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CDSA: group of agencies they regularly collaborate with (e.g., physicians). Know some areas need improvement (child care), not sure all people know about us. A lot comes through the LICC – periodic public awareness things they do. With physicians, when there is changeover, not sure they are doing enough outreach to them – might need to do some annual outreach to referral sources.

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PAT at the partnership – does home vists and makes sure parents know about the CDSA. Pre-covid would meet with people to make sure they knew about the CDSA

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Partnership – Allison and Jennifer will be dropping off materials at child care programs, don’t have Part C materials in there now but think that’s a big need since programs are in crisis. Haven’t had much training on Part C but feel they need to do some for themselves, directors, and possibly even families

If partnership can get through to directors feel they could get through to families

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PAT has family support advisory committee and can share with those meetings

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CDSA policies that they do child find activities

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When CDSA gets referral, if they have difficulty getting in touch with the family they go back to the referral source to try to get better contact info – or they can talk to the family again to encourage them to respond

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CDSA - Don’t think they’re doing such a great job getting feedback to referral source – send a copy of the evaluation report once the child is enrolled and receiving services

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If families don’t have a consistent mailing address – will go back to other agency they may be involved with to get info, sometimes will also be able to share back info about what's going on

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A lot of families moving among counties that may not be in the catchment area – across county lines could be across the street

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Two areas identified are homeless and children under 1 - have been efforts through LICC to connect with homeless shelters to provide information about part c  -have found families are pretty transient and they lose contact with them

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NICU babies, have established good relationships with Baptist and Levine  - need more work with Cabarrus and (another I missed)

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In Head Start if family speaks a language other than English, have someone on staff and can also contract out if needed – Spanish is primary language, have also had families who need sign language

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Most CDSA referrals other than English have been Spanish, haven’t seen much more language diversity

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Head Start takes info and resources to community events to get the word out about what they do

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Partnership has social media, diaper program, car seat checks, and other such activities where they can connect with families and provide info

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Places of worship, homeless shelters, also women’s shelters – have family advocates who can refer families to their program and work with CDSA to meet family needs (Titania Stockton)

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Strong relationship with health dept for CMARC – will get dual referrals to CMARC and CDSA

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Not sure about DSS and how many referrals coming through them

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Not sure how CMARC interfaces with other areas of the health department, such as WIC

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PAT must screen in the first 90 days of enrollment then annually or if deemed necessary

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Physicians conduct universal screening - ASQ

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Partnership - is ASQ available to share with centers? Know a lot of centers don’t have access to is, they do more K readiness screenings (Joanne will share with Allison)

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Allison – if directors or teachers had concerns, do they need to share info with parents, is the CDSA something they could recommend? With parent consent, director or teacher can make the referral themselves, or can give the family the CDSA contact info to contact Gale – sometimes people will contact Gale first then get the referral process going – Gale will send Allison this info

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With a child who has a diagnosis, can get them in quickly but need confirmation from the dr. If child is receiving therapy services, need documentation from service provider that there is an identified delay – these kids get enrolled automatically. Happens pretty quickly if they can confirm the diagnosis

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CDSA has a 2 day turn-around for getting in touch with family – don't let not having medical records or confirmation of diagnosis get in the way of moving ahead with evaluation and getting a family enrolled

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No family has to travel for evaluation – seen in home, day care, or place in the community unless a family doesn’t want them in the home and insists on coming to the office – prefer to have the natural environment

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CDSA shares criteria for established conditions with dr offices – hasn't been done recently though

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This year state is reviewing some of the established conditions, such as children exposed to substance abuse in utero to determine what would be considered established condition

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CMARC regularly makes referrals to the CDSA.

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The Iredell LICC has participated in community events (pre-2020) with printed materials for the LICC as well as individual agencies. Since 2020 they have put together information or packets for distribution through community events that were being held without having a physical LICC presence (e.g., distribution of materials with Angel Tree program)

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CDSA usually sees ASQ and the SWYC from doctors, also MCHAT.

CDSA mostly looks a functioning of very young infants through discussions with families, info from pediatricians, assessment by nurse

CDSA uses DAYC2 for eval, includes SE domain but also rely on informed clinical opinion for things that can’t be captured in the standardized assessment

DAYC does not correct for prematurity (but neither does the child outcome rating) – talk to families about how the child may look different than children born at term

Child assessment done to collect information from multiple sources and inform IFSP – don’t use a specific tool but have questions for each developmental area they use

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Partnership uses ASQ and ASQ-SE

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CMARC uses SWYC

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CDSA: Observation, medical records

Look for whether child has established condition that meets the eligibility criteria

Referral form: has a place for concerns that can be written in

Hospital uses a referral form that may include information about the condition

Intake child history form delves into birth history, medical history

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I-CARE: Brigance for infants/toddlers, DIAL-4 for preschoolers

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CDSA gets monthly report that lists number of referrals, referral sources, plus other data (IFSP timeliness, other compliance indicators) – if there is a need for extra data they can request it and usually get it

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I-CARE – have number of referrals from CDSA and LEA, referrals sent based on screening results; keep up with monthly referrals (10% mandate children with special needs); children with IFSP/IEP info in data system and folder in the child’s classroom, progress data also in both places

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Partnership keeps up with referrals out through CCR&R, PAT referrals, who refers to PAT, quarterly reporting for smart start for PAT

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CDSA: Monitoring progress towards meeting targets for percentage of children served through the CDSA

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When child is not found eligible for the CDSA: Evaluator provides list of resources, including those for tracking milestones and contact information so they can re-contact the CDSA if they have a concern later

Will let them know about CMARC, PAT, and other community resources – may not make formal referrals but will provide the info
If close to 3 give them information about the school system so they can pursue screening

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I-CARE provides resources to outside agencies and info about re-contacting if they have a concern later, ensure teachers keep an eye on the areas of concern

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CDSA: If child close to three will evaluate and try to have the transition conference as quickly as possible – coordinate with school system to make sure they get in as quickly as possible

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For things the CDSA does not address:

Sometimes hard for families to add on outside services when they are getting a lot through the CDSA but let them know about resources

School system lets families know about community resources including libraries, playgroups, preschools, etc.

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After CDSA finds child ineligible, that is communicated to the referral source but there is no follow up with the family after that – up to the referral source or the family  to continue to track the child and refer back to the CDSA if needed

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I-CARE teachers have conversations during home visits, parent teacher conferences, and will discuss concerns. Assessments also help show families where the child’s developmental milestones are – if they continue to have concerns will either re-refer or help them connect with other community resources

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PAT works with families around milestones and screenings, helps families do activities to target specific areas

PAT does screening with first 90 days, then annually after that, will screen at any time if there’s a concern