Transcript EARLY DETECTION OF DEVELOPMENTAL, BEHAVIORAL, AND

Promoting Children’s Healthy Development Through Child
Development Infoline, CT’s Help Me Grow Call Center
AIRS 2012 Conference- New Orleans
May 21, 2012
 Marijane
Carey, Carey Consulting,
MCH Consultant for United Way of CT
& The Help Me Grow National Center
 Kareena
DuPlessis, Director,
Child Development Infoline
 Dierdre
Sowa, Senior Care Coordinator,
Child Development Infoline
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Workshop Objectives
 Learn about the Help Me Grow (HMG) system and the role of
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the call center
Understand CT 2-1-1/Child Development Infoline’s (CDI)
function and responsibilities in the CT Help Me Grow system
Become aware of the Ages & Stages Child Monitoring
Program and how CDI offers the tool to families
Learn about replication efforts of the National HMG Center
Explore the feasibility of establishing a HMG system in your
state and the potential role for your call center
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Why Help Me Grow?
 Assumptions:
 Children with developmental/behavioral
problems are eluding early detection
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Many initiatives exist to provide services
to young children, their families

A gap exists between child health and child
development/early childhood education programs
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Children and their families would benefit from
a coordinated, region-wide system of early detection,
intervention for children at developmental risk
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Help Me Grow Background
 Pioneered by Paul Dworkin, Physician-
in-Chief of Connecticut Children’s
Medical Center
 Began in 1998 as a pilot project in
Hartford, CT for pediatricians called
ChildServ
 Became statewide in 2002 with
administrative oversight provided by the
Children’s Trust Fund
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Help Me Grow Background
 National Replication
 2005
– Orange County Help Me Grow was
established
 2008
– Expanded to 5 states with funds from the
Commonwealth Fund
 2010
– Established the National Help Me Grow
Center with Kellogg funding and added 9 more
replication states
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ELEMENTS of the Help Me Grow SYSTEM
Continuous Quality
Improvement
Steering Committee
Ongoing
Monitoring/Evaluation
Administrative Entity
Call Center/
Access Point
Community
Outreach
Pediatric
Outreach
Child Development Infoline, a
specialized call center of United Way
2-1-1, helps families with children
who are at risk for or experiencing
developmental delays or behavioral
health issues find appropriate
services.
Care Coordinators provide:
• Assessment of needs & referrals
to services
• Education on development,
behavior management and
programs
• Ongoing developmental
monitoring
• Advocacy and follow up
Child Development Infoline
1-800-505-7000
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Child Development Infoline
Care Coordinators
 Utilize 2-1-1’s framework for handling calls Building
a relationship
 Conducting a needs assessment
 Educating on resources
 Making referrals
 Providing follow-up
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Care Coordinators link to services
 The CT Birth to Three System (Early Intervention)
 Early Childhood Special Education Services
 Children and Youth with Special Health Care Needs
Program
 Other 2-1-1 Call Centers
 Help Me Grow
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Referrals to services
 Birth to Three- for children birth-36 months of age
with significant developmental delays in need of
early intervention services
 Early Childhood Special Education- for children
ages 3-5 with significant delays in need of special
education services
 CYSHCN- for children birth-21 years with chronic
physical, developmental or emotional conditions
needing more health/related services than children
the same age
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United Way of Connecticut
Programs
Help Me Grow
for children birth thru 8 years
 “Safety Net” available to all families
 Referrals for families of young children “at risk”
for developmental or behavioral problems
 Care coordinators research resources that meet
the needs of child and family
 Referrals to existing programs, such as family resource
centers, parent aide programs, early childhood consultation
services and other
parent supports
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Help Me Grow
for children birth thru 8 years
 Provide information on various parenting
issues, such as toilet training, behavior
management, sleep issues
 Offer developmental tracking and monitoring
through mail-out questionnaire called Ages &
Stages (ASQ)
 Ongoing follow up to ensure family is connected
to services & issues are addressed
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Training components for staff: areas for
training
 Assessment skills
 Being family friendly, supportive & non-judgmental
 Being holistic- looking at family needs, as well as child
specific needs
 Child development – both typical and atypical
 Diagnoses and disability information
 Specific program requirements
 Complex service delivery systems
 Data collection and data entry
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Training for Care Coordinators
 On-the-job training
 One on one supervision
 Peer to peer modeling/mentoring
 Case discussion
 Attending outside workshops/trainings
 Regular inservice trainings
 Case audits and call listening
 Celebrating successes
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Wide range of needs
 FY’11: ~ 2,300 CT people call Help Me Grow
~ 3,300 children enrolled in ASQ
 Information/assistance with connecting to service
 Developmental, health or behavior problem that
does not fit eligibility criteria
 Programs for healthy development - universal
 Multiple, overlapping needs
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Advantages of utilizing Help Me Grow
 One stop shopping
 Consistency in data collection and handling of calls
 Mandated follow-up to ensure needs are met
 Identification of gaps and barriers to inform policy makers
 Blended funding is cost effective
 Collaboration among partnering programs ensures smooth
referral process for families
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Case Examples
 A mother called in seeking parenting support. She
was experiencing personal family stressors and had
three children, one with a diagnosed medical
condition.
 A third party call from a social worker at a domestic
violence shelter regarding the mother of an almost
three year old child. The worker was looking for
community based resources for the mom.
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The Ages & Stages Child Monitoring Program
 ASQ is an interactive tool
 Designed for parents and providers
 Helps monitor children’s development
 Identifies developmental concerns
 When there’s a concern, Help Me Grow/CDI
can help
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Advantages of the ASQ system
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Cost effective
Parent driven
Reliable & valid
Easy to use
Available in multiple languages
Flexible- used in a variety of environments
Home
Daycare
Primary care centers
As a mail-out questionnaire
In CT, statewide access to ASQ is available thru
Child Development Infoline (CDI)
• Families send in consent form
• Receive welcome letter
• Receive questionnaire closest to child’s age
• Family fills out & returns questionnaire to CDI
• CDI scores ASQ and
• Provides feedback to family, along with developmental
activities
• Results also returned to child health provider
ASQ Case Example
 24 month old child who’s mother noted
concerns for him on the ASQ Questionnaire.
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More information on ASQ
 Brookes Publishing
http://www.brookespublishing.com/store/books/squiresasq/system.htm
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Core Components
Core Components & Structural Requirements
Centralized Telephone
Access Point
Community & Family
Outreach
Child Health Provider
Outreach
Data Collection &
Analysis
Organizing
Entity
Statewide
Expansion
Continuous
Quality
Improvement
Structural Requirements
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HMG National supports affiliate states by:
• Promoting development and expansion of
a national network of states that are
building HMG systems
• Providing technical assistance to help
states implement HMG’s core components
and structural requirements
• Informing the public discourse on the
crucial importance of optimal child
development
• Providing tools for implementation
Affiliate States
as of 2012
Alabama
California
Colorado
Connecticut
Delaware
Florida
Iowa
Kentucky
Louisiana
Massachusetts
New Jersey
New York
Oregon
South Carolina
Utah
Washington
Help Me Grow National Center
 Joanna Bogin, Manager
P:860.610.4267
 Sara Sibley, Administrative Coordinator
P:860.610.4232
 Website: http://www.helpmegrownational.org
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Thank you!
 Marijane
Carey
[email protected]
 Kareena
DuPlessis
[email protected]
 Dierdre
Sowa
[email protected]
 www.211ct.org
 www.ctunitedway.org/cdi.html
7/17/2015