National Home Visiting Collaborative Improves Developmental Risk Detection and Service Linkage.
Fewer than 50% of children with developmental delay are identified before they start school, and only 10% of those identified receive services. Between May 2014 and August 2016, the Home Visiting Collaborative Improvement and Innovation Network (HV-CoIIN) aimed to improve early detection and linkage...
| Publicado en: | Academic Pediatrics Vol. 21; no. 5; pp. 809 - 818 |
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| Autores principales: | , , , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Jul2021
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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=151058675&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151058675 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Jul2021 vid: 21 iid: 5 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 151058675 151058675 151058675 10.1016/j.acap.2020.08.020 151058675 ppf: 809 ppct: 9 formats: fmt: @attributes: type: P tig: atl: National Home Visiting Collaborative Improves Developmental Risk Detection and Service Linkage. aug: au: Arbour, MaryCatherine Mackrain, Mary Cano, Carlos Atwood, Sidney Dworkin, Paul affil: Division of Global Health Equity, Brigham and Women's Hospital (MC Arbour and S Atwood), Boston, Mass sug: subj: Home Visits Quality Improvement Child Development Disorders Risk Factors Infant Development Disorders Risk Factors Risk Assessment Continuity of Patient Care Professional Organizations Collaboration Child Development Disorders Diagnosis Child Development Disorders Therapy Infant Development Disorders Diagnosis Infant Development Disorders Therapy Early Childhood Intervention Early Diagnosis Health Screening Methods Human Referral and Consultation After Care Health Promotion Parents Male Female Descriptive Statistics District of Columbia Funding Source Male Female ab: Fewer than 50% of children with developmental delay are identified before they start school, and only 10% of those identified receive services. Between May 2014 and August 2016, the Home Visiting Collaborative Improvement and Innovation Network (HV-CoIIN) aimed to improve early detection and linkage to services so that 80% of children with an identified developmental concern would receive timely, targeted developmental support. HV-CoIIN enrolled 13 home visiting programs in 8 states and 1 tribe in a Breakthrough Series Collaborative (BTS). These programs tested interventions aligned with 5 key drivers: early detection, referral and follow-up, home visitor capacity, families engaged in developmental promotion, and data systems. Run charts were used to study measures. The main outcome was the percent of children with an identified concern who were linked to developmental support. Process measures included the percent of visits where parents were asked if they had any concerns about their child's development and the percent of children screened every 6 months. The percent of children with an identified developmental concern who received support increased from 70% to 82%. Parents were asked about developmental concerns at 95% of visits (baseline = 75%), and 90% of children were screened every 6 months (baseline = 51%). Home visiting programs can reliably execute early detection and linkage to services for at-risk populations they serve. BTS holds promise for improving implementation of federal public health programs to improve population health outcomes. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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