DHSS/DPH Section of Women’s Children’s and Family Health
The State of Alaskas Title V Programs Role in Building Systems of - - PowerPoint PPT Presentation
The State of Alaskas Title V Programs Role in Building Systems of - - PowerPoint PPT Presentation
DHSS/DPH Section of Womens Childrens and Family Health The State of Alaskas Title V Programs Role in Building Systems of Care for Children and Youth with Autism Spectrum Disorder & Other Developmental Disabilities Objectives and
Objectives and Goals
participants will learn how
- 1. The State of Alaska’s Title V program was an
integral part of developing the 2006 State of Alaska Autism Plan
- 2. The State of Alaska organized autism and
- ther developmental disabilities (DD) services as
a part of the Children and Youth with Special Health Care needs programs
- 3. Examples of Success
- 4. Sustaining Activities
Division of Public Health
Sections
- Women’s, Children’s and Family Health (WCFH)
– Children’s Health Unit – Women’s and Adolescent Health Unit – MCH Epidemiology Unit
- Public Health Nursing
- Chronic Disease Prevention and Health Promotion
- Epidemiology
- Public Health Laboratories (Anchorage & Fairbanks)
- Disaster Preparedness and Emergency Medical
Services
- State Medical Examiner
- Vital Statistics
- Health Planning & Rural Health Care
Mission of WCFH
- To promote optimum health outcomes for all Alaskan
women, children and their families by: – Providing leadership – Coordinating with the primary and public entities with the health care system – Delivering preventive, rehabilitative and education services targeting women, children, and families – Collecting, analyzing and reporting reliable and statistically accurate information
Funding Streams for WCFH
- Title V MCH Block Grant
- Tile X Family Planning
- Centers for Disease Control and Prevention (CDC)
- Health and Human Services Resource
Administration (HRSA)
- Administration for Children, Youth and Families
- Office of Adolescent Health
- Association of Maternal Child Health Programs
- Mental Health Trust Authority (MHTAAR)-State
- Medicaid
- State General Fund
Autism Ad Hoc Committee
Medical & Health Funding & Policy Education & Training Family Support Srvs
Family & Child
The Governor Council on Disabilities and Special Education
2006 Alaska State Autism Plan
Alaska Autism Plan
Universal Screening Diagnostic Clinic Expansion Enhance Referral and Training Workforce Training Time Limited Intensive Autism Services
- AK Department of Juvenile
Justice
- Division of Public Assistance
Statewide Autism Resources
Families Disability Law Center of Alaska
Public Health Nursing
ANCHORAGE SCHOOL DISTRICT
Governor’s Council on Disabilities and Special Education
Alaska Community Health Aide Program
Combating Autism Act Initiative CAAI State Demonstration Grant
Goal #1: In rural Alaska, develop new processes to support the system of early identification, developmental screening and diagnosis of children suspected with autism and other neurodevelopmental disorders Goal # 2: Children 0 to 3 will be successfully connected with early intervention services and a medical home, leading to earlier initiation of services Goal #3: The project will be aligned with the goals established by the Autism Alliance and the ECCS plan to assure continuity and work collaboratively on a long term sustainability plan
Public Health Nursing Services
10
AK Partners as a System of
Early Intervention and Care for CYSHCN
Early Intervention/Infant Learning Program
Goals of Outreach Clinic Expansion
- Establish a process in rural Alaska to support PND
screening clinics in hub communities to improve rural Alaskan’s access to diagnosis, earlier intervention, and treatment
- Through print materials, training, and 1:1 discussions,
establish practice of proper identification of appropriate patients for referral to Providence Autism Diagnostic Network
- Collaborate and support rural community providers on
efforts to implement EPSDT (routine screenings) for earlier identification to ensure referral to EI/ILP
Homer Dillingham Bethel Fairbanks Ketchikan Juneau Barrow Kotzebue Valdez Kodiak Nome
Medical Providers: Ron Brennan, MD ; Teresa Hirst, ANP; William Walker, MD Clinic Coordinator: Kris Green Parent Navigator: Stone Soup Group
2009 – 2011 Patient Referrals (n=409)
20 40 60 80 100 120 Autism/ASD concern Prenatal Exp Behavioral Sp, Cog, Comm, Acad Other Neuro Follow-up 2009 2010 2011
2009 – 2011 Outcome Recommendations
33 % (n=73) rec’d recommendation for DX work-up
10 20 30 40 50 60 DX workup Ref local srvs Other screens Watch 2009 2010 2011
Providence Autism Diagnostic Center
(PADN)
- Autism Diagnosis Overview:
– Multi-disciplinary neurodevelopmental assessment:
- MD, Psych/Neuro Testing, OT, PT, SLP, Hearing, Vision, Early
Intervention – Parent Navigator works to link family and child to community supports, resources and providers
- Staff:
– Pediatric Neurodevelopmental Specialists – Pediatric Advanced Practice Nurse Practitioner – SSG parent navigation staff – Ancillary:
- Pediatric Therapies (OT, PT, Speech)
- Pediatric Psychologists
- Pediatric Neurologists
State Board of Education & Early Development adds ANP to list of medical personnel that can make an autism diagnosis; accepts for service needs
Capacity Building & Workforce Development
1. Leadership & Education in Neurodevelopmental & related Disabilities (LEND) 2. Autism “Summer Institutes” 3. Board Certified Behavior Analyst (BCBA) trainees certification 4. Internet based modules 5. Online course work with Georgetown and University of Arizona for learning collaborative, degree, and certifications by both EI/ILP and UCEDD
State - UCEDD Partnerships
- 1. Identify Target Audience
- 2. Gather Focus Group Data
- 3. Plan Outreach Campaign
- 4. Implement Outreach
Campaign
- 5. Evaluation and Lessons
Learned
Learn the Signs. Act Early
Alaska’s 2011 Campaign
- Identify Target Audience
– PRIMARY: Southcentral Alaska families with children ages 0-5 years – SECONDARY: Health care, Child care, Early Intervention providers in Southcentral Alaska
Learn the Signs. Act Early
Alaska’s 2011 Campaign
- Gather Focus Group Data
– Institute of Social & Economic Research (UAA) gather focus group data from parents in target audience
Learn the Signs. Act Early
Alaska’s 2011 Campaign
- Plan Outreach Campaign
– Partner Visits (health care providers and state agency partners)
- Introduce campaign
- Advise of focus group feedback
- Offer materials
- Gather feedback
- Request engagement
Learn the Signs. Act Early
Alaska’s 2011 Campaign
Early Intervention (ILP) Partnership
ILP Primary Partner Defined: Early Intervention/Infant Learning Program (aka “Part C”)
– ILP supports campaign as “Child Find” activity – ILP initiates expanded scope of direct mail of materials – Radio PSA component added – www.earlyintervention.alaska.gov is born!
Lessons Learned
– ASK and LISTEN to families… – Primary partnership with ILP developed
- rganically during planning process and
will offer sustainability beyond federal funding (annual mailing of materials planned) – Take time to inform health care community – Providers can be great partners!
Learn the Signs. Act Early
Alaska’s 2011 Campaign
an enhanced statewide access to a fully developed comprehensive and culturally sensitive system of care so that Alaskans with ASD and related developmental disabilities will reach their full potential through timely and coordinated transitional planning.