From rain at rain.org Tue Dec 2 08:11:51 2008 From: rain at rain.org (Timothy Tyndall) Date: Tue, 2 Dec 2008 08:11:51 -0800 (Pacific Standard Time) Subject: [Landon-pediatric-foundation-telemedicine-listserv] Ventura Pediatric Diagnostic Center Monthly News - December 2008 References: <48EFA511.000019.03824@SONEY-BUELLTON> <490346C0.00002E.03492@SONEY-BUELLTON> <4911EEFD.000008.03004@SONEY-BUELLTON> Message-ID: <49355E47.00000C.02168@SONEY-BUELLTON> New this month - VCBH Interagency Screening Forms - You can access the forms from the Littlesteps home page at http://www.rain org/littlesteps or Go straight to the forms at: http://www.rain.org/littlesteps/VCBH_interagency_forms.html ============================================================================= ====== Web sites to visit this month: http://www.rain.org/pdcventura/ - Pediatric Diagnostic Center Web http://www.rain.org/littlesteps/easqq.pdf - Ages & Stages Questionnaire set and Scoring Sheets http://www.rain.org/video-magazine - Telemedicine and Family Health Video Web http://www.rain.org/dlt/health.html - RAIN Telemedicine Network Community Wellness Web http://www.rain.org/dlt/wellness/ - Rural Community Wellness Web ============================================================================= ========= There is a new Pre-Implementation Survey to review and fill out. It is worth a $25 Starbuck's or your choice of gift card to fill out the survey. It will help focus your efforts and help us to Think globally, act locally! You can fill out the survey online, print and mail in or send by email. Go to: http://www.rain.org/littlesteps/Pre-Imp-Survey.pdf to review and fill out the survey. ============================================================================= ========== A new DSS Algorithm - with valuable information to use as a handout for your practitioners and assistants is available on the Littlesteps web site. Go to: http://www.rain.org/littlesteps/DSSalgorithm pdf ============================================================================= ========== New Web site: The Born Learning Web, from First 5 Ventura County and United Way of America Award-winning Born Learning tools were created by United Way of America, Civitas, Families and Work Institute and the Ad Council. Locally, United Way of Ventura County and First 5 Ventura County are partnering to help provide the tools to as many parents as possible. You can get to the Born Learning web from the Littlesteps homepage at http://www.rain.org/littlesteps or go straight to http://www.vcbornlearning org/doctors.asp ============================================================================= ================= New videos are online from the FASD workshop in September. Visit the web site and hear the valuable discussions by: * Dr. Edward Riley, (Prenatal Alcohol Exposure & Brain Development) * Dr. Leslie Lynn Pawson, (Prenatal Screening, Assessment, Referral, and Treatment (SART) * Dr. Paul Russell, (Prenatal Screening, Assessment, Referral, and Treatment (SART) and * The Dependency Drug Court Team, (Systems and Supports in Ventura County) (Susan Feldman, Carol Hughes, Susana Jegle, and Diane Emerick). Go to : http://www.rain.org/video-magazine/FASD-september-2008.html to view the new videos. To explore all our online Telemedicine Video resources go to: http://www rain.org/video-magazine/ ============================================================================= ============ Brief video units from the September FASD workshop have been prepared to allow you to check out highlights from the workshop. Click on the links below: Dr. Edward Riley -- http://www.youtube.com/watch?v=QifXEHD6pFs Dr. Leslie Lynn Pawson -- http://www.youtube.com/watch?v=Vz3xIJF2TSM Dr Paul Russell -- http://www.youtube.com/watch?v=ZY7pwDzf9Z4 The Dependency Drug Court Team -- http://www.youtube com/watch?v=eVCPH1cPupk ============================================================================= ============ Also visit the Little Steps web site to test out the new Synagis Referral Form. Respiratory syncytial virus (RSV) is the #1 cause of hospitalization in babies under a year. Our babies at developmental risk can be the most severely affected. We anticipate the need to protect high risk infants beginning with injections of Synagis in November to achieve protective levels by the start of the season and continue monthly through March. The new Synagis Referral Forms allow you to prepare the forms online and submit them directly to the Pediatric Diagnostic Center or to print copies for use at your Office. Go to: http://www.rain.org/Littlesteps/synagis-forms-2008.HTML to review the forms and try them out. Be sure to check out the links on the Littlesteps web for valuable information on Synagis for Parents and Health Professionals. =========================================================== http://www.rain.org/littlesteps - Ventura Littlesteps Web The Little Steps web site, sponsored by a Ventura First 