powerful nexus of the medical home: providers in partnerships for families
TRANSCRIPT
The Powerful Nexus of the Medical Home: Providers in Partnership for Families
Reach Out and Read-‐Where Great Stories Begin
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Our Mission To prepare America’s youngest children to succeed
in school by partnering with doctors to prescribe books and encourage families to read together
Our Vision We are working toward the day when all children enter kindergarten with highly-‐engaged parents, performing at
grade level, and prepared to excel
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Three-‐Part Model Pediatrician Guidance
In the pediatric exam room, pediatricians speak to parents
about the importance of reading aloud to their children every day, and offer age-‐appropriate literacy
Ips and encouragement.
Prescribe a Book
At each regular checkup from 6 months through 5
years of age, the child receives a new, culturally-‐ and
developmentally-‐appropriate book to take home and keep.
Clinic Environments are Literacy Rich
Clinic environment support literacy-‐rich
messaging and resources to families
as appropriate, supporIng parents in daily literacy acIviIes with their children. .
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Evidence-‐Based, Research-‐Tested FiSeen published, peer-‐reviewed research studies support the efficacy of our model, a more extensive body of research than for any other psychosocial intervenIon in general pediatrics.
Proven Effects on Children
• Enter kindergarten with: • larger vocabularies, • stronger language skills, and • a three to six-‐month developmental edge.
Proven Effects on Parents
• Demonstrate significant change in: • how frequently they read to their children, and
• beliefs and aYtudes towards reading aloud.
Reach Out and Read and Home VisiAng Partners
The Children’s Center
• Home visitaIon as a component of primary care • Care coordinaIon as a component of primary care • Behavioral health as a component of primary care
Home VisitaAon Programs at TCC
HV Triage at The Children’s Center
Nurse Family Partnership
Context for Partnership
• How does the partnership work?
• Why nurses support Reach Out and Read?
Seamless CollaboraAon
Our History • Care Ring is the implemenIng agency for Nurse-‐family Partnership in Mecklenburg County
• Agency was the incubator for ROR in Mecklenburg County prior to NFP being implemented and key in ROR being established in several doctors’ office
• In 2011, ROR approached Care Ring about re-‐insItuIng the program at Care Ring as an adjunct to our NFP program
Partnership in PracAce
Common Goals • Reach Out and Read, like Nurse-‐Family Partnership, is an evidence-‐based model that targets impoverished families.
• Both program focus on improving child development by fostering posiIve interacIons between child and caregiver (namely reading!)
• Fundamental research in both programs support reading aloud as a key acIvity to promote language development
Partnership in PracAce
Common Goals By partnering with the Reach Out and Read (ROR) program, Care Ring Nurse-‐Family Partnership assists mothers in taking an acIve role in preparing their children to succeed in school. We do so by educaIng families on the importance of reading to their children, providing our families books and by encouraging families to read together.
Partnership in PracAce Obvious Fit • Books are provided at consistent intervals: – Birth of infant – At compleIon of infant health assessments (6, 12, 18, and 24 months)
• AnIcipatory guidance related to the developmental milestones of early literacy is provided when books are issued. – Nurse home visitors
• 1.demonstrate reading aloud to the child • 2. coach the parent to promote confidence • 3. provide age-‐appropriate literacy Ips and educaIonal materials
Partnership in PracAce Obvious Fit • Early Literacy is included in CR NFP incenIve
structure and social events • Community Partnerships support and reiterate
early literacy message – Mecklenburg County Library – Baby Bundles – Turning Pages – Smart Start – Bright Blessings
Children’s Hospital OutpaAent Center
It takes a village…
Thank You/QuesAons