Preschool Developmental Screening in Mill Woods

1. Preschool Developmental Screening in Mill Woods An update on the Edmonton project

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

3. 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 Proposals Provincial Request for Proposal (RFP) 3

4. East Central David Thompson Chinook Capital Palliser Provincial Request for Proposals Five projects: 4

5. Evaluation • 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

6. ASQ • ASQ Sample • ASQ_Questionnaire.pdf • Summary Sample eCHSA-08-0646 18 Month ASQ Information Summary Form.pdf

7. Build parent and community capacity Develop an integrated multi-disciplinary, cross-sector parent support network Goals 7

8. Mill Woods in Edmonton Urban Culturally diverse Rapid growth Community 8

9. 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 9

10. 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 10

11. “.. 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 11 11

12. Process Parent Capacity Building Recruitment • 18 month old • 36 month old • Cultural adaptations Community Capacity Building

13. Key Elements 13 Universal targeted clinical Capacity building Coaching Strengths based, child led Cultural conversion

14. Recruitment - 18 month Well Child Clinic Screening • Concerns • ASQ, Parent or Staff No Concerns • In-Person Follow-up • Explain what screening is/is not • Review results, offer learning event, community groups and home visit • Letter • Explain what screening is/is not • Review results, invite to learning events, community groups • Community Resources information • 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 Re-screen at 36 months Referral

15. Recruitment Results – 18 month Concerns 310/1130 screened

16. Clinical Referrals – 18 month 49 referrals from 310 concerns 16

17. 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”.

18. Recruitment - 36 month 3 Year Old Celebration Screening • Concerns • ASQ, Parent or Staff No Concerns • In-Person Results • Explain what screening is/is not • Review results, offer learning event, community groups and home visit • On-site Results • Explain what screening is/is not • Review results, invite to learning events, community groups • Community Resources information • 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

19. Concerns 35/162 screened Recruitment Results - 36 month 19

20. 9 referrals from 35 concerns Clinical Referrals – 36 month 20

21. 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!”

22. Parent voices ASQ as a learning tool… • 97 % increased knowledge • 98% better informed about child’s development • 94% increased resource knowledge

23. Recruitment – Cultural Adaptations Concerns 36/69 23

24. Community Referrals – 74 Clinical Referrals – 5/36 (14%) Secondary screens – 8 (20%) Clinical Referrals – Cultural Conversion 24

25. 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”

26. Process Recruitment 18 month old 36 month old Cultural adaptations Parent Capacity Building Community Capacity Building 26

27. Parent Capacity Building 27

28. Parent Capacity Building Coaching model • Child Parent Key worker specialists Learning Events • Integrated key messages

29. Parent Capacity Building Results Learning Events • 339 parents attended • 95% increased ECD knowledge • 100% will try strategies • 88% increased knowledge of resources

30. Capacity Building Key messages for parents and community.

31. Capacity Building I learn through everyday activities. I learn in my community. 31

32. Capacity Building I learn through my interests. 32

33. Capacity Building I learn by people responding to me 33

34. Community Capacity Building • Common messages across partners • Community embedded services • Community displays

35. The journey continues … questions?