Reach Out & Read - Carolinas, Callee Boulware

1.
The
Powerful
Nexus
of
the
Medical
Home:
Providers
in
Partnership
for
Families

2. Reach
Out
and
Read-­‐Where
Great
Stories
Begin

3. 3
Our
Mission
To
prepare
America’s
youngest
children
to
succeed
in
school
by
partnering
with
doctors
to
prescribe
books
and
encourage
families
to
read
together
Our
Vision
We
are
working
toward
the
day
when
all
children
enter
kindergarten
with
highly-­‐engaged
parents,
performing
at
grade
level,
and
prepared
to
excel

4. 4
Three-­‐Part
Model
Pediatrician
Guidance
In
the
pediatric
exam
room,
pediatricians
speak
to
parents
about
the
importance
of
reading
aloud
to
their
children
every
day,
and
offer
age-­‐
appropriate
literacy
Ips
and
encouragement.
Prescribe
a
Book
At
each
regular
checkup
from
6
months
through
5
years
of
age,
the
child
receives
a
new,
culturally-­‐
and
developmentally-­‐
appropriate
book
to
take
home
and
keep.
Clinic
Environments
are
Literacy
Rich
Clinic
environment
support
literacy-­‐rich
messaging
and
resources
to
families
as
appropriate,
supporIng
parents
in
daily
literacy
acIviIes
with
their
children.
.

5. 5
Evidence-­‐Based,
Research-­‐Tested
FiSeen
published,
peer-­‐reviewed
research
studies
support
the
efficacy
of
our
model,
a
more
extensive
body
of
research
than
for
any
other
psychosocial
intervenIon
in
general
pediatrics.
Proven
Effects
on
Children
• Enter
kindergarten
with:
• larger
vocabularies,
• stronger
language
skills,
and
• a
three
to
six-­‐month
developmental
edge.
Proven
Effects
on
Parents
• Demonstrate
significant
change
in:
• how
frequently
they
read
to
their
children,
and
• beliefs
and
aYtudes
towards
reading
aloud.

6. Reach
Out
and
Read
and
Home
VisiAng
Partners

7. The
Children’s
Center
• Home
visitaIon
as
a
component
of
primary
care
• Care
coordinaIon
as
a
component
of
primary
care
• Behavioral
health
as
a
component
of
primary
care

8. Home
VisitaAon
Programs
at
TCC

9. HV
Triage
at
The
Children’s
Center

10.
Nurse
Family
Partnership

11. Context
for
Partnership
• How
does
the
partnership
work?
• Why
nurses
support
Reach
Out
and
Read?

12. Seamless
CollaboraAon
Our
History
• Care
Ring
is
the
implemenIng
agency
for
Nurse-­‐
family
Partnership
in
Mecklenburg
County
• Agency
was
the
incubator
for
ROR
in
Mecklenburg
County
prior
to
NFP
being
implemented
and
key
in
ROR
being
established
in
several
doctors’
office
• In
2011,
ROR
approached
Care
Ring
about
re-­‐
insItuIng
the
program
at
Care
Ring
as
an
adjunct
to
our
NFP
program

13. Partnership
in
PracAce
Common
Goals
• Reach
Out
and
Read,
like
Nurse-­‐Family
Partnership,
is
an
evidence-­‐based
model
that
targets
impoverished
families.
• Both
program
focus
on
improving
child
development
by
fostering
posiIve
interacIons
between
child
and
caregiver
(namely
reading!)
• Fundamental
research
in
both
programs
support
reading
aloud
as
a
key
acIvity
to
promote
language
development

14. Partnership
in
PracAce
Common
Goals
By
partnering
with
the
Reach
Out
and
Read
(ROR)
program,
Care
Ring
Nurse-­‐Family
Partnership
assists
mothers
in
taking
an
acIve
role
in
preparing
their
children
to
succeed
in
school.
We
do
so
by
educaIng
families
on
the
importance
of
reading
to
their
children,
providing
our
families
books
and
by
encouraging
families
to
read
together.

15. Partnership
in
PracAce
Obvious
Fit
• Books
are
provided
at
consistent
intervals:
– Birth
of
infant
– At
compleIon
of
infant
health
assessments
(6,
12,
18,
and
24
months)
• AnIcipatory
guidance
related
to
the
developmental
milestones
of
early
literacy
is
provided
when
books
are
issued.
– Nurse
home
visitors
• 1.demonstrate
reading
aloud
to
the
child
• 2.
coach
the
parent
to
promote
confidence
• 3.
provide
age-­‐appropriate
literacy
Ips
and
educaIonal
materials

16. Partnership
in
PracAce
Obvious
Fit
• Early
Literacy
is
included
in
CR
NFP
incenIve
structure
and
social
events
• Community
Partnerships
support
and
reiterate
early
literacy
message
– Mecklenburg
County
Library
– Baby
Bundles
– Turning
Pages
– Smart
Start
– Bright
Blessings

17. Children’s
Hospital
OutpaAent
Center

18. It
takes
a
village…

19. Thank
You/QuesAons