Building a Culture of Childcare Inclusion in Wisconsin: Statewide - PowerPoint PPT Presentation

Building a Culture of Childcare Inclusion in Wisconsin: Statewide Needs Assessment APHA 2018 Kim E. Whitmore, PhD, RN, CPN Assistant Professor UW - Madison #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

Presenter Disclosure Kim E. Whitmore The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: No relationships to disclose.

Background & Significance  Over 200,000 (15.5%) children with special healthcare needs (CSHCN) in WI  Defined as “those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally” (The Child & Adolescent Health Measurement Initiative, 2012) #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

Childcare Inclusion  Inclusion: educating or caring for CSHCN in the same environment as children of typical development (Youngstar, n.d.)  2015 Federal Policy Statement #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

Childcare Inclusion in WI  58% of childcare providers in WI report lack of knowledge and confidence (Wisconsin Early Childhood Association, 2015)  Current practices/initiatives  Over 30% turnover rate of childcare providers (Wisconsin Early Childhood Association, 2016) #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

Childcare Provider or Nurse?

Family Impact  ~75% parents report a family member cut-down or quit work (Whitmore, in review)  Potential negative family outcomes  Loss of income  Decreased economic stability  Social isolation  Stress  poor health outcomes #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

Study Purpose 1. To describe current practices and barriers regarding care of CSHCN by licensed childcare providers in Wisconsin 2. To gauge interest in a web-based, easily accessible training resource for childcare providers #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

Methods  Online Qualtrics survey  Childcare directors (~2,300)  Childcare providers (~20,000)  Distributed by the Wisconsin Department of Children and Families #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

Methods: Survey Design  Developed in partnership with:  15-member Community Advisory Board (CAB)  UW Survey Center  Topics included:  Personal experience  Training capability and confidence  Barriers and challenges  Interest in eSchoolcare #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

What is eSchoolcare? Developed with HRSA funding in 2011 at UW- Madison School of Nursing for school nurses  Web-based mobile resource  Expert-reviewed, evidence-based information  Content updated regularly  Cost-effective sustainable solution  https://eschoolcare.nursing.wisc.edu/ #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

Anticipated Results  Understanding of current practices and barriers  Identify greatest training needs  Gauge interest in eSchooolcare use  Identify barriers to eSchoolcare use  Inform next steps of larger project #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

Next Steps  Develop test module based on highest need  Pilot project with 125 childcare centers  Pre/post knowledge and confidence assessments  Program satisfaction  Program utilization  Study of childcare experiences of parents #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

Implications  Increased quality of care for CSHCN  Build a culture of childcare inclusion  Greater childcare utilization  Improve family outcomes #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

Acknowledgements  Community Advisory Research Team Board  Lori Anderson  Abby Hammes  Statewide Early  Junha Park Childcare Inclusion  Kayla Van Boxtel Committee  Childcare Funding  2017 Research providers/directors Committee Award  Families of CSHCN from the School of Nursing, University of Wisconsin-Madison #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

Thank You! Kim E. Whitmore, PhD, RN, CPN kim.whitmore@wisc.edu 414-403-2699 #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

References  Child and Adolescent Health Measurement Initiative. 2009/2010 National Survey of Children with Special Health Needs, Data Resource Center for Child and Adolescent Health website. Retrieved from http://www.childhealthdata.org/learn/NS-CSHCN.  Child and Adolescent Health Measurement Initiative (2012). “Who Are Children with Special Health Care Needs (CSHCN).” Data Resource Center, supported by Cooperative Agreement 1 ‐ U59 ‐ MC06980 ‐ 01 from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB).  Image from slide 15: [Photograph found in North Carolina Department of Health and Human Services]. (2018, June 15). Retrieved November 9, 2018, from https://www.ncdhhs.gov/blog/2018-06-15/dhhs-has-help-line- children-special-health-care-needs #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2

References  Whitmore, K. (In Review). Factors associated with unmet respite care needs in families of children with and without autism spectrum disorder.  Wisconsin Department of Children and Families (2016). What’s working: Inclusion efforts in WI. Retrieved from https://dcf.wisconsin.gov/files/youngstar/pdf/eci/trainings/inclusion wisconsinppt.pdf.  Wisconsin Early Childhood Association. (2016).Child care matters: 2016 annual report. Retrieved from http://wisconsinearlychildhood.org/assets/2016-Annual- Report/WECA-2016-Annual-Report-Web.pdf.  Youngstar. (n.d.). Be an inclusive child care provider. Retrieved from https://dcf.wisconsin.gov/files/youngstar/pdf/eci/inclusiveprovider.p df. #APHA2018 #BadgeRNurse @UWNursing @Kimewhitmore2