Preparing Practitioners to Support Parents in Finding and Using a Medical Home

1. A project forMaternal & Child Health, Early Childhood Comprehensive Service System (ECCS) – Peach Partners, Department of Public Health (DPH)

2. This training is designed to build the capacity of program leaders and administrators to actively engage staff and families in conversations about child health related to finding and using a medical and dental home, developmental screenings, and referrals.

3. Preparing Practitioners to Support Parents in Finding and Using a Medical Home and as a Participating Partner in Preventive Care, Developmental Screening and Early Intervention

4. Let’s Get Started, Energizer: Build a Bridge!

5. Training Plan Engaging Parents in Healthy Child Development Program Staff Training Leaders Parents Today 5 Within 4 weeks Within 4 weeks 5 5 x 5

6. Prepare Practitioners • To share the booklet, A Family Guide to a Medical and Dental Home • To share the brochure, Track Your Child’s Developmental Milestones • To talk with parents when they express a concern about their child

7. Part 1 A Medical and A Dental Home • Using the Booklet as a tool with parents so they will: • Understand “what is a medical and dental home?” • Make doctor/dental visits work for them – getting the most out of each well child check up or dental appointment • Identify different sources for available community and state resources

8. What is a Medical and a Dental Home? • a) A building, house, or hospital that provides medical services to children • b) A partnership approach to providing quality and cost-effective health care services for children • c) Both • d) Neither

9. What is a Medical and a Dental Home? • A partnership approach to providing quality and cost-effective health care services for children • Connections to support systems and services to meet the needs of the children and their families.

10. What is a Medical and a Dental Home? continued • Respect for the cultural and religious beliefs of the children and their families • Includes child care providers who feel supported in their work to provide healthy and safe environment for the children in their care

11. Seven Components • Accessible • Family-Centered • Continuous • Comprehensive • Coordinated • Compassionate • Culturally Effective

12. What are the Benefits? • Patient, family, provider satisfaction • Professional satisfaction • Coordination of care • Wellness • Efficiency

13. What are the Benefits? continued • Reduced: • Hospitalizations • Length of hospital stay • Use of emergency department services

14. What are the Benefits? continued • Establishment of a forum for problem solving • Efficient use of limited resources

15. Children with Special Health Care Needs • “those who have or are at increased risk for chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally”

16. Information SearchActivity

17. Key Considerations • Plan multiple opportunities and options for parents so that you can engage with them in a time that fits their schedules, interests, and skill levels. • Plan creative ways to explain WHY their child’s health care is important • Using the booklet in one-to-one • conversations with parents • Using the booklet in • group conversations with parents

18. Talking Points – Frontline Worker to Parent • This booklet makes YOU an active decision maker in your child’s health. (page 3) • YOU can get what you need, when you need it . (page 5) • YOU can make each doctor/dental visit work for you. (page 7, 9, 11) • YOU will have access to resources to support your child’s health. (page 16-19)

19. Tracking Developmental Milestones Part 2 • Using the Brochure as a tool with parents so they will: • Understand a child’s “developmental journey” • Know their child best • Act early

20. What areDevelopmental Milestones? • A snapshot in time • Something a child will grow out of • Where a child must be at certain ages • A test to label my child • None of the above

21. What areDevelopmental Milestones? • Things most children can do by a certain age • Skills such as taking a first step, smiling for the first time, and waving "bye bye" are called developmental milestones. • Includes physical, social, emotional, cognitive and communication skills

22. What areDevelopmental Milestones? continued • Typical mastery of skills at predictable time periods • Skills are learned in sequence - children must first learn to crawl and to pull up to a standing position before they are able to walk • Individual children may meet developmental milestones a little earlier or later than his peers

23. Why Does it Matter? There are clearly defined blocks of time or windows when most children will meet a milestone. Tracking milestones is about watching and recognizing progress, but also, the loss of a skill previously acquired.

24. Why Does it Matter? continued A delay in any areas could be a sign of a developmental problem, even autism. The good news is, the earlier it’s recognized the more we can do to help a child reach her full potential.

25. What is Screening? • Well-child check ups allow doctors and nurses regular contact with children to keep track of―or monitor― health and development • Developmental screening is a short test to tell if a child is learning basic skills when he or she should, or if there are delays.

26. What is Screening? continued • Developmental screening can also be done by other professionals in health care, community, or school settings. • Many children with developmental delays are not being identified as early as possible. As a result, these children must wait to get the help they need to do well in social and educational settings (for example, in school).

