Sunny Wolf Family Coalition Medical Home Activities

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Sunny Wolf Family CoalitionMedical Home
Activities

• The communities of Sunny Valley and Wolf Creek
  are intent on ensuring that all children and
  youth with special health and social service
  needs are able to live, learn, grow to adulthood
  and reach their full potential. In order for
  that vision to become a reality, requires the
  collaboration of various agencies concerned with
  the welfare of children/families with special
  needs. The Sunny Wolf Family Coalition (SWFC)
  has developed over the past 10 years into a 34
  agency partnership of health and social service
  providers that develop a single annual plan for
  delivery of services to this rural, economically
  distressed community. Early Screening in our
  community is provided by several agencies, with
  the Josephine County Public Health Department
  (JCPHD) providing the major leadership role. The
  following are programs within the JCPHD that
  screen for early identification of infants and
  children with special needs

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Great Beginnings
Provides maternity case management and follow-up
for high risk pregnancies i.e. domestic
violence, smoking etc. Goal is to help prevent
birth defects. The program provides home visits
by a nurse centered around Pregnancy education,
new born care, breastfeeding advice, and
parenting skills development. This program is
Funded by OHP dollars.
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Provides home visits and coordination of care
for infants and children identified as having
extra physical/emotional or developmental needs.
The nurse provides coordination with other
health care Providers, including Shriners
Hospital, and Child Development Rehabilitation
Center, at the Oregon Health Sciences
University. This program serves medically
fragile children birth to 21 years.
Cocoon Nurse Program
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• Women, Infants and Child Nutrition Program

Provides food and nutrition information to help
keep pregnant women, infants And children under
five years of age healthy and strong. In this
program, a Developmental screening of all infants
and young children participating is Conducted.
Depending on the results of this screening
referral is made.
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Healthy Start
is a program for first time birth parents.
Mother /child are followed from pregnancy through
age 3, with periodic developmental screening
occurring every 4-6 months. Home visits centered
around nutrition, infant care, breastfeeding and
positive parenting activities are services
provided through this program, with increased
visits for high risk families. State funding
with 20 matching funds from Josephine County
General Fund.
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Baby First
Receives referrals from programs that have
identified infants with potential developmental
delays or high risk families. A nurse is
assigned to provide home visits and do additional
screening for potential referral to appropriate
services. This is a targeted case management
program funded by OHP with matching funds from
county general fund.
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Josephine County Early Intervention Services is
part of the Developmental Disabilities Program of
the Josephine County Mental Health Department.
Program services include Screening and
Evaluation, Family consultation, Infant and
Parent Group, Toddler Play Groups, Speech
Language Therapy, Motor Therapy and Family
Support Activities. Staff works with parents to
provide individually designed, family focused
services to infants, toddlers and preschoolers
with special needs. In conjunction with Southern
Oregon regional programs, Early Intervention
provides services to children with autism,
orthopedic, vision or hearing impairments and
significant health problems.

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Oregon Parent Center
Provides services to infants, children and their
parents from birth to age 5. All children are
screened for developmental delays, hearing,
vision and social/emotional issues. The program
provides nutrition, social development
play-groups for children and positive parenting
activities for parents. The OPC is approved by
the Oregon Department of Education to provide
special education programs and services for
children with disabilities. Personnel from
Josephine and Douglas County Early Intervention
provide on-site services to identified
children/families.
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Wolf Creek Elementary School
Provides to children and families from
kindergarten through fifth grade. All incoming
kindergarten children are evaluated in areas of
cognitive and social/emotional readiness by the
teacher. Annual hearing and vision screening is
provided for all children, any identified child
is referred to a specialist for a more in-depth
assessment. Speech and language assessments are
conducted after referral from the regular
classroom teacher. All but the most profoundly
hearing or visually impaired are provided service
in the home school environment.Testing for
learning disabilities is conducted after referral
from the Student Study Team. All services for
special needs children are provided in the least
restrictive environment, with most children
spending the majority of their school day in the
regular classroom setting.
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• Linking the medical home with the broader set of
  community-based services for young children and
  their families
• Pathways to Care A 20 agency membership of
  health care service providers whose mission is to
  create an accessible, cost
• effective and accountable health care delivery
  system in Josephine County by strengthening and
  developing public and private
• partnerships. The broad goal is to direct
  patients to the appropriate pathway of care to
  enable them to receive quality services
• at the most optimum time through education of
  consumers and providers about treatment options
  and alternatives, managed care
• and quality improvement and facilitating
  community forums regarding access to health care
  issues.
• Josephine County Early Childhood Council A
  collaboration of 24 agencies concerned with early
  childhood service delivery.
• The vision of the Council is promotion of each
  child and familys full potential through caring
  partnerships within our
• communities, schools, churches and supporting
  agencies. 95 of children whose families
  participate in early childhood
• programs are current and up-to date on
  immunizations.
• Oregon Safenet Is an information and referral
  hotline that helps people find health care and
  other community services. These
• include routine and urgent medical care,
  services for children with special needs,
  immunizations, pregnancy testing, prenatal
• care, urgent dental care, mental health services
  and Oregon Health Plan (Medicaid).