Innovative-Developmental-Screening-An-Alberta-

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InnovativeDevelopmentalScreeningAn Alberta Initiative

www.capitalhealth.ca 2

Preschool Developmental Screening Edmonton and Area

•Identify children with delayed development to allow for earliest

possible intervention

• 10% to 15% children demonstrate developmental delays,

• <50% of children access early intervention programs)

•Increase parent and community awareness about the importance of

healthy early childhood development

•Develop parent and community capacity to support healthy early

childhood development

Why developmental screening?



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• Alberta Health and Wellness• RFP to regional health Authorities in November 2006, awarded

April 2007

• Criteria• collaboration, Ages and Stages Questionnaire (ASQ),

innovation, service integration, comprehensive (screening tointervention)

• Budget• $7.9 million over 3 years (to Dec. 2009)• across Alberta

Provincial Request for Proposal



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• Four projects funded:

• East Central Health

• David Thompson Health

• Chinook Health

• Capital Health

Provincial Request for Proposal



• Provincial Evaluation• Alberta Centre for Child, Family and Community Research

• Change in access to screen/service• Impact on the workforce• Developmental outcomes for children

• Local Evaluation• Early Childhood Measurement and Evaluation Resource Centre

(ECMERC)• Concurrent study of ASQ Validity with cultural groups

Evaluation



• ASQ is a parent completed questionnaire

• Available in two month intervals from 2 to 24 months, three monthintervals from 24 to 36 months, 6 month intervals from 36 to 60months

• Areas addressed: communication, gross motor, fine motor,problem solving, personal-social

• 76% to 91% concurrent validity, 72% overall sensitivity, 86%overall specificity

Ages and Stages Questionnaire (ASQ)

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• Goals

• To strengthen parent and community capacity throughknowledge, skills and linkages to resources, to provide anenriching environment for healthy child development

• To introduce an integrated and multi-disciplinary network ofsupport for families if there are developmental concerns

Edmonton and Area Proposal



• Secondary Goals

• Promote awareness of the importance of healthy earlychildhood development

• Facilitate development of a community network to enhance andsupport healthy early childhood development

• Promote alternative health service delivery models

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Edmonton and Area Proposal



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Capital Health• Community Health Services

• Child Health Clinics• Edmonton Early Intervention Program• Regional Pediatric and Mental Health• Speech and Language Services

• Community Rehabilitation Program• Pediatric Occupational Therapy

• Glenrose Rehabilitation Hospital• 1-2-3 Go! Child and Family Early Intervention Service

• Stollery Child Health

Partners – across the service continuum



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• Child and Adolescent Services (CASA)• Infant and Preschool Mental Health

• Multi-Cultural Health Brokers• Child and Family Services Authority – Region 6• Millwoods Family Resource Centre (Parent Link Centre)• Edmonton Public Schools• Edmonton Catholic Schools• ABC Head Start• Mill Woods Community Mapping and Beyond

Partners – across the service continuum



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• Mill Woods neighbourhood of Edmonton

• Urban area• Culturally diverse (6% Aboriginal, 20% immigrant and refugee)• Rapid growth

• Increasing birth rate (est. 6 to 10% increase each year)• In-migration

Community



• Screen – strategies – identify – strategies – assessment – referral(as needed)

• Capacity building (parents, partners, community)

• Coaching model

• Child Parent coached by key worker coached byspecialists

• Strengths and interests based

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Process – key elements

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•16 to 24 months

• Parent fills out ASQ at 18 month immunization visit

• Multi-Cultural Health Brokers work with parents inthree cultural groups

Recruitment



36 months

• Advertising (posters, brochures, mail out to 36 month oldchildren) to phone in to request ASQ and project information

• Community partners give project information and ASQ toparents who send in to project staff for scoring and follow-up

• Information fair and children’s party where ASQ is available

• Multi-Cultural Health Brokers identify and work with parents ofthree target cultural groups

Recruitment



• All parents given an ASQ are invited to Playing to Learn aboutvalue and development opportunities in play

• Any concerns identified by ASQ, parent or staff are followed-upwith a phone call to discus results and provide strategies andcommunity resources

• Home visits (2 to 4) to provide further strategies, secondaryscreens, referral if appropriate

• Family centered philosophy allows modification to best fit familyand culture

Intervention Service


Preschool Developmental Screening Edmonton and AreaResults (Nov. 2007 – Jan. 2008)

•283 ASQs provided



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- start 18 month screens Nov. 2007

- start 18 month interventions Nov/Dec 2007

- start 36 month screens Jan. 2008

- Start 36 month interventions Jan/Feb 2008

- project ends Dec. 2009

Milestones and Timelines



Questions?

Innovative-Developmental-Screening-An-Alberta-

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