Transcript Capital Health PPT Template

Mill Woods
Preschool
Developmental
Screening
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Mill Woods
Preschool Developmental Screening
Provincial Request for Proposals
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Alberta Health and Wellness
• extended to RHAs in November 2006, approved in April 2006
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Criteria
• collaboration, Ages and Stages Questionnaire (ASQ),
innovation, service integration, comprehensive (screening to
intervention)
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Budget
• Total provincial budget $7.9 million over 3 years
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Mill Woods
Preschool Developmental Screening
Provincial Request for Proposals
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Four proposals funded
• Capital Health
• East Central Health
• David Thompson Health
• Chinook Health
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Evaluation
• Alberta Centre for Child, Family and Community Research
• Change in access to screen/service
• Impact on the workforce
• Developmental outcomes for children
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Mill Woods
Preschool Developmental Screening
Goals:
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To strengthen parent and community capacity through knowledge,
skills and linkages to resources, to provide an enriching
environment for healthy child development
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To introduce an integrated and multi-disciplinary network of
support for families if there are developmental concerns
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Mill Woods
Preschool Developmental Screening
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Secondary Goals
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Promote awareness of the importance of healthy early
childhood development
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Facilitate development of an early childhood network to
promote coordination of services
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Promote alternative health service delivery models
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Mill Woods
Preschool Developmental Screening
Partners
Capital Health
• Community Health Services
• Child Health Clinics
• Edmonton Early Intervention Program
• Regional Pediatric and Mental Health
• Speech and Language Services
• Community Rehabilitation Program
• Pediatric Occupational Therapy and Physiotherapy
• Glenrose Rehabilitation Hospital
• 1-2-3 Go! Child and Family Early Intervention Service
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Mill Woods
Preschool Developmental Screening
Partners
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Child and Adolescent Services (CASA)
• Infant and Preschool Mental Health
Multi-Cultural Health Brokers
Child and Family Services Authority – Region 6
Millwoods Family Resource Centre (Parent Link Centre)
Edmonton Public Schools
Edmonton Catholic Schools
ABC Head Start
ECMERC (University of Alberta) – Local Evaluation
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Mill Woods
Preschool Developmental Screening
Community
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Millwoods
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Urban area
Culturally diverse (6% Aboriginal, 20% immigrant and refugee)
Rapid growth
• Increasing birth rate (est. 6 to 10% increase each year)
• In-migration
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Mill Woods
Preschool Developmental Screening
Process – 18 and 36 month old children
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Recruitment
• For 18 month olds (est. 1530/year) at immunization
• 36 month olds (est. 800/year) invitation to ‘3 year old party’
Screen
• ASQ identifies approx. 24%, actual rate approx. 12%
• Parent administered ASQ (as required support for language or
other questions)
• Questionnaires by mail, phone, e-mail
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Mill Woods
Preschool Developmental Screening
Follow up – 18 and 36 month old children
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ALL families invited to session on healthy child development,
strategies and community resources
key worker provides secondary screens as required
key worker coaches parents who are the primary interveners in
home visits
key workers coached by specialists
key workers regularly case conference with specialists
referrals to other supports as appropriate
36 month old children will be referred to appropriate education
programs (PUF, MM, ELL, Head Start)
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Mill Woods
Preschool Developmental Screening
Process – key elements
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Service sequence
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Screen – intervention – identify – intervention – assessment –
referral (as needed)
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Capacity building (parents, partners, community)
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Coaching model
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Child
Parent
specialists
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coached by key worker
coached by
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Mill Woods
Preschool Developmental Screening
ASQ Screening
•Parent attends 3 Year Old Party or 18 month
Immunization
•project introduced and ASQ done by parent
•Parent completes ASQ
•Given to Key Worker to score
No Concerns:
On ASQ &
• No parent concern &
• No staff concern
Letter sent
• explain what screening is/is not
• results, etc.
• invite universal parent workshop
• inform re: community groups
• what to do if concern develops
• include information handouts
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Concerns:
On ASQ or
• Parent concern or
• Staff concern
Re-screen at 36 months
Mill Woods
Preschool Developmental Screening
Post ASQ Screen: Follow-up
Concerns:
On ASQ or
• Parent concern or Staff concern
Note: Keyworker can be CH PDS
employee or MCHB
Secondary Screens by Key Worker– (as needed)
Choose most appropriate:
• ASQ – if not already completed
• ASQ Social-Emotional
• M-CHAT
• CHS Speech screen
• Infant-Toddler Checklist
• CRP Feeding Screen
• Motivational Assessment Screen
• CRP Sensory Screen
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•Phone call to all families by
Keyworker
•Explain what screening is/is not
•Answer questions
•Review results
•Invite to universal parent workshop
•Inform about community groups
•Set up HV
Intervention - Home Visit by Keyworker
• Complete family interview if needed
• Complete culturegram if needed
• Complete secondary screens if needed
• Obtain verbal consent to share information with
Physician
• Send letter to Physician with ASQ results and
programs involved
• Coaching between Broker and PDS as needed
Mill Woods
Preschool Developmental Screening
Post ASQ Screen: Intervention & Referral
Referrals as needed if family needs
more than 2 contacts
Follow-Up (maximum 2 contacts)
Single delay
to OT/PT or Speech
Strategies
• Individualized
• Various handouts
• Encourage/invite to workshop:
• General Child Development
• Targeted topics
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Other
e.g. Home Care
Family Doctor or
Physician
Early Intervention
Program if two or
more delays
Connections
Assessment Group to
Glenrose if required
Mill Woods
Preschool Developmental Screening
Post ASQ Screen: Follow-up & Discharge
Follow-up with phone call in two months to determine results of referral, how things
went and how they are going now.
Do they need further assistance?
Record wait time for service?
Letter to Family Doctor /
Pediatrician regarding results
Discharge
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Mill Woods
Preschool Developmental Screening
Milestones and Timelines
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start 18 month screens
Nov. 2007
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start 18 month interventions
Nov/Dec 2007
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start 36 month screens
Jan. 2008
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Start 36 month interventions
Jan/Feb 2008
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project ends
Dec. 2009
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Mill Woods
Preschool Developmental Screening
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Discussion
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