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Early Brain and Child Development PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Early Brain and Child Development".

This medical PowerPoint presentation is about Early Brain and Child Development, the study of how a childs brain develops and how this development affects their overall well-being. It refers to the period of a childs life from conception to age 5, which is considered the most critical period of brain development.

During this period, the brain undergoes rapid growth and development, with new neural connections forming at a rate of up to 1 million per second. This growth is influenced by a childs environment and experiences, with positive experiences promoting healthy development and negative experiences potentially leading to developmental delays.

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Published on : Jun 23, 2023 | Views : 2240 | Downloads : 3

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Slide 1-

Early Brain and Child Development:Supporting Parents and Cultivating Community Relationships Revised: August 2018 Name of Presenter Material developed by the American Academy of Pediatrics
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Objectives Interpret your unique role in supporting EBCD: As a champion for early childhood systems collaboration As a key player in supporting parents and caregivers as individuals and in communities Identify resources and strategies for building strong foundations for lifelong health
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The Case for Rethinking Well Child Care Traditional model not meeting families’ needs Many missed appointments Dissatisfied with content of visits Families expect information on child development, parenting, and physical health Need New schedule New structure New content Schor EL. Rethinking Well-Child Care. Pediatrics. 2004; 114(1): 210-215. doi: 10.1542/peds.114.1.210.
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Is There a Future for Well Child Care? Parents are dissatisfied with the behavioral and developmental advice they receive Does not prevent drivers of the chronic diseases of childhood Does not identify and mediate the psychosocial and environmental risk factors for toxic stress Coker TR, Chung PJ, Cowgill BO, Chen L, Rodriguez MA. Low-Income Parents’ Views on the Redesign of Well-Child Care. Pediatrics. 2009;124(1):194-204. doi:10.1542/peds.2008-2608. Coker TR, Thomas T, Chung PJ. Does Well-Child Care Have a Future in Pediatrics? Pediatrics. 2013; 131: S149-159. doi: 10.1542/peds.2013-0252f.
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Public Health Equivalent of the Well Child Visit Client interactions provide opportunities to deliver services conduct information-gathering Identifying and fostering strengths identify additional needs make referrals to community partners Institute of Medicine Committee on Educating Public Health Professionals for the 21st Century; Gebbie K, Rosenstock L, Hernandez LM, editors. Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century. Washington, DC: National Academies Press; 2003. https://www.ncbi.nlm.nih.gov/books/NBK221185/. Accessed July 13, 2018.
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Public Health Equivalent of the Well Child Visit Leadership at the local and state level offer opportunities to Partner with other systems to assess population health including the social determinants of health Examine and evaluate evidence based policies to determine their effectiveness in meeting desired outcomes Build partnerships with hospitals, non-profit agencies, home visiting programs, schools, child care, etc. Ensure effective laws, regulations, and implementation such as through law enforcement, social services, court systems, and legislative advocacy research insights and innovations for personal and population health services Institute of Medicine Committee on Educating Public Health Professionals for the 21st Century; Gebbie K, Rosenstock L, Hernandez LM, editors. Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century. Washington, DC: National Academies Press; 2003. https://www.ncbi.nlm.nih.gov/books/NBK221185/. Accessed July 13, 2018.
