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Annual Report 2011-2012
Health Component
In the area of health, the ultimate goal for each family enrolled in one of our Programs is to establish and maintain a medical and dental home. Michigan daycare licensing mandates that each child enrolled in a center-based program have a well-child physical exam on file within 30 days of enrollment. A child may not attend school if this requirement is not met. In addition, Head Start Performance Standards require that each enrolled child must receive hemoglobin and lead screening and a developmental screening within 45 days of enrollment. Also, families work toward completing preventative dental care within 90 days of enrollment.
Early Head Start (EHS) is a home-based option; therefore, the health requirements are a bit different. Children enrolled in EHS are required to follow Michigan Early and Periodic Screening, Diagnosis and Testing (EPSDT) guidelines, which include 13 well-child exams between the ages of 0-3. Additionally, pregnant women enrolled in EHS must provide documentation of their prenatal medical care, as well as obtain a dental exam. Dental exams may be scheduled at a Federally Qualified Health Center (FQHC) or through a local dentist if they have insurance coverage. In addition, the Department of Early Childhood maintains a contract with the North Menominee Dental Clinic to provide an exam for enrolled women as the payer of last resort if no insurance coverage is available. Furthermore, on September 10, 2010, the Care Free Dental Clinic began seeing non-insured adults, which has provided pregnant women with another option to obtain dental care.
Developmental screening for children ages 3-5 is provided primarily through the DIAL screening process, which occurs during the summer months and as needed throughout the remainder of the program year. This is a joint endeavor accomplished by staff from both the Department of Early Childhood and the Department of Special Education. DIAL screening enables staff to identify children who may need additional support in the areas of cognition, motor skills and language development, as well as hearing, vision and mental health. When a child is identified as having a need, referrals are made at the time of screening to enable the most timely implementation of services for the child.
For children enrolled in EHS, periodic developmental screenings are done during home visits using the Ages and Stages Questionnaire (ASQ). In addition, at 18 and 24 months of age children are screened for autism using the M-CHAT (Modified Checklist for Autism in Toddlers). Pregnant women are screened for depression within 2 weeks of delivery using the Edinburgh Depression Screening Tool. Appropriate referrals are made based on family need.
If a family does not have access to health care, every effort is made to work with the family to establish a medical and dental home. The staff of the Department of Early Childhood works with families by referring them to the appropriate agencies, assisting them in filling out forms and paperwork, and by working with the local Health Department and other agencies to provide health services for children within the mandated timeframe if no other options exist.
Breakdown of Data for 2010-11
(As of June 30, 2012)
Number of Children with Health Insurance: 213-HS; 82-EHS
a. Medicaid: 189-HS; 78-EHS
b. MIChild Insurance: 0-HS; 0-EHS
c. Private Insurance: 23-HS; 4-EHS
d. Tri-Care (Military) Insurance: 1-HS; EHS-0
No Health Insurance: 0-HS; 0-EHS
Number of Pregnant Women with at least
one type of Health Insurance: NA-HS; 12-EHS
Number of Pregnant Women with no Insurance: NA-HS; 0-EHS
Number of Children with an ongoing source of
Continuous, Accessible Health Care: 213-HS; 82-EHS
Number of Children with a Chronic Condition: 6-HS; 4-EHS
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Anemia: 0-HS; 0-EHS
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Asthma: 8-HS; 3-EHS
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Hearing Difficulties: 1-HS; 1-EHS
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Vision Problems: 11-HS; 0-EHS
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High Lead Levels: 0-HS; 0-EHS
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Diabetes: 0-HS; 0-EHS
Number of Children Determined by a Health
Professional up-to-date on Immunizations: 202-HS; 77-EHS
Number of Children with Continuous, Accessible
Dental Care Provided by a Dentist: 209-HS; 80-EHS
Number of Head Start Children who Received
Preventive Dental/Oral Health Care: 196-HS; 64-EHS
Number of Pregnant Women Served who
Received a Professional Dental Exam: NA-HS; 2-EHS
Families and/or pregnant women who decline to have a dental exam completed must have a signed and dated waiver on file each and every year of enrollment. Families are encouraged to participate in a dental screening; however, no punitive action is taken if they decline. Reasons for waivers may include the following:
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Child is not covered by dental insurance
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Parent/Guardian feels child is too young
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Dentist feels child is too young
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Child is uncooperative
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Parent/Guardian’s personal views and/or history influence declination of services
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Pregnant woman is not covered by dental insurance
Head Start/Early Head Start assists enrollees to obtain dental care as stated in opening narrative.
Breakdown of Data for Pregnant Women
(As of June 30, 2012)
Number of Pregnant Women Enrolled: 12
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Received Prenatal and Post-Partum Health Care: 12
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Received Mental Health Intervention and Follow Up: 3
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Received Substance Abuse Prevention: 9
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Received Substance Abuse Treatment: 0
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Received Prenatal Education on Fetal Development: 9
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Received information on the Benefits of Breast Feeding: 9
Trimester in which Pregnant Women Enrolled:
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1st Trimester (0-3 months): 2
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2nd Trimester (3-6 months): 5
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3rd Trimester (6-9 months): 5
Of the total served, the number whose pregnancies were identified as
medically high risk by health care provider: 2
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