Carrie Hall, M.Ed. Lisa Milkavich, PT, DPT Margaret Kluthe, M.D . Tracy, Golden, Ph.D., M.Ed.

1. URLEND Leadership Research Project: Utilizing the Learn the Signs, Act Early program to Teach WIC clients in Provo County about Healthy Child Carrie Hall, M.Ed. Lisa Milkavich, PT, DPT Margaret Kluthe, M.D. Tracy, Golden, Ph.D., M.Ed.

2. Introduction • GOAL: Promote earlier identification of Autism Spectrum Disorder and Developmental Delays. • MEANS: Increase parents’ ability to recognize signs of delay and seek evaluation. • Method: Create learning modules for the WIC website.

3. Methodology • Rationale: only ~ 30% of children with delays are identified before they enter school. • Relying on periodic physical exams is insufficient. • Recognition of delays among some groups is lower, including • Girls • African American children • Children of parents who were not fluent in English • Children in foster care • Early intervention allows earlier therapy. • Early therapy is more efficacious.

4. Methods • We contacted WIC to arrange an in-person meeting in early November • We researched the efficacy of modules • We created learning modules for ages 6, 12 and months and ages 2, 2½ and 3 years • Modules, utilized the CDC “Learn the Signs. Act Early” curriculum with • Introduction • Pretest • Informational section • Resources • Post test

5. Module Examples

7. Results Team’s goals: Develop culturally & socioeconomically relevant educational modules on developmental milestones & autism. Barriers: • Significant delays in communications, • Rotating contact person for WIC, • WIC seemed to lose track of who we were Data collection:No data was collected.

8. Discussion Limitation: • Unable to publish modules on WIC’s website • No collect data, no findings in relation to original hypothesis Future direction: • Post on ‘Help me Grow' -United Way program in Utah County & LTA-AE’s user board Outcomes: • Experience working with a large government organization • Team developed- culture of trust, and open communication, cohesive work environment across disciplines, & experienced modern communication technologies

9. Q & A

10. Carrie’s thoughts on URLEND • Suggestions and highlights: • Include future AE trainee’s in the orientation process to allow networking and connection with other trainees • Set up a requirement for projects within government systems • Create more opportunities for the URLEND and AE trainees to attend seminars together • Keep the Leadership Assignments-they were great!

11. Lisa’s thoughts on URLEND URLEND is my professional utopian bubble  Suggestions: • Add a quick 5 min update/debrief period to beginning of each AE didactic session • New assignment tab on syllabus is great! Can you add the actual assignment to the page as well? • Interprofessional reading/assignments from Gwen were great. Can they all be placed on the syllabus at the beginning of the course? Can leadership groups receive group feedback after assignment B?

12. Margaret’s thoughts on URLEND • Highlights • Leadership project with Lisa & Carrie was a great experience at learning to collaborate as a group. • Leadership book was clear and insightful. • Loved the clinics – just wish I had time to do more. • Didactic sessions were excellent! • Suggestions • Support all AE trainees attending the orientation for team building and collaboration. • Have a ‘Legislative’ tab where legislative activities could be listed and updated, whenever possible. • Include Dr. Hoffman’s lecture for AE, perhaps all. • Fewer assignments due April 4th! (We have five due)