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Trusted and Effective Messengers Pediatricians are most trusted source of information for mothers of young children Mothers ask physicians about health issues, nutrition and diet, and parenting. Pediatrician advice is more fully followed than other sources. Bailey, M. (2008, September 18). New survey reveals moms’ media habits. Marketing to Moms Coalition and Current Lifestyle Marketing. (Non-peer reviewed research report). https://www.cdc.gov/healthcommunication/pdf/thisjustin/tji_18_200912.pdf, Accessed August 28, 2018) The role of health information sources in decision-making among Hispanic mothers during their children’s first 1000 days of life Shaniece Criss, Jennifer A. Woo Baidal, Roberta E. Goldman, Meghan Perkins, Courtney Cunningham, Elsie M. Taveras. Matern Child Health J. 2015 Nov; 19(11): 2536–2543. doi: 10.1007/s10995-015-1774-2
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The Importance of the Early Childhood Medical Home Unique and comprehensive, unstigmatized access to early childhood Public’s deep respect for pediatricians and public health professionals as trusted guardians of child health Number of well-child visits from birth to age 5 96.7% of children (ages 0-5) have health insurance coverage (National Health Interview Survey, 2015) Source: HC1 Health insurance coverage: Percentage of children ages 0-17 by health insurance coverage. Available from: https://www.childstats.gov/americaschildren/tables/hc1.asp. Accessed August 2018
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It’s What Parents Want! McCune et al (1984) reported that 81% of parental questions for pediatricians concerned psychosocial issues In their study, parenting issues were parents' predominant concern: 70% of mothers were more worried about some aspect of their parenting or their child's behavior than they were about their child's physical health Young et al (1998) found 53% of parents wanted more parenting guidance in 3 of 6 areas (ie. early learning, discipline, toilet training, sleep, crying, newborn care) Garbutt et al (2012) noted top parental concerns included: nutrition, obesity, exercise; safety and injury prevention; mental health McCune YD, Richardson MM, Powell JA. Psychosocial health issues in pediatric practices: parents' knowledge and concerns. Pediatrics. 1985; 24(1): 127. doi: 10.1016/S0002-7138(09)60435-0. Young, K. T., Davis, K., Schoen, C., Parker, S. (1998). Listening to parents. A national survey of parents with young children . Archives of Pediatric and Adolescent Medicine, 152(3), 255-62. Garbutt JM, Leege E, Sterkel R, Gentry S, Wallendorf M,. Strunk RC. What Are Parents’ Worried About? Health Problems And Health Concerns For Children. Clin Pediatr (Phila). 2012 Sep; 51(9): 840–847. doi: 10.1177/0009922812455093
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What Families Want from Well-Child Care? Focus on Child Development and Behavior More information on healthy growth and development Pre-visit materials to prepare for the visit Seminars Workshops Technology for information Community resources Pediatricians recognize the opportunities for change Radecki L, Olson LM, Frintner MP, Tanner JL, Stein MF. What Do Families Want From Well-Child Care? Including Parents in the Rethinking Discussion. Pediatrics. 2009; 124: 858-865. doi: 10.1542/peds.2008-2352.
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Child/Family Medical Home Shonkoﬀ JP, Garner AS, American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care, Section on Developmental and Behavioral Pediatrics. The lifelong eﬀects of early childhood adversity and toxic stress. Pediatrics. 2012;129(1):e232-e246. doi: 10.1542/peds.2011-2663
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Two-Generation Approach What is 2GEN? Ascend: The Aspen Institute Website. http://ascend.aspeninstitute.org/two-generation/what-is-2gen/. Accessed July 17, 2018.
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5 Key Components of the Two-Generation Approach What is 2GEN? Ascend: The Aspen Institute Website. http://ascend.aspeninstitute.org/two-generation/what-is-2gen/. Accessed July 17, 2018.
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Fatherhood and the Two-Generation Approach Improves prenatal care and reduces premature delivery Supports breastfeeding Contributes to language development Improves children’s mental health and reduces behavioral problems Enhances cognitive development Reduces teen pregnancy and depression Yogman M, Garﬁeld CF, AAP Committee on Psychosocial Aspects of Child and Family Health. Roles in the Care and Development of Their Children: The Role of Pediatricians. Pediatrics. 2016; 138(1): e20161128. doi: 10.1542/peds.2016-1128.
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Bright Futures:Guidelines for Health Supervision for Infants, Children and Adolescents, 4th Edition Child health must be viewed in its broadest context Healthy communities support healthy children Attention to health promotion activities, environmental and social determinants of health, and psychosocial factors Promoting lifelong health for families and communities Promoting mental health and child development Focus on child and family strengths Sets stage for creative models Hagan JF, Shaw JS, Duncan PM, eds. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. 4th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2017.
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Bright Futures:Guidelines for Health Supervision for Infants, Children and Adolescents, 4th EditionAdaptation in States & Communities Examples of state’s adaption of the Bright Futures: Guidelines for Health Supervision for Infants, Children and Adolescents, 4th Edition: use as standard of care increase screening increase awareness of health needs States & Communities. American Academy of Pediatrics: Bright Futures Website. https://brightfutures.aap.org/states-and-communities/Pages/default.aspx. Accessed July 17, 2018.
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Promotion Opportunities Within the Clinical Setting From the Simple . . . Encourage families to consider emotional development prior to visit (questionnaires, DVDs, newsletters, community events, parent groups, posters, postcards, etc.) Mental health section on your web site (questions, facts, resources, etc.) Referring families to other professionals or community health resources Invite community professionals to come to the practice to share information about their work
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Promotion in the Waiting Room Posters Books/pamphlets (low-literacy, multi-lingual) DVD (child development or maternal depression awareness) Waiting room questionnaires Volunteers to role-model positive interaction/Group-talks in waiting room Parenting groups Parent support resources
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Promotion in the Clinical Encounter Relationships as a VITAL SIGN!
