Learn the Signs. Act Early.

Transcription

1 CENTERS FOR DISEASE CONTROL AND PREVENTION S California Head Start Association February 23, 2016

2 Presentation Objectives Discuss the campaign and discuss developmental milestones. Discuss Early Care and Education s role in talking with concerned families. Understand LTSAE Materials. Review local resources for early intervention. 2

3 LTSAE: Background CDC Campaign Target Populations o Parents o Health Professionals o Early Educators o Other Family Service Providers o Everybody Else 3

4 Let s Talk About Your essential, irreplaceable role in responding to families concerns FREE resources to make discussing screening and development with parents easier 4

5 Child Development 5

6 Understanding Child Development Why it s Important It helps us understand if children are on track developmentally Children (especially young children) develop very rapidly. Children develop at their own rate, o but there are milestones we expect them to reach 6

7 The Issue Developmental delays are common o 1 in 4 children, age 0-5 years, are at moderate or high risk for delays in development, behavior, or social skills o 1 in 6 children has a developmental delay Children with developmental delays are at greater risk for emotional and behavioral problems and poor educational achievement as they get older 7

8 Developmental Milestones 8

9 Developmental Milestones When does a child have his first words? When does a child reach for objects? When does a child recognize familiar faces? When does a child sit without support? When does a child begin walking? 9

10 Nature vs. Nurture 10

11 Factors that Affect Development Environmental Biological Interpersonal Early Environments and Experiences Protective Factors o o o o o Parental Resilience ƒ Social Connections Knowledge of Parenting and Child Development ƒconcrete Support in Times of Need Social-Emotional Competence of Children 11

12 Tracking Milestones Is Important Tracking your child s milestones gives you the chance to catch early signs of possible developmental problems so your child has the best chance to get the help he or she might need. crawling 12

13 Tracking Milestones Cognitive (learning, thinking, problem solving Social/Emotional Movement/Physical Development Language/Communication 13 13

14 Developmental Screening 14

15 Developmental Screening The earlier delays are found, the earlier children can get help. Fewer than 50% of pediatricians use valid and reliable screening tools* Fewer than 30% of delays are identified by clinician judgment alone before entering school ** *AAPA Policy Statement, Pediatrics 2006 ** Sand, et al. Pediatricians reported practices regarding pediatric screening. Do guidelines work? Pediatrics

16 What Does the American Academy of Pediatrics (AAP) Recommend? Every Well Child visit should include: Asking about parents' concerns Taking a developmental history Observing the child Identifying risk and protective factors Keeping a record of the findings 16

17 What Does the American Academy of Pediatrics (AAP) Recommend? Standardized developmental screening at well-child visits All children screened for general development at 9,18 & 24 or 30 months All children screened for autism spectrum disorders (ASD) at 18 & 24 months 9-Month-Old Child 18-Month-Old Child 24-Month-Old Child 17

18 What if parents are worried? What if a child shows signs of a delay or the a parent is worried? 18

19 Explaining the Failed Screening Prepare Parents o Normalize the discussion about developmental milestones o Empower parents as participants in the screening process 19

20 Explaining the Failed Screening Remember Purpose of Screening Use language consistent with the child s need for more comprehensive assessment 20

21 Preparing a Family Help families follow up with regional center Give families an idea of what to expect Help them articulate their concerns 21

22 Explaining the Failed Screening Follow carefully those children who fail screens but do not qualify for services Let s celebrate when children pass screening, and offer reassurance that learning and development appear to be coming along well AAP Section on Developmental and Behavioral Pediatrics Newsletter, Fall

23 Talking about Development What is your role? 23

24 Role of Early Childhood Education Providing Input and Feedback to families Helping families learn about developmental milestones Existing connections and relationships with families Connections to other agencies and resources 24

25 Benefits for Head Start How does addressing developmental milestones meet the Head Start Commitments? 25

26 Commitment to Children Head Start's commitment to wellness embraces a comprehensive vision of health for children, families, and staff. The objective of Child Health and Development Services is to ensure that, through collaboration among families, staff, and health professionals, all child health and developmental concerns are identified, and children and families are linked to an ongoing source of continuous, accessible care to meet their basic health needs. 26

