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Spring 2019 UAB GHCC (2nd place team)

The document outlines a mobile services program to promote child health, ability, and resilience. The program will utilize two mobile units staffed with social workers, therapists, and teachers to deliver psychosocial support, physical/occupational therapy, assistive devices, teacher training, and peer connections to children with disabilities. The goals are to improve mental health, mobility, school enrollment, access to services, and build an inclusive society through these direct services and capacity building efforts.

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Promoting Child Health, Ability, and Resilience through Mobile Services Sloan Oliver, Swati Sakhuja, Marissa Swanson
1 Australian Aid, HI & iMMAP, 2018
Photo: UNICEF, Herwig
AimsDeliverables
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers (ATiA)  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  1,500 peer dyads  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers (ATiA)  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers (ATiA)  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
 2 custom mobile units  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers (ATiA)  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
AimsDeliverables
Timeline
Budget over 5 years Mobile units with customization $230,000 2 Social workers, 6 para-social workers, 4 support staff, PT, OT $1,200,000 3D printing material and supplies $200,000 IT: Satellite connection (VSAT), solar panels, film crew, adaptive technology $150,000 Gas, repairs, insurance, parking rental, advertisements, training materials, safety funds $220,000
Program Evaluation Activity Continuous Quality Improvement & 5 Year Outcomes Assessment Needs Assessment Coordination with district heads, school administrators, community leaders; community census Mobile unit development Focus groups with providers and pilot families Professional trainings Pre/post knowledge tests; satisfaction questionnaires; in vivo fidelity checks PT/OT services Chart review pre/post Bruininks-Oseretsky Test of Motor Proficiency, 2nd Ed. (BOT-II) scores PSS programs Chart review pre/post Behavior Assessment System for Children, 3rd Ed. (BASC-3) scores Program reach # receiving goods/services
Sustainability Economic Impact Use charm bracelets as a fundraising tool as well as increasing awareness and decreasing stigma Residents of camp can rent out printers during the evening ATiA profit-sharing used to subsidize printing costs Applying for future grants: scaling up the operation to reach more families People gaining ability to contribute to the community and gain employment skills
Feasibility & Scalability  Mobile units are future direction of refugee service provision  Versatile, mobile, efficient  PT/OT and PSS are best practice treatments for traumatic disabilities  Outpatient programs can increase efficiency of existing inpatient programs  Convention of Rights of Persons with Disabilities (CRPD) promotes expanding special education services and accommodations for persons with disabilities  3D printing is a rapidly growing industry  3D printed prostheses have a 75% faster production time and 90% lower production cost than traditional advanced prostheses  Talent searches and engineering competitions are popular among refugees and populations in the Middle East  Stars of Science  Kakuma Got Talent  Refugees Got Talent
Challenges  Dependence on partnerships  Difficulty of conducting census of children with disabilities  Safety of mobile units  Instability of individuals/camps  Staff turnover  Need exceeds resources
Next Steps to Increase PSS Access and Inclusivity  Expand MCFS and after-school PSS programming  Expand Peer-to-Peer Connections program  Expand PSS teacher training opportunities through Distance Learning Classroom
References  https://www.uab.edu/civitansparks/  https://www.pbs.org/newshour/show/syrian-refugees-find-mental-physical-rehabilitation-jordan  http://souriyat.org/about-us/  http://enablingthefuture.org/e-nable-mini-grant-program/  https://www.atia.org/at-resources/what-is-at/  https://www.unicef.org/infobycountry/Turkey_98464.html  https://3dprintingindustry.com/news/syria-relief-appeals-for-3d-printed-prosthetics-for-children- 140346/  https://app.powerbi.com/view?r=eyJrIjoiYTU0ZjMyNjQtNGU1OC00YWY0LThmODgtZmI0ZjZlYzU4MDQ xIiwidCI6ImY2ZjcwZjFiLTJhMmQtNGYzMC04NTJhLTY0YjhjZTBjMTlkNyIsImMiOjF9  https://www.diorama.com/2017/02/06/zaatari-refugee-camp-jordan-360-video/  https://reliefweb.int/sites/reliefweb.int/files/resources/reach_jor_map_zaatari_ccm_general_infr astructure_district_dec2016.pdf  https://www.aljazeera.com/indepth/features/2017/03/refugees-talent-170327105744209.html  https://www.bbc.com/news/av/business-11748638/middle-east-tv-talent-show-sets-out-to- promote-science  https://dealingwithdifferent.com/3d-printing-prosthetics/#.XF4zFlxKg2w  https://www.unhcr.org/ke/14635-talent-show-in-kenyas-kakuma-refugee-camp-lifts-spirits-and- brings-hope.html
Promoting Child Health, Ability, and Resilience through Mobile Services Sloan Oliver, Swati Sakhuja, Marissa Swanson

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Spring 2019 UAB GHCC (2nd place team)

