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The Child Health Liaison Course in Boulder County

The Child Health Liaison Course in Boulder County

Presented by:Sarah Scully, MPHBoulder County Public Health303-413-7502sscully@co.boulder.co.us

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Child Health Promotion Program

Child Health Liaison Program Child Care Health Consultant Training and

Support Family Child Care Health and Safety

Project Health Inspections/Playground Inspections Health Screening Clean Hands Program Immunizations/Health Records- Audits

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Child Health Liaison (CHL)Health Advocate Training Program

One staff person from each center or home

Works closely with the child care health consultant (CCHC)

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CHL Program Goals:Improve quality

Increase practices that reduce the spread of communicable illness among children and staff;

Reduce environmental hazards;

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CHL Program Goals:Increase access to primary care, mental health and social services for children and families

Improve the early identification of children with special needs

improve immunizations rates

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CHL Program Goals:

Improve the health promotion knowledge and skills of child care staff

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CHL, CCHC and Center Director collaborate to:

Assess health and safety needs of the families, staff and child care environment

Facilitate education and training

Provide referrals to community resources

Develop policies and procedures

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CHL Job Description attend all sessions/mentor visits complete all assigned activities provide education to staff/families make environmental

improvements regular meetings with director communication with CCHC

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Structure of CHL Program:Training Program:

Forty-five hours

10 months

Mentoring

Monthly stipend

Bonus

3 credit course

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Resources for Curriculum Development

National Training Institute for Child Care Health Consultants (NTI)

Head Start California Child Care Health

Program http://www.ucsfchildcarehealth.org/

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Resources

National Health and Safety Standards for Out of Home Care

CDPHE Regulations and Materials

Colorado Department of Human Services Regulations

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Program Evaluation Infant Toddler

Environment Rating Scale (ITERS-R), ECERS-R, or FDCRS used pre and post program implementation

Reliable, valid tools used nationwide to assess quality of group care for children

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Significant Results

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Quality of Care

A B C D E F G H I J K L

Participating Centers

Child Health Liaison Program Evaluation Results Pre and Post Program Comparisons

Pre

Post

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Improved communication with staff and families regarding health and safety

Continued professional development

Ripple effect to other corporate sites

More children with medical/dental homes and medical/dental insurance

Improved immunization rates

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Increased number of health care plans for children with special needs

Improved health/safety policies

Identification of children with vision, hearing, dental, and developmental concerns which leads to further evaluation and treatment.

                                                                                                                                                                   

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Improved hand washing/sanitation

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•Improved playground supervision•More surfacing under and around equipment •Safer equipment

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Challenges Addressing barriers to change time; money; space; staff and

program changes; old facilities; staff resistance

Decreasing fear and apprehension Making substantial changes Evaluation tools

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Initial Funding Healthy Child Care Colorado Daniels Fund Caring for Colorado

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Current Program Costs Total Cost per center = $2000 $1500 stipends $ 500 resource materials;

supplies

Plus staff time for training and mentoring

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Sustainability Relationships between CHLs and

community resources Greater if accompanied by written policies Health and safety changes persist after CHL

leaves the program CHL brings knowledge/skills to new center

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Child Health Liaison (CHL) Program Online CurriculumModule 1: Health and Safety in Child CareModule 2: Preventing Illnesses and Communicable DiseasesModule 3: Immunizations and Emergency PreparednessModule 4: Safety and Injury PreventionModule 5: Nutrition and Food SafetyModule 6: Oral HealthModule 7: Social and Emotional HealthModule 8: Child Abuse and Neglect PreventionModule 9: Medical Home and Children with Special Health Care NeedsModule 10: Staff Health