SC Home Visiting Summit                                            September 2012                                         ...
Who and What
Session Overview• Review the importance of early  identification of developmental  delays and early action.• Take a look a...
Let’s Get Started
Brief History • 2000       Children’s Health Act   established National Center on   Birth Defects and Developmental   Disa...
NCBCDD Mission• Promote the health of  babies, children and adults  and enhance potential for  full, productive living•   ...
Brief History • 2002 Cooperative agreements   with AUCD and MCH • 2005   LTSAE campaign begins • 2007-2010 Act Early Summi...
Brief History • 2008- present   Act Early State Teams     45 states • 2011- present  Act Early Ambassador Program   state ...
Act Early Initiative • State and national partners   work to improve early   childhood systems in each state   by:   1. en...
Act Early Ambassadors• Represent the Act Early  initiative• Promote LTSAE campaign,  messages and strategies• Develop netw...
Pop Quiz
True or False? • About 17% of all children will   experience some kind of   developmental delay? • Most children with a   ...
Learn the Signs. Act Early
Campaign Mission• To improve early identification  of children with Autism and  other developmental  disabilities so child...
LTSAE Components• Health education campaign• Act Early initiative• Research and evaluation
Research& Evaluation• Improve campaign materials  and implementation activities  and increase our understanding  of the fa...
SC Act Early Team•   State level team of agency leaders led    by David Rotholz, PhD, Director, CDR,    USCSOM•   Mission:...
Health Education• Promote awareness of  developmental milestones• Importance of tracking each  child’s development• Import...
Campaign Tools• Target audience: parents,  health care providers, early  educators• Research-based, easily  accessible, cu...
Baby Signs Video
Thoughts and Reactions
Other LTSAE Tools• www.cdc.gov/actearly
Early Warning Signs of Autism     An ACT Case Study
Take Home Messages• Change perceptions• Learn the signs• Stock your toolbox• It does take a village
Questions?
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Learn the Signs, Act Early

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J. Witowski presentation given at the 2012 South Carolina Home Visiting Summit

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  • More than 5,500 infants die each year because of birth defects. CDC and partners working to change these figures. Much of the work of the NCBDDD focuses on protecting people who are especially vulnerable to health risks—including children. The early years of life—birth to 5– are critical to a child’s development.
  • These partnerships helped to strengthen the national capacity to carry out public health activities. Regional summits build upon and initiated new relationship among key stakeholders in the field, provided forums to share important information and served as catalysts for the development of state teams. State leaders received technical assistance from AUCD, MCH and CDC to develop state action plans for improving early identification of Autism and other DD.
  • 10 ambassadors 2011- 15 ambassadors this year South Carolina is well represented this year- Walt Jenner from MUSC who is education and outreach officer for the SC Ausitm and Developmental Disabilites Monitoring Program (ASSM) at MUSC selected to serve as ambassador to other states ADDM networks. These groups responsible for providing information to the CDC to assist with determining prevalence numbers.
  • True- Sometimes you will see a range of 15-20%, but AAP uses 17%. False- Sad, but true. Despite improvements in routine developmental screening, only 30% of children are identified prior to school entry. Every year, more than a million children with unidentified disabilities enter school with learning and health issues that put them far behind their peers  and have a lasting, negative effect on their ability to meet their full potential. False-new prevalence data release earlier this year indicates that 1 in 88 children has ASD- in SC, it’s 1 in 90 with boys about 4 times more likely than girls to have the diagnosis…average age of diagnosis is between 4 and 4 ½ years. African American children are diagnoses with ASD at later ages and Hispanic children are less likely to diagnosed at all. False- developmental delays are not things that children grow out of- so it’s vital that we all learn the signs of delays and help to identify children as early as possible so intervention can begin and children can reach full potential.
  • Research projects address information need of parents, health care providers, and early educators to improve early identification in populations with health disparities. Also research about how to reach special populations with campaign messages and how to improve systems that identify and serve children with developmental delays.
  • AE team works to improve awareness on asd prevallence and the importance of screening and early referral Diagnostic and intervention efforts are implemented effectively in timely manner consistent with appropriate professional and evidence-based practice Information about services is easily available to families Services are provided by competent personnel at a high level of quality and Cross system collaboration is seamless and ongoing evaluation of effectiveness of services.
  • Video is about 4 minutes long-English only Learn how to look for developmental milestones and what to do if you’re worried about your child’s development or think there’s a problem.
  • anyone who works with young children is in a position to make valuable observations about a child’s development
  • Learn the Signs, Act Early

