grow learn thrive &thrive a project for maternal & child health, early childhood...

GrowLearn&ThrivThrivee A project for

Maternal & Child Health, Early Childhood

Comprehensive Service System (ECCS) – Peach Partners, Department of

Public Health (DPH)

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GrowLearn&ThrivThrivee

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This training is designed to build the capacity

of program leaders and administrators

to actively engage staff and families

in conversations about child health related to

finding and using a medical and dental home, developmental

screenings, and referrals.


04/21/23

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Preparing Practitioners to Support Parents in Finding and Using a Medical Home

and as a Participating Partner in Preventive Care,

Developmental Screening and Early Intervention


04/21/23

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Let’s Get Started, Energizer: Build a Bridge!


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Training Leaders

ProgramStaff

Today

Within

4 weeks Within

4 weeks 5

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Training PlanEngaging Parents in Healthy Child Development


Prepare Practitioners To share the booklet, A Family Guide

to a Medical and Dental Home

To share the brochure, Track Your

Child’s Developmental Milestones

To talk with parents when they

express a concern about their child

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Part 1

A Medical and A Dental Home

• Using the Booklet as a tool with parents so they will: Understand “what is a medical and

dental home?” Make doctor/dental visits work for them

– getting the most out of each well child check up or dental appointment

Identify different sources for available community and state resources

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What is a Medical and a Dental Home?

• a) A building, house, or hospital that provides medical services to children

• b) A partnership approach to providing quality and cost-effective health care services for children

• c) Both• d) Neither

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What is a Medical and a Dental Home?

• A partnership approach to providing quality and cost-effective health care services for children–Connections to support

systems and services to meet the needs of the children and their families.

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–Respect for the cultural and religious beliefs of the children and their families

– Includes child care providers who feel supported in their work to provide healthy and safe environment for the children in their care

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What is a Medical and a Dental Home?continued


Seven Components

• Accessible• Family-Centered• Continuous• Comprehensive• Coordinated• Compassionate• Culturally Effective

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What are the Benefits?

• Patient, family, provider satisfaction

• Professional satisfaction• Coordination of care• Wellness• Efficiency

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Reduced:•Hospitalizations

•Length of hospital stay

•Use of emergency department services

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continued


• Establishment of a forum for problem solving

• Efficient use of limited resources

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continued


Children with Special

Health Care Needs• “those who have or are at increased risk for chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally”

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Information SearchActivity

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Key Considerations• Plan multiple opportunities and

options for parents so that you can engage with them in a time that fits their schedules, interests, and skill levels.

• Plan creative ways to explain WHY their child’s health care is important

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• Using the booklet in one-to-one conversations with parents• Using the booklet in group conversations with parents


Talking Points – Frontline Worker to Parent

• This booklet makes YOU an active decision maker in your child’s health. (page 3)

• YOU can get what you need, when you need it . (page 5)

• YOU can make each doctor/dental visit work for you. (page 7, 9, 11)

• YOU will have access to resources to support your child’s health. (page 16-19)

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Tracking Developmental Milestones

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Part 2 Using the Brochure as a tool with parents so they will:

Understand a child’s “developmental journey” Know their child best Act early


What areDevelopmental Milestones?

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a) A snapshot in timeb) Something a child will grow

out ofc) Where a child must be at

certain agesd) A test to label my childe) None of the above



• Things most children can do by a certain age

• Skills such as taking a first step, smiling for the first time, and waving "bye bye" are called developmental milestones.

• Includes physical, social, emotional, cognitive and communication skills

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• Typical mastery of skills at predictable time periods

• Skills are learned in sequence - children must first learn to crawl and to pull up to a standing position before they are able to walk

• Individual children may meet developmental milestones a little earlier or later than his peers04/21/23

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continued


Why Does it Matter?

There are clearly defined blocks of time or windows when most children will meet a milestone.

Tracking milestones is about watching and recognizing progress, but also, the loss of a skill previously acquired.

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Why Does it Matter?

A delay in any areas could be a sign of a developmental problem, even autism.

The good news is, the earlier it’s recognized the more we can do to help a child reach her full potential.

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continued


What is Screening?

• Well-child check ups allow doctors and nurses regular contact with children to keep track of―or monitor― health and development

• Developmental screening is a short test to tell if a child is learning basic skills when he or she should, or if there are delays.

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• Developmental screening can also be done by other professionals in health care, community, or school settings.

• Many children with developmental delays are not being identified as early as possible. As a result, these children must wait to get the help they need to do well in social and educational settings (for example, in school).

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What is Screening?continued


Recommended Screening

• The American Academy of Pediatrics recommends that children be screened for general development using standardized, validated tools at 9, 18, and 30 months and for autism at 18 and 24 months or whenever a parent or provider has a concern.

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What is the ASQ-3 and the ASQ:SE ?

ASQ Domains• Communication• Gross Motor • Fine Motor • Problem Solving • Personal Social ASQ:SE• Social Emotional Development

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Screening Option

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• Easter Seals, through support from the CVS Caremark Charitable Trust, provides parents with FREE access to the Ages & Stages Questionnaires®, Third Edition, one of many general developmental screening tools.

http://www.easterseals.com/site/PageNavigator/ntlc10_mffc_homepageasq.html


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Video: Milestones http://www.cdc.gov/CDCtv/BabySteps/

Visit www.cdc.gov/actearly

or write to [email protected].

