Colorado

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ColoradosABCD ProjectAssuring Better
ChildHealth and Development
Colorados children reach maximum developmental
potential
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Colorados ABCD Project Mission Statement

• To promote the use of standardized developmental
  screening tools in health care settings
  throughout Colorado to facilitate early
  intervention and referral.

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American Academy of Pediatrics Policy Statement

• Developmental surveillance should be a component
  of every preventive care visit
• A standardized developmental screening tool
  should be administered at 9-,18-, and 24- or
  30-month visits and for those children whose
  surveillance yields concerns about delayed or
  disordered development
• Establish working relationships with state and
  local programs, services, and resources
• Use a quality-improvement model to integrate
  surveillance and screening into office procedures
  and to monitor their effectiveness and outcomes

Source PEDIATRICS Vol. 118 No. 1 July 2006, pp.
405-420 (doi10.1542/peds.2006-1231)
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Colorados ABCD Project Goals

• Assist health care practices in implementing an
  office process for developmental screening and
  surveillance that is efficient and practical
• Promote early identification and referral
• Facilitate a practices ability to link to
  Colorados Early Intervention system and other
  community services
• Use a quality-improvement model to promote
  working relationships between health care
  practices and state and local programs, services,
  and resources in order to better meet the
  developmental and behavioral needs of children in
  Colorado

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What does the data say?

• About 15-18 of children birth to 22 years of age
  have developmental and behavioral disorders
  including speech and language delays, mental
  retardation, and learning disabilities.
• Fewer than 30 of children who have developmental
  disabilities are detected by clinical judgment
  alone.
• Approximately 71 of general pediatricians do not
  use formal standardized developmental screening
  tools
• 95 of children ages birth to 5 report a regular
  source of healthcare

Source Glascoe FP. Early Detection of
Developmental and Behavioral Problems.
Pediatrics in Review. 2000 Vol. 21, No. 8
272-280.
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Why is this important?

• Childrens physical health, cognition, language,
  and social and emotional development are critical
  underpinnings to school readiness.

Source Reasons and Strategies for Strengthening
Child Development Services in the Healthcare
System, Karen VanLandeghem, Deborah Curtis,
Melinda Abrams. (Portland, ME National Academy
for State Health Policy, October 2002)
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Why during the well-child visits?

• Two reasons primary health care providers are in
  a unique position to promote childrens
  developmental health
• Primary care providers have regular contact with
  children before they reach school age
• Primary care providers are able to provide
  family-centered, comprehensive, coordinated care,
  including a more complete medical assessment when
  a screening indicates a child is at risk for a
  developmental problem.

Source PEDIATRICS Vol. 108 No. 1 July 2001, pp.
192-195
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Strengths of Tools Relying on Parents Concerns

• Help focus encounters on issues of importance to
  families
• Create a teachable moment
• Enhance parents sense of a true collaboration
  with professionals
• Increase positive parenting practices
• Make it easier to give difficult news
• Reduce oh by the way concerns
• Increase attendance at well-visits

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How You Can Get Involved

• Join an ABCD local implementation team in your
  community.
• Contact state ABCD staff member if you are
  interested in integrating routine developmental
  screening into your health care practice.
• Learn more about developmental screening
  practices and the ABCD initiative by visiting
  these web resources
• www.abcdresources.org
• www.earlychildhoodconnections.org (Professionals
  Section, Statewide Projects link)
• www.dbpeds.org

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Contact Information

• Eileen Bennett, MBA
• ABCD State Coordinator
• ileanben_at_yahoo.com
• 720-333-1351
• Stacey Kennedy, MPA
• Public Awareness Coordinator
• CDHS-Division for Developmental Disabilities
• Early Childhood Connections Program
• Stacey.Kennedy_at_state.co.us
• 303-866-7250
• Trish Blake
• ABCD Technical Assistance Consultant
• Trish.blake_at_gmail.com
• 303-875-3636