Disease Prevention and Health Promotion/Screening Guidelines

1. Disease Prevention and Health Promotion/Screening Guidelines Janet Cady, MN, ARNP Neighborcare Health University of Washington 2013

2. Prevention Works! Child Safety Seats Fluoridation Immunizations Bike Helmets Home Safety Back to Sleep

4. Utilization of Preventive Services • Least likely to use health services • 20-34% received no health care in previous year • Parent level of education & insurance status impact utilization • Poverty= less preventive health care • Minority = less preventive health care • And annual routine preventive services are recommended for all adolescents

5. Bright Futures Charter- 1994

6. We know what works… • Risk & Protective Factors • Individual • Peer • Family • School • Community • + Protective Factors= + Health Outcomes • + Risk Factors= - Health Outcomes Catalano & Hawkins- UW~ SDRG

7. Bright Futures Steering & Advisory Committees- 2008 • American Academy of Pediatrics • American Academy of Family Physicians • Ambulatory Pediatric Association • Family Voices • National Association of Pediatric Nurse Practitioners • American Dietetic Association • HRSA, Maternal & Child Health Bureau • American School Health Association • American Academy of Child & Adolescent Psychiatry • American College of Preventive Medicine • Mental Health America • American Academy of Pediatric Dentistry • Centers for Disease Control & Prevention • Indian Health Service • National Initiative for Children’s Healthcare Quality • American Medical Association • and more…

8. Bright Futures Core Concepts • Effective Partnerships • Communication • Promoting Health & Preventing Illness • Managing Time • Educating Families • Advocating PATIENT & FAMILY-CENTERED CARE

9. Six Key Components • Use of a preventive services prompting sheet • Use of structured tools to assess the child and family’s developmental and behavioral needs • Evaluation of parental strengths and needs, including assessment of protective factors • Use of recall and reminder systems • Linkage of the child and family to appropriate community resources • Use of assessment strategies at well-child visits to identify children with special health care needs

10. Surveillance, Screening, Assessment, Guidelines, & Anticipatory Guidance • Surveillance • Screening • Assessment • Guidelines • Anticipatory Guidance

11. Bright Futures Visit • Solicits concerns from parent & child • Surveillance and screening • Assessment of strengths • Discussion of certain priorities for improved child & adolescent health & family function over time.

12. Adolescent Health Care Bright Futures- 2008 • Health History & Physical Examination • Vision, Hearing, Dental, & Risk-based Screening • Anticipatory Guidance Priorities • Physical Growth & Development • Social & Academic Competence • Emotional Well-being • Risk Reduction • Violence & Injury Prevention

13. Goals for Quality Improvement

14. Immunization

21. https://www.raaps.org/products_training.php

24. CRAFFT

25. “HEADS” Assessment/Screening

26. HOME

27. EATING

28. Energy/Exercise/Sleep

29. DRUGS & ALCOHOL

30. SAFETY

31. SUICIDE RISK

32. SEXUALITY

33. STRENGTHS & SKILLS

35. Internet Resources • Bright Futures at AAP • www.brightfutures.aap.org • Bright Futures at Georgetown • www.brightfutures.org