Childrens Hospital of the Kings Daughters COLLABORATION BETWEEN - - PowerPoint PPT Presentation

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Feb 27, 2024 242 likes •354 views

Early Detection and Screening Program at Childrens Hospital of the Kings Daughters COLLABORATION BETWEEN DEVELOPMENTAL PEDIATRICS Amy Newmeyer, MD Janice Keener, PsyD & GENERAL ACADEMIC PEDIATRICS John Harrington, MD Virginia

SLIDE 1

Early Detection and Screening Program at Children’s Hospital of the King’s Daughters

COLLABORATION BETWEEN DEVELOPMENTAL PEDIATRICS Amy Newmeyer, MD Janice Keener, PsyD & GENERAL ACADEMIC PEDIATRICS John Harrington, MD

SLIDE 2

Virginia Department of Health Service Contract

 VDH is in the process of consolidating services from

the Child Development Centers (CDC) throughout Virginia into regional centers

 The CDC at the Norfolk Department of Health closed in

2013

 Contract with CSG started Dec 2013  Provides support for additional staff needs:

 Psychology  SW  Administrative staff

SLIDE 3

Developmental Pediatrics Clinic Composition

2011

 2.0 FTE Dev Peds  0.8 FTE Ed Specialist  0.8 FTE SW

2015

 3.0 FTE Dev Peds  3.0 FTE Ed Specialist  2.0 FTE SW  2.7 FTE Psychology (as of

Summer 2015)

SLIDE 4

Referral Process

 Referrals are from general pediatricians or from

community agencies

 Patients are seen first by SW or Dev Pediatrician and

then referred for other services

 SW intake may be required for older or more complex

patients, with the goal of providing referrals to community services for those most at need

SLIDE 5

Patient Composition

 Developmental Pediatrics sees approximately 1400

new patients per year; and approximately 2000 follow- up visits

 Diagnoses:

 Autism spectrum disorders  Developmental Delay  Speech Disorders  Motor Coordination Disorders  ADHD  Learning disabilities (dyslexia, etc.)

SLIDE 6

Current wait times

 Social Work

1 to 2 months

 Developmental Pediatrics

3 to 4 months

 Psychology

6 to 8 months

 Educational Consultant

2 to 3 months

 Wait time for psychology should decrease once our new

psychologist starts in the fall and speech therapists have been fully trained; however, need will continue to be high as

ur division is one of the few places in the community for

autism evaluations

SLIDE 7

Follow Up After Assessment

 Referrals are made to the following depending on

patient needs:

 School special education programs  Early Intervention  Counseling services  Applied Behavior Analysis therapy  Parent support groups  Tidewater Autism Society of America  Family to Family Network  Medication management

SLIDE 8

Assessment Program Locations

 Princess Anne  SW  Psychology  Developmental

Pediatrician

 Medical Tower  Developmental

Pediatrician

 Psychology  Social Work  Educational Consultant  Harborview  Developmental

Pediatrician

 Educational consultant  Oyster Point  Developmental

Pediatrician

 Educational Consultant  Oakbrooke  Developmental

Pediatrician

 Social Work

SLIDE 9

Applied Behavioral Analysis Support

 Patients with autism spectrum disorder have difficulty

participating in therapy sessions

 ABA therapist on staff could consult with families and

multiple clinics to achieve the best outcomes

 It would allow patients to stay in therapy services for a

longer period of time

SLIDE 10

Autism Services

 In 2014 Developmental Pediatrics had approximately

3000 patient visits for children with ASD

 Currently no focused service line at CHKD for children

with ASD, leading to confusion about referrals and community resources  Collaborating with General Academic Pediatrics and other

hospital divisions to develop a focused service line for ASD services at CHKD

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COMMENTS ABOUT EARLY STEP PROGRAM PARTICIPATION



What were the key activities you found to be of greatest value (professional development, family support, bringing community team together quarterly, tracking impact/change) as a result of being involved with project? 

I think it was very helpful to meet as a team to discuss things that were working and things that weren't via the referral cycle. I think it also highlighted that we are actively pursuing answers to

ur delays in processing children for an evaluation for a diagnosis. The development of three

active diagnostic teams with the potential growth of training more teams is outstanding. I think

ur Richmond counterparts really came to know our huge need for resources and that services

and support for autism likely should be flowing at higher rate through SE VA versus Richmond, especially access to ABA based on the number of children we are evaluating and subsequently diagnosing with autism.



What are the most important benefits to your surrounding community in terms of early identification, diagnosis, and support 

The development of 3 diagnostic teams in our catchment areas. The idea that we still have delays, but we are starting to get a handle on these and it appears we are making real headway



What are 1-2 words of advice you would offer to another community? 

Identify system needs and champions: (improved screening, targeted referral, access to diagnostic services, access to therapy)