Preschool Developmental Screening Edmonton and Area Why developmental screening? Innovative Developmental Screening
•Identify
children with delayed development to allow for earliest possible intervention
An Alberta Initiative
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10% to 15% children demonstrate developmental delays,
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<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
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Preschool Developmental Screening Edmonton and Area
Preschool Developmental Screening Edmonton and Area
Provincial Request for Proposal •
Alberta Health and Wellness • RFP to regional health Authorities in November 2006, awarded April 2007
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Criteria • collaboration, Ages and Stages Questionnaire (ASQ), innovation, service integration, comprehensive (screening to intervention)
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Budget • $7.9 million over 3 years (to Dec. 2009) • across Alberta
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Provincial Request for Proposal •
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East Central Health
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David Thompson Health
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Chinook Health
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Capital Health
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Ages and Stages Questionnaire (ASQ)
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
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Preschool Developmental Screening Edmonton and Area
Evaluation
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Four projects funded:
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Preschool Developmental Screening Edmonton and Area
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ASQ is a parent completed questionnaire
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Available in two month intervals from 2 to 24 months, three month intervals from 24 to 36 months, 6 month intervals from 36 to 60 months
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Areas addressed: communication, gross motor, fine motor, problem solving, personal-social
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76% to 91% concurrent validity, 72% overall sensitivity, 86% overall specificity
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Preschool Developmental Screening Edmonton and Area
Preschool Developmental Screening Edmonton and Area
Edmonton and Area Proposal •
Edmonton and Area Proposal
Goals •
To strengthen parent and community capacity through knowledge, skills and linkages to resources, to provide an enriching environment for healthy child development
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To introduce an integrated and multi-disciplinary network of support for families if there are developmental concerns
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• • • • • • • •
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Promote alternative health service delivery models
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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
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Process – key elements
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
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Screen – strategies – identify – strategies – assessment – referral (as needed)
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Capacity building (parents, partners, community)
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Coaching model •
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Preschool Developmental Screening Edmonton and Area
Community
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Facilitate development of a community network to enhance and support healthy early childhood development
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Preschool Developmental Screening Edmonton and Area
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Partners – across the service continuum
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
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Promote awareness of the importance of healthy early childhood development
Preschool Developmental Screening Edmonton and Area
Partners – across the service continuum
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Preschool Developmental Screening Edmonton and Area
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Secondary Goals
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Child Parent specialists
coached by key worker
coached by
Strengths and interests based
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Preschool Developmental Screening Edmonton and Area
Preschool Developmental Screening Edmonton and Area
Recruitment •16
Recruitment 36 months
to 24 months •
Parent fills out ASQ at 18 month immunization visit
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Multi-Cultural Health Brokers work with parents in three cultural groups
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Preschool Developmental Screening Edmonton and Area
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Advertising (posters, brochures, mail out to 36 month old children) to phone in to request ASQ and project information
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Community partners give project information and ASQ to parents who send in to project staff for scoring and follow-up
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Information fair and children’s party where ASQ is available
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Multi-Cultural Health Brokers identify and work with parents of three target cultural groups
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Preschool Developmental Screening Edmonton and Area Results (Nov. 2007 – Jan. 2008)
Intervention Service •
All parents given an ASQ are invited to Playing to Learn about value and development opportunities in play
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Any concerns identified by ASQ, parent or staff are followed-up with a phone call to discus results and provide strategies and community resources
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Home visits (2 to 4) to provide further strategies, secondary screens, referral if appropriate
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Family centered philosophy allows modification to best fit family and culture
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ASQs provided
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Preschool Developmental Screening Edmonton and Area
Preschool Developmental Screening Edmonton and Area
Milestones and Timelines
Questions?
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start 18 month screens
Nov. 2007
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start 18 month interventions
Nov/Dec 2007
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start 36 month screens
Jan. 2008
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Start 36 month interventions
Jan/Feb 2008
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project ends
Dec. 2009
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