5 grant, provides quick access to the Ages & Stages Parents Workbook, in Spanish and English, to the Health Steps User Manual, the Physicians and Nurses Healthy Steps Workbook and the PEDS Workbook and Scoring Guide. Materials are also available in Spanish at http://www.rain.org/los-pasitos/ Visit this web site often to check on new resources that will be of value to you throughout the year http://www.rain.org/video-magazine/CME-videos.html The Continuing Medical Education Video Center is a growing web site with new video units added regularly. Current videos include materials on Autism Treatment, Dental Varnish Information, Hansen Developmental Screening, Fetal Alcohol Spectrum Disorder Developmental Screening, and TCRC Developmental Screening. New materials are added all the time so check into the CME Video web often. =============================================================== http://www.rain.org/littlesteps/peds-menu.html PEDS Materials (Parents Evaluation of Developmental Status). Includes an Introduction to PEDS along with the complete PEDS Response Form, Scoring Form and Supplemental Measures. ============================================================== http://www.rain.org/video-magazine/ The MedMall Video Magazine is a Telemedicine Video web site from the Landon Pediatric Foundation with a wide variety of video units. Visit this month to see the full Ventura First Five Developmental Screening and Autism Seminar on Internet Video. The MedMall Telemedicine Video Magazine provides access to Internet Video units on many other topics and is updated on a regular basis. Visit often. ========================================================== Timothy Tyndall List Manager timothy at rain.org -------------- next part -------------- An HTML attachment was scrubbed... URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 1431 bytes Desc: not available URL: From rain at rain.org Mon Dec 15 11:33:54 2008 From: rain at rain.org (Timothy Tyndall) Date: Mon, 15 Dec 2008 11:33:54 -0800 (Pacific Standard Time) Subject: [Landon-pediatric-foundation-telemedicine-listserv] New resources for treatment of Autism Message-ID: <4946B121.00000F.00552@SONEY-BUELLTON> Below is a new report on Broadband Developmental-Behavioral Screening for Children likely to have Autism Spectrum Disorder. Also attached is a report on an Autism Workshop held at Ventura County Medical Center by Rachelle Tyler, M.D., Associate Professor of Pediatrics, David Geffen School of Medicine at UCLA and a copy of the powerpoint presentation by Dr. Tyler. All materials will be available on the Littlesteps web site this week for you to review as needed. ============================================================================= ================= Can a Broadband Developmental-Behavioral Screening Test Identify Children Likely to Have Autism Spectrum Disorder? Frances Page Glascoe, PhD Department of Pediatrics, Vanderbilt University, Nashville, Tennessee, Frances.P.Glascoe at Vanderbilt.edu Michelle M. Macias, MD Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina Lynn M. Wegner, MD Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina Nicholas S. Robertshaw Forepath.org, Washington, DC Because services for children with autism spectrum disorder (ASD) are scarce, when children fail a broadband screening measure, providers need to carefully discern which children need ASD evaluations and which do not. This research considers how well a broadband screening test sorts those with and without probable ASD. The subjects were 427 children between 18 and 59 months of age with elevated risk scores on broadband screening, ie, Parents' Evaluation of Developmental Status (PEDS), a 10-item measure eliciting parents' concerns. Parents also completed the Modified Checklist of Autism in Toddlers (M-CHAT), an autism specific screen. The results showed that of the 427 children at risk on PEDS, 34% (N = 144) passed the M-CHAT. To determine whether these potential overreferrals could be reduced, parents' concerns on PEDS were used to predict M-CHAT results. Three or more discrete types of concerns, varying by age, characterized children who failed the M-CHAT while fewer than 3 were associated with passing. This reduced overreferrals by 70% while maintaining high levels of sensitivity (81%). Although compliance with the American Academy of Pediatrics recommendations for both broadband and autism-specific screening at 18 and 24 months is still recommended, viewing performance patterns on a broadband screening test can substantially reduce overreferrals to autism specialty services. Key Words: parents' concerns ? autism ? child development ? developmental screening Simple questionnaire useful screening tool for postpartum depression Published on Sep 16, 2008 ----------------------------------------------------------------------------- -- Article Tools: Clinical Simple questionnaire useful screening tool for postpartum depression Last Updated: 