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TIPS Follow-Up: Assessing your Child’s Development after Discharge. Follow-Up Options.

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follow up options
Follow-Up Options

Before your baby is discharged, your health care team will describe the type of follow-up that is best to monitor your baby’s development. There are three important things to know about your baby’s follow-up.

1: There are three follow-up options:

  • Developmental Screening: Follow-up through Parent Questionnaire
  • Developmental Screening/Assessment: Follow-up through Clinic Visit
  • Follow-up through Survey of Services Received

2. Follow-up occurs at the following ages:

  • 6, 18, 24 (corrected age) and 36 months

3. There is no cost to you and your family.

follow up options1
Follow-Up Options
  • Follow-up by Questionnaire
  • Follow-up by Clinic
  • Follow-Up by Survey of Services Received
what are we evaluating at each follow up time
What are we evaluating ateach follow-up time?

Click on any of the links below to determine what we would be evaluating at each follow-up assessment.

  • Six months
  • Sixteen months
  • 24 months
  • 36 months
what are we evaluating at 6 months here are just a few areas
What are we evaluating at 6 months? Here are just a few areas…
  • Is your baby playing with toys by shaking, banging and mouthing?
  • Does your baby play in social games?
  • Does your baby look at pictures in books?
  • Is your baby rolling over and beginning to sit with support?
  • What sounds is your baby making?
  • How has your baby’s health been?
  • Do you have any concerns regarding your baby’s development?
what are we evaluating at 16 months here are just a few areas
What are we evaluating at 16 months? Here are just a few areas…
  • Does your baby put toys in and out of containers?
  • Does your baby follow simple directions and know their body parts?
  • Is your baby beginning to walk independently?
  • What words is your baby saying?
  • How has your baby’s health been?
  • Do you have any concerns regarding your baby’s development?
what are we evaluating at 24 months here are just a few areas
What are we evaluating at 24 months? Here are just a few areas…
  • Is your toddler climbing and running?
  • Is your toddler completing simple puzzles?
  • What words or phrases does you baby say?
  • Does your baby join in pretend play?
  • Does your baby point to pictures in books?
  • How has your baby’s health been?
  • Do you have any concerns regarding your baby’s development?
what are we evaluating at 36 months here are just a few areas
What are we evaluating at 36 months? Here are just a few areas…
  • Is your preschooler matching like objects, shapes and colors?
  • Is your preschooler jumping, hopping, and climbing?
  • Does your preschooler draw shapes?
  • Is your preschooler joining in pretend play (like playing house) with other children?
  • Does your preschooler talk in sentences of 3 to 5 words?
  • How has your baby’s health been?
  • Do you have any concerns regarding your baby’s development?
follow up by questionnaire
Follow-Up by Questionnaire
  • At the designated follow-up times, you will be sent the Ages and Stages Questionnaire.
  • It will ask you questions about your child’s development.
  • Just complete the questionnaire and return it in the self-enclosed envelope.
two additional assessments
Two Additional Assessments
  • M-CHAT - An autism screener [at 16 and 24 months of age the TIPS team will send you two additional screeners. The M-CHAT will screen for autism]
  • CSBS - A communication screener [the CSBS will is a communication screening. These both will provide useful information to the team on your child’s development]
  • These parent-completed questionnaires will also be completed at 16 and 24 months of age.
ages and stages questionnaire
Ages and Stages Questionnaire
  • Click on the image at right to open the Ages & Stages Questionnaire…
how will i know if my child is doing ok
How will I know if my child is doing ok?
  • A developmental specialist will score the screening. If your child is doing well on the screener you will get a letter with the results.
what if my baby is not doing things like other children his her age
What if my baby is not doing things like other children his/her age?
  • Sometimes there may be areas where your baby may not have some of the skills that may be expected based on your answers on the questionnaire.
  • What happens next?
  • A developmental specialist will call you to gather more information.
  • If you are still concerned:

Your child can then be referred to the Early Developmental NetworkorEarly Accesswhere a more comprehensive assessment is completed

OR

We can schedule you to come to the nearest TIPS clinic for further assessment.

parenting resources
Parenting Resources
  • At each screening follow-up your family will receive a Just-In-Time Parenting Newsletter that will provide you with helpful parenting information.
participating clinics omaha
Participating Clinics - Omaha
  • Childrens Hospital & Medical Center8200 Dodge Street, North Tower 5th FloorOmaha, NE 68114Sandy Bennett - sbennett@childrensomaha.org
  • Methodist Women’s Hospital707 N. 190th PlazaOmaha, NE 68022Kathy Walburn (402) 815-7823kathy.walburn@nmhs.org
  • Munroe-Meyer Institute985450 Nebraska Medical CenterOmaha, NE 68022Joanie Dinsmore – jpdinsmo@unmc.edu
participating clinics lincoln
Participating Clinics - Lincoln

St. Elizabeth Medical Center

555 South 70th St.

Lincoln, NE 68510-2494

Connie Pabencpaben@stez.org / Nurserv@stez.org

participating clinics kearney
Participating Clinics - Kearney
  • Kearney Clinic211 W. 33rd St.Kearney, NE 68847Carol Florang (402) 237-2141 cflorang@kearneyclinic.com
participating clinics scottsbluff
Participating Clinics - Scottsbluff
  • Regional West Medical Center3911 Avenue BScottsbluff, NE 69361Sue Krieg – kriegs@rwmc.net
developmental screening
Developmental Screening
  • During the clinic appointment a team will evaluate your baby using a screening or assessment tool. Each clinic may have different team members but generally all will have a developmental specialist, nurse, and developmental pediatrician.
what will happen at clinic
What will happen at clinic?
  • An assessment will be completed by a team of specialists to see how your baby is developing.
  • Any questions that you have about your baby’s health and development will be discussed.
  • Watch the videotape segment to see a part of an assessment of a toddler in clinic.
two additional assessments1
Two Additional Assessments
  • M-CHAT- A autism screener [at 16 and 24 months of age the TIPS team will send you two additional screeners for you to complete and bring with you to the clinic. The M-CHAT will screen for autism]
  • CSBS - A communication screener [the CSBS is a communication screening]. These both will provide useful information to the team on your child’s development.
  • These parent-completed questionnaires will also be completed at 16 and 24 months of age.
what happens if the team and i have concerns about my child s development
What happens if the team and I have concerns about my child’s development?
  • The team will talk with you about possible resources in your community. For most children we would recommend a referral to the Early Developmental Network (Nebraska) or Early Access (Iowa).
parenting resources1
Parenting Resources
  • At each screening follow-up your family will receive a Just-In-Time Parenting Newsletterthat will provide you with helpful parenting information.
follow up survey of services received
Follow-Up Survey ofServices Received
  • Sometimes babies may need ongoing developmental intervention when they are discharged from the NICU.
  • These early intervention services are provided by all states. In Nebraska, the program is called Early Development Networkand in Iowa it is called Early Access.
  • For children referred for early intervention services, Developmental TIPS will send out a survey to gather information on the services your child is now receiving.
help us help your child
Help Us Help Your Child
  • The information that you send us helps us better understand the needs and outcomes of children who face unique challenges!
parenting resources2
Parenting Resources
  • At each screening follow-up your family will receive a Just-In-Time Parenting Newsletter that will provide you with helpful parenting information.