I challenge u presentation 2013
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Transcript of I challenge u presentation 2013
Ready for SchoolThe Health and
Learning Connection:Nature and Nurture?
It takes all of us
Donna LB Lowry, MDAssociate & Medical Director
Inform and Engage Parents
Goal of HTF
• To utilize the medical community as a forum for parental education and engagement
• Identify and refer children and families to community resources including Ready for School
• Assure that all children 0-5y connect with a medical home
Partners in Health
• Holland PHO
• OCHD- DHS- CMH
• Holland Community Health Center
• InterCare
• Lakewood Family Medicine
• SH Pediatrics
• SH Zeeland Physicians
• Georgetown Physicians
• Hope College
• Holland Hospital
• Spectrum Health Zeeland Community Hospital
• Lakeshore Health Partners
• Priority Health
• BCBS Michigan
• CPS
• Physician Donors
Healthcare Providers
Relationship of Trust
1990’s: The Decade of the Brain
Nature
• Critical Concepts in Early Brain Development
• Proportional brain growth
• Neural plasticity
• Critical periods
• Sequential development
• Role of experience
Early Brainand Child Development
Nurture
• The human brain is shaped by experience
• Experience, in turn, leads to changes in the brain
• Birth: 50 trillion synapses
• 1 year: 1,000 trillion
• 20 years: 500 trillion
• These changes in the brain make new experiences possible
Early Brainand Child Development
SERVICE IMPLICATIONS
Early Brain Development
• For optimal effectiveness, services must begin as early as possible
• Stimulation during the first three years is particularly critical to ensure optimal development
• “use it or lose it”
• Services must be comprehensive and aligned with children’s developmental stages and needs
Birth
Early Infancy
Late Infancy
Early Toddler
Late Toddler
Early Preschool
Late Preschool
Prenatal 6 mo 12 mo 18 mo 24 mo 3 yrs 5 yrs
“Re
ad
y t
o L
ea
rn”
“School Readiness Trajectories”
“At Risk” Trajectory
“Delayed/Disordered ” Trajectory
“Healthy” Trajectory
Parental educationEmotional healthPrenatal care
Family social connections
Quality ECE
Positive parenting
Neighborhood violence
Inaccessible health services
Poverty
Graphic Concept Adapted from Neal Halfon , UCLA Center for Healthier Children, Families, and Communities
Health services
• Children with developmental/behavioral problems are eluding early detection
• Many initiatives exist to provide services to young children, their families
• A gap exists between child health and child development/early childhood education programs
• Children and their families would benefit from a coordinated, region-wide system of early
detection, intervention for children at developmental risk
ASSUMPTIONSCreating a Healthy Beginning
Goals
• Identify critical concepts in early brain development and early child development that inform health services delivery
• Explain the benefits of children’s health services focusing on promoting the optimal development of at-risk children
• Identify the importance of whole community cross-sector collaboration in strengthening child health service delivery
Healthy Beginnings
Healthcare Provider Participation
Reach Out and Read
ASQ Assessment & Referrals
Healthcare Coordination
RN Case Manager
Community Health Worker
Healthcare Outcomes
Data Management
Data Reporting
Partnership participation
ROAR Outcomes
4 million children worldwide
Parents are up to 4x more likely to read aloud to their children.
@ age 2 developmental gains in language & literacy with a six month developmental edge over peers.
Kindergarteners score higher on vocabulary tests and school readiness assessments.
Reach Out and ReadHolland Community Health Center
Mary Bosscher, Reach Out and Read coordinatorShe reads, educates and encourages kids and parents to read.
Reach Out and ReadHolland Community Health Center
“Bringing my son to the Holland Community Health Center was a very good thing because here they taught us to read to him and teach him at home and that would prove to be very helpful because he is now a 1st grader and top of his class.
We are extremely grateful that they had Reach out and Read program in his physicians’ office. And will continue to use this method at home with our future children.”
HCHC Father, November 2012
Developmental Surveillance
• Developmental and social-emotional delays can be subtle and can occur in children who appear to be developing typically so most children who would benefit from early intervention are not identified until after they start school.
• Pediatricians don’t detect delays more than 70% of the time when they rely on clinical judgment alone.
ASQ 3
The ASQ looks at strengths and trouble spots,
educates parents about developmental milestones,
relies parents’ expert knowledge about their children.
Healthy BeginningsCare Coordination
ASQASQSE
Well child visits
ER/Urgent Care
Immunizations
Partners in OutreachHolland Rescue Mission
Read to EatHope College’s Community Health Nursing Student,
Kaylee Marcinkus @ Stepping Stones Preschool
Community Health NursingImpacting Health and School Readiness
Read to EatLena Jaynes & Kaylee Marcinkus @ Stepping
Stones Preschool
2012 Accomplishments
• 100% increase Organizational Partners in Health
• Restructured the Health Task Force
• Healthy Beginnings: Unified program, built team
• 50K BCBSM Community Partners Grant
• Health Outcomes: Public Health Research Intern
• Reached all Providers of pediatric care
• Expanded Hope College relationships• Nursing Department, English Department, Pre Health Professions
2013 Ready Set Talk
• Speech Pilot over summer 2013-2014
• Target children 24 3 ½ -5y per summer
• 6 week program, 2 ½ hours for 18 session
• Total of 45 hours of intervention
• Build partnerships
• With Parents
• With Parent Educators
• With Kindergarten Teachers
2013 ROAR Lakeshore Initiative
Goal
To support all health care providers in the Holland, Zeeland & Hamilton area who desire to participate in the Reach Out and Read program
What Ready for School will offer
• Provision of funds for books until 2015
• Volunteer coordination and support
• Highlighting your work in the community
What Next? Things to consider
• How do we sustain these efforts?
Local support
The Affordable Care Act
Insurance Companies
Large employers