use space to insert photo or graphics accessed through Title Master Slide Mill Woods Preschool Developmental Screening

2 Alberta Health and Wellness extended to RHAs in November 2006, approved in April 2006 Criteria collaboration, Ages and Stages Questionnaire (ASQ), innovation, service integration, comprehensive (screening to intervention) Budget Total provincial budget $7.9 million over 3 years Provincial Request for Proposals Mill Woods Preschool Developmental Screening

3 Mill Woods Preschool Developmental Screening Four proposals funded Capital Health East Central Health David Thompson Health Chinook Health Evaluation Alberta Centre for Child, Family and Community Research Change in access to screen/service Impact on the workforce Developmental outcomes for children Provincial Request for Proposals

4 Mill Woods Preschool Developmental Screening To strengthen parent and community capacity through knowledge, skills and linkages to resources, to provide an enriching environment for healthy child development To introduce an integrated and multi-disciplinary network of support for families if there are developmental concerns Goals:

Mill Woods Preschool Developmental Screening Secondary Goals Promote awareness of the importance of healthy early childhood development Facilitate development of an early childhood network to promote coordination of services Promote alternative health service delivery models 5

6 Mill Woods Preschool Developmental Screening Capital Health Community Health Services Child Health Clinics Edmonton Early Intervention Program Regional Pediatric and Mental Health Speech and Language Services Community Rehabilitation Program Pediatric Occupational Therapy and Physiotherapy Glenrose Rehabilitation Hospital Go! Child and Family Early Intervention Service Partners

7 Mill Woods Preschool Developmental Screening Child and Adolescent Services (CASA) Infant and Preschool Mental Health Multi-Cultural Health Brokers Child and Family Services Authority – Region 6 Millwoods Family Resource Centre (Parent Link Centre) Edmonton Public Schools Edmonton Catholic Schools ABC Head Start ECMERC (University of Alberta) – Local Evaluation Partners

8 Mill Woods Preschool Developmental Screening Millwoods Urban area Culturally diverse (6% Aboriginal, 20% immigrant and refugee) Rapid growth Increasing birth rate (est. 6 to 10% increase each year) In-migration Community

9 Mill Woods Preschool Developmental Screening Recruitment For 18 month olds (est. 1530/year) at immunization 36 month olds (est. 800/year) invitation to ‘3 year old party’ Screen ASQ identifies approx. 24%, actual rate approx. 12% Parent administered ASQ (as required support for language or other questions) Questionnaires by mail, phone, Process – 18 and 36 month old children

10 Mill Woods Preschool Developmental Screening ALL families invited to session on healthy child development, strategies and community resources key worker provides secondary screens as required key worker coaches parents who are the primary interveners in home visits key workers coached by specialists key workers regularly case conference with specialists referrals to other supports as appropriate 36 month old children will be referred to appropriate education programs (PUF, MM, ELL, Head Start) Follow up – 18 and 36 month old children

Mill Woods Preschool Developmental Screening Service sequence Screen – intervention – identify – intervention – assessment – referral (as needed) Capacity building (parents, partners, community) Coaching model Child Parent coached by key worker coached by specialists 11 Process – key elements

Parent attends 3 Year Old Party or 18 month Immunization project introduced and ASQ done by parent Parent completes ASQ Given to Key Worker to score No Concerns: On ASQ & No parent concern & No staff concern Concerns: On ASQ or Parent concern or Staff concern Letter sent explain what screening is/is not results, etc. invite universal parent workshop inform re: community groups what to do if concern develops include information handouts Re-screen at 36 months Mill Woods Preschool Developmental Screening ASQ Screening

Note: Keyworker can be CH PDS employee or MCHB Secondary Screens by Key Worker– (as needed) Choose most appropriate: ASQ – if not already completed ASQ Social-Emotional M-CHAT CHS Speech screen Infant-Toddler Checklist CRP Feeding Screen Motivational Assessment Screen CRP Sensory Screen Secondary Screens by Key Worker– (as needed) Choose most appropriate: ASQ – if not already completed ASQ Social-Emotional M-CHAT CHS Speech screen Infant-Toddler Checklist CRP Feeding Screen Motivational Assessment Screen CRP Sensory Screen Concerns: On ASQ or Parent concern or Staff concern Phone call to all families by Keyworker Explain what screening is/is not Answer questions Review results Invite to universal parent workshop Inform about community groups Set up HV Intervention - Home Visit by Keyworker Complete family interview if needed Complete culturegram if needed Complete secondary screens if needed Obtain verbal consent to share information with Physician Send letter to Physician with ASQ results and programs involved Coaching between Broker and PDS as needed Mill Woods Preschool Developmental Screening Post ASQ Screen: Follow-up

Follow-Up (maximum 2 contacts) Strategies Individualized Various handouts Encourage/invite to workshop: General Child Development Targeted topics Mill Woods Preschool Developmental Screening Post ASQ Screen: Intervention & Referral Family Doctor or Physician Referrals as needed if family needs more than 2 contacts Single delay to OT/PT or Speech Early Intervention Program if two or more delays Other e.g. Home Care Connections Assessment Group to Glenrose if required

15 Post ASQ Screen: Follow-up & Discharge Follow-up with phone call in two months to determine results of referral, how things went and how they are going now. Do they need further assistance? Record wait time for service? Discharge Letter to Family Doctor / Pediatrician regarding results Mill Woods Preschool Developmental Screening

16 Mill Woods Preschool Developmental Screening - start 18 month screensNov start 18 month interventionsNov/Dec start 36 month screensJan Start 36 month interventionsJan/Feb project ends Dec Milestones and Timelines

17 Mill Woods Preschool Developmental Screening Discussion