Universal Developmental Screening (Birth to 8 Years) Lauren M - - PowerPoint PPT Presentation
Vermonts System for Universal Developmental Screening (Birth to 8 Years) Lauren M Smith, LCMHC Project Director, Project LAUNCH Vermont Child Health Improvement Program (VCHIP) Population-based maternal and child health services
Lauren M Smith, LCMHC Project Director, Project LAUNCH
Quality Improvement
Screening
Initiative
Evaluation
Grant
Families
Long Term goal – For all children to reach social,
(SAMHSA); Awarded to VT Dept. of Health; Administered by Building Bright Futures
implementation of a series of evidence based strategies to promote young child wellness.
Project LAUNCH Goals
children’s social and emotional development and preparation to deliver high-quality care
collaboration across disciplines at the local, state, tribal, and federal levels
health into primary care
evidence-based prevention and wellness promotion practices
assessment and referral to services for children and families
Project LAUNCH Prevention and Promotion Strategies
focus on social and emotional well- being
range of child-serving settings
primary care
care and education
skills training
Each grantee implements or expands evidence-based programs and practices in five key areas
Increase screening of children across various settings using evidence based tools in a more consistent manner
Convene stakeholders to develop a shared vision for UDS System Provide training, and quality improvement coaching to child care providers Provide training, technical assistance, and quality improvement coaching to primary care providers
Build relationships across organizations and settings that serve children and families, establish clear expectations for communication and follow-up, and coordinate services that are family-centered and strengths-based. Provide training and technical assistance to professionals caring for children birth to age eight by providing a common vision, language, and framework to support implementation of Vermont’s System for Universal Developmental Screening.
Ensure professionals caring for children birth to age eight have access to a data system that captures every child’s developmental screening results
by allowing easy access to screening results, providing more timely interpretation, and facilitating follow-up for children with a developmental
reporting system.
Provide training and support to programs/staff to develop and/or enhance systems to monitor every child’s developmental progression, engage families in ongoing communication about their child’s development, conduct structured developmental screening, and make appropriate linkages to support services.
Provide tools, resources, and training to strengthen family and caregivers’ awareness of the importance of supporting early childhood development and families’ participation in Vermont’s System for Universal Developmental Screening.
Comparing the Ages and Stages Questionnaire (ASQ-3) and Teaching Strategies Gold (TSG) ASQ-3 TSG
Category Developmental Screening Tool Curriculum Based Assessment Ages Birth to 5.5 years Birth through Kindergarten Purpose First level, brief, objective, formal process using a standardized and validated tool to determine if a child needs further evaluation for a developmental concern and/or delay. Interpretation should take into consideration
culture, environment, health, etc.) Ongoing, in depth process of observing, gathering and interpreting data to identify targeted early learning goals and objectives over time. It identifies a child's ability to perform functional skills within a developmental continuum. Areas Fine Motor, Gross Motor, Language, Cognitive, Personal-Social Social-Emotional, Physical, Language, Cognitive, Literacy, Math, Science &Technology, Social Studies, and Arts Format & Information Sources Age-specific checklist and Information Summary Sheet at specific intervals in time Report(s), child profile (information gathered from multiple sources) When Conducted at specific points in time and/or when a risk is identified (i.e. snapshot) Ongoing/continuous observation in the context of every day experiences (i.e. video) Who Families, early care and education professionals, doctors, teachers, nurses, interventionists, home visitors, etc. Early Care and Education professionals. Option to have family input. Answers: “Does the child need ongoing monitoring and/or referral for further evaluation? “What should come next to meet the child’s educational needs?”
Created by the Vermont Child Health Improvement Program
“Finally we have the tools and supports that we need to offer screening to our children and families”. “Our families are all giving positive feedback about developmental screening and some are even relieved to finally receive guidance about what they should expect from their child and what doesn’t need to be an unnecessary worry”. “Having endorsed tools to use, rather than just sharing your ‘gut’ instinct helps so much in terms of building trust with families. We being seen as professionals rather than babysitters.”