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Family-Centered Means: Values Full family focus Family led Respect Strength-based Racial equity and inclusion Operational Principles Fluidity of approach Transparent Choice Responsiveness Source: W. K. Kellogg Foundation. Family-Centered Coaching: A toolkit to transform practice and empower families. 2016. http://www.buildingbetterprograms.org/wp-content/uploads/2016/12/Family-Centered-Coaching-Toolkit-Draft-Version.pdf. Accessed July 13, 2018.
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Ways to Check in on Relationships Use open ended questions as well as screens Engage families in using a book with a child Have other staff to engage in education Connect families with resources (child care, parenting groups, etc.) on care coordination Ensure the mental health of parent and child are addressed at each visit
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Removing the Stigma of Mental Health Normalize mental health conversations and supports Find ways to make families feel comfortable talking about mental health Assess a family’s readiness to share and address mental health needs Follow a family’s lead in making recommendations about mental health
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Encourage Parents and Caregivers of Young Infants to... Talk (sing) to their baby while they hold, feed or play with him Let him look at their face Respond to his gestures, faces and sounds Give him colorful objects to look at, including books and pictures
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Encourage Parents and Caregivers of Older Infants to... Copy her sounds and expressions Play peek-a-boo and patty-cake Teach her to wave “bye bye” and to shake her head “no” and “yes” Read books together - pointing to characters, letting her pat and taste the book Photo is used with permission from the personal collection of Pamela High, MD
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Encourage Parents of Toddlers to... Be encouraging and supportive, and set appropriate limits Be consistent; establish routines for meals, naps and bedtime Make time to play daily My Smart 18 Month Old Baby [Video]. Youtube Website. https://www.youtube.com/watch?v=N3PBjecBtos. Published February 2, 2008. Accessed July 17, 2018.
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Encourage Parents and Caregivers of Toddlers to... Choose toys that encourage creativity (blocks, animals, books) Listen to and answer her questions Rhyme, sing and listen to music together Choose books with humor so you will want to read them over and over Photo is used with permission from the personal collection of Pamela High, MD Yogman M, Garner A, Hutchinson J, et al; AAP COMMITTEE ON PSYCHOSOCIAL ASPECTS OF CHILD AND FAMILY HEALTH, AAP COUNCIL ON COMMUNICATIONS AND MEDIA. The Power of Play: A Pediatric Role in Enhancing Development in Young Children. Pediatrics. 2018;142(3):e20182058
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Encourage Parents and Caregivers of Toddlers to... Encourage drawing, building and creative play Introduce simple musical instruments Acknowledge desirable behavior often (“I like it when you play so well together” = TIME IN) 10 “time-ins” for every time-out!! Photo is used with permission from the personal collection of Pamela High, MD Yogman M, Garner A, Hutchinson J, et al; AAP COMMITTEE ON PSYCHOSOCIAL ASPECTS OF CHILD AND FAMILY HEALTH, AAP COUNCIL ON COMMUNICATIONS AND MEDIA. The Power of Play: A Pediatric Role in Enhancing Development in Young Children. Pediatrics. 2018;142(3):e20182058
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Encourage Parents and Caregivers of Toddlers to... Create ways for your child to play with other children and to have out-of-home social experiences Offer simple choices (Which book should we read together?) Photo is used with permission from the personal collection of Pamela High, MD Yogman M, Garner A, Hutchinson J, et al; AAP COMMITTEE ON PSYCHOSOCIAL ASPECTS OF CHILD AND FAMILY HEALTH, AAP COUNCIL ON COMMUNICATIONS AND MEDIA. The Power of Play: A Pediatric Role in Enhancing Development in Young Children. Pediatrics. 2018;142(3):e20182058
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Encourage Parents and Caregivers of Children of All Ages to... Give lots of warm physical contact and attention – promotes a sense of security and well-being Be aware of their moods Read their gestures, faces and sounds Respond when they are upset and when they are happy
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Encourage Parents and Caregivers of Children of All Ages to... Share books together and tell stories daily (bedtime routines) Speak in the language(s) of the home — the most natural or comfortable language is best Avoid TV/Screens under 24 months of age; instead, spend time playing together For children >24 months, limit TV and screen time to no more than 1 hour of educational viewing/day; co-view and interact Develop a Family Media Use Plan to balance media and physical activity - https://www.healthychildren.org/English/media/Pages/default.aspx Photo is used with permission from the personal collection of Pamela High, MD Council on Communications and Media. Media and Young Minds. Pediatrics. 2016; 138(5): e20162591. doi: 10.1542/peds.2016-2591.
