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Stories on CT Help Me Grow: Case Studies and Analyses. Marcia Hughes Dee Hubbs Edna Rivera Shirley Caro Kate Corcoran. HMG National Replication Forum May 19, 2010 Hartford, CT. Overview. Case Studies Themes From practice to paper: coding & data analyses
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Stories on CT Help Me Grow: Case Studies and Analyses Marcia Hughes Dee Hubbs Edna Rivera Shirley Caro Kate Corcoran HMG National Replication Forum May 19, 2010 Hartford, CT
Overview • Case Studies • Themes • From practice to paper: coding & data analyses • Conclusion: conceptually easy, practically difficult
Case Studies • Mom versus professional concerns about child’s expressive communication • Mom inquiring about respite funds for child with special health care needs • Single dad with concerns about child’s development and behavior • Arabic-speaking mom with concerns about child’s development & in need of evaluation
Themes • Wide range of needs: Across service sectors • Initial concerns versus identified issues • Information & education • Research, research, and more research • Screening & Surveillance: Ages & Stages Quest. • Parenting & social groups • Advocacy for parents • Gaps and Barriers • Feedback loop • Very quick turnaround
Wide range of needs: 2008-2009 • Calls inquiring about child’s development and behavior and related issues and service needs (n=842) • Calls inquiring about eligibility criteria and child’s development and behavior concerns (n=992) • Calls inquiring about information, education, and/or evaluation for children with identified issues who fulfill eligibility criteria (Part C, Part B, Title V) (n=1,164)
# of Cases by Level of Need: 2008-2009 9 calls per case 2 calls per case 5 calls per case
Identified Delays: Info & Evaluation Coding of Issues: 2008-2009 Multiple, Interacting Needs (82%) Information (CYSHCN, B-3, Sped) (7%) specific service need (30%) evaluation concerns (18%) educational concerns (16%) follow-up on B-3 referral/status (38%) developmental concern (8%) evaluation (spec.ed) (27%) related to a specific disability (25%) specific service need (20%) program information (14%) child had a social/emotional issue (12%) “basic” needs (11%) parenting or family issues (11%) seeking socialization programs COMPARISON OF GROUPS: ISSUES BY LEVEL OF NEED
Analysis by the 5 Connecticuts: 2008-2009 % of Families Residing in the 5 Town Groups Help Me Grow Compared w/ State Population 7.2 calls 5.7 calls 5.7 calls 5.8 calls 4.2 calls
Coding of Actions: 2008-2009 Actions by Level of Need
Coding of Referrals: 2008-2009 TOTAL # OF REFERRALS: 4,119 50% with follow up information
Help Me Grow Referrals: Ages & Stages Program - Past 3 years
Coding of outcomes: 2008-2009 Comparison of Outcomes between the "Five Connecticuts”
Conclusion • Issues & barriers interact: chronic & acute • Circumstances differ & change over time • Help Me Grow System: Across sectors • Coding intake & follow-up information and translating to data is conceptually easy but practically complicated and difficult • Important (and one of a kind) source of information on children & families across CT