2008-09-04 8:30:43 -0400 (Reuters Health) NEW YORK (Reuters Health) - A condensed version of the 10-item Edinburgh Postpartum Depression Scale (EPDS) is useful in screening for postpartum depression in primary care settings, according to a report in the September issue of Pediatrics. Dr. Karolyn Kabir, from the University of Colorado in Denver, and colleagues examined three subscales of the 10-item EPDS as ultrabrief alternatives to screening with the full test. The EPDS-3 included three questions focusing on anxiety, EPDS-7 featured seven focusing on depression, and EPDS-2 included two resembling those found in the Patient Health Questionnaire. The study included 41 mothers, between 14 and 26 years of age, who were referred for assessment of possible postpartum depression. The screening performance of the EPDS-2, EPDS-3, and EPDS-7 were compared to that of the full 10-item EPDS. The EPDS-3 performed the best as a screening tool with a sensitivity of 95% and a negative predictive value of 98%. Compared with the full test, the EPDS-3 identified 16% more subjects as being depressed. For the EPDS-3, women are asked to respond to these statements: --I have blamed myself unnecessarily when things went wrong; --I have felt scared or panicky for no very good reason; --I have been anxious or worried for no good reason. The EPDS-2 had the worst performance with a raw score sensitivity and negative predictive value of 48% and 88%, respectively. This test was also unreliable for mothers without a history of depression. EPDS-7 had a sensitivity of 59% and a ne gative predictive value of 90%. "Our findings strongly suggest that healthcare providers who do not have time to administer the full EPDS should consider incorporating the EPDS-3 into their health maintenance visits with new mothers," Dr. Kabir's team concludes. Pediatrics 2008;122:e696-e702. ============================================================================= ================ Timothy Tyndall List manager timothy at rain.org -------------- next part -------------- An HTML attachment was scrubbed... URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: application/msword Size: 129536 bytes Desc: not available URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: application/msword Size: 65024 bytes Desc: not available URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: application/vnd.ms-powerpoint Size: 112640 bytes Desc: not available URL: From rain at rain.org Thu Dec 18 13:30:40 2008 From: rain at rain.org (Timothy Tyndall) Date: Thu, 18 Dec 2008 21:30:40 -0000 Subject: [Landon-pediatric-foundation-telemedicine-listserv] Ventura Pediatric Diagnostic Center Monthly News - New Family Support Services Referral References: <48EFA511.000019.03824@SONEY-BUELLTON> <490346C0.00002E.03492@SONEY-BUELLTON> <4911EEFD.000008.03004@SONEY-BUELLTON> <49355E47.00000C.02168@SONEY-BUELLTON> Message-ID: <49739E70.000022.01820@SONEY-BUELLTON> New Family Support Services Referral Family Support Specialists are available to provide support to parents and families with children birth to five Years of age who do not qualify for early intervention services. In addition, family support specialists are available to help support and assist parents in advocating for their child's developmental needs and accessing Community resources that can help improve their child's development. Please see the Referral form on the Littlesteps website at http://www.rain.org/littlesteps . The new Family Support Services Referral Form is attached for you to print out and use. Call Delfina Zermeno in East County 6547632 and Shar Busch in West County 6547601 for information and referrals. ============================================================================= ===== Ventura County Medical Center Workshop on Autism - December 2008 Because services for children with autism spectrum disorder (ASD) are scarce when children fail a broadband screening measure, providers need to carefully discern which children need ASD evaluations and which do not. This research considers how well a broadband screening test sorts those with and without probable ASD. The subjects were 427 children between 18 and 59 months of age with elevated risk scores on broadband screening, i.e., Parents' Evaluation of Developmental Status (PEDS), a 10-item measure eliciting parents' concerns. Parents also completed the Modified Checklist of Autism in Toddlers (M-CHAT) an autism specific screen. The results showed that of the 427 children at risk on PEDS, 34% (N = 144) passed the M-CHAT. To determine whether these potential overreferrals could be reduced, parents' concerns on PEDS were used to predict M-CHAT results. Three or more discrete types of concerns, varying by age, characterized children who failed the M-CHAT while fewer than 3 were associated with passing. This reduced overreferrals by 70% while maintaining high levels of sensitivity (81%). Although compliance with the American