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Early Brain Development and Language Nutrition Carrollton-Carroll County Education Collaborative Fall Meeting Oct. 17, 2016 Brenda Fitzgerald, M.D. Commissioner and State Health Officer Georgia Department of Public Health 30 Million Word Gap


  1. Early Brain Development and Language Nutrition Carrollton-Carroll County Education Collaborative Fall Meeting Oct. 17, 2016 Brenda Fitzgerald, M.D. Commissioner and State Health Officer Georgia Department of Public Health

  2. 30 Million Word Gap 43 MILLION 24 MILLION 11 MILLION Low Income High Income Working Class

  3. Window of Opportunity

  4. Synapse Formation Developing Brain

  5. Brain Architecture: Neurons

  6. Brain Architecture: Pruning

  7. Language Nutrition Influences economic success Leads to high school graduation Leads to the ability to read Increases neurological development

  8. Brain Trust for Babies Mission Redefine infant and toddler wellness to include language acquisition and social-emotional health, so that by 2020, all children in Georgia will enter school thriving and ready to succeed.

  9. Population Based Approach From Universal Design to Targeted Interventions

  10. THE STILL FACE EXPERIMENT Dr. Edward Tronick, Child Development Unit, Harvard University

  11. GA WIC - Talk With Me Baby • Random sample of children (18-24 months) assessed for language, speech, and communication patterns • 900 Georgia WIC staff trained on language nutrition • 199 WIC centers integrated language nutrition messages into their centers • Nutritionists discuss modeling behaviors with clients, encouraging parents to talk with their • DVDs play in waiting rooms • Educational materials provided to clients

  12. Language Development

  13. 100 Babies Program Goals

  14. Percent Diagnosed by 90 Days Strategy Strategic Placing of • Equipment Georgia National Average 3 Diagnostic o 100 Machines 90 (Ringgold, 80 Valdosta, 72 71 66 Albany) 70 63 57.7 11 Screeners 60 o 49.6 Revised and • 50 standardized sent to 40 families and 30 physicians 20 Electronic Reporting • 10 of Providers 0 Audiology Facility • Finder 2009 2010 2011 2012 2013 2014 https://sendss.state. ga.us/sendss/!audio logist_locator.search

  15. Percent Enrolled in Intervention By 6 Months Strategy Georgia National Average 77% of D/HH 100 • children born in 90 2014 are enrolled 80 in intervention, 66 70 60 57% by six months 57 60 52 Intervention logs • 50 40.4 38.5 from Georgia 40 PINES received 30 and entered 20 monthly 10 Three private • 0 intervention 2009 2010 2011 2012 2013 2014 providers documenting intervention in SendSS

  16. Adverse Childhood Events "The active ingredient in the environment that's having an influence on development is the quality of the relationships that children have with the important people in their lives. That's what it's all about.” Jack P. Shonkoff, M.D.

  17. Brain Activity 8 Year Old Children Center on the Developing Child Harvard University

  18. Autism Screening and Early Detection • The Marcus Autism Center, under the direction of Ami Klin is using eye- tracking research that detects signs of autism as early as infancy • Earlier interventions when the brain is still able to adapt and change, we believe we can raise the prospects of significantly altering the natural course of ASD

  19. Parental Involvement Point to Pictures and Words

  20. Early Care and Learning Involvement The Cox Campus Online Learning Platform of the Atlanta Speech School will roll out two digitally-state-of-the-art courses for teachers of infants and toddlers. • Roll out November 14 • Coalition of public and private partners including Governor Nathan Deal and First Cox Campus Lady Sandra Deal, Harvard University, DPH and the Georgia Department of Early Care and Learning • Courses o Talk With Me Baby o Build My Brain

  21. QUESTIONS?

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