Increase proportion of Healthy Start child participants who receive the last age-appropriate recommended well child visit based on AAP schedule to 90%.
The American Academy of pediatrics recommends regular well-child visits to assess if the child is meeting developmental milestones on hearing, vision, nutrition, safety, sleep, diseases, and growth. These visits also provide an opportunity for additional age- and developmentally-appropriate preventive services such as immunizations and anticipatory guidance.
A Performance Measure Resource Sheet is available summarizing recommended strategies and a selection of resources and evidence-based practices related to this benchmark to aid Healthy Start grantee organizations, partners and their staff in supporting the women and families they serve.
This chart shows recommended pediatric preventive health care services to be delivered at well-child visits for children ages 0-21, including history, measurements, screenings, assessments, procedures, physical exam, oral health, and anticipatory guidance. These guidelines represent a consensus by the American Academy of Pediatrics (AAP) and Bright Futures. The recommendations in this statement do not indicate an exclusive course of treatment or standard of medical care. Variations, taking into account individual circumstances, may be appropriate.
PAT aims to increase parent knowledge of early childhood development and improve parenting practices, provide early detection of developmental delays and health issues, prevent child abuse and neglect, and increase children’s school readiness and school success. The PAT model consists of one-on-one home visits, group connections/meetings, health and developmental screenings for children, and a resource network for parents. Program lasts for at least two years, beginning as early as pregnancy and ending at the child’s 3rd birthday or at kindergarten entry.
The TABS Screener is a 15 item checklist completed by parents to identify children who should receive more thorough assessment for developmental items related to temperament and self-regulation. If a child’s score indicates a potential problem, the more extensive TABS assessment tool can be used. For use with children ages 11 to 71 months, TABS can be used for screening, research, determining eligibility for services, planning programs, and monitoring child progress and program effectiveness.
The Greenspan Social-Emotional Growth Chart measures social-emotional milestones in young children ages 0 to 42 months. It is a questionnaire completed by the child’s parent or other caregiver to understand how the child uses all capacities to meet needs, deal with feelings, think, and communicate. Used to determine whether further assessment or referral is warranted and can assist in monitoring growth and planning intervention.
ASQ:SE is a screening tool that identifies infants and young children whose social and emotional development requires further evaluation to determine if referral for intervention services is necessary. ASQ:SE was developed to help home visiting, early intervention, Early Head Start, Head Start, child welfare agencies, and other early childhood programs accurately screen infants and young children determine who would benefit from an in-depth evaluation in the area of social-emotional development. Parents fill out easy to score questionnaires specific to their child’s age. Used for children 3-66 months.
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides Federal grants to States for supplemental foods, health care referrals, and nutrition education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk.
A variety of videos, audio, and PSAs developed for National Infant Immunization Week. Videos and audio can be found in English and Spanish. Media tools include printable ads, and brochures.
The Ohio Perinatal Quality Collaborative (OPQC) is a statewide consortium of perinatal clinicians, hospitals, and policy makers and governmental entities that aims, through the use of improvement science, to reduce preterm births and improve birth outcomes across Ohio. OPQC uses monthly action period calls and face-to-face sessions with teams to review individual and aggregate data, learn from teams that have been successful at making changes and achieving improved outcomes, and apply the Model for Improvement to test specific strategies. OPQC was founded in 2007, and is seen as a national model in statewide perinatal improvement.
“PASOs (or “steps” in Spanish) aims to improve health of Latino families in South Carolina by educating Latino parents and caregivers on issues related to healthy pregnancies and prenatal care, as well as appropriate child development and resources for child health, and by advocating for better, more accessible services for Latinos. PASOs provides a free, comprehensive 14-hour prenatal empowerment course, community health outreach and individual interventions to Latino families, and consultative services for maternal and child health providers and policymakers throughout South Carolina.
CenteringPregnancy is a multifaceted model of group care that integrates the three major components of care: health assessment, education, and support, into a unified program within a group setting. Eight to twelve women with similar gestational ages meet together, learning care skills, participating in a facilitated discussion, and developing a support network with other group members. Each Pregnancy group meets for a total of 10 sessions throughout pregnancy and early postpartum. The practitioner, within the group space, completes standard physical health assessments.
CenteringPregnancy starts around the beginning of the second trimester and goes through delivery.
Evidence-based home visitation case-management model for mothers who abuse alcohol and/or drugs during their pregnancies. PCAP’s goals are to assist substance-abusing pregnant women and mothers in obtaining treatment for substance abuse and staying in recovery, to ensure that children are in safe and stable home environments and are connected to health care, to connect mothers to community resources, and to prevent future births of alcohol and drug-affected infants. Piloted in Washington State, PCAP has been replicated in 7 states, and across Canada and New Zealand.
