Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health The Child Health Liaison Course in Boulder County The Child Health Liaison Course in Boulder County Presented by: Sarah Scully, MPH Boulder County Public Health

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Child Health Promotion Program  Child Health Liaison Program  Child Care Health Consultant Training and Support  Family Child Care Health and Safety Project  Health Inspections/Playground Inspections  Health Screening  Clean Hands Program  Immunizations/Health Records- Audits

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Child Health Liaison (CHL)  Health Advocate Training Program  One staff person from each center or home  Works closely with the child care health consultant (CCHC)

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health CHL Program Goals:  Improve quality  Increase practices that reduce the spread of communicable illness among children and staff;  Reduce environmental hazards;

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health CHL Program Goals:  Increase access to primary care, mental health and social services for children and families  Improve the early identification of children with special needs  improve immunizations rates

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health CHL Program Goals:  Improve the health promotion knowledge and skills of child care staff

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health CHL, CCHC and Center Director collaborate to:  Assess health and safety needs of the families, staff and child care environment  Facilitate education and training  Provide referrals to community resources  Develop policies and procedures

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health CHL Job Description  attend all sessions/mentor visits  complete all assigned activities  provide education to staff/families  make environmental improvements  regular meetings with director  communication with CCHC

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Structure of CHL Program:  Training Program:  Forty-five hours  10 months  Mentoring  Monthly stipend  Bonus  3 credit course

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Resources for Curriculum Development  National Training Institute for Child Care Health Consultants (NTI)  Head Start  California Child Care Health Program

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Resources  National Health and Safety Standards for Out of Home Care  CDPHE Regulations and Materials  Colorado Department of Human Services Regulations

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Program Evaluation  Infant Toddler Environment Rating Scale (ITERS-R), ECERS-R, or FDCRS used pre and post program implementation  Reliable, valid tools used nationwide to assess quality of group care for children

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Significant Results

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health  Improved communication with staff and families regarding health and safety  Continued professional development  Ripple effect to other corporate sites  More children with medical/dental homes and medical/dental insurance  Improved immunization rates

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health  Increased number of health care plans for children with special needs  Improved health/safety policies  Identification of children with vision, hearing, dental, and developmental concerns which leads to further evaluation and treatment.

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Improved hand washing/sanitation

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Improved playground supervision More surfacing under and around equipment Safer equipment

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Challenges  Addressing barriers to change time; money; space; staff and program changes; old facilities; staff resistance  Decreasing fear and apprehension  Making substantial changes  Evaluation tools

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Initial Funding  Healthy Child Care Colorado  Daniels Fund  Caring for Colorado

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Current Program Costs  Total Cost per center = $2000 $1500 stipends $ 500 resource materials; supplies Plus staff time for training and mentoring

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Sustainability  Relationships between CHLs and community resources  Greater if accompanied by written policies  Health and safety changes persist after CHL leaves the program  CHL brings knowledge/skills to new center

Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health Child Health Liaison (CHL) Program Online Curriculum Module 1: Health and Safety in Child Care Module 2: Preventing Illnesses and Communicable Diseases Module 3: Immunizations and Emergency Preparedness Module 4: Safety and Injury Prevention Module 5: Nutrition and Food Safety Module 6: Oral Health Module 7: Social and Emotional Health Module 8: Child Abuse and Neglect Prevention Module 9: Medical Home and Children with Special Health Care Needs Module 10: Staff Health