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Community Partnerships
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Why are we concerned?
Homeless children are four times more likely to show delayed development
Twice as likely to have learning disabilities as non-homeless children
Sick four times more often than other children Four times more respiratory infections Twice as many ear infections Five times more gastrointestinal problems Four times more likely to have asthma
The National Center on Family Homelessness (1999). Homeless Children: America’s New Outcasts. Newton, MA.
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What We Have Done
Determine areas of concern Gather Information
-workshops-gather research data
Look in your community -where’s the expertise-who can help you develop and implement
Look to your team
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Partnerships that Work
To Enhance Knowledge, Skills, Services Staff therapists: Occupational Therapy (OT) and Music Therapy Community Therapy organizations: Occupational, Physical, and Speech Therapy Pediatric Audiologist: Volunteer for hearing screens Dental Services: Ronald McDonald Care Mobile ®
University of Minnesota
-Infant and Early Childhood Mental Health Certificate Program
-Center for Early Childhood Development
Zero-to-Three-National Center for Infants, Toddlers, and Families
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Health and Development Screening Goals
Support and strengthen parent/child relationship
Identify and build on family strengths to build rapport and encourage change
Educate parents on child development
Provide opportunities for parent/child interactions that stimulate child development
Connect families with access to early childhood programs in the community
Help families Identify and address health and/or development issues
Support parent in community referrals
Attention to medical needs of children
Community resource connection
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DEVELOPMENTAL SCREENS
Bayley Scales of Infant and Toddler Development-Third Edition- Screening Test
-1 to 42 months First Step Screening Test for Evaluating
Preschoolers (also Spanish Edition-Primer Paso) - 33 months to 5 years 8 months Bruininks-Oseretsky Test of Motor
Proficiency-2 (short form screen) - 4 years to 21 years Administered by occupational therapists Within first month of attendance
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DEVELOPMENTAL SCREENS
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Developmental Screen Outcomes
204 developmental screens 94% needed further diagnostic
assessment and/or intervention services (up from 77% the previous year)
35% short term therapy45% long term therapy20% significant delays need ongoing therapy
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VISION SCREENS
Completed by occupational therapists Developed in collaboration with
community pediatric optometrist Completed for children 3 and older, this
information is valuable:- for families to remediate problems early- for children referred for occupational therapy services
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VISION SCREENS
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Vision Screens Outcomes
63% of children in the In-Center programs were referred for vision screen
30% of those children needed a follow-up screen or community referral
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Ronald McDonald Care Mobile ® The Ronald McDonald Care Mobile provides cost-effective, high-quality
dental care directly to underserved children in Minnesota. A 40-foot, 26,000 pound vehicle built specifically to deliver pediatric dental services, the Care Mobile features two dental operatories and a welcoming reception area.
Ronald McDonald Care Mobile Dental Services include: Regular cleanings Fluoride treatments Sealants X-Rays Fillings Extractions Education on proper dental care
Dental Screens & Restorative Care
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Dental Screen Outcomes
Dental services were also available to siblings and mothers under 21 years
In the past 8 months, dental screens provided to 101 individuals
82 or 81% required follow-up services-71% received follow-up services on site-10% referred to community due to extensive needs
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HEARING SCREENS
Administered by community pediatric audiologist
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Hearing Screens Outcomes
77% of children in the In-Center programs were screened
46% of those children screened that needed followup
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Medical surveillance
Intake: if medical history reveals any condition that affects care/safety then we need more information 66% of children in our In-Center Programs have
medical conditions that require surveillance Signed release so therapist can collaborate with
medical providers Child staffings Relationship with parents
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Approach – Relationship Based
Relationship is the key to developing comprehensive programming
Keep parents informed, follow-up after community referral
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Barriers To Developing Community Partnerships
Financial-creative
Time-investigating possibilities & managing ongoing relationships
Space
Equipment
Limited number of clinics who receive MA clients
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Ultimate Goal
•Providing children with the skills they need to be successful with future academic challenges and building new relationshipswith peers and adults as they enter kindergarten