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Every Day Every Child: 5 Rs of Early Childhood ROUTINES – help children know what to expect of us - what is expected of them READING together – daily RHYMING, playing and cuddling REWARDS for everyday successes – PRAISE is a powerful reward RELATIONSHIPS, reciprocal and nurturing – foundation of healthy child High PC, Committee on Early Childhood, Adoption, and Dependent Care, Council on School Health. School Readiness. Pediatrics. 2008; 121; e1008-e1015. doi: 10.1542/peds.2008-0079.
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Exemplary Programs Supporting Healthy Child Development – and Many More!
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Reach Out and Read Integrated into primary care clinical practice (in 5,800 clinics today) From infancy through age 5, medical providers: give child a developmentally-appropriate, culturally sensitive, high-quality book model, coach, and reinforce effective reading techniques with young children for parents/caregivers and encourage routine reading with child at home help families understand developmental milestones and provide guidance and affirmation to foster stable relationships with their child Why Reach Out and Read. Reach Out and Read Website. http://www.reachoutandread.org/our-story/why-reach-out-and-read/Accessed July 20, 2018.
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Reach Out and Read Research Findings Families read together more often and enjoy reading together Children’s language ability improves with increased exposure to the program Children enter kindergarten with: larger vocabularies, stronger language skills, and a 3-6 month developmental edge Source: Reach Out and Read: The Evidence. Reach Out and Read Website. http://www.reachoutandread.org/our-impact/reach-out-and-read-the-evidence/ Accessed July 20, 2018.
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Evidence Based Parenting Programs Incredible Years Family Check Up Triple P Parent Child Interaction Therapy (PCIT) Circle of Security 1-2-3 Magic Parents as Teachers Parenting Pyramid. The Incredible Years Website. http://incredibleyearsnz.co.nz/pyramid. Accessed July 18, 2018. Child Welfare Information Gateway. Available online at https://www.childwelfare.gov/pubs/issue_briefs/parented/ Accessed August 27, 2018
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Core Community Linkages —It Takes a Village Child Care Resource and Referral (CCR&R) Early Education and Care Systems Women, Infants and Children (WIC) Mental Health Supports Parenting Groups (fatherhood initiatives) Domestic Violence Support Breast Feeding Supports Early Intervention
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Approaches to Community Partnerships Awareness and referral Sharing materials “Promoting” Co-location: service and education models Contributing Project Working to achieve a common vision Advocacy
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Child Care Resource and Referral Agency (CCR&R) Help parents take the guesswork out of choosing care by providing: Referrals to local child care providers Information on state licensing requirements Information on availability of child care subsidies Information regarding quality rating of various child care options CCR&Rs provide guidance by phone, in person, and in other ways, even online, that are tailored to each family FOR FREE! Choosing Quality Child Care. Child Care Aware of America Website. http://www.childcareaware.org/families/choosing-quality-child-care/. Accessed July 18, 2018.
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You can find your local CCR&R with a click! www.childcareaware.org CCR&R Search Form. Child Care Aware of America Website. http://www.childcareaware.org/ccrr-search-form/. Accessed July 16, 2018.
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Benefits of High-Quality Early Education and Child Care – Early Outcomes Educational –Lower rate of special education and grade retention –Increased high school completion –Higher test scores Social-Emotional –Fewer behavior problems –More self-control –Improved peer relations Child well-being –Less child maltreatment and neglect Donoghue EA, AAP Council on Early Childhood. Quality Early Education and Child Care from Birth to Kindergarten. Pediatrics. 2017; 140: e20171488. doi: 10.1542/peds.2017-1488.
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Early Head Start/Head Start Federal programs designed to promote school readiness for low-income children ages 0-5 EHS: for pregnant women and families with children under age 3 (with strong home-based component) HS: for children ages 3-5 and their families, in preschool center model Comprehensive approach: whole child and family cognitive, social, and emotional development screenings and referrals to health, nutrition, and social services family support and family/community engagement Head Start Programs. Head Start ECLKC Early Childhood Learning & Knowledge Center Website. https://eclkc.ohs.acf.hhs.gov/programs/article/head-start-programs. Updated July 12, 2018. Accessed July 18, 2018.
