The Mission of Reach Out and Read:

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The Mission of Reach Out and Read
To make literacy promotion a standard part of
pediatric primary care, so that children grow up
with books and a love of reading. When children
share books with someone they love, they learn to
love books.
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• When loving parents share books with them,
  children will develop an early positive
  attachment to books.
• .and hopefully cultivate early literary skills
  so that children enter school prepared to succeed
  at reading

I love giving books to kids as the first thing I
do .. before Ive touched them or asked any
questions. I love the looks on parents faces I
love hearing that a child loved a book that I had
given them before I Love making a difference in
their parental interactions and hopefully in
their school career
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ROR In Colorado

• Over 100 Colorado clinics participate in Reach
  Out and Read
• Distribute over 90,000 books to 60,000 children
  annually
• Over 700 healthcare providers have been trained
  in the ROR model

A word about movie -It has a touch of the 80s
in it (hair/clothe) and thus -They say
pediatricians/Doctors... should mean providers.
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How it Will Work at Tri- County

• Books (examples)
• How will the books be handed out?
• Make sure they take it home with them!
• That Little Slip of Paper
• How will the books be tracked? (impressive number
  of children seen per week! (156??)
• Money
• Literacy Rich Waiting Room
• Books everywhere!

Lets track a book from start to finish.
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Things To Emphasize

• When will the books be given?
• Gently used Books - siblings etc..
• it takes 2.2 seconds to do at the very least
• it gives a strong message coming from you

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Introducing the Book Early in the Exam What to
say to begin?

• Introduce the Program / Concept
• Its called ROR. Your baby will get a new
  beautiful book at every WCC/Visit until shes 5
  years old
• Studies show that reading to your child 15
  minutes a day prepares them for kindergarten
  better than Headstart or preschool.
• I want you to read to your child every single
  day. Do you have other books at home?

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• Underscore reading aloud is important even before
  a child can talk
• Stress that reading aloud is to promote the
  childs love of books, not early reading
• Emphasize that it is meant to be fun and a
  special time with parent

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Reading and Childrens Brain Development

• The architecture of the brain is shaped by early
  experiences
• Underused nerve connections are pruned
• Infant is born with trillions of neurons - Ones
  that stay are the ones that are used a ton / from
  the beginning
• Children need good early experiences (Books
  Sharing) to promote cognitive skills Memory,
  Creativity, Comprehension, and Language

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2 Literary Concepts Verbal Responsiveness You
(parent) respond to childs verbal utterances.

• Repeating and expanding reinforces a childs
  communicative attempts and offers advanced
  language (Gah vs You want a cup of milk?)
• Labeling and describing emphasizes that objects
  have names
• Questioning promotes verbal exchanges between
  parent and child
• Emphasizing sounds and letters increases a
  childs phonological awareness

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Dialogic ReadingSharing a book by describing
pictures and creating a different story (not just
reading text)

• ROR emphasizes Grover Whitehursts concept of
  dialogic reading for emergent preschool
  readers.
• Whitehurst says adults help the child become the
  teller of the story by asking open-ended
  questions. (what do you think happens next?)

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Two 6 month Olds Two Families

• Literacy Rich Environment
• Baby books / Adult books / Appropriate magazines
• Expansive Vocabulary
• Learning about new experiences through books
• Kindergarten
• Expanding Vocab, Grammar
• 4th Grade

• No Books in the home
• Background TV on all time
• Parents do not read
• Kindergarten
• Just learning how to deal with books. Behind on
  language skills / vocabulary.
• 4th Grade

In American education system 4th grade is where
children no longer learn to read, now read to
learn. -37 of 4th graders in US perform below
basic reading levels. -These children usually
stay behind their other classmates as they
continue through school.
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Talking Points with Parents6-12 Months

• Developmental Milestone
• Reaches for book
• Puts book in mouth
• Sits in Lap
• Communicates through gestures and early
  utterances
• Begins to understand a few words

• Talking Points with Parents
• Comment while baby is looking at pics shes
  really looking, moving her arms with excitement,
  and making sounds. Even infants love pictures
  books.
• You can make story time part of your babys
  routine, before bed or naps.
• Youre teaching your baby that looking at books
  feels good
• Babies love rhymes and songs

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12-18 Months

• Developmental Milestones
• Holds book
• Turns board pages
• Turns book right-side up
• Points when asked where is the.
• Imitates parents vocal sounds

• Talking Points
• When you ask, Whats that? and name the
  picture in a book, it teaches your baby that
  things have names.
• Some babies will want to be up and around during
  a story. Thats ok.
• Offer stories every day, but let your child be
  in charge of how long you read.
• When your child grabs the book, he is showing a
  healthy drive for independence. Hes not being
  bad.

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18-36 Months

• Developmental Milestones
• Carries book around
• Fills in words of stories
• Recites parts of stories
• Reads to dolls
• Begins to combine words
• By 24-36 months
• Turns paper pages
• Protests when pages are skipped
• May know 320 words
• Requests same book repeatedly

• Talking Points
• If your toddler listens to a story for five
  minutes, thats great! Stories are a good way
  to help toddlers increase their attention spans.
• Sometimes you dont have to read whats actually
  written in the book. You can just talk about the
  pictures instead.
• Ask your child to name objects in the book.
• Relate books to her daily experiences.

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3 Years and Up

• Developmental Milestones
• Understands more complex stories
• Anticipates outcomes
• Attempts writing
• Begins recognizing letters
• Asks why questions
• Attempts to use sentences and grammar

• Talking Points
• Ask, What Happened?.
• Let your child tell you the story or any story.
  
• Point out letters and sounds.
• Respond/expand on childs questions.
• Get books relating to their life (new baby, going
  to doctors etc)

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Literacy-Rich Waiting Rooms

• Information about libraries, reading aloud, and
  adult and family literacy organizations
• Gently used books should be available
• Volunteer readers (where appropriate)
• Model reading aloud techniques
• Show parents how books can entertain and create a
  bond between child and parent

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ROR RESEARCH

• ROR is an evidence-based intervention with more
  than ten peer-reviewed studies supporting the
  model
• It really does work.....

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• Recent research shows that ROR is having a direct
  effect on literacy development
• Improving children's ability to express
  themselves verbally.
• Increasing children's listening vocabularies.
• Reducing the number of children with language
  delays that can prevent them from succeeding in
  school.
• Children participating in ROR tend to have
  increased language development in comparison to
  non-participating children
• Some examples of the impact ROR can have
• Changing parents' attitudes about reading aloud.
• Making reading aloud a favorite activity for more
  children.
• Increasing young children's access to picture
  books.
• Making bedtime stories a regular part of more
  children's lives.

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Who Benefits from ROR

• Medical providers use books as valuable
  assessment tools and build bonds with families
• Parents are given essential information about
  reading aloud and suggestions for parent-child
  interactions
• Children get all the early literacy benefits of
  reading aloud and have 10 books of their own by
  age 5