STATEMENT Strongly Agree Agree Neutral Disagree Strongly Disagree Don’t Know I receive information and guidance about how to help my child develop and learn
I am frequently asked about my opinions and/or concerns about my child’s development
I feel comfortable bringing up questions and concerns about my child’s development
I feel confident that if I bring up questions or concerns about my child’s development, my concerns would be acknowledged quickly and respectfully
I feel my family’s culture, language, and preferences are respected
I feel comfortable following recommendations made about my child’s development
I receive regular updates about my child’s development in the form of reports, photos, journals, portfolios or some other documentation
10. Thinking about <Insert Program Name> and the professionals who work there, (such as teachers, directors, clinicians, interventionists, etc.), please respond to the following statements by placing checking the appropriate box:
Program tracks which children have received developmental and/or behavioral screenings 0 1 2 3 4 5 6 7 8 9 10 11 Program “flags” or tracks when a child has risk factors for developmental delays 0 1 2 3 4 5 6 7 8 9 10 11 Program staff support families through the referral process 0 1 2 3 4 5 6 7 8 9 10 11 Program staff support families with addressing barriers to accessing services 0 1 2 3 4 5 6 7 8 9 10 11 …is not done … is inconsistently done (less than 75% of the time) … is consistently done (75% of the time or more) …is consistently done and based
recommendations
Please Indicate your level of knowledge in the following areas by marking an “x” in the appropriate box Very Limited Fair Good Very Good Expert
Proper administration, scoring and follow up of Vermont’s recommended developmental screening tools (i.e. ASQ-3 & ASQ-SE) Characteristics of culturally and linguistically sensitive surveillance and screening practices Confidentiality and privacy policies around sharing information about a child with other professionals Communication strategies for sharing developmental screening results with a family Appropriate referral sources to consider if a developmental concern is identified through the screening process Current community agencies and/or organizations which provide developmental services and/or supports for children and families
Month: Year: Month: Year: Month: Year: Month: Year:
Was a Standardized Developmental Screening conducted? □ Yes: ASQ-31 □ Yes: ASQ-SE2 □ Yes: Other standardized screening tool3: __________________________ □ Yes: ASQ-31 □ Yes: ASQ-SE2 □ Yes: Other standardized screening tool3: __________________________ □ Yes: ASQ-31 □ Yes: ASQ-SE2 □ Yes: Other standardized screening tool3: __________________________ □ Yes: ASQ-31 □ Yes: ASQ-SE2 □ Yes: Other standardized screening tool3: __________________________ If a Standardized Developmental Screening was conducted, by whom? □ ECE staff1 □ Parent/care-giver2 □ Both ECE staff and parent/care- giver3 □ ECE staff1 □ Parent/care-giver2 □ Both ECE staff and parent/care- giver3 □ ECE staff1 □ Parent/care-giver2 □ Both ECE staff and parent/care- giver3 □ ECE staff1 □ Parent/care-giver2 □ Both ECE staff and parent/care- giver3 What was the child’s age at the time of screening? ______ year(s) ______ month(s) ______ year(s) ______ month(s) ______ year(s) ______ month(s) ______ year(s) ______ month(s) If screening was initiated by ECE staff, was the family encouraged to participate? □ Yes1 □ No0 □ Yes1 □ No0 □ Yes1 □ No0 □ Yes1 □ No0 If screening was conducted by ECE staff, did the family provide permission to conduct a screening? □ Yes1 □ No0 □ Yes1 □ No0 □ Yes1 □ No0 □ Yes1 □ No0 If screening was conducted by ECE staff, did the family receive the developmental screening results? □ Yes1 □ Unsure2 □ No0 □ Yes1 □ Unsure2 □ No0 □ Yes1 □ Unsure2 □ No0 □ Yes1 □ Unsure2 □ No0 What were the results of the screening? □ N/A1 □ No concerns2 □ Near cutoff3 □ Need for evaluation and/or referral4 □ N/A1 □ No concerns2 □ Near cutoff3 □ Need for evaluation and/or referral4 □ N/A1 □ No concerns2 □ Near cutoff3 □ Need for evaluation and/or referral4 □ N/A1 □ No concerns2 □ Near cutoff3 □ Need for evaluation and/or referral4