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Early Head Start Framework Research to Practice: Program Performance Measures for Head Start Programs Serving Infants and Toddlers. Office of Planning, Research & Evaluation Website. https://www.acf.hhs.gov/opre/resource/program-performance-measures-for-head-start-programs-serving-infants-and. Published April 15, 2006. Accessed July 18, 2018.
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Early Head Start: Strong Positive Impacts (1996-2010) Child outcomes (at 36 months): Larger vocabularies Greater ability to solve problems and understand basic concepts Higher levels of functioning Better outcomes on several aspects of social emotional development Parent outcomes: Parents more likely to read to their children daily Parents more positive with their child and greater repertoire of discipline strategies Early Head Start Research and Evaluation Project (EHSRE) (1996-2010). Office of Planning, Research, & Evaluation Website.https://www.acf.hhs.gov/opre/research/project/early-head-start-research-and-evaluation-project-ehsre-1996-2010. Accessed July 18, 2018.
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Home Visiting Programs A voluntary service, designed to reach expectant parents, babies and young children, who face barriers in supporting their child’s healthy development Offers support and information in the home environment Increasing recognition of need to coordinate with other early childhood programs (e.g. Early Head Start) MIECHV – federal program for evidence-based home visiting programs throughout the states, DC and territories https://mchb.hrsa.gov/maternal-child-health-initiatives/home-visiting/home-visiting-program-state-fact-sheets Home Visiting Program: State Fact Sheets. HRSA Maternal & Child Health Website. https://mchb.hrsa.gov/maternal-child-health-initiatives/home-visiting/home-visiting-program-state-fact-sheets. Updated August, 2017. Accessed July 18, 2018.
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Evidence Supporting Home Visiting Programs High quality programs have positive outcomes for parents and children: Improved parenting skills and quality of home environment Improved intellectual development Enhanced maternal employment and education Improved detection and management of postpartum depression Improved childhood immunization and breastfeeding rates For example, Nurse Family Partnership Home Visiting Model has $5.70 Return on Investment per Tax Dollar Spent (based on 2005 RAND Corporation analysis) As home visiting programs expand, evaluation is increasingly important to determine which delivery models have greatest impact and savings Duffee JH, Mendelsohn AL, Kuo AA, et al. Early Childhood Home Visiting. Pediatrics. 2017; 140(3): e20172150. doi: 10.1542/peds.2017-2150 About Us. Nurse-Family Partnership Website. https://www.nursefamilypartnership.org/about/. Accessed July 18, 2018.
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EI: Early Intervention Program for Infants and Toddlers (IDEA Part C) A system of services that helps babies and toddlers with developmental delays or disabilities Serve eligible children from birth through 35 months Eligible children have an Individualized Family Service Plan (IFSP) developed by a team of professionals with the family Services vary based on individual child’s needs and may include: assistive technology, audiology or hearing services, medical services, nutrition services, physical therapy, speech therapy, psychological services, and/or counseling and training for the family What is “Early Intervention”? Centers for Disease Control and Prevention Website. https://www.cdc.gov/ncbddd/actearly/parents/states.html, Accessed August 27, 2018
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Positive Impacts of Early Intervention (EI) Specialized services and supports increase the chances young children will develop to their full potential Young children who receive EI are better prepared for school and later life Family needs are addressed by providing emotional support and information to help them promote their child’s development and function as their child’s best advocate Richard C. Adams, Carl Tapia, The Council on Children With Disabilities. Clinical Report: Early Intervention, IDEA Part C Services, and the Medical Home: Collaboration for Best Practice and Best Outcomes. Pediatrics. 2013;132(4):e1073-e1088. http://pediatrics.aappublications.org/content/132/4/e1073. Reaffirmed May 2017
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Local Resources/Asset Maps Map out the assets in your community Contact Head Start and Early Head Start partners to request community assessment reports National Library of Medicine and the Centers for Disease Control and Prevention as resources Talk with state and local health departments, community partners, and families about resources So much to gain
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Your Role in the Community It is limitless! Linkages Advisor Presenter Media Projects Outreach Advocacy
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As a health professional, you are well positioned to serve as an advocate for parents and caregivers to: Help them build a strong foundation for their child’s lifelong health Help them link to community resources to support their needs
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“There are no perfect parents and, despite our best efforts, there will be no perfect children. But by being good enough, parents and caregivers are building the safe, stable, and nurturing relationships that meet a young child’s deficiency needs and release the brake on the child’s intrinsic drive to develop, master, and succeed.” Garner A, Saul R. Thinking Developmentally. Itasca, IL: American Academy of Pediatrics; 2018:8.
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Questions?