preschool developmental screening in mill woods an update on the edmonton project

Preschool Developmental Screening in Mill Woods

An update on the Edmonton project

www.albertahealthservices.ca 2

“Begin early, intervene often, intervene effectively.” (Ludwig and Sawhill, Brookings Institute)

Why screen?


• Alberta Health and Wellness • RFP in November 2006, awarded April 2007

• Budget• $7.9 million over 3 years (to Dec. 2009)• across Alberta

Provincial Request for Proposal (RFP)

Provincial Request for Proposals


• East Central

• David Thompson

• Chinook

• Capital

• Palliser

Five projects:

Provincial Request for Proposals


• Provincial• Alberta Centre for Child, Family and Community

Research• Change in access to screen/service• Impact on the workforce• Developmental outcomes for children

• Local • Early Childhood Measurement and Evaluation

Resource Centre (ECMERC)• Concurrent study of ASQ Validity with cultural groups

Evaluation


• ASQ Sample • ASQ_Questionnaire.pdf

• Summary Sample

eCHSA-08-0646 18 Month ASQ Information Summary

Form.pdf

ASQ


1. Build parent and community capacity

2. Develop an integrated multi-disciplinary, cross-sector parent support network

Goals


• Mill Woods in Edmonton

• Urban

• Culturally diverse

• Rapid growth

Community


Alberta Health Services• Community Health Services

• Child Health Clinics• Edmonton Early Intervention Program• Regional Pediatric and Mental Health• Speech and Language Services

• Community Rehabilitation - Pediatric Occupational Therapy

• Glenrose Rehabilitation Hospital• 1-2-3 Go! Child and Family Early Intervention

Service

• Stollery Child Health

Partners


• Child and Adolescent Services (CASA)• Mill Woods Community Mapping and Beyond• Multi-Cultural Health Brokers• Child and Family Services Authority – Region 6• Millwoods Family Resource Centre (Parent

Link)• Edmonton Public Schools• Edmonton Catholic Schools• ABC Head Start

Partners


“.. ensure that we’re all saying the same messages … starts to promote child development in

Millwoods.”

“… the kids come and they’re having a great time and the parents are there and they’re asking questions and the parents are connecting …

that’s how you build community.”

“Our collaboration with MFRC and MCHB with OT and Speech make it easier to serve families…”

Partner voices


Process

Recruitment

• 18 month old

• 36 month old

• Cultural adaptations

Parent Capacity Building

Community Capacity Building


• Universal targeted clinical

• Capacity building

• Coaching

• Strengths based, child led

• Cultural conversion

13

Key Elements


ScreeningNo Concerns

Concerns• ASQ, Parent or Staff

Letter• Explain what screening is/is not• Review results, invite to learning events,

community groups• Community Resources information

In-Person Follow-up•Explain what screening is/is not•Review results, offer learning event, community groups and home visit

Intervention and Follow-up• Key worker home visit do family interview, culture gram, secondary screens • Results to Physician (with consent)• maximum 2 contacts; individualized strategies, provide resources, workshop,

community resources

Referral

Well Child Clinic

Recruitment - 18 month

Re-screen at 36 months

www.capitalhealth.ca

Communication42%

Problem Solving20%

Fine Motor18%

Gross Motor12%

Personal Social8%

15

Concerns 310/1130 screened

Recruitment Results – 18 month

www.capitalhealth.ca

29%

14%

24%

14%

SL OT EIP MCHB16

49 referrals from 310 concerns

Clinical Referrals – 18 month


Parent Voices

“Opened my eyes to the things my child was doing well”

“I enjoyed the idea of having the ASQ done in the health clinic; something while you are sitting

there and waiting already.”

“If you have not come or found me in this way I would have been lost and I wouldn’t have known

what to do with my child”.


ScreeningNo Concerns

Concerns• ASQ, Parent or Staff

On-site Results• Explain what screening is/is not• Review results, invite to learning events,

community groups• Community Resources information

In-Person Results•Explain what screening is/is not•Review results, offer learning event, community groups and home visit

Intervention and Follow-up• Key worker home visit do family interview, culture gram, secondary screens • Results to Physician (with consent)• maximum 2 contacts; individualized strategies, provide resources, workshop,

community resources

Referral

3 Year Old Celebration

Recruitment - 36 month

www.albertahealthservices.ca

Fine Motor59%

Personal Social11%

Gross Motor9%

Problem Solving

7%

Communication14%

19

Concerns 35/162 screened

Recruitment Results - 36 month


44%

22% 22%

SL OT MCHB 20

9 referrals from 35 concerns

Clinical Referrals – 36 month


Parent Voices

• “The best part was that I learned my child can do some things I never knew he could.”

• “It was wonderful to be able to get information from the professionals and get our questioned

answered right there!”

• “This rocks! I wish there was something like this for older kids!”


ASQ as a learning tool…

• 97 % increased knowledge

• 98% better informed about child’s development

• 94% increased resource knowledge

Parent voices


Communication36%

Fine Motor24%

Gross Motor11%

Personal Social8%

Problem Solving21%

23

Recruitment – Cultural Adaptations

Concerns 36/69


• Community Referrals – 74

• Clinical Referrals – 5/36 (14%)

• Secondary screens – 8 (20%)

Clinical Referrals – Cultural Conversion


Parent voices

“… So they want the whole family to be the part of it, Grandma, Grandfather, sister in law,

mother in law. I have done the screen where the whole family sitting in the circle. Everybody’s picture is in. …Everybody is part of that child

development”


Process

Recruitment

• 18 month old

• 36 month old

• Cultural adaptations





Coaching model

• Child Parent Key worker specialists

Learning Events

• Integrated key messages


Learning Events

• 339 parents attended

• 95% increased ECD knowledge

• 100% will try strategies

• 88% increased knowledge of resources

Parent Capacity Building Results


Capacity Building

Key messages for parents and community.


Capacity Building

I learn through everyday activities.

I learn in my community.


Capacity Building

I learn through my interests.


Capacity Building

I learn by people responding to me



• Common messages across partners

• Community embedded services

• Community displays


The journey continues … questions?

preschool developmental screening in mill woods an update on the edmonton project

Documents

asq slide

edmonton project slide

woods community mapping

child development

community research change

provincial alberta centre

alberta provincial request

asq sample