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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

Georgiana Wilton, PhD

Associate Scientist

University of Wisconsin

Dept of Family Medicine

BFSS Meeting

May 13, 2009


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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


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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


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Seven Topics of Training and Skills Development Medical and Allied Health Education and Practice

  • 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


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Competencies Medical and Allied Health Education and Practice

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)


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Competencies, cont. Medical and Allied Health Education and Practice

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


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Competencies, cont. Medical and Allied Health Education and Practice

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.


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Competencies, cont. Medical and Allied Health Education and Practice

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.


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Funded Projects Medical and Allied Health Education and Practice

  • 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



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Great Lakes FASD Regional Training Center development…

  • 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


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Background, cont. development…

  • 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


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UW School of Medicine and Public Health development…

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


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Sally Bennett, MSW development…

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


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Goals and Objectives development…

  • 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


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Goals and Objectives development…

  • 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


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Goals development…and 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


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Goals and Objectives development…

  • Goal 3:

    To conduct a comprehensive process and outcome evaluation on project activities


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Goals and Objectives development…

  • Goal 4:

    To develop and implement a plan to include core competencies in licensure and credentialing standards in medical and allied health professions


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Goals and Objectives development…

  • Goal 5:

    To develop a sustainability plan for the FASD Regional Training Center


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Target Audiences development…

  • Medical and allied health providers and students

  • Targeted disciplines in year one

    • Family practice

    • Pediatrics

    • Genetics

    • Nursing

    • Psychology

    • Social Work

    • AODA Treatment


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Target Numbers development…

  • 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


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Training Approaches development…

  • 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)


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Training Approaches development…

  • 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


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Evaluation development…

  • IRB Issues…

  • Process Evaluation

    • Key informant interviews

      • Discipline-specific expectations (knowledge, skills, and behaviors)

    • State-specific needs assessment

    • Collaboration/buy-in


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Evaluation development…

  • 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.)


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Marketing development…

  • 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!


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Early Accomplishments development…

  • 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


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Early Accomplishments development…

  • 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


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For More Information development…

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: [email protected]

Web: www.fasdeducation.org


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