2009 <strong>CityMatCH</strong> Urban MCH Leadership <strong>Conference</strong>RESULTS100% of <strong>the</strong> participants that complete <strong>the</strong> online survey will change <strong>the</strong>ir behavior on sexualresponsibility, identify a medical home, delay child bearing and/or <strong>the</strong> initiation of sex, and developcommunication skills to have discussions around adolescent sexual responsibility with <strong>the</strong>ir parents.LIMITATIONSA potential barrier for replication of <strong>the</strong> local data tool would be that organizations may not <strong>the</strong>accessibility to have a Survey Monkey account. To alleviate this potential barrier, a paper copy can beprovided for replication.CONCLUSIONS/IMPLICATIONSAs a result of participating in <strong>the</strong> National Day’s online survey, those teens will be encourage to avoid orreduce risky sexual behavior (by ei<strong>the</strong>r delaying sex or using contraception effectively)will help prevent teen pregnancy and sexually transmitted diseases (STDs) including HIV/AIDS.INFORMATION FOR REPLICATIONBudget:$1729.80Resource used:City/county/local government fundsAlignment Nashville (private funds-HealthWays)Key partners/collaborators:Metro Public Health Department MCH DivisionAlignment Nashville's Adolescent Sexual Responsibility Committee104
2009 <strong>CityMatCH</strong> Urban MCH Leadership <strong>Conference</strong>Hartford Pediatric Outreach Project: Coordinating services for hard-to-reach childrenat risk for developmental delaysPRIMARY CONTACT:CO-PRESENTER(S)/AUTHOR(S):Leticia Marulanda, MDSandra Abella, sabella@hartford.gov (Author)Deputy DirectorMarcia Hughes, mhughes@hartford.edu (Author,Hartford Health and Human ServicesPresenter)Department131 Coventry StreetHartford, CT, 06112Phone: (860) 543-8834 Ext. 7033Fax: (860) 722-6334Email: lmarulan@hartford.govCATEGORYChild growth, development, preventive careRacial and ethnic health disparitiesFOCUSProgram Policy FocusISSUENavigating systems of care is difficult and time consuming, especially for families with limited educationand financial resources. The goal of <strong>the</strong> Pediatric Outreach Project was to streng<strong>the</strong>n a comprehensivesystem of early identification and referral for children at risk of development or behavioral problems byenhancing <strong>the</strong> capacity of hard-to-reach families to access services.SETTINGThe Project targeted low-income, under-insured and uninsured families living in <strong>the</strong> North-Endneighborhoods of Hartford. Hartford, CT is a medium-size city of 124,699 people, with all of <strong>the</strong> ills oflarge urban centers; 95.5% of its school population are African American or Hispanic.PROJECTCare coordinators met with families in <strong>the</strong>ir homes for <strong>the</strong> intake assessment, provided information, madereferrals, and followed up to ensure connection with services needed. Families were connected with <strong>the</strong>statewide Ages & Stages (ASQ) Child Development Monitoring Program. Care coordinators were trainedto conduct <strong>the</strong> ASQ screenings with <strong>the</strong> families; if <strong>the</strong> questionnaire revealed a potential problem, <strong>the</strong>yfacilitated assessment and referral services.ACCOMPLISHMENTS/RESULTS51 hard-to-reach families and 99 children participated with 120 referred for services. 22 referrals were forhousehold needs, 20 for day care, 20 for employment or education, 19 for housing; 12 for lead testingand, 8 families were referred to CDI for <strong>the</strong> ASQ program.ASQ questionnaire was administered for 32 children; age of child ranged <strong>from</strong> four to 36 months.Development delays identified in 25% of children in areas of communication, fine motor, problemsolving,and personal/social development. 38% of children enrolled in ASQ Developmental Monitoring105