Untitled video

Hello, This is Allison Burgsmueller.

I'm a family nurse practitioner.

I'll be presenting increasing identification of social and emotional developmental

delays in Children.

The purpose of the presentation is to inform the community

on how to integrate and evidence based screening tool into

the primary pediatric healthcare setting, which would increase the identification

of social and emotional developmental delays in Children.

In San Luis Obispo County, the focus is to educate

health care and early education professionals by presenting the ages

and stages for social emotional questionnaire, also known as the

Sqs E, which has proven psychometric properties at increasing identification

of social and emotional deficits in Children 2.5 to 5

years of age.

The American Academy of Pediatrics recommends health care providers uses

screening tool for all developmental domains, including fine motor, gross

motor communication, self help and problem solving.

A screening tool that can be used for all developmental

delays is the ages and stages Question Ear, also known

as the S Q three, but does not increase identification

of social emotional deficits.

An estimated 5 to 20% of all preschool aged Children

are affected by social and emotional delays, since there is

no recommended screening tool being consistently used in the clinic

setting. Many Children are not identified until they enter the

education system at kindergarten.

The significance of the problem is less than half of

Children with a positive A s QSC score are identified

when screen solely with the S Q three.

Many broad spectrum screening tools lack psychometric properties specifically when

screening for social and emotional delays.

Therefore, many Children go undiagnosed, including behavioral, social, emotional, autism,

spectrum disorder, motor specific sensory and psycho social conditions.

Okay, First five San Luis Obispo is organizing Entity of

the Help Me Grow Committee, which acts as the centralized

access point for pediatric outreach.

Community outreach and data for early childhood service is in

the community.

Pediatric healthcare providers are the first opportunity to survey and

screen for social emotional delays because of the repeat exposures

at early childhood well and sick visits, Children with social

emotional deficits are more responsive to early intervention.

Service is due to the brain's rapid growth and pliability

in early childhood before the before kindergarten, making early education

educators critical factors and identifying social and emotional deficits.

The S qsc can be completed by a caregiver in

this highly reliable screening tool that focuses on social emotional

development and Children accurately identifying social emotional developmental early on

paves the way for family education and further assessment interventions,

which helped Children reach their full potential during their most

informative years.

The S Q S E is easy to use, cost

effective caregiver completed and culturally sensitive tool results can be

scored quickly and identifies.

Children at risk, however, also addresses any other questions or

concerns a care giver might have and want to talk

with the health care provider.

The seven areas of the sq include child's autonomy, compliance,

adaptive functioning, self regulation, affect interaction and social communication.

An extensive literature review of several databases, including Signal Cochran,

Pub Med and Psych Info, focuses on research published in

the last five years.

Written in English, the search yielded high return with synonyms,

used young Children, ace QSC, developmental screening and developmental delays.

A core concept imperative to the synthesis of research reviewed

is age interval, where the sq is most effective.

The interval consistency of three studies concluded Kaka Alfa at

30.70 in ages 30 to 60 months, indicating high reliability

whereas ages six months to two years less reliable.

The QSC has good psychometric properties for Children aged 30

to 60 month, but less consistent one under the age

of two.

A systematic review and the U.

S. And Scandinavia also agreed that the QSC had limited

efficacy in detecting social emotional delays in Children 18 to

24 months.

Therefore, research supports the age interval should be screened with

the A S qsc over the age of 30 months.

Another key factor in the literature review is the comparison

of other screening tools to the ask SC.

A statistical significance was noted comparing the S Q three,

which screens all developmental domains compared to the S Q

S e.

Regarding personal and social scores, the lack of consistent screening

in the primary practice setting for social emotional delays.

A significant aspect is noted in the intervention group that

receives the S QSC reporting increased knowledge regarding communication skills,

response to cues and ability to soothe and establish a

relationship with a child.

A vital concept for the sqs e is providing education

to patient and families which will focus on the child

parent interaction.

Providing tools and resource is within the local community by

using key terminology, including young Children.

