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Resources that Work! A Panel Presentation
South Carolina Home Visiting Summit
Connect. Collaborate. Change. September 29, 2014
Session Objectives
• Review opportunities for earlier identification of children at-risk for d/b/l problems through validated developmental screening tools.
• Increase awareness of Help Me Grow as a resource for early identification and linkage to services for at risk children.
• How HMG can enhance work of home visitors.
Child Well Being Trends
THE GOOD NEWS
• More children attending preschool • Fewer low-birth weight babies • Fewer teen births • More families where head of household has a
high school diploma
Source: The Annie E. Casey Founda6on 2013 Kids Count Data Book
Child Well Being Trends
THE NOT SO GOOD NEWS
• Children living in high-poverty areas • Child poverty rate • Children living in single-parent families
Source: The Annie E. Casey Founda6on 2013 Kids Count Data Book
South Carolina Trends
• 28% of children live in poverty- upward trend over the last 5 years (US 23%)
• 32% of children 0-3 live in poverty (US 26%)
• 55% of children don’t attend preschool (US 54%)
• 42% of children live in single parent homes (US 35%)
Source: The Annie E. Casey Founda6on 2013 Kids Count Data Book
Where We Rank
• Of the 50 states, South Carolina’s overall rank of child well-being is…
45
Source: The Annie E. Casey Founda6on 2103 Kids Count Data Book
Why is early identification/ intervention important? • All parents have some questions or concerns
about their child’s development • Developmental delays might be a clue to
underlying treatable medical condition • Early identification, if linked with appropriate
interventions, mitigates negative effect of problems
• Strong evidence that early intervention is effective in improving developmental outcomes
The Challenge
• Over 15% of children have some form of developmental-behavioral problem
• Only 20 – 30% of children with problems are identified before school entrance
• Only 50% of families report developmental
assessment by their doctors Halfon N, Regalado M. Assessing development in the pediatric office. Pediatrics 2004:113 (6 suppl)1926-1933
Developmental Screening
• Administration of brief standardized tool that aids the identification of children at risk for developmental problems
• Identifies areas in which a child’s development differs from same-age norms
• Repeated screening more effective in identifying delays – especially later-developing skills such as language
Who should be doing developmental screening? • Pediatricians (AAP Guidelines) • Primary Care Physicians • Early Intervention Agencies – “Childfind” • School Districts • Parents • Child Care Providers • Home Visitors
When to do screening?
• American Academy of Pediatrics’ Policy recommends screening at minimum of 9 months, 18 months, and 24 or 30 months. AND
• Autism screen at 18 months
Screening Tools
• Important to use standardized tool not just a check list
• Several easy to use tools available • Variety of costs involved • New tool in development that will be free
Ages and Stages Questionnaire • Parent completed • 2- 60 months • 30 items-10 -15 minutes to complete • Can be done on line or on paper • Cut-off scores in 5 dev. domains indicating
need for further evaluation • Companion tool for social-emotional
screening
Challenges • Barriers to screening in medical offices
– Time – Reimbursement – What to do with positive results?
• Fragmented and uncoordinated community services – Different definitions – Different screening instruments – Lack of communication between providers
Solutions
• More efficient screening instruments and systems (completed by parents and caregivers)
• Focus on those groups at higher risk for developmental problems
• Improving communication and collaboration among providers
• New systems designed to connect dots
What is Help Me Grow?
• A system for linking families to existing services and supports for children birth to 8 at risk for developmental, behavioral, or learning problems
• National best practice model being replicated in 23 states. GHS is lead partner in SC.
HMG CT Video
• http://youtu.be/lfupI4bARLk
The National Perspective
Core Components
HMG Planning Team 2009-2012 A Collaborative Effort
• Lead Planning Partners: • Children’s Hospital of Greenville Health System • SC DHEC (ECCS) • United Way Association of South Carolina • SC AAP • Family Connection • SC Department of Education • First Steps (BabyNet) • SC Children’s Trust • United Way of Greenville County
Help Me Grow Phase 1 2012-2014
• Specialized early childhood call center established as part of UW 211
• Initial outreach to pediatric primary care and key community partners targeting high risk populations
• Greenville/Pickens counties
Help Me Grow Phase 2 2014-2017
• Upstate expansion • Charleston area expansion through
MIECHV/ Support to HV programs throughout state
• Continued connection to state agencies
Centralized Telephone Access Point
• Launched in September 2012
• Universal family friendly access point-help for questions about child development and parenting topics
• Child development experts answer calls, assess needs, connect families to community-based programs and services
• Developmental screening offered at no cost
• Comprehensive early childhood resource data base
• Follow up with families/feedback to medical home
• Ages and Stages developmental monitoring system
The Early Scorecard
• 562 child intakes • 13 counties represented • #1 issue- behavioral concerns • 877 referrals made • 285 screenings completed directly through
website, family engagement events, and targeted community partnerships
Community Outreach
• Community networking opportunities • In-service presentations • Family engagement events • Active participation in local and state early
childhood groups • Special focus on Hispanic families
Data Collection
• Understanding all aspects of the HMG system, including identification of service gaps and barriers to service.
• To inform policy and decision makers • To provide feedback for quality
improvements
HMG Resources
Help Me Grow Family Engagement Events
How can HMG help you?
• Refer to and from HV programs • Support developmental screening efforts • Continued monitoring after child ends HV • Explore partnership opportunities • Creative and blended funding • Be a child advocate