Preschool Developmental Screening in Mill Woods
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Transcript of Preschool Developmental Screening in Mill Woods
Preschool Developmental Screening in Mill Woods
An update on the Edmonton project
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“Begin early, intervene often, intervene effectively.” (Ludwig and Sawhill, Brookings Institute)
Why screen?
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• 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
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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
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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
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Communication36%
Fine Motor24%
Gross Motor11%
Personal Social8%
Problem Solving21%
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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?