Early Years Task Force Flashcards

1
Q

Why does Canada need a comprehensive system of monitoring early childhood outcomes?

A
  • to understand the determinants of healthy child development
  • to stimulate dialogue and problem solving
  • to inform policy
  • to examine the effectiveness of interventions across jurisdictions
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2
Q

True or False. Biologic conditions greatly limit a child from thriving.

A

False. Very few biologic conditions limit a child from thriving regardless of SES.

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3
Q

True or False. Environment in which kids develop creates disparities evident across cultures/communities/SES.

A

True.

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4
Q

True or False. Kids who are behind when they start school are very likely to catch up.

A

False. They are very UNLIKELY to catch up. Will fall further behind.
Evidence shows that if we intervene prior to this we can overcome environment and children will thrive to potential.

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5
Q

What would be the 4 approaches to a measurement system for early childhood development?

A
  • population based survey approach (eg. quality survey completed by all kindergarten teachers)
  • longitudinal survey (direct follow up of cases within a representative sample of the population)
  • linked data approach (person-specific population based longitudinal data by linking records from lots of sources e.g.. birth record + early development index + school records)
  • social indicators approach (collation of routinely collected data from a wide variety of sources)
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6
Q

What is the idea behind and ‘enhanced’ visit at 18 months?

A
  • promote good behaviours (breastfeeding, positive parenting, literacy, injury prevention)
  • anticipatory guidance
  • connecting families to resources in the community
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7
Q

How should an 18 month enhanced visit be structured?

A
  • physician-prompt health supervision guide with evidence-informed suggestions (like Rourke)
  • developmental screening tool
  • screening for parental morbidities
  • promotion of early literacy activities
  • information about community-bbased early childhood development resources for every family
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8
Q

Why is 18 months a good time to have an enhanced visit?

A
  • crucial time in development - early identification and intervention possible at this age
  • identify risks
  • anticipatory guidance
  • many kids are not adequately prepared for school experience so this can help
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9
Q

What advocacy roles should physicians play in early years task force?

A
  • advocate for resources, programs, policies
  • advocate for a government support enhanced 18 mo visit
  • pilot programs to close the gap between ids that do well vs poorly due to preventable causes form early intervention
  • sustained funding for early child development system creation
  • promote research in this area
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10
Q

What is the CPS view of optimal model of paediatrics?

A
  • priority to deliver comprehensive CONSULTING care
  • provide ongoing care to kids with COMPLEX medical needs in the community and hospital
  • give preference to COLLABORATIVE medical practice with GP, psychologists,, SW, RN
  • appropriate numbers of all child health professionals to meet needs for teams

-assumes kids have a primary care provider, continuity of care, timely access to early intervention services, collaboration

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