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CHILDREN THRIVING AT THREE
Using Developmental Screening to Identify
Children Who Need Early Intervention
WEBINAR #3 | HEALTH | OCTOBER 11, 2012
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Important Upcoming Dates
Campaign Leadership Webinar
• Third Wednesdays, 1 PM ET
• Wed, Oct 17, 2012 1:00 PM - 2:00 PM EDT
• Wed, Nov 28, 2012 3:00 PM - 4:00 PM EST
• Wed, Dec 19, 2012 1:00 PM - 2:00 PM EST
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Access Prior Webinars
The Ning: A Password-Protected Site for the Campaign for Grade-Level Reading
• Under the NCSC (Network Communities Support Center) tab.
• Drop down menu for each webinar series.
Future webinars that explore how health supports
learning and grade‐level reading will focus on
preschoolers and children in the early grades:
• Ready at Five – November 8
• Present and Engaged in the Early Grades –
December 13
Future HealthWebinars
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Mark Your Calendar!
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Agenda
• 1:00 p.m. Introduction – Susanne Sparks
• 1:05 p.m. What Is Developmental Screening &
Why Is It Important for Grade‐Level Reading?
– Becky Miles‐Polka
• 1:15 p.m. How is Iowa implementing
Developmental Screening? State & Local
Perspectives
– Sonni Vierling & Sarah Black
• 1:50 p.m. Questions & Discussion
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• Sonni Vierling, State Coordinator, 1st Five
Healthy Mental Development Initiative, Iowa
Department of Public Health
• Sarah Black, Site Coordinator (Dallas, Jasper,
Mahaska, Polk & Poweshiek Counties), Visiting
Nurse Services of Iowa
• Becky Miles‐Polka, GLR Site Liaison, Smarter
Learning Group and Senior Consultant, The
Campaign for Grade‐Level Reading
Presenters
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• Understand developmental screening &
follow‐up and how it supports grade‐level
reading
• Learn how Iowa communities are using
developmental screening to grow healthy
children – healthy learners
Objectives
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Developmental screening is a quick, accurate
way to identify whether or not infants, toddlers,
and young children are growing and learning on
track in the following areas:
• Cognition and intellectual development
• Language and communication
• Fine and gross motor coordination
• Pre‐academic and academic skills
• Self‐help
• Behavior
What is Developmental Screening?
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• Many developmental delays can be
addressed prior to school entry
• Children with undiagnosed delays or
disabilities start school behind their peers
• Children from low‐income households
have higher rates of delays
Why is Developmental Screening Important to Learning and Grade‐Level Reading?
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Promoting Young Children’s Healthy Development through
Primary Care &
Public Health Partnerships
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Why is early detection so important?
1990’s: The Decade of the Brain
Findings: The Brain Matters duringEarly Child Development
A child's brain will grow the most during the first 5 years of life, reaching90 percent of its final size.
As young children develop, their early emotional experiences literally become embedded in the architecture of their brains.
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Children with developmental/behavioral problems are eluding early detection
•Nationally, 71% of pediatricians use only observation of development to screen children; however, this method identifies only 30% of young children with developmental disabilities.
• Only 1 in 6 children with a developmental concern are identified before starting school.
• In Iowa, only 50% of children birth-12 months enrolled on Medicaid receive adequate developmental screening, and less than 30% for children 1-2 years.
National Center for Health Statistics, Dept. of Health and Human Services. 1994 National Health Interview Survey on Disability, Phase 1. CD-ROM Services 10-8. Hyattsville, MD: National Center for Health Statistics; 1996.
Department of Health and Human Services, Centers for Disease Control and Prevention. National Center on Birth Defects and Developmental Disabilities. 2005.
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Makin
g th
e Mo
st of
Well-C
hild
Care
Through Public-Private Partnerships
Core Purpose of 1st Five To build partnerships between primary care and public service providers to enhance high quality well-child care.
1st Five supports assessing social and emotional developmental skills of infants, toddlers and young children –CONCURRENT WITH DEVELOPMENT OF THE CHILD’S motor, language, cognitive and adaptive skills.
This includes screening for parental depression, family stress and autism.
