Number of Participants per Session

1
Child Care Health Consultation The National
Training Institute forChild Care Health
Consultants (NTI)
CityMatCH Urban Maternal and Child Health
Leadership Conference September 12,
2005 Presented by Tobie Barton, MA
2
NTI Partners

• The University of North Carolina at Chapel Hill
• Frank Porter Graham Child Development Institute
• Department of Maternal and Child Health
• Maternal and Child Health Bureau/HRSA/DHHS
• Grant U46-MC00003

3
Acknowledgements

• Jonathan Kotch, MD, MPH Project Director
• Sandra Cianciolo, RN, MPH Project Coordinator
• Tobie Barton, MA Curriculum Planner
• Rebecca Young-Marquardt, DrPH Training Consultant
• Tom Leggett, BA FPG Child Development Institute
  Applications Programmer
• Jean Cimino, MPH Former Curriculum Planner
• Erika Ruzzeddu, MSW, MPH Research Assistant
• Sarah Harlan, MPH Graduate Research Assistant
• Bonnie Keith, MPH Graduate Research Assistant
• Quality Enhancement Project staff

4
Objectives

• Define child care health consultant (CCHC)
• Describe the value of child care health
  consultation
• Demonstrate how NTI helps build CCHC networks
  nationwide

5
CCHC Definition

• A health consultant should be a health
• professional who has an interest in and
• experience with children, has knowledge
• of resources and regulations, and is
• comfortable linking health resources
• with facilities that provide primarily
• education and social services.
• --Caring For Our Children, 2nd Edition

6
CCHC Skills

• Educate about health and safety issues
• Assess health and safety training needs
• Identify and implement quality improvement plans
• Provide referrals to community services
• Develop or update policies and procedures
• Review health records and consult with the
  childrens health professionals
• Help manage the care of children with special
  health care needs
• Interpret standards or regulations and provide
  technical advice

7
Value of CCHC

• Child Care Health Consultation affects
• Health policies and practices
• Child health status
• Childrens access to health care
• Could result in
• Fewer outbreaks
• Less acute/emergency medical care utilization
• Lower medical care costs
• Less work time lost by parents

8
QEP Data CCHC Impact

• Quality Enhancement Project Evaluation
• 13 child care health consultant projects
• 21 counties in North Carolina
• 135 facilities (child care centers, family day
  care homes, early education centers)
• 24 months of data collection, ending 2004
• Services provided consultation, health
  education, community development, training,
  direct health services, professional development,
  and administration

9
CCHC Outcomes

• The centers evaluated reported
• Increased proportion of children with screening
  tests on file
• Increased proportion of children with medical
  home and insurance information on file
• Decreased mean rate of medically attended
  injuries
• Increased proportion of children with up-to-date
  immunizations
• Reduced child absences

10
NTI is

• a cooperative agreement between UNC-CH and
  MCHB to improve the health and safety of children
  in out-of-home child care by using a
• train-the-trainer
• approach to develop a nationwide system of child
  care health consultants.

11
NTIs History

• First funded October 1997
• First national training March 1999
• First competitive renewal October 2000- March
  2005
• Second competitive renewal April 2005-March 2010

12
NTI Participants Must

• Be regional or state-level public health and/or
  early childhood education professionals
• Have experience with out-of-home child care
• Be part of a system with potential for supporting
  a CCHC training program
• Have experience in face-to-face training

13
Training Curriculum

• Proposed New Training Curriculum
• 14 weeks of distance learning
• 4 days of face-to-face training
• Curriculum based on core modules
• Toolkits being developed to complement modules
• Utilize best practices in adult learning

14
Curriculum Modules

• Building Consultation Skills
• Building Training Skills
• Caring for Childrens Oral Health
• Caring for Children Who are Ill or Temporarily
  Disabled
• Caring for Children Who are Maltreated
• Caring for Children with Special Needs
• Curriculum Development

15
Modules Cont.

• Environmental Health
• Field of Child Care
• Infectious Diseases in Child Care Settings
• Injury Prevention in Child Care
• Mental Health Supporting Emotional and Social
  Development
• Nutrition and Physical Activity
• Quality in Early Childhood Programs
• Caring for the Health and Safety of Staff

16
NTI Flowchart
17
Graduate DemographicsBased on 25 Training
Cohorts Through January 2005

• Graduates 333
• Jurisdictions 50 States Washington, DC Puerto
  Rico US Virgin Islands The Bahamas Europe
• 3,239 CCHCs trained

18
Graduate DemographicsBased on 25 Training
Cohorts Through January 2005

• Professional discipline ()
• Child Health 64
• Education 23
• Administration 8
• Other 5

19
Next NTI Activities

• Pilot new curriculum schedule in April 2006
• Enhance distance learning modalities
• Market concept of CCHC
• Collaborate with partners and promote the five
  SECCS objectives
• Research methods for accrediting the training and
  certifying trainers
• Support CCHC Scope of Practice draft
• Explore options for sustainability beyond grant

20
National Collaboration

• National Healthy Child Care America Cooperative
  Agreement Program
• Nine national partners
• Goals
• Integration and coordination of policy, TA, and
  evaluation resources
• Planning, community organization, and management
• Promotion of systems-building strategies
  listservs, websites, training

21
Conclusion

• Fourteen million children are enrolled in child
  care in the United States.
• -- AAP, 2005 US Census Bureau, 2003
• Data suggest that children in child care are
  healthier when a CCHC is consulting there.
• NTI offers a national, state-of-the-art program
  to train CCHCs and to make children in child care
  healthier and safer.

22
Questions

• ?
• Contact me Tobie_Barton_at_unc.edu

23
Thank you!
24
References

• AAP, 2005 PEDIATRICS Vol. 115 No. 1 January 2005,
  pp. 187-191 Quality Early Education and Child
  Care From Birth to Kindergarten online at
  http//pediatrics.aappublications.org/cgi/content/
  full/115/1/187
• American Public Health Association and American
  Academy of Pediatrics. Caring for Our
  Children--National Health and Safety Performance
  Standards Guidelines for Out-of-Home Child Care
  Programs. Washington, DC, and Elk Grove Village,
  IL APHA/AAP 1992.
• Kotch, Jonathan B. The Quality Enhancement
  Project for Infants and Toddlers. Presented at
  the North Carolina Child Care Commission,
  November 18, 2004. (Ppt. revised Jan.5, 2005)
• U.S. Census Bureau, Population Division. Annual
  Estimates of the Population by Sex and Five-Year
  Age Groups for the United States April 1, 2000
  to July 1, 2003 (NC-EST2003-01)