This campaign educates parents about childhood development, including early warning signs of autism and other developmental disorders, and encourages developmental screening and intervention.



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Key Considerations• Plan multiple opportunities and options

for parents so that you can engage with them in a time that fits their schedules, interests, and skill levels.

• Plan creative ways to explain WHY tracking their child’s development is important.

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• Using the brochure in one-to-one conversations with parents• Using the booklet in group conversations with parents


• This brochure helps YOU to know your child best.

• YOU can be your child’s guide through their developmental journey.

• YOU can observe and celebrate each developmental milestone.

• YOU can share your child’s progress at each doctor visit.

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Let’s Get Started, Energizer: happy dance!


Tips for Talking with Parents,especially when there is a Developmental Concern

• Understanding what to do if there is a suspected delay

• Using the Georgia’s Children 1st system, and

• Navigating through a referral for a more in-depth evaluation.

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Part 3


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CDC estimates that 1 in 88

children has been identified with

an autism spectrum disorder and

about 1 in 6 children aged 3–17 has

a developmental disability.

Why Talk with Parents?


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early intervention (before school

age)

can have a significant impact on a

child’s ability to learn new skills

as well as reduce the need for

costly interventions over time.


Life Long Health


Life Long Health

early intervention (before school age) can have a significant impact on a child’s ability to learn new skills as well as reduce the need for costly interventions over time.

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Parents -the Center of Strength

and Support for their Child

• What strengths do you recognize in families?

• The family is the constant; as professionals, it is important that we approach parents with empathy and sensitivity.

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Effective Ways to Communicate with

Parentsa) Put a note in the child’s cubby or mail a letter to the parent

b) Tell them, “here is a referral form, have a good day.”

c) Leave a message on the answering machine.

d) Tell their sister/son/aunt/friend that Ms. Jones must see you immediately.

e) None of the above

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•Make it a conversation

•Pay attention to the parents’ voice

tone and body language

•Give the parents the words to say

when they go to their child’s

medical or dental home

Right Time, Right Place,Right Person, Right Approach



• Highlight the child’s strengths • Utilize the “Learn the Signs. Act

Early.” materials• Talk about SPECIFIC concerns or

behaviors • Share ideas about how to use

the medical/dental home to address any concerns or to get additional information

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• Demonstrate that you are there to provide any additional support needed

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If we don’t, then who will? Will it be any easier later?

It’s too hard. Parents don’t want to always “hear” you. It’s upsets the day. It never goes smoothly – the referral/follow up.

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Don’t Wait…No Excuses…


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In partnership with the Department of Public Health,

Great Start Georgia is designed to create a community culture of care,

encouragement, and support for all families before and after the birth of a child.

Across hundreds of Georgia communities, services are available to ensure that these important early years are rich with opportunities for children to be educated, safe, and healthy. A free Information & Referral Center offers connections to relevant local resources and information.


Connect to Great Start Georgia's free Information and Referral Center online at www.greatstartgeorgia.org Or by calling our toll free

number at 1-855-707-9277.


Children’s 1st

• Children 1st is the “Single Point of Entry”

to a statewide collaborative system of

public health and other prevention based

programs and services. This system helps

parents provide their young children with

a healthy start in life.

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Children’s 1st

• It allows at-risk children to be identified

early and gives them a chance to grow

up healthy and ready for school.

Participation is voluntary and there are

no financial requirements for enrollment

into the program.

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404-657-4855 or 888-651-8224 (Toll Free)


Role PlayRole Play• Ms. Smith is the mother of 3 year old

Troy and she comes to you, as someone she trusts, with a concern about a potential developmental delay. He does not make eye contact with her and also does not speak in complete sentences. She is worried.

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Role PlayRole Play• Ms. Jones is the mother of 18 month

old Shimelle. You have met with her on several occasions. Your team identified you as the “right’ person to talk with her about some observations that suggest a developmental delay. Shimelle seems to be losing skills she once had.

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Key Considerations• Plan multiple opportunities and

options for parents so that you can engage with them in a time that fits their schedules, interests, and skill levels.

• Plan thoughtful ways to talk with parents about sensitive issues.

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• Using information in one-to-one conversations with parents.• Using a family team meeting approach.


• You and your child’s well being are the most important thing to us right now.

• We are going to work together to find the best services for your child.

• Let’s see if can find more information to help us understand what’s going here with your child.

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Next Steps

• Order Brochures

• What is your plan of action?

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04/21/23

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Training Leaders

ProgramStaff

Today

Within

4 weeks Within

4 weeks 5

5

Training PlanEngaging Parents in Healthy Child Development


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04/21/23

• American Academy of Pediatrics (AAP)AAP Parenting Cornerwww.healthychildren.org

Information on children’s health topics,and how to find a pediatrician (doctor)near you.

• American Academy of Family Physicianswww.familydoctor.org

Information on many health topics andhow to find a family doctor.

Resources

grow learn thrive &thrive a project for maternal & child health, early childhood...

Documents