Presentation on theme: "COPC in DC Kathleen M. Kadow June 2000. Washington, DC 68 SQUARE MILES POP:519,000 US CAPITAL MID-ATLANTIC REGION FEDERAL GOVERNMENT ‘HOME-RULE’"— Presentation transcript:
Targeted Population The pediatric (0-18 years old) users and non-users of the 26 census tracts that represent the top 50% of visits to Comp Clinic The 26 census tracts fall into four of the eight wards in DC
The Next Step... Community Definition Community Characterization Prioritization Detailed Assessment Intervention Evaluation
Community Characterization COMMUNITY SETTING Washington,DC Wards 1,2,4 and 5
Community Characterization RACE/ETHNICITYDC26 CENSUS TRACTS IN WARDS 1,2,4 AND 5 African- American62%78% Caucasian34%18% Hispanic7.2% (any race)14% (any race) Asian/Pacific Islander/American Indian 4%
DISTURBING TRENDS Reading and Math Skills Ward vs DC data Math scores, widening gap
Detailed Assessment Literature and Experience Medical Behavioral/Psychiatric Psychosocial Educational School Problems Clinic
Detailed Assessment Screening Tools Child Health and Family Functioning Questionnaire Parents’ Evaluation of Developmental Status Pediatric Symptom Checklist Einstein Assessment of School Related Skills
Getting Closer…. Community Definition Community Characterization Prioritization Detailed Assessment Intervention Evaluation
Intervention What has been done? Federal/City/Local What else can be done? Create baseline data concerning the risk factors associated with school problems Effectively screen for school problems within the targeted community
Intervention HYPOTHESIS: The use of a standardized screening protocol to assess school and learning problems will enable primary care providers and staff to identify children (5-11yrs old) with an existing school or learning problem.
Intervention GOAL To identify children 5-11years old, in a primary care pediatric clinic with school and learning problems using a standardized screen.
Intervention Objectives Program Activities Community and Staff Participation Resources and Budget Surveillance and Monitoring
Objectives Examples Screening 5-11 year olds over 6 months Disposition after screen Referrals Increase correct identification of school and learning problems Increase awareness
Program Activities Examples COPC Meeting # 3 Chart Review (before/after) Training of staff Comparison (screen/provider) Community educators Resource review
Are you still awake?…. Community Definition Community Characterization Prioritization Detailed Assessment Intervention Evaluation
Relevance Quality Efficiency Satisfaction Differential Value
Evaluation Outcomes Number receiving screen Number of referrals/reason Rates of identification (pre/post) Survey (pre/post) of staff Satisfaction (pre/post)
Evaluation Process/Structure Acceptability Ease of administration Barriers Length of time. Differential value.