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1. Vision, Hearing, Dental and Developmental Screening in Child Care Sarah Scully, MPH
Boulder County Public Health
303-413-7502
sscully@co.boulder.co.us
2. Background
Collaboration with Health Care Program for Children with Special Needs
Children in child care centers
Pilot program
Early identification and intervention
3. Methods Vision Screening
MTI PhotoScreener
Function vision screening with ophthalmoscope
Procedure
Referral protocol
Follow-up
4. Methods Hearing Screening
Oto-acoustic Emissions (OAE)
Tympanogram
Otoscope
Procedure
Referral protocol
Follow-up
5. Methods Dental Screening
Dental hygienist
Procedure
Referral protocol
Follow-up
6. Methods Developmental Screening
Ages and Stages Questionnaire
Parents/caregiver involvement
Procedure
Referral protocol
Follow-up
7. Outcomes and Results Vision-
Hearing
Dental
Developmental
8. Benefits Early identification and treatment
Cost effective
Reaching those in need
Health education for staff and families
Integration of health screening services into child care programs
9. Barriers Communication with parents/guardians
Refusal to pursue referral
Lack of medical/dental insurance or ability to pay