Pediatricians As Partners Exploring The Connection Between Health
Pediatricians As Partners Exploring The Connection Between Health and School Readiness Ready At Five’s School Readiness Symposium Judith Romano, MD, FAAP May 10, 2006
Pediatricians As Partners Exploring the Connection Between Health and School Readiness • • Introduction Talking About School Readiness Brain Architecture Model of Early Child Development Indicators of Child Health Care Receipt Child Care Next Steps. . .
National Education Goals Panel (1990) In order to be ready for school, all children need to: • Experience high quality early learning environments, whether at home or in an early care and education setting; • Have enough to eat and the ability to live in safe, stable neighborhoods; • Be able to see a doctor (and dentist) under any circumstance so they can stay healthy and strong; • Have parents who are caring and attentive, equipped to be their children’s first teachers, armed with the support they need to be strong and capable caregivers; and • Attend schools that are adequately prepared to receive young children into their fold when they reach school age.
School Readiness 2001/02 – 2005/06
School Readiness by English Proficiency 2001/02 – 2005/06
Words that harm • Daycare • School readiness • Brain development
Words that help • Stewardships • Reciprocity and community exchange • Society’s prosperity
Architecture Model When one builds a house the • walls • wiring and plumbing before the • followed by the frame • foundation is first
Using the Architecture Model • walls – sequential development; contractual experiences affect structure • wiring and plumbing – cognition early literacy • frame – physical health • foundation – responsive supportive relationships and social emotional development
Model of Early Childhood Development Pediatric Health Care Family Well-Being Family Supports Physical Health Social, Emotional and Intellectual Development Community/Neighborhood Child Care and Education
Indicators for Child Health • Blood Lead Levels • Very Low Birth Weight • Iron Deficiency • Children with Special Health Care Needs • Breastfeeding
Developmental Screening and Well-Child Visits
Blood Lead Levels
Low-and Very-Low-Birth Weight Babies
Iron Deficiency
Children with Chronic Health Conditions
Children with Chronic Health Conditions
Breastfeeding
Health Care Receipt • Well child visits • Health Insurance coverage • Immunizations • Vision and Hearing Screening • Dental Care
Health Insurance Coverage
Child Immunization
Screening for Hearing and Vision Problems
Screening for Hearing and Vision Problems
Dental Visits and Unmet Dental Needs
Child Care • Type – Parent only care, care by a relative, non-relative care (in a family child care home or in the child’s own home) – Center-based care – “Early education and child care” is a preferred terms as it emphasizes that education occurs in all settings whether quality is excellent or poor • Quality – AAP policy, “Quality Early Education and Child Care: From Birth to Kindergarten”
Type of Child Care
Type of Child Care
AAP Schedule for Preventive Care
2006 Immunization Schedule
Next Steps • Collaborations • Partnerships
Healthy Child Care America Campaign Shared Vision Health Child Care Health Bureau
Goals Shared by Educators and Health Professionals • • • Promote well-being Prevent harm Collaborate with – Families – Other sources of support for the child and family – Policymakers and advocates
Healthy Child Care America http: //www. healthychild care. org
Managing Infectious Diseases • Written for: • Caregivers/teachers • Health Professionals • School Nurses • Signs and Symptoms Chart • Quick Reference Sheets for 44 common infections • Sample letters and forms • Available from AAP/NAEYC
707 Standards and Recommendations Developed by Health and Safety experts from AAP, APHA Includes rationale for why standards are important Available on: NRC Website: nrc. uchsc. edu Print copies from: AAP, APHA, NAEYC
HEALTHY KIDS, HEALTHY CARE: Parents as Partners in Promoting Healthy and Safe Child Care http: //www. healthykids. us Based on Caring For Our Children, 2 nd Ed.
What Is a Medical Home? • An approach to providing health care services in a high-quality, comprehensive, and cost-effective manner • Provision of care through a primary care physician through partnership with other allied health care professionals and the family • Acts in children’s best interest to achieve maximum family potential
Definition of MEDICAL HOME Care that is: and for which the physician: • • Accessible Family-Centered Comprehensive Continuous Coordinated Compassionate Culturally-effective 4 Shares Responsibility
http: //nrc. uchsc. edu
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