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

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Building a Culture

• f Childcare Inclusion

in Wisconsin: Statewide Needs Assessment

APHA 2018 Kim E. Whitmore, PhD, RN, CPN Assistant Professor UW - Madison

Presenter Disclosure

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

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

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Inclusion: educating or caring for

CSHCN in the same environment as children of typical development (Youngstar, n.d.)

2015 Federal Policy Statement

Childcare Inclusion in WI

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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)

Childcare Provider or Nurse?

Family Impact

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~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

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

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Methods

Online Qualtrics survey

Childcare directors (~2,300) Childcare providers (~20,000)

Distributed by the Wisconsin Department of Children and Families

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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

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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/

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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

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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

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Implications

Increased quality

• f care for CSHCN

Build a culture of childcare inclusion Greater childcare utilization Improve family

• utcomes

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Acknowledgements

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Community Advisory Board Statewide Early Childcare Inclusion Committee Childcare providers/directors Families of CSHCN Research Team

Lori Anderson Abby Hammes Junha Park Kayla Van Boxtel

Funding

2017 Research Committee Award from the School of Nursing, University of Wisconsin-Madison

Thank You!

Kim E. Whitmore, PhD, RN, CPN kim.whitmore@wisc.edu 414-403-2699

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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