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FASD Regional Training Centers: Increasing Knowledge and Skills in Medical and Allied Health Providers

FASD Regional Training Centers: Increasing Knowledge and Skills in Medical and Allied Health Providers. Georgiana Wilton, PhD Associate Scientist University of Wisconsin Dept of Family Medicine BFSS Meeting May 13, 2009. Purpose of FASD RTCs.

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FASD Regional Training Centers: Increasing Knowledge and Skills in Medical and Allied Health Providers

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  1. FASD Regional Training Centers:Increasing Knowledge and Skills in Medical and Allied Health Providers Georgiana Wilton, PhD Associate Scientist University of Wisconsin Dept of Family Medicine BFSS Meeting May 13, 2009

  2. Purpose of FASD RTCs • To develop, implement, and evaluate educational curricula regarding FASD prevention, identification, and care for medical and allied health practitioners and students • To incorporate the curricula into the training programs at universities and colleges throughout their regions, and into the credentialing requirements of professional boards

  3. FASD Competency-Based Curriculum Development Guide for Medical and Allied Health Education and Practice Download your free copy today! www.cdc.gov/ncbddd/fas/curriculum/index.htm

  4. Seven Topics of Training and Skills Development • Foundation • Screening and Brief Interventions • Models of Addiction • Biological Effects of Alcohol on the Fetus • Screening, Diagnosis, and Assessment of FAS • Treatment Across the Lifespan for Persons with FASDs • Ethical, Legal, and Policy Issues

  5. Competencies 1. FOUNDATION: Demonstrate knowledge of the historical, biomedical, and clinical background of fetal alcohol syndrome (FAS) and other disorders related to prenatal alcohol exposure, known collectively as fetal alcohol spectrum disorders (FASDs)

  6. Competencies, cont. 2. SCREENING AND BRIEF INTERVENTIONS Provide services aimed at preventing alcohol-exposed pregnancies in women of childbearing age through screening and brief interventions for alcohol use 3. MODELS OF ADDICTION Apply concepts and models of addiction to women of childbearing age, including those who are pregnant, to provide appropriate prevention services, referral, and case management

  7. Competencies, cont. 4. BIOLOGICAL EFFECS OF ALCOHOL ON FETUS Describe the effects of alcohol on the developing embryo and the developing fetus. 5. SCREENING, DIAGNOSIS AND ASSESSMENT OF FAS Screen, diagnose, and assess infants, children, adolescents, and adults for FAS and other prenatal alcohol-related disorders.

  8. Competencies, cont. 6. TREATMENT ACROSS THE LIFE SPAN FOR PERSONS WITH FASD Provide long-term case management for persons with FASDs. 7. ETHICAL, LEGAL, AND POLICY ISSUES Recognize ethical, legal, and policy issues related to FASDs.

  9. Funded Projects • SOUTHEASTERN • Tennessee, Alabama, Florida, Georgia, Kentucky, Louisiana, Mississippi, South Carolina • ARCTIC • Alaska, neighboring Canadian provinces • FRONTIER • Nevada, Colorado, Idaho, Montana, North Dakota, Utah, Wyoming • MIDWESTERN • Arkansas, Iowa, Illinois, Kansas, Missouri, Nebraska, Oklahoma • GREAT LAKES • Wisconsin, Michigan, Indiana, Ohio, North Carolina Funded under CDC-RFA-DD08-806 September 30, 2008 – September 29, 2011

  10. One approach to providing education and skills development…

  11. Great Lakes FASD Regional Training Center • Built on over 18 years experience raising awareness, providing training and conducting clinical outreach • Wisconsin Clinical Genetics Services • Family Empowerment Network • FASD Treatment Outreach Project • WI Alcohol, Other Drugs and Pregnancy Workgroup

  12. Background, cont. • Built on strong collaborations • Michigan: Joint conferences, clinical assessment, development of training materials • North Carolina: Development of clinical services, education, and outreach • Ohio & Indiana: Collaboration with women-specific AODA treatment providers

  13. UW School of Medicine and Public Health David Wargowski, MD, PI Dept. of Pediatrics Georgiana Wilton, PhD, Co-PI Kristi Obmascher, BS, Coord. Lyric Dold, MS, Evaluator Angela Cappas-Awes, BS, Dept. of Family Medicine State Collaborators Helga Toriello, PhD Barbara Wybrecht, BSN Spectrum Health, MI Sally Bennett, MSW Fullerton Genetics Center, NC Susan Dumm, MS, RD State Dept. of Health, IN Rebecca Baudry, Med University of Cincinnati Our Team

