Strategy 4.3
Provide appropriate, targeted interventions.
One of the challenges of implementing system-wide psychosocial screening will be
managing the sheer volume of data being collected and interventions that are required.
If the screening tool is administered to the approximately 40,000 unique families
with children under the age of 2 who visit Children’s Colorado in a given year, the
anticipated number of responses requiring some sort of intervention could be as high
at 15,000. Of course, not all families will require intervention, and the intensity of the
recommended invention will vary greatly among those families that do need support.
Tactic: Created Tiered Intervention Protocols.
To mitigate the challenges of managing such a large population, Children’s Colorado
will create a system for scoring the screening surveys and placing families into one
of four tiers based on their responses. The oversight committee will be charged with
looking at the current tiered system in place for medically complex cases at Children’s
Colorado and adapt them for a psychosocial response protocol.
Tactic: Determine response protocol for each level of tiered Intervention.
Tiered interventions will provide families with an understanding of the resources
available both within Children’s Colorado and in the community. Top tier
interventionists would need sufficient time to provide intensive supports to families,
up to and including providing home-based services. The oversight committee will be
charged with defining this role and determining how best to provide these services.
Tactic: Partner with community based organizations that already provide services
for vulnerable women and children as well as provide a limited number of new
interventions directly A key aspect of the screening and intervention effort will be
ensuring that Children’s Colorado has information about the community resources
that are available to families and how best to access those resources.
Setting/Delivery Mechanism
Community - Rollout of the screening and intervention initiative will be
expanded in partnership with community providers.
Provider - Implementing universal psychosocial screening across all of
Children’s Colorado’s departments and campuses is a major undertaking that
will take years to complete. Rollout of the screening initiative will begin in
small, well-controlled environments and expand gradually system-wide. When
the psychosocial tool and collection infrastructure are complete, training for
providers on use of the psychosocial screening tool would follow the Provider
Training (Goal #3) strategy and tactics listed above.
Community Health Action Plan
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