Use space to insert photo or graphics accessed through Title Master Slide Mill Woods Preschool Developmental Screening

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Mill Woods Preschool Developmental Screening

www.capitalhealth.ca 2

• Alberta Health and Wellness • extended to RHAs in November 2006, approved in

April 2006

• Criteria• collaboration, Ages and Stages Questionnaire (ASQ),

innovation, service integration, comprehensive (screening to intervention)

• Budget• Total provincial budget $7.9 million over 3 years

Provincial Request for Proposals




• Four proposals funded• Capital Health • East Central Health• David Thompson Health• Chinook Health

• Evaluation • Alberta Centre for Child, Family and Community Research

• Change in access to screen/service• Impact on the workforce• Developmental outcomes for children

Provincial Request for Proposals



• To strengthen parent and community capacity through knowledge, skills and linkages to resources, to provide an enriching environment for healthy child development

• To introduce an integrated and multi-disciplinary network of support for families if there are developmental concerns

Goals:

www.capitalhealth.ca


• Secondary Goals

• Promote awareness of the importance of healthy early childhood development

• Facilitate development of an early childhood network to promote coordination of services

• Promote alternative health service delivery models

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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

Partners



• 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

Partners



• Millwoods

• Urban area• Culturally diverse (6% Aboriginal, 20% immigrant and

refugee)• Rapid growth

• Increasing birth rate (est. 6 to 10% increase each year)

• In-migration

Community



• 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

Process – 18 and 36 month old children


Mill WoodsPreschool Developmental Screening

• 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)

Follow up – 18 and 36 month old children



• Service sequence

• Screen – intervention – identify – intervention – assessment – referral (as needed)

• Capacity building (parents, partners, community)

• Coaching model

• Child Parent coached by key worker coached by specialists

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Process – key elements


•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

Concerns: On ASQ or• Parent concern or• 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

Re-screen at 36 months


ASQ Screening


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

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

Concerns: On ASQ or• Parent concern or Staff concern

•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


Post ASQ Screen: Follow-up


Follow-Up (maximum 2 contacts)

Strategies• Individualized• Various handouts• Encourage/invite to workshop:

• General Child Development • Targeted topics


Post ASQ Screen: Intervention & Referral

Family Doctor orPhysician

Referrals as needed if family needs more than 2 contacts

Single delay to OT/PT or Speech

Early Intervention Program if two or

more delays

Othere.g. Home Care

Connections Assessment Group to Glenrose if required


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?

Discharge

Letter to Family Doctor / Pediatrician regarding results




- start 18 month screens Nov. 2007

- start 18 month interventions Nov/Dec 2007

- start 36 month screens Jan. 2008

- Start 36 month interventions Jan/Feb 2008

- project ends Dec. 2009

Milestones and Timelines



• Discussion

Documents

Use space to insert photo or graphics accessed through Title Master Slide Mill Woods Preschool Developmental Screening