    1. 1. SC Home Visiting Summit September 2012 Jane WitowskiAcknowledgmentThe Act Early Ambassador project is a collaborative effort of the Centers for Disease Control andPrevention (CDC), Health Resources and Services Administration (HRSA) and Association ofUniversity Centers on Disabilities (AUCD) to advance CDC’s “Learn the Signs. Act Early.” programto improve early identification of developmental disabilities. The project is funded by CDC andHRSA.www.cdc.gov/ActEarly
    2. 2. Who and What
    3. 3. Session Overview• Review the importance of early identification of developmental delays and early action.• Take a look at LTSAE campaign, messages and materials.• Case study on the early warning signs of Autism.
    4. 4. Let’s Get Started
    5. 5. Brief History • 2000 Children’s Health Act established National Center on Birth Defects and Developmental Disabilities (NCBDDD) at the CDC • 2001 NCBDDD created Div of Birth Defects and DD Div of Human Dev & Disability Div of Blood Disorders
    6. 6. NCBCDD Mission• Promote the health of babies, children and adults and enhance potential for full, productive living• 1 in 33 babies – birth defects leading cause of infant death• 500,000 children diagnosed with dev disabilities-usually after school entry
    7. 7. Brief History • 2002 Cooperative agreements with AUCD and MCH • 2005 LTSAE campaign begins • 2007-2010 Act Early Summits regional meetings 55 teams, 900 people
    8. 8. Brief History • 2008- present Act Early State Teams 45 states • 2011- present Act Early Ambassador Program state liaison to CDC’s LTSAE
    9. 9. Act Early Initiative • State and national partners work to improve early childhood systems in each state by: 1. enhancing collaborative efforts to improve screening and referral to early intervention services. 2. developing tools and resources to help states analyze and measure their system.
    10. 10. Act Early Ambassadors• Represent the Act Early initiative• Promote LTSAE campaign, messages and strategies• Develop network of state leaders to expand the LTSAE reach• Support the Act Early team• Promote ACT curriculum
    11. 11. Pop Quiz
    12. 12. True or False? • About 17% of all children will experience some kind of developmental delay? • Most children with a developmental delay are identified before entering school. • In the US, about 1 in 110 children has an Autism Spectrum Disorder. • Children usually grow out of a developmental delay.
    13. 13. Learn the Signs. Act Early
    14. 14. Campaign Mission• To improve early identification of children with Autism and other developmental disabilities so children and families can get the services and support they need as soon as possible.
    15. 15. LTSAE Components• Health education campaign• Act Early initiative• Research and evaluation
    16. 16. Research& Evaluation• Improve campaign materials and implementation activities and increase our understanding of the factors that influence early identification and referral Currently Funded Research Helping Family Practitioners Improve Screening Early ID and service connection among low- income, low literacy urban parents Reaching families at risk for child maltreatment Benchmarks for Early Screening and Testing Building Community Capacity for LTSAE
    17. 17. SC Act Early Team• State level team of agency leaders led by David Rotholz, PhD, Director, CDR, USCSOM• Mission: improve quality of life for children, youth and adults with ASD and their families.• Action Plan: Roadmap to developmental services, training for master clinicians to enhance competencies among pediatricians.
    18. 18. Health Education• Promote awareness of developmental milestones• Importance of tracking each child’s development• Importance of acting early if there are concerns
    19. 19. Campaign Tools• Target audience: parents, health care providers, early educators• Research-based, easily accessible, customizable and free• Variety of languages• www.cdc/actearly• www.cdc/pronto• 1-800-CDC-INFO
    20. 20. Baby Signs Video
    21. 21. Thoughts and Reactions
    22. 22. Other LTSAE Tools• www.cdc.gov/actearly
    23. 23. Early Warning Signs of Autism An ACT Case Study
    24. 24. Take Home Messages• Change perceptions• Learn the signs• Stock your toolbox• It does take a village
    25. 25. Questions?

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