Measure Status: Active
Evidence Level: Moderate. Aligns with MCHbest strategy "Provider Training". Find other NPM 6 provider-level strategies in MCHbest.
Measurement Quadrant: Quadrant 2: Measuring quality of effort (% of reach; satisfaction)
Service Type: Systems level of pyramid
Essential Public Health Services: 8. Build and support a workforce
Service Recipient: Activities directed to professionals
Goal: By 2025, 100% of LHDs providing direct child health services will have received training on the use of valid and reliable developmental, psychosocial, social determinants of health, and behavioral health screening tools for children
Numerator: Number LHDs whose child health staff receive training on appropriate use of valid and reliable developmental, psychosocial, social determinants of health, and behavioral health screening tools for children during state fiscal year
Denominator: Number of LHDs providing child health services
Significance: The risk for developmental delay is increased in the population of low income children seen in LHDs. The appropriate use of evidence-based tools in developmental, psychosocial, and behavioral health screening for children greatly improves the ability to elicit and identify developmental concerns from parents. Formal tools are much more effective than in informal interview. Screening examines the general population to identify those children at most risk. Children identified with concerns are at risk for developmental delay and are referred for further evaluation. Evaluation goes beyond screening to ascertain diagnosis and develop recommendations for intervention or treatment. This is generally not done by the primary care medical home, unless co-located or integrated professionals are in the practice. The evaluation determines the existence of developmental delay or disability which generates a decision regarding intervention. Ongoing periodic screening gives a longitudinal perspective of an infant or child’s developmental progress. All concerns must be clarified and a need for a referral for further evaluation and intervention needs to be determined. Early referral for diagnosis and intervention helps to:
- prevent or reduce the impact of developmental delays
- identify, build and reinforce developmental strengths in the child and family
- prevent fully developed developmental conditions or disorders; and
- support school readiness.
Data Sources and Data Issues: The Pediatric Medical Consultant in the Children & Youth Branch will collect this information annually as she provides the majority of these trainings.
Year: 2021
Unit Type: Percentage, Unit Number: 100