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Preschool Developmental Screening in Mill Woods

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Title: Capital Health PPT Template Author: Haft2 / Egg Design Last modified by: MichelleCraig Created Date: 12/12/2006 2:38:05 PM Document presentation format – PowerPoint PPT presentation

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Title: Preschool Developmental Screening in Mill Woods


1
Preschool Developmental Screening in Mill Woods
  • An update on the Edmonton project

2
Why screen?
  • Begin early, intervene often, intervene
    effectively. (Ludwig and
    Sawhill, Brookings Institute)

3
Provincial Request for Proposals
Provincial Request for Proposal (RFP)
  • Alberta Health and Wellness
  • RFP in November 2006, awarded April 2007
  • Budget
  • 7.9 million over 3 years (to Dec. 2009)
  • across Alberta

3
4
Provincial Request for Proposals
Five projects
  • East Central
  • David Thompson
  • Chinook
  • Capital
  • Palliser

4
5
Evaluation
  • 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

6
ASQ
  • ASQ Sample
  • ASQ_Questionnaire.pdf
  • Summary Sample
  • eCHSA-08-0646 18 Month ASQ Information Summary
    Form.pdf

7
Goals
  • Build parent and community capacity
  • Develop an integrated multi-disciplinary,
    cross-sector parent support network

7
8
Community
  • Mill Woods in Edmonton
  • Urban
  • Culturally diverse
  • Rapid growth

8
9
Partners
  • 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

9
10
Partners
  • 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

10
11
Partner voices
  • .. ensure that were all saying the same
    messages starts to promote child development in
    Millwoods.
  • the kids come and theyre having a great time
    and the parents are there and theyre asking
    questions and the parents are connecting thats
    how you build community.
  • Our collaboration with MFRC and MCHB with OT and
    Speech make it easier to serve families

11
11
12
Process
  • Recruitment
  • 18 month old
  • 36 month old
  • Cultural adaptations

Parent Capacity Building
  • Community Capacity Building

13
Key Elements
  • Universal targeted clinical
  • Capacity building
  • Coaching
  • Strengths based, child led
  • Cultural conversion


13
14
Recruitment - 18 month
Well Child Clinic
Screening
  • Concerns
  • ASQ, Parent or Staff

No Concerns
  • In-Person Follow-up
  • Explain what screening is/is not
  • Review results, offer learning event, community
    groups and home visit
  • Letter
  • Explain what screening is/is not
  • Review results, invite to learning events,
    community groups
  • Community Resources information
  • 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

Re-screen at 36 months
Referral
15
Recruitment Results 18 month
  • Concerns 310/1130 screened

16
Clinical Referrals 18 month
  • 49 referrals from 310 concerns

16
17
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 wouldnt have known
    what to do with my child.

18
Recruitment - 36 month
3 Year Old Celebration
Screening
  • Concerns
  • ASQ, Parent or Staff

No Concerns
  • In-Person Results
  • Explain what screening is/is not
  • Review results, offer learning event, community
    groups and home visit
  • On-site Results
  • Explain what screening is/is not
  • Review results, invite to learning events,
    community groups
  • Community Resources information
  • 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
19
Recruitment Results - 36 month
  • Concerns 35/162 screened

19
20
Clinical Referrals 36 month
  • 9 referrals from 35 concerns

20
21
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!

22
Parent voices
  • ASQ as a learning tool
  • 97 increased knowledge
  • 98 better informed about childs development
  • 94 increased resource knowledge

23
Recruitment Cultural Adaptations
  • Concerns 36/69

23
24
Clinical Referrals Cultural Conversion
  • Community Referrals 74
  • Clinical Referrals 5/36 (14)
  • Secondary screens 8 (20)

24
25
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. Everybodys
    picture is in. Everybody is part of that child
    development

26
Process
  • Recruitment
  • 18 month old
  • 36 month old
  • Cultural adaptations

Parent Capacity Building
  • Community Capacity Building

26
27
Parent Capacity Building
27
28
Parent Capacity Building
  • Coaching model
  • Child Parent Key worker
    specialists
  • Learning Events
  • Integrated key messages

29
Parent Capacity Building Results
  • Learning Events
  • 339 parents attended
  • 95 increased ECD knowledge
  • 100 will try strategies
  • 88 increased knowledge of resources

30
Capacity Building
Key messages for parents and community.
31
Capacity Building
I learn through everyday activities.
I learn in my community.
31
32
Capacity Building
I learn through my interests.
32
33
Capacity Building
I learn by people responding to me
33
34
Community Capacity Building
  • Common messages across partners
  • Community embedded services
  • Community displays

35
The journey continues questions?
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