Janet Cady, MN, ARNP

Neighborcare Health

University of Washington

2013

Disease Prevention and Health Promotion/Screening Guidelines

Child Safety Seats

Fluoridation Immunizations

Bike Helmets

Home SafetyBack to Sleep

Prevention Works!

Least likely to use health services20-34% received no health care in

previous yearParent level of education & insurance

status impact utilizationPoverty= less preventive health careMinority = less preventive health careAnd annual routine preventive services

are recommended for all adolescents

Utilization of Preventive Services

Bright Futures Charter- 1994

Risk & Protective FactorsIndividualPeerFamilySchoolCommunity

+ Protective Factors= + Health Outcomes+ Risk Factors= - Health Outcomes

Catalano & Hawkins- UW~ SDRG

We know what works…

Bright Futures Steering & Advisory Committees- 2008

American Academy of Pediatrics

American Academy of Family Physicians

Ambulatory Pediatric Association

Family Voices

National Association of Pediatric Nurse

Practitioners

American Dietetic Association

HRSA, Maternal & Child Health Bureau

American School Health Association

American Academy of Child & Adolescent

Psychiatry

American College of Preventive Medicine

Mental Health America

American Academy of Pediatric Dentistry

Centers for Disease Control & Prevention

Indian Health Service

National Initiative for Children’s Healthcare

Quality

American Medical Association

and more…

Effective PartnershipsCommunicationPromoting Health & Preventing IllnessManaging TimeEducating FamiliesAdvocating

PATIENT & FAMILY-CENTERED CARE

Bright Futures Core Concepts

Use of a preventive services prompting sheetUse of structured tools to assess the child and

family’s developmental and behavioral needs Evaluation of parental strengths and needs,

including assessment of protective factors Use of recall and reminder systems Linkage of the child and family to appropriate

community resources Use of assessment strategies at well-child

visits to identify children with special health care needs

Six Key Components

Surveillance

Screening

Assessment

Guidelines

Anticipatory Guidance

Surveillance, Screening, Assessment, Guidelines, & Anticipatory Guidance

Solicits concerns from parent & child

Surveillance and screeningAssessment of strengthsDiscussion of certain priorities for improved child & adolescent health & family function over time.

Bright Futures Visit

Health History & Physical Examination

Vision, Hearing, Dental, & Risk-based Screening

Anticipatory Guidance PrioritiesPhysical Growth & DevelopmentSocial & Academic CompetenceEmotional Well-beingRisk ReductionViolence & Injury Prevention

Adolescent Health Care Bright Futures- 2008

Goals for Quality Improvement

Immunization

https://www.raaps.org/products_training.php

CRAFFT

“HEADS” Assessment/Screening

HOME

EATING

Energy/Exercise/Sleep

DRUGS & ALCOHOL

SAFETY

SUICIDE RISK

SEXUALITY

STRENGTHS & SKILLS

Bright Futures at AAPwww.brightfutures.aap.org

Bright Futures at Georgetownwww.brightfutures.org

Internet Resources