themed breakout: understanding the emergent learning around the 27-30 month child health check john...
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![Page 1: Themed Breakout: Understanding the Emergent Learning around the 27-30 month child health check John O’Dowd johnodowd@nhs.net Early Years Collaborative](https://reader035.vdocuments.us/reader035/viewer/2022062621/551c4cc55503467b488b509c/html5/thumbnails/1.jpg)
Themed Breakout: Understanding the Emergent
Learning around the 27-30 month child health check
John O’[email protected]
Early Years Collaborative Learning Session TwoDay 2
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Stretch Aim 2
To ensure that 85% of all children within each Community Planning Partnership have reached all of the expected developmental milestones at the time of the child’s 27-30 month child health review, by end-2016.
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Stretch Aim 3
To ensure that 90% of all children within each Community Planning Partnership have reached all of the expected developmental milestones at the time the child starts primary school, by end-2017.
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Ready to Learn pilot
•Started in August 2011
•Covers NE and NW Glasgow, East Dunbartonshire and Renfrewshire
•Approximately 600 children per month
•Builds on previous work done in West Glasgow around a 12 and a 30 month universal contact
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Evaluation & Research
•NHSGGC: – John O’Dowd– Michelle Affleck– Lucy Thompson
•Glasgow University: – Phil Wilson– Fiona Sim
•Newcastle University: – James Law
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Ready to Learn pilot•Focus on developmental readiness of universal nursery provision•Create progressive universalism•Built on local needs assessment around the prevalence of communication needs and known links between behavioural problems and risk of future conduct problems/disorder•Pathways to early intervention • Second element still underway:
– validation of tools
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Ready to Learn - tools•Strengths and Difficulties Questionnaire (SDQ)
– 5 domains: emotional symptoms, conduct, hyperactivity, peer relationships, and prosocial domains
•Sure Start Language Measure (SSLM-R)– 50 common words– Below 20 suggests significant delay– Below 50 provides stimulus to promote
language (but no normative need)
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Findings- reachGlasgow NE & NW Pilot: Percentage of
Assessments completed per month (improper median)
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
1 2 3 4 5 6 7 8 9 10 11 12
Month
% C
om
ple
ted
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Findings- reach
•80% uptake across all quintiles in first month
•Dropped off with time and competing demands
•Rally with feedback through managers
•Positive reaction from staff and parents
•Learning from exceptions
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Findings- communication
Communication category by SSLMR
Percentage of completed checks
50 words 28%
21-49 words 62%
20 words or less 10%
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Findings- behaviour
Behaviour Percentage of completed checks
No needs
(normal range)
73.4%
Possible needs (Borderline range)
12.7%
Probable needs
(Abnormal range)
13.9%
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Findings- behaviour and communication
SDQ
No needs
SDQ
Poss needs
SDQ
Prob needs
Total
SSLMR 50 23% 2.7% 2% 28%
SSLMR
21-49
43.4% 8.2% 10.4% 62%
SSLMR ≤ 20
6.7% 1.7% 1.4% 10%
Total 73.4% 12.7% 13.9% 100%
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Pathways to interventionRTL contact
Behaviour +/or communication needs
Behaviour Needs
Promote communication Intervene in communication
Triple P Parenting Intervention
Behaviour and comm needs
Communication Needs Only
Multiagency planning group and
intervention
Request assistance
Needs Resolve
d
Needs Unresolv
ed
Needs Resolved
Needs Unresolv
ed
Needs Resolved
Needs Unresolv
ed
Reformulate or escalate
Needs Resolved
Needs Unresolv
ed
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Emergent learning• Reach:
– capacity– engagement : positive framing using developmental readiness
• Learning from errors: epistemology of practice• Working together – interdisciplinary before interagency!• Capacity
– cumulative intervention– concerns about reduced time for targeted work
• Capability and developmental assessment• Capability, capacity and new interventions• Individualised solutions versus organisational pathways
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Acknowledgements
• Parents and children in the 4 pilot areas
• Staff in the pilot areas
• Early Years Collaborators
• One Glasgow
• Research collaborators
• Healthy Children Programme Board and operational team