preschool developmental screening in mill woods
DESCRIPTION
Preschool Developmental Screening in Mill Woods. An update on the Edmonton project. Why screen?. “Begin early, intervene often, intervene effectively.” (Ludwig and Sawhill, Brookings Institute). Alberta Health and Wellness RFP in November 2006, awarded April 2007 Budget - PowerPoint PPT PresentationTRANSCRIPT
Preschool Developmental Screening in Mill Woods
An update on the Edmonton project
www.albertahealthservices.ca 2
“Begin early, intervene often, intervene effectively.” (Ludwig and Sawhill, Brookings Institute)
Why screen?
www.albertahealthservices.ca 3
• Alberta Health and Wellness • RFP in November 2006, awarded April 2007
• Budget• $7.9 million over 3 years (to Dec. 2009)• across Alberta
Provincial Request for Proposal (RFP)
Provincial Request for Proposals
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• East Central
• David Thompson
• Chinook
• Capital
• Palliser
Five projects:
Provincial Request for Proposals
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• Provincial• Alberta Centre for Child, Family and Community
Research• Change in access to screen/service• Impact on the workforce• Developmental outcomes for children
• Local • Early Childhood Measurement and Evaluation
Resource Centre (ECMERC)• Concurrent study of ASQ Validity with cultural groups
Evaluation
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• ASQ Sample • ASQ_Questionnaire.pdf
• Summary Sample
eCHSA-08-0646 18 Month ASQ Information Summary
Form.pdf
ASQ
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1. Build parent and community capacity
2. Develop an integrated multi-disciplinary, cross-sector parent support network
Goals
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• Mill Woods in Edmonton
• Urban
• Culturally diverse
• Rapid growth
Community
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Alberta Health Services• Community Health Services
• Child Health Clinics• Edmonton Early Intervention Program• Regional Pediatric and Mental Health• Speech and Language Services
• Community Rehabilitation - Pediatric Occupational Therapy
• Glenrose Rehabilitation Hospital• 1-2-3 Go! Child and Family Early Intervention
Service
• Stollery Child Health
Partners
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• Child and Adolescent Services (CASA)• Mill Woods Community Mapping and Beyond• Multi-Cultural Health Brokers• Child and Family Services Authority – Region 6• Millwoods Family Resource Centre (Parent
Link)• Edmonton Public Schools• Edmonton Catholic Schools• ABC Head Start
Partners
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“.. ensure that we’re all saying the same messages … starts to promote child development in
Millwoods.”
“… the kids come and they’re having a great time and the parents are there and they’re asking questions and the parents are connecting …
that’s how you build community.”
“Our collaboration with MFRC and MCHB with OT and Speech make it easier to serve families…”
Partner voices
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Process
Recruitment
• 18 month old
• 36 month old
• Cultural adaptations
Parent Capacity Building
Community Capacity Building
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• Universal targeted clinical
• Capacity building
• Coaching
• Strengths based, child led
• Cultural conversion
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Key Elements
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ScreeningNo Concerns
Concerns• ASQ, Parent or Staff
Letter• Explain what screening is/is not• Review results, invite to learning events,
community groups• Community Resources information
In-Person Follow-up•Explain what screening is/is not•Review results, offer learning event, community groups and home visit
Intervention and Follow-up• Key worker home visit do family interview, culture gram, secondary screens • Results to Physician (with consent)• maximum 2 contacts; individualized strategies, provide resources, workshop,
community resources
Referral
Well Child Clinic
Recruitment - 18 month
Re-screen at 36 months
www.capitalhealth.ca
Communication42%
Problem Solving20%
Fine Motor18%
Gross Motor12%
Personal Social8%
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Concerns 310/1130 screened
Recruitment Results – 18 month
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29%
14%
24%
14%
SL OT EIP MCHB16
49 referrals from 310 concerns
Clinical Referrals – 18 month
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Parent Voices
“Opened my eyes to the things my child was doing well”
“I enjoyed the idea of having the ASQ done in the health clinic; something while you are sitting
there and waiting already.”
“If you have not come or found me in this way I would have been lost and I wouldn’t have known
what to do with my child”.
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ScreeningNo Concerns
Concerns• ASQ, Parent or Staff
On-site Results• Explain what screening is/is not• Review results, invite to learning events,
community groups• Community Resources information
In-Person Results•Explain what screening is/is not•Review results, offer learning event, community groups and home visit
Intervention and Follow-up• Key worker home visit do family interview, culture gram, secondary screens • Results to Physician (with consent)• maximum 2 contacts; individualized strategies, provide resources, workshop,
community resources
Referral
3 Year Old Celebration
Recruitment - 36 month
www.albertahealthservices.ca
Fine Motor59%
Personal Social11%
Gross Motor9%
Problem Solving
7%
Communication14%
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Concerns 35/162 screened
Recruitment Results - 36 month
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44%
22% 22%
SL OT MCHB 20
9 referrals from 35 concerns
Clinical Referrals – 36 month
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Parent Voices
• “The best part was that I learned my child can do some things I never knew he could.”
• “It was wonderful to be able to get information from the professionals and get our questioned
answered right there!”
• “This rocks! I wish there was something like this for older kids!”
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ASQ as a learning tool…
• 97 % increased knowledge
• 98% better informed about child’s development
• 94% increased resource knowledge
Parent voices
www.albertahealthservices.ca
Communication36%
Fine Motor24%
Gross Motor11%
Personal Social8%
Problem Solving21%
23
Recruitment – Cultural Adaptations
Concerns 36/69
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• Community Referrals – 74
• Clinical Referrals – 5/36 (14%)
• Secondary screens – 8 (20%)
Clinical Referrals – Cultural Conversion
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Parent voices
“… So they want the whole family to be the part of it, Grandma, Grandfather, sister in law,
mother in law. I have done the screen where the whole family sitting in the circle. Everybody’s picture is in. …Everybody is part of that child
development”
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Process
Recruitment
• 18 month old
• 36 month old
• Cultural adaptations
Parent Capacity Building
Community Capacity Building
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Parent Capacity Building
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Parent Capacity Building
Coaching model
• Child Parent Key worker specialists
Learning Events
• Integrated key messages
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Learning Events
• 339 parents attended
• 95% increased ECD knowledge
• 100% will try strategies
• 88% increased knowledge of resources
Parent Capacity Building Results
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Capacity Building
Key messages for parents and community.
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Capacity Building
I learn through everyday activities.
I learn in my community.
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Capacity Building
I learn through my interests.
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Capacity Building
I learn by people responding to me
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Community Capacity Building
• Common messages across partners
• Community embedded services
• Community displays
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The journey continues … questions?