Preschool
Developmental
Screening in
Mill Woods
An update on the
Edmonton project
Why screen?
“Begin early, intervene often, intervene effectively.”
(Ludwig and Sawhill, Brookings Institute)
www.albertahealthservices.ca
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Provincial Request for Proposals
Provincial Request for Proposal (RFP)
•
Alberta Health and Wellness
• RFP in November 2006, awarded April 2007
•
Budget
• $7.9 million over 3 years (to Dec. 2009)
• across Alberta
www.albertahealthservices.ca
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Provincial Request for Proposals
Five projects:
•
East Central
•
David Thompson
•
Chinook
•
Capital
•
Palliser
www.albertahealthservices.ca
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Evaluation
•
Provincial
•
•
Alberta Centre for Child, Family and Community Research
• Change in access to screen/service
• Impact on the workforce
• Developmental outcomes for children
Local
•
•
Early Childhood Measurement and Evaluation Resource Centre
(ECMERC)
Concurrent study of ASQ Validity with cultural groups
www.albertahealthservices.ca
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ASQ
•
ASQ Sample
• ASQ_Questionnaire.pdf
•
Summary Sample
eCHSA-08-0646 18 Month ASQ Information Summary
Form.pdf
www.albertahealthservices.ca
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Goals
1.
Build parent and community capacity
2.
Develop an integrated multi-disciplinary, cross-sector
parent support network
www.albertahealthservices.ca
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Community
•
Mill Woods in Edmonton
•
Urban
•
Culturally diverse
•
Rapid growth
www.albertahealthservices.ca
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Partners
Alberta Health Services
•
Community Health Services
• Child Health Clinics
• Edmonton Early Intervention Program
• Regional Pediatric and Mental Health
• Speech and Language Services
•
Community Rehabilitation - Pediatric Occupational Therapy
•
Glenrose Rehabilitation Hospital
• 1-2-3 Go! Child and Family Early Intervention Service
•
Stollery Child Health
www.albertahealthservices.ca
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Partners
•
•
•
•
•
•
•
•
Child and Adolescent Services (CASA)
Mill Woods Community Mapping and Beyond
Multi-Cultural Health Brokers
Child and Family Services Authority – Region 6
Millwoods Family Resource Centre (Parent Link)
Edmonton Public Schools
Edmonton Catholic Schools
ABC Head Start
www.albertahealthservices.ca
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Partner voices
“.. ensure that we’re all saying the same messages …
starts to promote child development in Millwoods.”
“… the kids come and they’re having a great time and the
parents are there and they’re asking questions and the
parents are connecting … that’s how you build
community.”
“Our collaboration with MFRC and MCHB with OT and
Speech make it easier to serve families…”
www.albertahealthservices.ca
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Process
Recruitment
•
•
18 month old
•
36 month old
Cultural adaptations
www.albertahealthservices.ca
Parent Capacity
Building
Community
Capacity Building
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Key Elements
•
Universal
•
Capacity building
•
Coaching
•
Strengths based, child led
•
Cultural conversion
www.albertahealthservices.ca
targeted
clinical
13
Recruitment - 18 month
Well Child Clinic
No Concerns
Letter
• Explain what screening is/is not
• Review results, invite to learning events,
community groups
• Community Resources information
Re-screen at 36 months
Referral
www.albertahealthservices.ca
Screening
Concerns
• ASQ, Parent or Staff
In-Person Follow-up
•Explain what screening is/is not
•Review results, offer learning event,
community groups and home visit
Intervention and Follow-up
• Key worker home visit do family interview, culture gram, secondary screens
• Results to Physician (with consent)
• maximum 2 contacts; individualized strategies, provide resources, workshop,
community resources
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Recruitment Results – 18 month
Concerns 310/1130 screened
Personal Social
8%
Gross Motor
12%
Communication
42%
Fine Motor
18%
www.capitalhealth.ca
Problem Solving
20%
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Clinical Referrals – 18 month
49 referrals from 310 concerns
29%
24%
14%
SL
www.capitalhealth.ca
OT
14%
EIP
MCHB
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Parent Voices
“Opened my eyes to the things my child was doing well”
“I enjoyed the idea of having the ASQ done in the health
clinic; something while you are sitting there and
waiting already.”
“If you have not come or found me in this way I would
have been lost and I wouldn’t have known what to do
with my child”.
www.albertahealthservices.ca
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Recruitment - 36 month
3 Year Old Celebration
No Concerns
On-site Results
• Explain what screening is/is not
• Review results, invite to learning events,
community groups
• Community Resources information
Screening
Concerns
• ASQ, Parent or Staff
In-Person Results
•Explain what screening is/is not
•Review results, offer learning event,
community groups and home visit
Intervention and Follow-up
Referral
www.albertahealthservices.ca
• Key worker home visit do family interview, culture gram, secondary screens
• Results to Physician (with consent)
• maximum 2 contacts; individualized strategies, provide resources, workshop,
community resources
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Recruitment Results - 36 month
Concerns 35/162 screened
Personal Social
11%
Gross Motor
9%
Communication
14%
Problem
Solving
7%
Fine Motor
59%
www.albertahealthservices.ca
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Clinical Referrals – 36 month
9 referrals from 35 concerns
44%
SL
www.albertahealthservices.ca
22%
22%
OT
MCHB
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Parent Voices
•
“The best part was that I learned my child can do some
things I never knew he could.”
•
“It was wonderful to be able to get information from
the professionals and get our questioned answered
right there!”
•
“This rocks! I wish there was something like this for
older kids!”
www.albertahealthservices.ca
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Parent voices
ASQ as a learning tool…
•
97 % increased knowledge
•
98% better informed about child’s development
•
94% increased resource knowledge
www.albertahealthservices.ca
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Recruitment – Cultural Adaptations
Concerns 36/69
Personal Social
8%
Gross Motor
11%
Communication
36%
Fine Motor
24%
Problem
Solving
21%
www.albertahealthservices.ca
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Clinical Referrals – Cultural Conversion
•
Community Referrals – 74
•
Clinical Referrals – 5/36 (14%)
• Secondary screens – 8 (20%)
www.albertahealthservices.ca
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Parent voices
“… So they want the whole family to be the part of it,
Grandma, Grandfather, sister in law, mother in law. I
have done the screen where the whole family sitting in
the circle. Everybody’s picture is in. …Everybody is
part of that child development”
www.albertahealthservices.ca
25
Process
Recruitment
•
•
18 month old
•
36 month old
Cultural adaptations
www.albertahealthservices.ca
Parent Capacity
Building
Community
Capacity Building
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Parent Capacity Building
www.albertahealthservices.ca
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Parent Capacity Building
Coaching model
•
Child
Parent
Key worker
specialists
Learning Events
•
Integrated key messages
www.albertahealthservices.ca
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Parent Capacity Building Results
Learning Events
•
339 parents attended
•
95% increased ECD knowledge
•
100% will try strategies
•
88% increased knowledge of resources
www.albertahealthservices.ca
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Capacity Building
Key messages
for parents and
community.
www.albertahealthservices.ca
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Capacity Building
I learn
through
everyday
activities.
I learn in my
community.
www.albertahealthservices.ca
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Capacity Building
I learn
through my
interests.
www.albertahealthservices.ca
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Capacity Building
I learn by
people
responding to
me
www.albertahealthservices.ca
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Community Capacity Building
•
Common messages across partners
•
Community embedded services
•
Community displays
www.albertahealthservices.ca
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The journey continues … questions?
www.albertahealthservices.ca
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