Vision, Hearing, Dental and Developmental Screening in Child Care

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Vision, Hearing, Dental and Developmental
Screening in Child Care

• Sarah Scully, MPH
• Boulder County Public Health
• 303-413-7502
• sscully_at_co.boulder.co.us

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Background

• Collaboration with Health Care Program for
  Children with Special Needs
• Children in child care centers
• Pilot program
• Early identification and intervention

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Methods

• Vision Screening
• MTI PhotoScreener
• Function vision screening with ophthalmoscope
• Procedure
• Referral protocol
• Follow-up

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Methods

• Hearing Screening
• Oto-acoustic Emissions (OAE)
• Tympanogram
• Otoscope
• Procedure
• Referral protocol
• Follow-up

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Methods

• Dental Screening
• Dental hygienist
• Procedure
• Referral protocol
• Follow-up

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Methods

• Developmental Screening
• Ages and Stages Questionnaire
• Parents/caregiver involvement
• Procedure
• Referral protocol
• Follow-up

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Outcomes and Results

• Vision-
• Hearing
• Dental
• Developmental

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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

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Barriers

• Communication with parents/guardians
• Refusal to pursue referral
• Lack of medical/dental insurance or ability to pay