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               ABCD Project:
    Assuring Better Child
   Health and Development
“Colorado’s children reach maximum developmental potential”
Colorado’s ABCD Project:
      Mission Statement
      “To promote the use of
      developmental screening
      tools in health care
      settings throughout
      Colorado to facilitate early
      intervention and referral.”
                          American Academy of
                    Pediatrics Policy Statement

   Developmental surveillance should be a component of
    every preventive care visit
   A standardized developmental screening tool should
    be administered at 9-,18-, and 24- or 30-month visits
    and for those children whose surveillance yields
    concerns about delayed or disordered development
   Establish working relationships with state and local
    programs, services, and resources
   Use a quality-improvement model to integrate
    surveillance and screening into office procedures and
    to monitor their effectiveness and outcomes
    Source: PEDIATRICS Vol. 118 No. 1 July 2006, pp. 405-420 (doi:10.1542/peds.2006-1231)
              Colorado’s ABCD Project:
   Assist health care practices in implementing an office
    process for developmental screening and surveillance
    that is efficient and practical
   Promote early identification and referral
   Facilitate a practice’s ability to link to Colorado’s Early
    Intervention system and other community services
   Use a quality-improvement model to promote working
    relationships between health care practices and state
    and local programs, services, and resources in order to
    better meet the developmental and behavioral needs of
    children in Colorado
School Readiness
                     What does the data say?

   About 15-18% of children birth to 22 years of age have
    developmental and behavioral disorders including speech
    and language delays, mental retardation, and learning
   Fewer than 30% of children who have developmental
    disabilities are detected by clinical judgment alone.
   Approximately 71% of general pediatricians do not use
    formal standardized developmental screening tools
   95% of children ages birth to 5 report a regular source
    of healthcare
    Source: Glascoe FP. “Early Detection of Developmental and Behavioral Problems.” Pediatrics in
    Review. 2000: Vol. 21, No. 8: 272-280.
Why is this important?

       Children’s physical
       health, cognition,
       language, and social
       and emotional
       development are critical
       underpinnings to
       school readiness.
     Source: Reasons and Strategies for Strengthening Child Development Services in the
     Healthcare System, Karen VanLandeghem, Deborah Curtis, Melinda Abrams. (Portland,
     ME: National Academy for State Health Policy, October 2002)
                                Why during the
                               well-child visits?
Two reasons primary health care providers are in a
unique position to promote children’s
developmental health:
     Primary care providers have regular contact with
      children before they reach school age
     Primary care providers are able to provide family-
      centered, comprehensive, coordinated care, including
      a more complete medical assessment when a
      screening indicates a child is at risk for a
      developmental problem.
  Source: PEDIATRICS Vol. 108 No. 1 July 2001, pp. 192-195
          Strengths of Tools Relying
               on Parents’ Concerns
   Help focus encounters on issues of importance
    to families
   Create a “teachable moment”
   Enhance parents’ sense of a true collaboration
    with professionals
   Increase positive parenting practices
   Make it easier to give difficult news
   Reduce “oh by the way” concerns
   Increase attendance at well-visits
                       How You Can Get
   Join an ABCD local implementation team in your
   Contact state ABCD staff member if you are interested in
    integrating routine developmental screening into your
    health care practice.
   Learn more about developmental screening practices
    and the ABCD initiative by visiting these web resources:
     (Professionals Section,
        Statewide Projects link)
                  Contact Information
Eileen Bennett, MBA
ABCD State Coordinator

Stacey Kennedy, MPA
Public Awareness Coordinator
CDHS-Division for Developmental Disabilities
Early Childhood Connections Program

Trish Blake
ABCD Technical Assistance Consultant

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