B4SC Update 16 October 2019
Welcome and house keeping • Round of introductions – name, practice, and town you work in?? • Health and Safety • Toilets • Phones • Evaluation forms
Update programme Community connectedness • 5.30 - 6 – Nibbles and networking • 6 – 6.30pm: • K’aute Pasifika Services • Whanau Ora • 6.30 – 7.15pm: • B4 School updates, webpages, preschool perspectives • 7.15 – 8pm • Independent B4 School Nurse Service • Public Health Nursing Service
K’aute Pasifika Services • http://kautepasifika.co.nz/ • http://www.aeretai.nz/providers/hamilton/ Referrals: • https://practicespinnacle.co.nz/b4school/information-services-and- referrals-
Whānau ora outcomes https://www.tpk.govt.nz/en/whakamahia/whanau-ora/why-whanau-ora
Whānau centred approach
Whānau ora • https://www.youtube.com/watch?v=3zxEE2lNKQU • https://www.youtube.com/watch?v=AY7XG7o_bzA&feature=youtu.be • http://www.aeretai.nz/services/whanau-ora/
New e-referral to Whare Ora service: https://practicespinnacle.co.nz/uploads/e-referrals- B4 School newsletter-2019-09-waikato-healthy-homes-whare-ora-.pdf https://www.waikatodhb.health.nz/your-health/wellbeing- updates: in-the-waikato/whare-ora/ Midlands Health Network public site update: https://practicespinnacle.co.nz/b4school
https://practicespinnacle.co.nz/b4school
Preschool perspectives via SDQTs • https://www.health.govt.nz/our-work/life-stages/child-health/b4-school- check/b4-school-check-information-early-learning-services • The SDQ- T asks for teacher’s observations, using their professional judgement, about a child’s interactions as the child participates in the early childhood education environment. • The B4 School Check is an opportunity for health professionals and early education service providers to work with parents and caregivers to ensure a child can reach their potential.
The SDQ tool: Is made up of 5 scales: 1) Emotional symptoms: 5 items 2) Conduct problems: 5 items 3) Hyperactivity: 5 items 4) Peer problems: 5 items The 4 scales above are added together to generate a total difficulties score. 5) Prosocial behaviour: 5 items Prosocial score is not added to the total difficulties score
An impact supplement: The second page of the SDQ asks the person filling out the questionnaire whether they think the child has a problem. If so, enquires further about • Chronicity • Distress • Social impairment • Burden to others
Discussion - what could cause issues? 1) Emotional symptoms 2) Conduct problems 3) Hyperactivity 4) Peer problems 5) Prosocial behaviour
Encourage Enrolment in ECE/Kohanga Reo MoE (07) 850 8880 ask to be put through to ECE Participation – or email: Gill.Brown@education.govt.nz Check vision and hearing. If not checked, can refer to Vision and hearing for follow up as a non-ECE child
Child 1 • NZ Māori, Dep 1, Putaruru PEDS – 0 circles 0 squares = E
SDQP: SDQT: Comment – child is very emotional and lacks self confidence. Wants to join in with friends/peers but not socially able. DISCUSSION: Why the difference? Actions? Referrals?
Child 2 • NZ Māori, Dep 4, Waihi
SDQP SDQT DISCUSSION: Why the difference? Actions? Referrals?
Child 3 • NZE, Dep 4, Hamilton SDQP
SDQT child has attachment issues with mother - mother teaches at centre. Mother is away for a month and head teacher will review to assess her ability to be resilient. Alternatively a referral may be required to Paediatrics or ICAMHS re anxiety. DISCUSSION: Why the difference? Actions? Referrals?
Child 4 • NZE, Dep 3, Cambridge SDQP
SDQT s/w preschool teacher regarding conduct, behavioural issues and high total score. Preschool is working with mum. Mum says that those behaviours don't happen at home. But that the child does mimic behaviours of older brother who has recently been diagnosed as autistic. Preschool has a plan to observe, document and manage behaviour for a month, then reassess with family. DISCUSSION: Why the difference? Actions? Referrals?
SDQTs - reminders Sticky label Ensure correct centre name and full address Post it to the centre
SDQT’s – reminders • Check SDQT for results (and VHT) prior to completing B4 SC - so you can discuss these with parents while they are there. May help to reenforce existing referrals, or to inform potential referrals • You can phone the preschool to discuss any of your/parental concerns • You can recommend to families that they discuss with the preschool • EG – preschool needs parental request/consent to initiate interventions such as toileting, or for referrals. Communicate with preschool • When posting SDQT to preschool, you could add a compliments slip with your details and a request for the preschool to complete and return
B4 School checks – reaching ALL children figures as of 15/10/19 All High Dep Māori Pasifika (at 25% of the year) 25% 14% 13% 23% Month -355 -109 -133 -12 15/10/19 79/434 20/129 26/159 5/17 15/10/19 1281/1735 210/515 242/635 46/67 Year -454 -305 -393 -21 260 9 Behind 99 196 Assuming all of this months checks are completed
“To achieve equity we all need to care enough, know enough, do enough, and be persistent enough”
Refer > 4 years and 3months https://practicespinnacle.co.nz/b4school • Public Health Nurses – dep 5 • K’aute and SWPICS – Pasifika children • Independent B4 School Nurse – Southern Waikato towns • Better to refer earlier (and as eligible) to service to assist with those overdue children • Free’s you up to concentrate on the 4year – 4 years 3 months
Public Health Nurses • https://practicespinnacle.co.nz/b4school/information-services-and- referrals-
Independent B4 School Nurse • https://practicespinnacle.co.nz/b4school/information-services-and- referrals-
Michelle Morley: B4SC Nurse Coordinator Mobile: 027 665 5515 Email: B4SC@pinnacle.health.nz Brooklyn Alves-Culley - B4SC Programme Support Phone: 027 201 8240 Email: B4SC@pinnacle.health.nz
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