31
Resources that Work! A Panel Presentation South Carolina Home Visiting Summit Connect. Collaborate. Change. September 29, 2014

Help Me Grow, South Carolina

Embed Size (px)

Citation preview

Page 1: Help Me Grow, South Carolina

Resources that Work! A Panel Presentation

South Carolina Home Visiting Summit

Connect. Collaborate. Change. September 29, 2014

Page 2: Help Me Grow, South Carolina

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.

Page 3: Help Me Grow, South Carolina

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  

Page 4: Help Me Grow, South Carolina

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  

Page 5: Help Me Grow, South Carolina

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  

Page 6: Help Me Grow, South Carolina

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  

Page 7: Help Me Grow, South Carolina
Page 8: Help Me Grow, South Carolina

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

Page 9: Help Me Grow, South Carolina

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

Page 10: Help Me Grow, South Carolina

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

Page 11: Help Me Grow, South Carolina

Who should be doing developmental screening? •  Pediatricians (AAP Guidelines) •  Primary Care Physicians •  Early Intervention Agencies – “Childfind” •  School Districts •  Parents •  Child Care Providers •  Home Visitors

Page 12: Help Me Grow, South Carolina

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

Page 13: Help Me Grow, South Carolina

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

Page 14: Help Me Grow, South Carolina

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

Page 15: Help Me Grow, South Carolina

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

Page 16: Help Me Grow, South Carolina

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

Page 17: Help Me Grow, South Carolina

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.

Page 18: Help Me Grow, South Carolina

HMG CT Video

•  http://youtu.be/lfupI4bARLk

Page 19: Help Me Grow, South Carolina

The National Perspective

Page 20: Help Me Grow, South Carolina

Core Components

Page 21: Help Me Grow, South Carolina

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

Page 22: Help Me Grow, South Carolina

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

Page 23: Help Me Grow, South Carolina

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

Page 24: Help Me Grow, South Carolina

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

Page 25: Help Me Grow, South Carolina

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

Page 26: Help Me Grow, South Carolina

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

Page 27: Help Me Grow, South Carolina

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

Page 28: Help Me Grow, South Carolina

HMG Resources

Page 29: Help Me Grow, South Carolina

Help Me Grow Family Engagement Events

Page 30: Help Me Grow, South Carolina

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

Page 31: Help Me Grow, South Carolina

Questions?

Jane Witowski [email protected]

www.helpmegrowsc.org