1. Neurodevelopmental Outreach & Autism Screening Clinics Nome, Alaska 3/26/15 Maureen O’Keefe, LEND Fellow

2. Aerial view of Nome

3. Nome Front Street and Beach Front

4. Nome is located in Northwest Alaska
The History of Nome
Nome is located in Northwest Alaska
In 1898 the Anvil Creek gold discovery set off a boom.
By ,000 people came to Nome to seek riches.
Current population: 3500
Demographics: A mixture of Inupiat Eskimos and non- Natives.
Subsistence is an important aspect of life in Nome

5. The Town of Nome

6. Great Accommodations

7. Norton Sound Health Clinic
We worked in the NSHC Community Health Clinic, which is located few blocks from Front Street.

8. Teamwork, Collaboration and Relationship building
Julia Lovering
St. of AK, Clinical Admin
Dr. Ellen Davis
Neurodevelopmental Pediatrician
U of W, Seattle Children’s Hospital
LEND Medical Faculty
Meghan Clark
St. of AK, Clinic Coordinator
Stone Group, Parent Navigator
Parent of children with disabilities

9. Prep for the Clinic
Anchorage Pre-Clinic: Phone assessments, organizational planning, training and site visit coordination, paperwork review, and clinic prep
Day of Clinic: Greeting, paperwork process, gathering HT/WT/HC documentation, patient observation.
Post Clinic: Review of reports, filing, and post clinic summaries or reports.

10. The Evaluation
Dr. Davis spends approximately minutes with each child and the family.
Interviews parent or caregiver.
Summarizes her findings
1 page recommendations given to parents
She did an in-depth interview with the parent or care provider, simultaneously playing with the child, gathering behavioral data and completing a physical exam. At the end she wrote a brief, one page, summary of her findings and recommendations, which was sent home with the parent before they left the clinic.
Later in the evening she spent more time dictating a comprehensive report to be sent to medical staff.

11. Partner Agencies

12. •The State of Alaska, DHSS •Alaska Division of Public Health
A Big Thank You!
It was an awesome experience to travel with this team, observe and participate in the process. Typically there are more children seen each day, we saw only 3 total in Nome. Additional opportunities are typically available for community outreach and training with other agencies or families.
LEND staff
•The State of Alaska, DHSS
Stone Soup Group
•Alaska Division of Public Health