  • 1.
    Promoting Child Health,Ability, and Resilience through Mobile Services Sloan Oliver, Swati Sakhuja, Marissa Swanson
  • 2.
    1 Australian Aid,HI & iMMAP, 2018
  • 3.
  • 4.
  • 5.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers (ATiA)  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 6.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 7.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 8.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 9.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 10.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  1,500 peer dyads  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 11.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 12.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 13.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 14.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 15.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 16.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers (ATiA)  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 17.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers (ATiA)  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 18.
     2 custom mobileunits  4 support staff  2 social workers  6 para-social workers  1 Physical therapist  1 Occupational therapist  Teacher resources  3D printer supplies  Film crew  Operations costs  CHARMS bracelets  Psychosocial training  PT/OT training  S/L therapy training  Special education training  School teachers  Health workers  3D printers & training  Assistive device manufacturers (ATiA)  Needs assessment  Mobile Child Friendly Space (MCFS)  Mobile distance learning classroom  PSS 60 visits per day Sa-Th  PT/OT 120 patient visits per month (each)  600 prostheses per year  Inclusive Design Champions online episode  Peer-to-Peer Connections program  CQI/Evaluation  6,000 families receive PSS (12 visits)  960 patients receive PT (6 visits)  960 patients receive OT (6 visits)  2,400 prostheses produced & distributed  72 teachers trained in low vision education  72 teachers trained in deaf education  72 teachers trained in special education  144 teachers trained in PSS  3,000 students paired with peers  Teacher resource library  Decreased severity of psychopathology  Increased mobility and functionality  Increased school enrollment/attend ance  Increased access to special education services  Increased local capacity for PSS, PT, OT, S/L, and special education  Disability- inclusive society  Resilient new generation REACH Inputs Partner Inputs Outputs: Programs Outputs: Program reach Short term outcomes Long term outcomes
  • 19.
  • 20.
  • 21.
    Budget over 5years Mobile units with customization $230,000 2 Social workers, 6 para-social workers, 4 support staff, PT, OT $1,200,000 3D printing material and supplies $200,000 IT: Satellite connection (VSAT), solar panels, film crew, adaptive technology $150,000 Gas, repairs, insurance, parking rental, advertisements, training materials, safety funds $220,000
  • 22.
    Program Evaluation Activity Continuous QualityImprovement & 5 Year Outcomes Assessment Needs Assessment Coordination with district heads, school administrators, community leaders; community census Mobile unit development Focus groups with providers and pilot families Professional trainings Pre/post knowledge tests; satisfaction questionnaires; in vivo fidelity checks PT/OT services Chart review pre/post Bruininks-Oseretsky Test of Motor Proficiency, 2nd Ed. (BOT-II) scores PSS programs Chart review pre/post Behavior Assessment System for Children, 3rd Ed. (BASC-3) scores Program reach # receiving goods/services
  • 23.
    Sustainability Economic Impact Use charm braceletsas a fundraising tool as well as increasing awareness and decreasing stigma Residents of camp can rent out printers during the evening ATiA profit-sharing used to subsidize printing costs Applying for future grants: scaling up the operation to reach more families People gaining ability to contribute to the community and gain employment skills
  • 24.
    Feasibility & Scalability Mobile units are future direction of refugee service provision  Versatile, mobile, efficient  PT/OT and PSS are best practice treatments for traumatic disabilities  Outpatient programs can increase efficiency of existing inpatient programs  Convention of Rights of Persons with Disabilities (CRPD) promotes expanding special education services and accommodations for persons with disabilities  3D printing is a rapidly growing industry  3D printed prostheses have a 75% faster production time and 90% lower production cost than traditional advanced prostheses  Talent searches and engineering competitions are popular among refugees and populations in the Middle East  Stars of Science  Kakuma Got Talent  Refugees Got Talent
  • 25.
    Challenges  Dependence onpartnerships  Difficulty of conducting census of children with disabilities  Safety of mobile units  Instability of individuals/camps  Staff turnover  Need exceeds resources
  • 26.
    Next Steps toIncrease PSS Access and Inclusivity  Expand MCFS and after-school PSS programming  Expand Peer-to-Peer Connections program  Expand PSS teacher training opportunities through Distance Learning Classroom
  • 27.
    References  https://www.uab.edu/civitansparks/  https://www.pbs.org/newshour/show/syrian-refugees-find-mental-physical-rehabilitation-jordan http://souriyat.org/about-us/  http://enablingthefuture.org/e-nable-mini-grant-program/  https://www.atia.org/at-resources/what-is-at/  https://www.unicef.org/infobycountry/Turkey_98464.html  https://3dprintingindustry.com/news/syria-relief-appeals-for-3d-printed-prosthetics-for-children- 140346/  https://app.powerbi.com/view?r=eyJrIjoiYTU0ZjMyNjQtNGU1OC00YWY0LThmODgtZmI0ZjZlYzU4MDQ xIiwidCI6ImY2ZjcwZjFiLTJhMmQtNGYzMC04NTJhLTY0YjhjZTBjMTlkNyIsImMiOjF9  https://www.diorama.com/2017/02/06/zaatari-refugee-camp-jordan-360-video/  https://reliefweb.int/sites/reliefweb.int/files/resources/reach_jor_map_zaatari_ccm_general_infr astructure_district_dec2016.pdf  https://www.aljazeera.com/indepth/features/2017/03/refugees-talent-170327105744209.html  https://www.bbc.com/news/av/business-11748638/middle-east-tv-talent-show-sets-out-to- promote-science  https://dealingwithdifferent.com/3d-printing-prosthetics/#.XF4zFlxKg2w  https://www.unhcr.org/ke/14635-talent-show-in-kenyas-kakuma-refugee-camp-lifts-spirits-and- brings-hope.html
  • 28.
    Promoting Child Health,Ability, and Resilience through Mobile Services Sloan Oliver, Swati Sakhuja, Marissa Swanson

Editor's Notes

  • #2 Hello,
  • #3 What is the problem Rates of disability
  • #4 Challenges, why we need to go to them  Difficult mobility especially for children with physical limitations Divided into 12 districts  5,681,901 total Syrian refugees  362,888 in designated refugee camps  78,357 in Zaatari camp  https://data2.unhcr.org/en/situations/syria  UNICEF estimates that 1 in 5 Syrian refugees living in Jordan and Lebanon have an impairment, 42% of which are physical impairments. -from doc 
  • #22 Should we add insurance to the last row?
  • #24 -charm bracelets: -
  • #29 Hello,