The Earlier The Better: Developmental Screening for Connecticut’s Young Children
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Transcript of The Earlier The Better: Developmental Screening for Connecticut’s Young Children
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The Earlier The Better:Developmental Screening for Connecticut’s
Young Children
Lisa Honigfeld, Ph.D.Judith Meyers, Ph.D.
Child Health and Development Institute
October 31, 2013Connecticut Early Childhood Education Cabinet
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For all children
Health & Mental Health Care Systems
EffectiveComprehensiveCommunity Based
CHDI VISION
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MISSION
Advance and inform sustainable evidence-based improvements
through:• Programs• Practice• Policy
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KEY AREAS
Pediatric Primary
Care
Early Childhood
Mental Health
Treatment
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CHDI’s Investment in Developmental Screening
• Outreach to pediatric providers through Educating Practices in the Community (EPIC) - with Children’s Trust Fund
• Reimbursement policy for developmental screening on the same day as a well child exam
• Developed Maintenance of Certification QI program on developmental screening for pediatricians
• Performance measure for Medicaid Medical Homes
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Screening and Surveillance: Crucial in Early Years
• Early brain development
• 20% of children at risk for delays
• Intervening early is the best investment
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Screening is Only the First Step
1. Screening
2. Assessment
3. Connection to services
4. Intervention
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Tools for Screening Youngest Children
• Ages and Stages Questionnaire – ASQ/ASQ-SE
• Parental Evaluation of Developmental Status - PEDS
• Modified Checklist for Autism in Children – M-CHAT
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Parents as Partners in Screening
• Tools elicit parental concern
• Considers child’s abilities over time
• Critical to engaging parents in developmental promotion
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Screening in Connecticut
• Pediatric primary care
• Head Start/Early Head Start
• Home Visiting
• Child Development Infoline
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Developmental Screening by Pediatric Providers in Connecticut Medicaid (2007 to 2012)
Number of screensbilled
2007 2008 2009 2010 2011 20120
5000
10000
15000
20000
25000
30000
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Screening in other Connecticut sites
Number of Children Screened
2012
Early Head Start 523
Head Start 4,860
Home Visiting ≈ 3,000
Child Development Infoline 1,121
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Challenges
• Screening is universal• Screening is coordinated across
settings• Results are documented and shared• Children are connected to needed
assessments and services • Data from private programs and
settings is available
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Recommendations
Develop an integrated system that ensures that:
• All children are screened
• Screening results are available across sites
• Children are connected to further assessments and services/supports as needed
• All providers promote healthy development in partnership with families
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Opportunities in Connecticut
Office of Early ChildhoodChild Development Infoline/Help Me GrowEarly Childhood Information SystemEarly Childhood Comprehensive Systems
GrantRace to the Top – Early Learning Challenge
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“We have learned to create the small exceptions that can change the lives of hundreds. But we have not learned how to make the exceptions the rule to change the lives of millions.”
Lee Schorr