promoting childrens healthy development through child development infoline, cts help me grow call...
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Promoting Children’s Healthy Development Through Child Development Infoline, CT’s Help Me Grow Call
Center
04/10/23
AIRS 2012 Conference- New OrleansMay 21, 2012
Marijane Carey, Carey Consulting, MCH Consultant for United Way of CT & The Help Me Grow National Center
Kareena DuPlessis, Director, Child Development Infoline
Dierdre Sowa, Senior Care Coordinator, Child Development Infoline
Workshop Objectives
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Learn about the Help Me Grow (HMG) system and the role of the call center
Understand CT 2-1-1/Child Development Infoline’s (CDI) function and responsibilities in the CT Help Me Grow system
Become aware of the Ages & Stages Child Monitoring Program and how CDI offers the tool to families
Learn about replication efforts of the National HMG Center
Explore the feasibility of establishing a HMG system in your state and the potential role for your call center
Why Help Me Grow?
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Assumptions: Children with developmental/behavioral
problems are eluding early detection
Many initiatives exist to provide services to young children, their families
A gap exists between child health and child development/early childhood education programs
Children and their families would benefit from a coordinated, region-wide system of early detection, intervention for children at developmental risk
Help Me Grow Background
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Pioneered by Paul Dworkin, Physician-in-Chief of Connecticut Children’s Medical Center
Began in 1998 as a pilot project in Hartford, CT for pediatricians called ChildServ
Became statewide in 2002 with administrative oversight provided by the Children’s Trust Fund
Help Me Grow Background
National Replication 2005 – Orange County Help Me Grow was
established
2008 – Expanded to 5 states with funds from the Commonwealth Fund
2010 – Established the National Help Me Grow Center with Kellogg funding and added 9 more replication states
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ELEMENTS of the Help Me Grow SYSTEM
Pediatric Outreach
Call Center/ Access Point
Community Outreach
Continuous Quality Improvement
Steering Committee Ongoing Monitoring/Evaluation
Administrative Entity
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Child Development Infoline 1-800-505-7000
Child Development Infoline, a specialized call center of United Way 2-1-1, helps families with children who are at risk for or experiencing developmental delays or behavioral health issues find appropriate services.
• Assessment of needs & referrals to services
• Education on development, behavior management and programs
• Ongoing developmental monitoring
• Advocacy and follow up
Care Coordinators provide:
Child Development Infoline Care Coordinators
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Utilize 2-1-1’s framework for handling calls-
Building a relationship Conducting a needs assessment Educating on resources Making referrals Providing follow-up
Care Coordinators link to services
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The CT Birth to Three System (Early Intervention)
Early Childhood Special Education Services
Children and Youth with Special Health Care Needs Program
Other 2-1-1 Call Centers
Help Me Grow
Referrals to services
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Birth to Three- for children birth-36 months of age with significant developmental delays in need of early intervention services
Early Childhood Special Education- for children ages 3-5 with significant delays in need of special education services
CYSHCN- for children birth-21 years with chronic physical, developmental or emotional conditions needing more health/related services than children the same age
United Way of Connecticut Programs
Help Me Growfor children birth thru 8 years
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“Safety Net” available to all families
Referrals for families of young children “at risk” for developmental or behavioral problems
Care coordinators research resources that meet the needs of child and family
Referrals to existing programs, such as family resource centers, parent aide programs, early childhood consultation services and other parent supports
Help Me Growfor children birth thru 8 years
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Provide information on various parenting issues, such as toilet training, behavior management, sleep issues
Offer developmental tracking and monitoring through mail-out questionnaire called Ages & Stages (ASQ)
Ongoing follow up to ensure family is connected to services & issues are addressed
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Training components for staff: areas for training
Assessment skills Being family friendly, supportive & non-
judgmental Being holistic- looking at family needs, as well as
child specific needsChild development – both typical and
atypicalDiagnoses and disability informationSpecific program requirementsComplex service delivery systemsData collection and data entry
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Training for Care Coordinators
On-the-job trainingOne on one supervisionPeer to peer modeling/mentoringCase discussionAttending outside workshops/trainingsRegular inservice trainingsCase audits and call listeningCelebrating successes
Wide range of needs
FY’11: ~ 2,300 CT people call Help Me Grow ~ 3,300 children enrolled in ASQ
Information/assistance with connecting to service
Developmental, health or behavior problem that does not fit eligibility criteria
Programs for healthy development - universal
Multiple, overlapping needs04/10/23
Advantages of utilizing Help Me Grow
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One stop shopping
Consistency in data collection and handling of calls
Mandated follow-up to ensure needs are met
Identification of gaps and barriers to inform policy makers
Blended funding is cost effective
Collaboration among partnering programs ensures smooth referral process for families
Case Examples
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A mother called in seeking parenting support. She was experiencing personal family stressors and had three children, one with a diagnosed medical condition.
A third party call from a social worker at a domestic violence shelter regarding the mother of an almost three year old child. The worker was looking for community based resources for the mom.
The Ages & Stages Child Monitoring Program
ASQ is an interactive toolDesigned for parents and providersHelps monitor children’s developmentIdentifies developmental concerns When there’s a concern, Help Me
Grow/CDI can help
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Advantages of the ASQ system
• Cost effective• Parent driven• Reliable & valid• Easy to use• Available in multiple languages• Flexible- used in a variety of environments
Home Daycare Primary care centers As a mail-out questionnaire
In CT, statewide access to ASQ is available thru
Child Development Infoline (CDI)
• Families send in consent form
• Receive welcome letter
• Receive questionnaire closest to child’s age
• Family fills out & returns questionnaire to CDI
• CDI scores ASQ and
• Provides feedback to family, along with developmental activities
• Results also returned to child health provider
ASQ Case Example
24 month old child who’s mother noted concerns for him on the ASQ Questionnaire.
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More information on ASQ
Brookes Publishing http://www.brookespublishing.com/store/books/squires-asq/system.htm
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Core Components & Structural Requirements
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Core
Com
pon
en
ts
Structural Requirements
Centralized Telephone Access Point
Centralized Telephone Access Point
Community & Family Outreach Community & Family Outreach
Child Health Provider Outreach Child Health Provider Outreach
Data Collection & Analysis Data Collection & Analysis
Organizing EntityOrganizing Entity
Statewide ExpansionStatewide Expansion
Continuous Quality Improvement
Continuous Quality Improvement
HMG National supports affiliate states by:
• Promoting development and expansion of a national network of states that are building HMG systems
• Providing technical assistance to help states implement HMG’s core components and structural requirements
• Informing the public discourse on the crucial importance of optimal child development
• Providing tools for implementation
Affiliate Statesas of 2012
Alabama
California
Colorado
Connecticut
Delaware
Florida
Iowa
Kentucky
Louisiana
Massachusetts
New Jersey
New York
Oregon
South Carolina
Utah
Washington
Help Me Grow National Center
Joanna Bogin, ManagerP:860.610.4267
Sara Sibley, Administrative Coordinator P:860.610.4232
Website: http://www.helpmegrownational.org
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Thank you!
Marijane [email protected]
Kareena [email protected]
Dierdre [email protected]
www.211ct.org
www.ctunitedway.org/cdi.html
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