Build a Bridge!
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Training Plan
Engaging Parents in Healthy Child Development
Program
Staff
Training
Leaders
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Prepare Practitioners
 To share the booklet, A Family
Guide to a Medical and Dental
Home
 To share the brochure, Track Your
Child’s Developmental Milestones
 To talk with parents when they
express a concern about their child
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A Medical and A Dental Home
Part
• Using the Booklet as a tool with
1 parents so they will:
 Understand “what is a medical and
dental home?”
 Make doctor/dental visits work for
them – getting the most out of each
well child check up or dental
appointment
 Identify different sources for
available community and state
resources
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What is a Medical and a
Dental Home?
• a) A building, house, or hospital
that provides medical services to
children
• b) A partnership approach to
providing quality and costeffective health care services for
children
• c) Both
• d) Neither
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What is a Medical and a
Dental Home?
• A partnership approach to
providing quality and costeffective health care services for
children
– Connections to support
systems and services to meet
the needs of the children and
their families.
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What is a Medical and a
Dental Home?
– Respect for the cultural and
religious beliefs of the children
and their families
– Includes child care providers
who feel supported in their
work to provide healthy and
safe environment for the
children in their care
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Seven Components
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Accessible
Family-Centered
Continuous
Comprehensive
Coordinated
Compassionate
Culturally Effective
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What are the Benefits?
• Patient, family, provider
satisfaction
• Professional satisfaction
• Coordination of care
• Wellness
• Efficiency
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What are the Benefits?
Reduced:
•Hospitalizations
•Length of hospital stay
•Use of emergency
department services
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What are the Benefits?
• Establishment of a forum for
problem solving
• Efficient use of limited resources
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Children with Special
Health Care Needs
• “those who have or are at
increased risk for chronic
physical, developmental,
behavioral, or emotional
condition and who also require
health and related services of a
type or amount beyond that
required by children generally”
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Information Search
Activity
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Key Considerations
• Plan multiple opportunities and options
for parents so that you can engage
with them in a time that fits their
schedules, interests, and skill levels.
• Plan creative ways to explain WHY
their child’s health care is important
• Using the booklet in one-to-one
conversations with parents
• Using the booklet in
group conversations with parents
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Talking Points – Frontline
Worker to Parent
• This booklet makes YOU an active
decision maker in your child’s health.
(page 3)
• YOU can get what you need, when
you need it . (page 5)
• YOU can make each doctor/dental
visit work for you. (page 7, 9, 11)
• YOU will have access to resources to
support your child’s health. (page 16-19)
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Tracking Developmental Milestones
Part 2
Using the Brochure as a tool with
parents so they will:
 Understand a child’s
“developmental journey”
 Know their child best
 Act early
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What are
Developmental Milestones?
a) A snapshot in time
b) Something a child will grow out
of
c) Where a child must be at certain
ages
d) A test to label my child
e) None of the above
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What are
Developmental Milestones?
• Things most children can do by a
certain age
• Skills such as taking a first step,
smiling for the first time, and waving
"bye bye" are called developmental
milestones.
• Includes physical, social, emotional,
cognitive and communication skills
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What are
Developmental Milestones?
• Typical mastery of skills at predictable
time periods
• Skills are learned in sequence - children
must first learn to crawl and to pull up
to a standing position before they are
able to walk
• Individual children may meet
developmental milestones a little earlier
or later than his peers
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Why Does it Matter?
There are clearly defined blocks of
time or windows when most
children will meet a milestone.
Tracking milestones is about
watching and recognizing
progress, but also, the loss of a
skill previously acquired.
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Why Does it Matter?
A delay in any areas could be a
sign of a developmental
problem, even autism.
The good news is, the earlier
it’s recognized the more we can
do to help a child reach her full
potential.
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What is Screening?
• Well-child check ups allow doctors
and nurses regular contact with
children to keep track of―or
monitor― health and development
• Developmental screening is a short
test to tell if a child is learning basic
skills when he or she should, or if
there are delays.
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What is Screening?
• Developmental screening can also be
done by other professionals in health
care, community, or school settings.
• Many children with developmental
delays are not being identified as early
as possible. As a result, these children
must wait to get the help they need to
do well in social and educational
settings (for example, in school).
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Recommended Screening
• The American Academy of Pediatrics
recommends that children be
screened for general development
using standardized, validated tools at
9, 18, and 30 months and for autism
at 18 and 24 months or whenever a
parent or provider has a concern.
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What is the ASQ-3 and the
ASQ:SE ?
ASQ Domains
• Communication
• Gross Motor
• Fine Motor
• Problem Solving
• Personal Social
ASQ:SE
• Social Emotional Development
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Screening Option
• Easter Seals, through support from the
CVS Caremark Charitable Trust, provides
parents with FREE access to the Ages &
Stages Questionnaires®, Third Edition,
one of many general developmental
screening tools.
http://www.easterseals.com/site/PageNavigator/ntlc10_mffc_homepageasq.html
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Visit
www.cdc.gov/actearly
or write to [email protected].
This campaign educates parents about
childhood development, including early
warning signs of autism and other
developmental disorders, and encourages
developmental screening and intervention.
