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The Child Health Liaison Course in Boulder County. Presented by: Sarah Scully, MPH Boulder County Public Health 303-413-7502 sscully@co.boulder.co.us. Child Health Promotion Program. Child Health Liaison Program Child Care Health Consultant Training and Support
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The Child Health Liaison Course in Boulder County Presented by: Sarah Scully, MPH Boulder County Public Health 303-413-7502 sscully@co.boulder.co.us
Child Health Promotion Program • Child Health Liaison Program • Child Care Health Consultant Training and Support • Family Child Care Health and Safety Project • Health Inspections/Playground Inspections • Health Screening • Clean Hands Program • Immunizations/Health Records- Audits
Child Health Liaison (CHL) • Health Advocate Training Program • One staff person from each center or home • Works closely with the child care health consultant (CCHC)
CHL Program Goals: • Improve quality • Increase practices that reduce the spread of communicable illness among children and staff; • Reduce environmental hazards;
CHL Program Goals: • Increase access to primary care, mental health and social services for children and families • Improve the early identification of children with special needs • improve immunizations rates
CHL Program Goals: • Improve the health promotion knowledge and skills of child care staff
CHL, CCHC and Center Director collaborate to: • Assess health and safety needs of the families, staff and child care environment • Facilitate education and training • Provide referrals to community resources • Develop policies and procedures
CHL Job Description • attend all sessions/mentor visits • complete all assigned activities • provide education to staff/families • make environmental improvements • regular meetings with director • communication with CCHC
Structure of CHL Program: • Training Program: • Forty-five hours • 10 months • Mentoring • Monthly stipend • Bonus • 3 credit course
Resources for Curriculum Development • National Training Institute for Child Care Health Consultants (NTI) • Head Start • California Child Care Health Program http://www.ucsfchildcarehealth.org/
Resources • National Health and Safety Standards for Out of Home Care • CDPHE Regulations and Materials • Colorado Department of Human Services Regulations
Program Evaluation • Infant Toddler Environment Rating Scale (ITERS-R), ECERS-R, or FDCRS used pre and post program implementation • Reliable, valid tools used nationwide to assess quality of group care for children
Improved communication with staff and families regarding health and safety • Continued professional development • Ripple effect to other corporate sites • More children with medical/dental homes and medical/dental insurance • Improved immunization rates
Increased number of health care plans for children with special needs • Improved health/safety policies • Identification of children with vision, hearing, dental, and developmental concerns which leads to further evaluation and treatment.
Improved playground supervision • More surfacing under and around equipment • Safer equipment
Challenges • Addressing barriers to change time; money; space; staff and program changes; old facilities; staff resistance • Decreasing fear and apprehension • Making substantial changes • Evaluation tools
Initial Funding • Healthy Child Care Colorado • Daniels Fund • Caring for Colorado
Current Program Costs • Total Cost per center = $2000 $1500 stipends $ 500 resource materials; supplies Plus staff time for training and mentoring
Sustainability • Relationships between CHLs and community resources • Greater if accompanied by written policies • Health and safety changes persist after CHL leaves the program • CHL brings knowledge/skills to new center
Child Health Liaison (CHL) Program Online Curriculum Module 1: Health and Safety in Child CareModule 2: Preventing Illnesses and Communicable DiseasesModule 3: Immunizations and Emergency PreparednessModule 4: Safety and Injury PreventionModule 5: Nutrition and Food SafetyModule 6: Oral HealthModule 7: Social and Emotional HealthModule 8: Child Abuse and Neglect PreventionModule 9: Medical Home and Children with Special Health Care NeedsModule 10: Staff Health