ChildServ: lessons learned from the design and implementation of a community-based developmental surveillance program.
ChiIdServ, a coordinated, region-wide system of early detection and intervention for at-risk children, was implemented Hartford, Conn, in 1998. In this article, we report our experience with the design and implementation of the of the program describe lessons learned and implications for subsequent...
| Publicado en: | Infants & Young Children: An Interdisciplinary Journal of Early Childhood Intervention Vol. 19; no. 4; pp. 371 - 378 |
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| Autores principales: | , , , |
| Formato: | case study tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Oct-Dec2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105936868&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105936868 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08963746 0NU jtl: Infants & Young Children: An Interdisciplinary Journal of Early Childhood Intervention issn: 08963746 maglogo: N pubinfo: dt: Oct-Dec2006 vid: 19 iid: 4 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 105936868 105936868 2009295428 10.1097/00001163-200610000-00008 105936868 ppf: 371 ppct: 7 formats: fmt: @attributes: type: P tig: atl: ChildServ: lessons learned from the design and implementation of a community-based developmental surveillance program. aug: au: McKay K Shannon A Vater S Dworkin PH affil: Department of Research, Connecticut Children's Medical Center, Hartford, CT, 06106 sug: subj: Developmental Disabilities Disease Surveillance Early Childhood Intervention Program Development Adolescence Child Child Development Child Health Services Child, Preschool Connecticut Female Funding Source Infant Infant, Newborn Male Adolescent: 13-18 years Child: 6-12 years Child, Preschool: 2-5 years Infant: 1-23 months Infant, Newborn: birth-1 month Female Male ab: ChiIdServ, a coordinated, region-wide system of early detection and intervention for at-risk children, was implemented Hartford, Conn, in 1998. In this article, we report our experience with the design and implementation of the of the program describe lessons learned and implications for subsequent program expansion. From 1998 to 2001, 124 child health providers referred 358 children with 516 different needs. One third of referred children had multiple needs. Developmental assessment, speech and language services, parenting classes, and counseling were frequently recommended. Only 43% of referred children ultimately received services, despite an average of 6.9 contacts with the family following initial referral. Boys, Hispanic children, and children with private insurance were more likely to receive services. We believe that ChildServ helps to address a critical gap in service delivery to children at risk for poor developmental and behavioral outcomes. A system of triage, referral, and care coordination appears to facilitate access to program and services. However, additional strategies are necessary to more successfully reach and engage families. In our experience, outreach capacity and such financial barriers as lack of private insurance should be included in the design and implementation of early detection and intervention programs. pubtype: Academic Journal doctype: case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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