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Primary Care Provider Involvement is Key
• Providers play an important role in early identification of children
• Viewed as a credible source
• Parents expect guidance on behavior and development during routine office visits
Public Health InvolvementONE - CALL REFERRAL
Public health care coordinators are experts in knowing available resources for children and families.
• Link families to appropriate community services.
• Help arrange transportation to and from medical appointments.
• Integrate children’s healthy mental development into their work with families.
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1st Five uses a three-level system of child health care
Level 1 services: Standardized Universal Surveillance
Level 2 services: Developmental Screening
Level 3 services:Evaluation, Diagnosis & Treatment
Level 2 – Developmental Screening
AAP RECOMMENDATIONS for routine standardized screening of all children
9 months General developmental screening
18 months General developmental screening
Screening for autism
24 months General developmental screening if a 30-month surveillance exam is not scheduled
Screening for autism
30 or 36 months General developmental screening
When standardized screening is performed, it should also be accompanied by surveillance in all appropriate domains.
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Don’t watch and wait.
Potential Reasons for Referral to 1st Five
•Early Intervention & Evaluation Services
•Developmental Delay
•Speech Therapy
•Occupational Therapy
•Physical Therapy
•Financial Stress
•Family/Relationship Stress
•Domestic Abuse
•Child Care
•Head Start & Preschool
•Family Support Services
•Housing Resources
•Maternal/Caregiver Depression
•Mental Health Issues
•Behavior Issues
•Parent Education Programs
•Food Assistance
•Family Planning
•Medicaid/Dental/hawk-iInsurance Needs
•Substance Abuse
•Transportation Concerns
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1st Five Partnership Model
For every initial referral into 1st Five an average of three referrals to programs or connections to other services and resources are made.
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1st Five Participating Counties & Primary Care Practice Locations
Currently, 80 medical practices, representing 267 providers, are involved in 1st Five, impacting approximately 77,000 children birth to five.
Sarah BlackSite Coordinator
Dallas, Jasper, Mahaska, Polk, Poweshiek Counties
Visiting Nurse Services of Iowa
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INITIAL REASONS for REFERRAL• 34% child development• 27% speech and hearing• 30% family stress
– Financial– Child care– Relationships– Substance abuse– Violence/abuse– Lack of help
• 7% caregiver depression• 2% other, e.g. dental, nutrition
EFFECTIVE CONNECTIONS &
SYSTEM NAVIGATION
APPROACH
• Respect
• Listen
• Build Trust
• Care
• Integrity
• Advocacy
• Expertise
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STAFF Experience & Training Emphasis
• Bilingual• World view• Child development• Parenting• Breastfeeding• Child attachment• Domestic violence
• Crisis counseling• Poverty• Racism• Motivational interviewing
• Refugee services• System navigation
1st FIVE REFERRALS• Early intervention services• School‐based services• Therapy (Speech, OT, PT)• Parenting information• Child development info• Child behavior• Assessment services• Mental health support• Depression support • Financial assistance• Baby/child supplies• Transportation• Home visiting
• Family support services• Case management• Nutrition• Food• Childcare• Insurance• Insurance waivers• Housing• Legal• Furniture/clothing• Energy assistance• Employment• Domestic violence
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VALUE of 1st FIVE
• to Providers
• to Families
• to Community resources
Resources
Harvard Center on the Developing Child:http://developingchild.harvard.edu/
Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating Developmental Science Into Lifelong Health http://pediatrics.aappublications.org/content/early/2011/12/21/peds.2011-2662
http://www.idph.state.ia.us/1stfive/
http://www.iowaepsdt.org
National Child Traumatic Stress Network:http://www.nctsn.org/
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1st Five Healthy Mental Development Initiative
Sonni VierlingState Coordinator
Iowa Department of Public [email protected]
515.281.8284
Sarah BlackSite Coordinator
Dallas, Jasper, Mahaska, Polk, Poweshiek Counties
Visiting Nurse Services of [email protected]
515.558.9608
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• Upcoming Child Health webinars:
• Ready at 5—Thu, Nov 8, 2012 1:00 PM ‐ 2:00
PM EST
• Present and Engaged in the Early Grades—
Thu, Dec 13, 2012 1:00 PM ‐ 2:00 PM EST
• This webinar will be jointly presented by
Attendance Works and the Child Health
Team. We will discuss asthma and other
health issues as they impact
attendance.
Upcoming Webinars
