Connecting Families to Community Resources

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Help Me Grow

• Connecting Families to Community Resources

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Key Points

• Help Me Grow A resource that will save you time
• Developmental Surveillance How it can be
  ongoing, consistent and valid
• Parent Questionnaires Two tools to help identify
  developmental/behavioral concerns, put parents at
  ease address their concerns

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What is Help Me Grow?

• Serves children (birth through 5) who are at risk
  for behavioral and developmental delays and who
  do not qualify for Birth to Three Services
• What Help Me Grow Does
• Researches resources and services available using
  Child Development Community Liaisons
• Connects families to appropriate services

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Why Help Me Grow?

• Children with developmental/behavioral problems
  are eluding early detection
• Programs exist to help at-risk children
• Children and their families benefit from a
  coordinated, state-wide system of early detection
  and intervention for children at risk
• Child health providers face a challenge in
  connecting at-risk children with needed services

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Consider this Scenario.

• Ms. Smith, a young single parent, brings her
  3-year-old son CJ to you for a
  well child visit.
• You ask if she has any concerns
  about development. She says no.
  You complete the physical exam
  and begin to wrap up the visit.
• You notice CJ is very active and barely speaks.
• Ms. Smith is ready to leave, reaches for the
  doorknob and says

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Oh, by the way.
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CJ is driving me crazy, he never listens and has
been kicked out of two child care centersIm at
the end of my rope.
You are running behind.
What Do You Do?
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Do the Concerns Represent

• A social-emotional problem?
• A school problem?
• A developmental delay?
• A parenting issue?

How Do You Help Connect Families to
Resources/Services in Your Community?
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Lets Go Back to the Beginning

• Ms. Smith approaches the registration desk
• She is given a parent questionnaire that asks her
  to write down concerns
• As you enter the exam room you quickly scan the
  protocol and note her concerns about behavior and
  child care
• Or you ask.

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Do you have any concerns about your childs
learning, development or behavior?
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How Can Help Me Grow Help?

• Discuss Help Me Grow with parent
• Provide prescription pad with information
• Call 1-800-505-7000 and outline concerns
• Telephone Care Coordinator takes information and
  calls parent

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Who Should You Refer?

• Developmental concerns
• Addressing challenging behaviors
• Parenting education
• Family supports
• Parent advocacy
• Referral to other services (Husky)

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Who Can Call?

• Child Health Provider
• Parent
• Child Care Provider
• Social Service Provider

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How to Refer to Help Me Grow

• Call the Child Development Infoline at
  1-800-505-7000
• Telephone Care Coordinators
• Triage calls
• Are bilingual
• Provide follow-up
• Link to Child Development Community Liaisons

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Child Development Community Liaison

• Statewide
• Identifies community resources
• Gathers data on gaps barriers
• Community networking opportunities

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Connecting CJ to Services
The Child Development Community Liaison
researches options for services

• Parenting support groups for behavioral
  challenges
• Support in the child care setting
• Follow-up

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Parent Fills Out Form
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Well Child visit
Doctor Gets Feedback
Help Me Grow
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Call 1-800-505-7000
Parent Connected to Resource
Care Coordinator Links to CDL
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The Challenge

• We know that early detection leads to early
  intervention which can prevent disabilities.
• But
• How do child health providers find time to
  provide ongoing, consistent developmental
  surveillance to their patients?

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What is Developmental Surveillance?

• A flexible, continuous, longitudinal process.
• Components
• Eliciting/attending to parents concerns
• Obtaining a relevant developmental history
• Skillfully observing childrens development
• Sharing opinions with other professionals

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Developmental SurveillanceTwo Tools

• PEDS (Parents Evaluation of Developmental
  Status)
• Ages Stages Questionnaire

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PEDS(Parents Evaluation of Developmental Status)

• Parent report vs. parent recall
• Takes only 2-5 minutes to complete
• Written on 5th grade level
• Identifies 74 to 80 percent of children with
  developmental disabilities
• Can be used birth to 8 years of age
• Standardized, reliable

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PEDS Research

• 11 percent of children need referrals for further
  evaluation
• 26 percent of children need screening,
  developmental promotion and observation
• 20 percent of children need mostly behavioral
  guidance
• 43 percent of children need only routine
  monitoring

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Ages Stages Child
Monitoring Program

• Parent completes questionnaire
• Helps parents understand and recognize
  developmental milestones
• Statewide Birth to 60 months
• Results returned to child health provider
• Identifies children at risk for developmental
  delays

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Help Me Grow
A Program of The Childrens Trust Fund

• Partners
• Connecticut Birth to Three System
• Preschool/Special Education
• United Way of CT/Infoline
• Support
• The Commonwealth Fund
• E.P.I.C. (Educating Practices in the Community)
• Childrens Health Development Institute
• CT Chapter of the American Academy of Pediatrics

The Commonwealth Fund is a New York City-based
private, independent foundation.
The views presented herein are those of the
author(s) and not necessarily
those of The Commonwealth
Fund, it's directors, officers, or staff.
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A Resource for You

• Call Help Me Grow
• Consider using the PEDS/ASQ at well child visits

Thank you for your time! Please remember to fill
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