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Video: Milestones
http://www.cdc.gov/CDCtv/BabySteps/
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Information Search
Activity
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Key Considerations
• Plan multiple opportunities and options
for parents so that you can engage with
them in a time that fits their schedules,
interests, and skill levels.
• Plan creative ways to explain WHY
tracking their child’s development is
important.
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• Using the brochure in one-to-one
conversations with parents
• Using the booklet in
group conversations with parents
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Talking Points – Frontline
Worker to Parent
• This brochure helps YOU to know
your child best.
• YOU can be your child’s guide
through their developmental journey.
• YOU can observe and celebrate each
developmental milestone.
• YOU can share your child’s progress at
each doctor visit.
•
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Let’s Get Started, Energizer: happy dance!
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Part 3
Tips for Talking with Parents,
especially when there is a
Developmental Concern
• Understanding what to do if
there is a suspected delay
• Using the Georgia’s Children 1st
system, and
• Navigating through a referral for
a more in-depth evaluation.
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Why Talk with Parents?
CDC estimates that 1 in 88 children has
been identified with an autism spectrum
disorder and about 1 in 6 children aged 3–
17 has a developmental disability.
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Why Talk with Parents?
early intervention (before school age)
can have a significant impact on a child’s
ability to learn new skills
as well as reduce the need for
costly interventions over time.
Life Long Health
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Why Talk with Parents?
early intervention (before school
age) can have a significant
impact on a child’s ability to
learn new skills as well as reduce
the need for costly interventions
over time.
Life Long Health
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Parents the Center of Strength
and Support for their Child
• What strengths do you recognize
in families?
• The family is the constant; as
professionals, it is important that
we approach parents with empathy
and sensitivity.
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Effective Ways to
Communicate with Parents
a) Put a note in the child’s cubby or mail a
letter to the parent
b) Tell them, “here is a referral form, have
a good day.”
c) Leave a message on the answering
machine.
d) Tell their sister/son/aunt/friend that
Ms. Jones must see you immediately.
e) None of the above
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Right Time, Right Place,
Right Person, Right Approach
•Make it a conversation
•Pay attention to the parents’ voice
tone and body language
•Give the parents the words to say
when they go to their child’s medical
or dental home
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Right Time, Right Place,
Right Person, Right Approach
• Highlight the child’s strengths
• Utilize the “Learn the Signs. Act
Early.” materials
• Talk about SPECIFIC concerns or
behaviors
• Share ideas about how to use the
medical/dental home to address
any concerns or to get additional
information
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Right Time, Right Place,
Right Person, Right Approach
• Demonstrate that you are there
to provide any additional
support needed
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Don’t Wait…No Excuses…
It’s too hard. Parents don’t want to
always “hear” you. It’s upsets the
day. It never goes smoothly – the
referral/follow up.
If we don’t, then who will?
Will it be any easier later?
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In partnership with the Department
of Public Health,
Great Start Georgia
is designed to create a community culture of care,
encouragement, and support for all families before
and after the birth of a child.
Across hundreds of Georgia communities, services
are available to ensure that these important early
years are rich with opportunities for children to be
educated, safe, and healthy. A free Information &
Referral Center offers connections to relevant local
resources and information.
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Connect to Great Start Georgia's
free Information and Referral
Center online at
www.greatstartgeorgia.org
Or by calling our toll free
number at
1-855-707-9277.
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Children’s 1st
• Children 1st is the “Single Point of Entry” to
a statewide collaborative system of public
health and other prevention based
programs and services. This system helps
parents provide their young children with a
healthy start in life.
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Children’s 1st
• It allows at-risk children to be identified
early and gives them a chance to grow up
healthy and ready for school. Participation
is voluntary and there are no financial
requirements for enrollment into the
program.
404-657-4855 or 888-651-8224 (Toll Free)
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Role Play
Role Play
• Ms. Smith is the mother of 3 year old Troy
and she comes to you, as someone she
trusts, with a concern about a potential
developmental delay. He does not make
eye contact with her and also does not
speak in complete sentences. She is
worried.
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Role Play
Role Play
• Ms. Jones is the mother of 18 month old
Shimelle. You have met with her on
several occasions. Your team identified
you as the “right’ person to talk with her
about some observations that suggest a
developmental delay. Shimelle seems to
be losing skills she once had.
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Information Search
Activity
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Key Considerations
• Plan multiple opportunities and options
for parents so that you can engage with
them in a time that fits their schedules,
interests, and skill levels.
• Plan thoughtful ways to talk with
parents about sensitive issues.
• Using information in one-to-one
conversations with parents.
• Using a family team meeting approach.
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Talking Points – Frontline
Worker to Parent
• You and your child’s well being are
the most important thing to us
right now.
• We are going to work together to
find the best services for your child.
• Let’s see if can find more
information to help us understand
what’s going here with your child.
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Next Steps
• Order Brochures
• What is your plan of action?
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Training Plan
Engaging Parents in Healthy Child Development
Program
Staff
Training
Leaders
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Resources
• American Academy of Pediatrics (AAP)
AAP Parenting Corner
www.healthychildren.org
Information on children’s health topics,
and how to find a pediatrician (doctor)
near you.
• American Academy of Family Physicians
www.familydoctor.org
Information on many health topics and
how to find a family doctor.
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