Disease Prevention and Health Promotion/Screening Guidelines Janet Cady, MN, ARNP Neighborcare Health University of Washington 2013

Prevention Works! Child Safety Seats Fluoridation Immunizations Bike Helmets Prevention Works! A central tenet of Bright Futures health supervision is the knowledge that specific preventive and health promotion interventions improve children’s social, developmental, and health outcomes. Examples of successful interventions include: Child safety seats Water fluoridation Immunizations The Back to Sleep campaign to reduce the risk of sudden infant death syndrome. Bike helmets Home safety practices. All of the Bright Futures materials emphasize anticipatory guidance on injury prevention and health promotion, specific to each age level. Home Safety Back to Sleep

Utilization of Preventive Services Least likely to use health services 20-34% received no health care in previous year Parent level of education & insurance status impact utilization Poverty= less preventive health care Minority = less preventive health care And annual routine preventive services are recommended for all adolescents

Bright Futures Charter- 1994

We know what works… Risk & Protective Factors Individual Peer Family School Community + Protective Factors= + Health Outcomes + Risk Factors= - Health Outcomes Catalano & Hawkins- UW~ SDRG

Bright Futures Steering & Advisory Committees- 2008 American Academy of Pediatrics American Academy of Family Physicians Ambulatory Pediatric Association Family Voices National Association of Pediatric Nurse Practitioners American Dietetic Association HRSA, Maternal & Child Health Bureau American School Health Association American Academy of Child & Adolescent Psychiatry American College of Preventive Medicine Mental Health America American Academy of Pediatric Dentistry Centers for Disease Control & Prevention Indian Health Service National Initiative for Children’s Healthcare Quality American Medical Association and more… Funding of Bright Futures Since its inception in 1990, Bright Futures has been funded by the U.S. Department of Health and Human Services, under the direction of the Maternal and Child Health Bureau. Organizations That Support Bright Futures Bright Futures has enjoyed an overwhelmingly positive response from organizations representing medicine, public health, social services, education, and related fields. The Bright Futures guidelines are supported by more than 30 national organizations and associations, including: Ambulatory Pediatric Association, Ambulatory Pediatric Association, American Academy of Child and Adolescent Psychiatry, American Academy of Pediatric Dentistry, American Academy of Pediatrics, American Academy of Physician Assistants, American College of Nurse-Midwives, American Dental Hygienists' Association, American Dietetic Association, American Medical Association. American Medical Women's Association, American Occupational Therapy Association, Inc., American Public Health Association, American School Health Association, Association of Maternal and Child Health Programs, Association of State and Territorial Health Officials, Child Welfare League of America, Inc., CityMatCH, Family Voices, March of Dimes Birth Defects Foundation, National Association of County and City Health Officials, National Association of Pediatric Nurse Associates and Practitioners, National Association of School Nurses, Inc., National Association of WIC Directors, National Organization of Nurse Practitioner Faculties, National Parent Network on Disabilities, National Perinatal Association, The National PTA, Society for Adolescent Medicine, Society for Developmental and Behavioral Pediatrics, Society of Pediatric Nurses, Zero to Three Organizations That Support Bright Futures The Bright Futures guidelines are supported by more than 30 national organizations and associations.

Bright Futures Core Concepts Effective Partnerships Communication Promoting Health & Preventing Illness Managing Time Educating Families Advocating PATIENT & FAMILY-CENTERED CARE

Six Key Components Use of a preventive services prompting sheet Use of structured tools to assess the child and family’s developmental and behavioral needs Evaluation of parental strengths and needs, including assessment of protective factors Use of recall and reminder systems Linkage of the child and family to appropriate community resources Use of assessment strategies at well-child visits to identify children with special health care needs

Surveillance, Screening, Assessment, Guidelines, & Anticipatory Guidance

Bright Futures Visit Solicits concerns from parent & child Surveillance and screening Assessment of strengths Discussion of certain priorities for improved child & adolescent health & family function over time.

Adolescent Health Care Bright Futures- 2008 Health History & Physical Examination Vision, Hearing, Dental, & Risk-based Screening Anticipatory Guidance Priorities Physical Growth & Development Social & Academic Competence Emotional Well-being Risk Reduction Violence & Injury Prevention

Goals for Quality Improvement

Immunization

https://www.raaps.org/products_training.php

CRAFFT

“HEADS” Assessment/Screening

HOME

EATING

Energy/Exercise/Sleep

DRUGS & ALCOHOL

SAFETY

SUICIDE RISK

SEXUALITY

STRENGTHS & SKILLS

Internet Resources Bright Futures at AAP Bright Futures at Georgetown www.brightfutures.aap.org Bright Futures at Georgetown www.brightfutures.org