27. Recommended Screening • The American Academy of Pediatrics recommends that children be screened for general development using standardized, validated tools at 9, 18, and 30 months and for autism at 18 and 24 months or whenever a parent or provider has a concern.

28. What is the ASQ-3 and the ASQ:SE ? ASQ Domains • Communication • Gross Motor • Fine Motor • Problem Solving • Personal Social ASQ:SE • Social Emotional Development

29. Screening Option • Easter Seals, through support from the CVS Caremark Charitable Trust, provides parents with FREE access to the Ages & Stages Questionnaires®, Third Edition, one of many general developmental screening tools. Make the First Five Count http://www.easterseals.com/site/PageNavigator/ntlc10_mffc_homepageasq.html

30. Visit www.cdc.gov/actearly or write to ActEarly@cdc.gov. This campaign educates parents about childhood development, including early warning signs of autism and other developmental disorders, and encourages developmental screening and intervention.  Video: Milestones http://www.cdc.gov/CDCtv/BabySteps/

31. Information SearchActivity

32. Key Considerations • Plan multiple opportunities and options for parents so that you can engage with them in a time that fits their schedules, interests, and skill levels. • Plan creative ways to explain WHY tracking their child’s development is important. • Using the brochure in one-to-one • conversations with parents • Using the booklet in • group conversations with parents

33. Talking Points – Frontline Worker to Parent • This brochure helps YOU to know your child best. • YOU can be your child’s guide through their developmental journey. • YOU can observe and celebrate each developmental milestone. • YOU can share your child’s progress at each doctor visit.

34. Let’s Get Started, Energizer: happy dance!

35. Tips for Talking with Parents,especially when there is a Developmental Concern Part 3 • Understanding what to do if there is a suspected delay • Using the Georgia’s Children 1st system, and • Navigating through a referral for a more in-depth evaluation.

36. Why Talk with Parents? CDC estimates that 1 in 88 children has been identified with an autism spectrum disorder and about 1 in 6 children aged 3–17 has a developmental disability.

37. Life Long Health Why Talk with Parents? early intervention (before school age) can have a significant impact on a child’s ability to learn new skills as well as reduce the need for costly interventions over time.

38. Life Long Health Why Talk with Parents? early intervention (before school age) can have a significant impact on a child’s ability to learn new skills as well as reduce the need for costly interventions over time.

39. Parents -the Center of Strength and Support for their Child • What strengths do you recognize in families? • The family is the constant; as professionals, it is important that we approach parents with empathy and sensitivity.

40. Effective Ways to Communicate with Parents • Put a note in the child’s cubby or mail a letter to the parent • Tell them, “here is a referral form, have a good day.” • Leave a message on the answering machine. • Tell their sister/son/aunt/friend that Ms. Jones must see you immediately. • None of the above

41. Right Time, Right Place,Right Person, Right Approach • Make it a conversation • Pay attention to the parents’ voice tone and body language • Give the parents the words to say when they go to their child’s medical or dental home

42. Right Time, Right Place,Right Person, Right Approach • Highlight the child’s strengths • Utilize the “Learn the Signs. Act Early.” materials • Talk about specific concerns or behaviors • Share ideas about how to use the medical/dental home to address any concerns or to get additional information

43. Right Time, Right Place,Right Person, Right Approach • Demonstrate that you are there to provide any additional support needed

44. If we don’t, then who will? Will it be any easier later? Don’t Wait…No Excuses… It’s too hard. Parents don’t want to always “hear” you. It’s upsets the day. It never goes smoothly – the referral/follow up.

45. In partnership with the Department of Public Health, Great Start Georgia is designed to create a community culture of care, encouragement, and support for all families before and after the birth of a child. Across hundreds of Georgia communities, services are available to ensure that these important early years are rich with opportunities for children to be educated, safe, and healthy. A free Information & Referral Center offers connections to relevant local resources and information.

47. Connect to Great Start Georgia's free Information and Referral Center online at www.greatstartgeorgia.org Or by calling our toll free number at 1-855-707-9277.

48. Children’s 1st • Children 1st is the “Single Point of Entry” to a statewide collaborative system of public health and other prevention based programs and services. This system helps parents provide their young children with a healthy start in life.

49. Children’s 1st • It allows at-risk children to be identified early and gives them a chance to grow up healthy and ready for school. Participation is voluntary and there are no financial requirements for enrollment into the program. 404-657-4855 or 888-651-8224 (Toll Free)

50. Role Play Role Play • Ms. Smith is the mother of 3 year old Troy and she comes to you, as someone she trusts, with a concern about a potential developmental delay. He does not make eye contact with her and also does not speak in complete sentences. She is worried.