  14. Sally Bennett, MSW Fullerton Genetics Center Asheville, NC Jim Campbell, PhD Professor, Chair, UW Dept. of PDAS Madison, WI Susan Gadacz, BA Section Chief, WI Bureau of Prevention Treatment and Recovery Madison, WI Valerie Gilchrist, MD Chair, UW Dept of Family Medicine Madison, WI Leslie McCrory, LPC, LCAS Fullerton Genetics Center Asheville, NC Paulette Romashko, MSW, LCSW Arc Community Services Madison, WI Lisa Cushman Spock, MS Indiana FASD Prev Taskforce Indianapolis, IN Helga Toriello, PhD Spectrum Health Grand Rapids, MI Advisory Committee Karil Walther, RN Parent Madison, WI Joyce Washburn, MPA MI Office of Drug Control Policy Lansing, MI Barbara Wybrecht, RN Spectrum Health Grand Rapids, MI

  15. Goals and Objectives • Overarching Goal: • To increase the knowledge, attitudes and skills of medical and allied health professionals and students around the issues of fetal alcohol spectrum disorders

  16. Goals and Objectives • Goal 1: To convene an Advisory Committee and subcommittees to oversee development and implementation of project activities • Curriculum and Training • Evaluation • Recruitment and Marketing • Technology • Credentialing and Licensing • Sustainability

  17. Goalsand Objectives • Goal 2: To implement a menu of training and awareness opportunities addressing the prevention, identification, and treatment of fetal alcohol syndrome and related conditions

  18. Goals and Objectives • Goal 3: To conduct a comprehensive process and outcome evaluation on project activities

  19. Goals and Objectives • Goal 4: To develop and implement a plan to include core competencies in licensure and credentialing standards in medical and allied health professions

  20. Goals and Objectives • Goal 5: To develop a sustainability plan for the FASD Regional Training Center

  21. Target Audiences • Medical and allied health providers and students • Targeted disciplines in year one • Family practice • Pediatrics • Genetics • Nursing • Psychology • Social Work • AODA Treatment

  22. Target Numbers • Training target: • 200 trained by end of year one • 1000 by end of project • Ongoing technical assistance and support to trainers • Website with password protected pages for certified trainers • Toll-free info line

  23. Training Approaches • In-person training • FASD Training of Trainers Certificate Program • 30-hour intensive training to prepare project trainers • Sponsored training • Through GLFRTC/UW Dept. of PDAS • Participation in local, regional, and national conferences • Clinical • One-on-One skills development • Performance Improvement (PI) intensive (30 CMEs) • University credit course(s)

  24. Training Approaches • Online • Podcasts • Web-based • 4th year medical student preceptorship • Online academic courses • Information Dissemination • Awareness day activities (09/09/09) • Regional speakers bureau • www.fasdeducation.org website

  25. Evaluation • IRB Issues… • Process Evaluation • Key informant interviews • Discipline-specific expectations (knowledge, skills, and behaviors) • State-specific needs assessment • Collaboration/buy-in

  26. Evaluation • Content Evaluation • Standardized pre- and post-training evaluation tools • Knowledge, perceived skill level • 6 and 12 month post-training follow-up • Tracking • Which competencies, what materials, how many (participants, hours, etc.)

  27. Marketing • State-level buy-in • State collaborators • Recruitment materials • Brochures, fact sheets, posters • Web promotion • www.fasdeducation.org • www.pregnancyandalcohol.org • FASD awareness activities • Word gets around… • Backlog of training requests!

  28. Early Accomplishments • FASD Training of Trainers Certificate Program • 30-hour intensive training for project trainers • 30 health and allied health professionals attended • Nurses, clinical social workers, clinical geneticist, AODA treatment providers, counselors, dietician, foundation health specialist, state-level AODA treatment coordinators, health educators • 8 trainings already completed from recent graduates

  29. Early Accomplishments • Incorporation of required module on FASD into UW medical school curriculum • Addition of clinical skills building session • One-on-one training in the clinical assessment of FAS • Active Advisory Committee and subcommitees • Inclusion of FASD into AODA certificate program through UW • “Medical Track” at national FASD conf and preconference • 2nd TOT scheduled for March 1-5, 2010, Madison, WI

  30. For More Information Great Lakes FASD Regional Training Center UW School of Medicine and Public Health Department of Family Medicine 777 S. Mills Street Madison, WI 53715 Phone: 608-263-5613 Toll-Free: 1-800-752-3157 Fax: 608-263-5813 Email: fasd.trainingcenter@fammed.wisc.edu Web: www.fasdeducation.org

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