developing a model of integrated child development assessment … · model of integrated child...
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child development child development assessment services reviewassessment services review
Developing a Developing a Model of Integrated Model of Integrated Child Development Child Development
AssessmentAssessment
ChildrenChildren’’s Health CONFERENCE s Health CONFERENCE Health Care for Kids: The People, The Map, The Measure 17Health Care for Kids: The People, The Map, The Measure 17--18 November 200818 November 2008
child development child development assessment services reviewassessment services review
Miriam Johnston – Project Officer
A/Professor John Eastwood – Project Manager, Director Community Paediatrics, SSWAHS
Mrs Sue Colley – A/Director Allied Health, SSWAHS
Dr Roger Blackmore – Area Developmental Paediatrician, SSWAHS
Dr Susan Woolfenden – Community Paediatrician, SSWAHS
Begin with the end in mindBegin with the end in mind……
Right childRight child
Right serviceRight service
Right timeRight time
ACCESS
EQUITY
QUALITY
TIMELINESS
What exists & where?
Who provides developmental Who provides developmental assessment services?assessment services?
PaediatriciansPaediatriciansCommunity Medical OfficersCommunity Medical OfficersAllied Health Allied Health –– Occupational Therapy, Occupational Therapy, Speech Pathology, Physiotherapy, Speech Pathology, Physiotherapy, Counselling (Social Work & Psychology)Counselling (Social Work & Psychology)NursingNursingAdministration SupportAdministration SupportOther allied services & linkages Other allied services & linkages egeg dietetics, dietetics, podiatry, psychiatry, podiatry, psychiatry, orthopticsorthoptics
Access issues highlighted by Access issues highlighted by mapping:mapping:
Service definitions Service definitions Identification, Referral & Prioritisation Identification, Referral & Prioritisation processesprocessesTeam workTeam workWaitlistsWaitlistsInteragency issuesInteragency issues
SCREENING
MULTIDISCIPLINARY DIAGNOSTIC ASSESMENT
Tiers Framework: Developmental Assessment
UNIVERSAL SURVEILLANCE & MONITORING eg PEDS & ASQ
SPECIALIST DEVELOPMENTAL
ASSESSMENT
QUICK SCREENING
MULTIDISCIPLINARY SCREENING
MULTIDISCIPLINARY DIAGNOSTIC ASSESMENT
GENERALIST
SPECIALISTDISCIPLINE-SPECIFIC
ASSESSMENTS
SCREENING ASSESSMENT
Tiers Framework: Developmental Assessment
PEDS
ASQ
GP
PRIVATE PAEDIATRICIAN
NGO
CHILD CARE
PLAYGROUP
PRESCHOOL
PRIVATE THERAPY
Tier 4: Tier 4: Multidisciplinary Diagnostic AssessmentMultidisciplinary Diagnostic Assessment
Child Development NetworkChild Development NetworkDefine and describe servicesDefine and describe servicesCommon processesCommon processes
Data collectionData collectionClinical indicatorsClinical indicatorsEligibility / pathways to & from servicesEligibility / pathways to & from services
Tier 3: Tier 3: Specialist Developmental AssessmentSpecialist Developmental Assessment
Diverse group of clinicians Diverse group of clinicians Establish common focusEstablish common focus
Benefits of teamBenefits of team““Point of AccessPoint of Access”” through to initial through to initial assessmentassessment
Multidisciplinary PathwayMultidisciplinary PathwayIdentify multidisciplinary referralsIdentify multidisciplinary referralsMultidisciplinary screening / initial assessmentMultidisciplinary screening / initial assessment
Team WorkTeam Work
Individual discipline (Individual discipline (silosilo) ) -->>
MMultidisciplinary (ultidisciplinary (fragmentedfragmented) ) -->>
Interdisciplinary & Interdisciplinary & TransdisciplinaryTransdisciplinary((Integrated Team Around the ChildIntegrated Team Around the Child))
““Coming together is a Coming together is a beginning. beginning.
Keeping together is Keeping together is progress. progress.
Working together is Working together is success.success.””
~ Henry Ford~ Henry Ford
Vision:Vision:
ACCESS
EQUITY
QUALITY
TIMELINESS
RIGHT RIGHT CHILDCHILD
RIGHT RIGHT SERVICESERVICE
RIGHT RIGHT TIMETIME
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