A sqs key developmental delay and developmental screening enabled the

literature search process to be streamlined and fruitful, which provide

the best evidence based research to support the clinical practice

by exploring the diagnostic screening tool specific social and emotional

development research supports that the sqs E is more than

a screening tool, but also an educational resource that can

be used by providers at healthcare visits to increase knowledge

regarding social emotional development and early childhood.

A key factor that came up consistently in most of

the studies was reliability, sensitivity and specificity of the sq

s E was less consistent in translated adapted versions in

Children under the age of 24 months.

Future research focuses on translating the QSC into different languages

on a global scale, even though the locations of the

research studies varied from health care settings to early childhood

education, setting results were consistent of the supporting variables, including

the age being over 2.5 years, and the A s

qsc increasing identification of social and emotional developmental delays.

Compared to the S Q three or no screening tool

being implemented, the S qsc can be completed independently by

the caregiver or with the assistance of a health educator

and reviewed with the health care provider at the well

visit to make a diagnosis and offer and refer, early

intervention service is Theis.

QSC should be administered at the 30 36 48 or

60 month well visit and can be reviewed with the

health care provider at the appointment.

Information obtained from the S QSC can be used to

diagnose social emotional developmental deficits and also identify patients for

early intervention.

Service is that can assist educational providers.

That helped me Grow Committee is a group of professionals

and San Luis Obispo County that is involved in an

area of either early education.

Early intervention service's healthcare and these areas would all benefit

from early identification of social and emotional developmental delays in

Children within our county.

So how do we implement the QSC into the clinical

practice? Integrating the sqs E into the practice setting is

quick because the caregiver can complete the survey before the

appointment and the review.

The results with the provider incorporating the sq into visits

is feasible and can be billed directly to Medicaid or

private insurance company under the I C D 10 code

z 13.4 encounter for screening of certain developmental disorders and

build for $59.90.

This diagram shows two ways that we can implement the

sqs into clinical practice.

The first child A is with the assistance of a

health educator encounter.

This means the caregiver and the child would come 30

minutes prior to their well check with the provider.

Complete the ESC VSC.

Therefore, the health educator would be there for the parents

to ask any questions.

The results would be given to the provider, and then

they would have the appointment and go over any questions

or concerns and a diagnosis and support for referral would

be implemented.

Child B is also the provider establishes contact with the

caregiver prior to the well check.

This would be done either male or email through the

Brooks platform.

Once the caregiver completes the sqs be at home.

The results will then be shared with the provider, either

electronically or via mail.

At the appointment, the provider would discuss the results and

with the caregiver and make any referrals.

If indicated.

As a result, the child would have increased access to

mental health Service's and support within sailor Service.

Polk County?

Yes. So how would we evaluate the implementation of the

sq in the clinical setting evaluation of the plan should

in crude reviewing the data every month?

The metrics for the sqs see that needs to be

evaluated is the number of screenings the sqs E scores,

referrals, caregiver and family feedback surveys.

Referrals for early intervention service is follow up visits that

need to be done within a 2 to 3 months

time period to see if the sqs score remains elevated

even after intervention.

Service is provider participation.

Feedback Service's identifying and diagnosing Children with social emotional delays

through the sqs E and providing early intervention service's is

imperative because it will reduce the need for long term

management of mental health conditions.

Failing to detect social and emotional deficits early on increases

the financial burden and can lead to an individual with

long term mental health condition that's extend into adulthood.

Okay, the scope of the project is that with the

support of the San Luis Obispo helped me grow committee

and all of its members implementing routine and systematic surveillance

and screening specifically for social emotional developmental delays with the

sqs e at 32 16 month well visits can impact

the delivery of health care on a local and state

level. First five of California facilitated the establishment of the

Health Negro Committee, which is continually exploring areas of improving

health and wellness for Children.

And their development, however, only recently expanded into the health

care initiatives regarding social and emotional mental health.

The S qsc can be utilized by both private primary

care and government funded pediatric clinics in San Luis Obispo

County. Identifying and providing early intervention service is in childhood

is imperative to reduce long term mental health conditions.

Aligning with help me grow committees core principles.

I have attached the list of references for you to

review any questions or concerns.

Please call me back.

I look forward to hearing any feedback, Thank you very

much.

Untitled video

Audio TranscriptAuto-generated