27 Commitment to Families Head Start offers parents opportunities and support for growth, so that they can identify their own strengths, needs and interests, and find their own solutions. The objective of Family Partnerships is to support parents as they identify and meet their own goals, nurture the development of their children in the context of their family and culture, and advocate for communities that are supportive of children and families of all cultures. The building of trusting, collaborative relationships between parents and staff allows them to share with and to learn from one another. 27

28 LTSAE Materials 28

29 LTSAE Materials Developed by CDC, in conjunction with the American Academy of Pediatrics Empower parents to become better partners in tracking development 29

30 LTSAE Materials Completely free Can be ordered online and mailed to your office for free. Some resources are printable online. 30

31 LTSAE Materials Designed for use by: Parents o Books, growth chart Professionals o How to discuss milestones o Tip sheets Parents and Professionals Together o Tracking tools 31

32 Campaign Posters Appropriate for: Lobby Office wall It s time to change how we view a child s growth. 32

33 Waiting room Milestones Brochure Select milestones at a glance for ages 6 months to 4 years 33

34 Milestone Moments Booklet 34

35 Milestone Moments Booklet Free and customizable Can be ordered on the website Helps parents prepare for well-child visits o Milestone checklists o 2 months 5 years o Four domains of development Use like an Immunization Record Activities to foster development 35

36 Milestone Checklists Free and printable onlinehttp:// arly/downloads.html#checklists 2 months through 5 years Same information as milestone booklets Give to families depending on children s age Parent tested and parentfriendly Spanish translation on reverse 36

37 Story Time Celebrates typical development Age-appropriate activities Currently developing books for 1 and 2 year olds 37

38 Growth Charts Select milestones at a glance for ages 1 month to 5 years English and Spanish on reverse 38

39 Inglés y Español Additional languages: Arabic Korean Portuguese Somali *some materials 39

40 LTSAE Website c.gov/ncbddd /actearly/inde x.html 40

41 Specifically for Early Care and Education Providers

42 42

43 Free Continuing Education Free online courses eligible for CME, CNE and CEU credits MOC (Part 2) Approved o Identifying o Diagnosing o Managing In-Class Curriculum o Teaching Guide o Video Library 43

44 Watch Me! FREE, online training course for ECE providers and other community members (1-hour, 4-module course) Provides tools and best practices for monitoring the development of children in their care talking about it with their parents. e1.html 44

45 Autism Case Training Early Warning Signs Screening Communicating Concerns Making an ASD Diagnosis Early Intervention and Education Treatments for ASD ASD-Specific Anticipatory Guidance 45

46 Resources 46

47 Regional Centers Services Early Start Children 0-3 IDEA Part C Evaluation Intervention o Family-centered o Natural environments No referral necessary No existing diagnosis necessary Start/docs/central_directory. pdf 47

48 Resources Family Resource Centers 47 centers in CA IDEA Part C All serve 0-3 Some go above age 3 No referral needed Parent staffed Parent to Parent Support Information and Referral Regional Center Diagnosis of (or likely to have) Autism Cerebral Palsy Epilepsy Intellectual Disability Other Condition resembling an intellectual disability. Age 3-forever Evaluation Services related to home and community integration ist.cfm 48

49 Resources CDC Learn the Signs. Act Early AAP Healthy Children.org CDC Positive Parenting Tips veparenting/index.html Bright Futures 49

50 Resources Bright Futures Birth to 5: Watch Me Thrive Administration on Children and Families 50

51 Resources Medical Insurance Benefits California Children s Services (CCS) Special Education IDEA Part B 51

52 Discussion It is time to change the way we view a child s growth A 4 year old with Autism, was once a 3 year old with autism, was once a 52

53 Contact LTSAE Ambassadors Any Questions? Fran Goldfarb, MA, MCHES, CPSP Debbie Sarmento