Academy of Pediatrics recommendations for both broadband and autism-specific screening at 18 and 24 months is still recommended, viewing performance patterns on a broadband screening test can substantially reduce overreferrals to autism specialty services. Go to the Littlesteps web site at http://rain org/littlesteps/VCMC_autism_presentation_2008.html for all the Workshop information and materials. ============================================================================= New this month - VCBH Interagency Screening Forms - You can access the forms from the Littlesteps home page at http://www.rain org/littlesteps or Go straight to the forms at: http://www.rain.org/littlesteps/VCBH_interagency_forms.html ============================================================================= ====== Web sites to visit this month: http://www.rain.org/pdcventura/ - Pediatric Diagnostic Center Web http://www.rain.org/littlesteps/easqq.pdf - Ages & Stages Questionnaire set and Scoring Sheets http://www.rain.org/video-magazine - Telemedicine and Family Health Video Web http://www.rain.org/dlt/health.html - RAIN Telemedicine Network Community Wellness Web http://www.rain.org/dlt/wellness/ - Rural Community Wellness Web ============================================================================= ========= There is a new Pre-Implementation Survey to review and fill out. It is worth a $25 Starbuck's or your choice of gift card to fill out the survey. It will help focus your efforts and help us to Think globally, act locally! You can fill out the survey online, print and mail in or send by email. Go to: http://www.rain.org/littlesteps/Pre-Imp-Survey.pdf to review and fill out the survey. ============================================================================= ========== A new DSS Algorithm - with valuable information to use as a handout for your practitioners and assistants is available on the Littlesteps web site. Go to: http://www.rain.org/littlesteps/DSSalgorithm pdf ============================================================================= ========== New Web site: The Born Learning Web, from First 5 Ventura County and United Way of America Award-winning Born Learning tools were created by United Way of America, Civitas, Families and Work Institute and the Ad Council. Locally, United Way of Ventura County and First 5 Ventura County are partnering to help provide the tools to as many parents as possible. You can get to the Born Learning web from the Littlesteps homepage at http://www.rain.org/littlesteps or go straight to http://www.vcbornlearning org/doctors.asp ============================================================================= ================= New videos are online from the FASD workshop in September. Visit the web site and hear the valuable discussions by: * Dr. Edward Riley, (Prenatal Alcohol Exposure & Brain Development) * Dr. Leslie Lynn Pawson, (Prenatal Screening, Assessment, Referral, and Treatment (SART) * Dr. Paul Russell, (Prenatal Screening, Assessment, Referral, and Treatment (SART) and * The Dependency Drug Court Team, (Systems and Supports in Ventura County) (Susan Feldman, Carol Hughes, Susana Jegle, and Diane Emerick). Go to : http://www.rain.org/video-magazine/FASD-september-2008.html to view the new videos. To explore all our online Telemedicine Video resources go to: http://www rain.org/video-magazine/ ============================================================================= ============ Brief video units from the September FASD workshop have been prepared to allow you to check out highlights from the workshop. Click on the links below: Dr. Edward Riley -- http://www.youtube.com/watch?v=QifXEHD6pFs Dr. Leslie Lynn Pawson -- http://www.youtube.com/watch?v=Vz3xIJF2TSM Dr Paul Russell -- http://www.youtube.com/watch?v=ZY7pwDzf9Z4 The Dependency Drug Court Team -- http://www.youtube com/watch?v=eVCPH1cPupk ============================================================================= ============ Also visit the Little Steps web site to test out the new Synagis Referral Form. Respiratory syncytial virus (RSV) is the #1 cause of hospitalization in babies under a year. Our babies at developmental risk can be the most severely affected. We anticipate the need to protect high risk infants beginning with injections of Synagis in November to achieve protective levels by the start of the season and continue monthly through March. The new Synagis Referral Forms allow you to prepare the forms online and submit them directly to the Pediatric Diagnostic Center or to print copies for use at your Office. Go to: http://www.rain.org/Littlesteps/synagis-forms-2008.HTML to review the forms and try them out. Be sure to check out the links on the Littlesteps web for valuable information on Synagis for Parents and Health Professionals. =========================================================== http://www.rain.org/littlesteps - Ventura Littlesteps Web The Little Steps web site, sponsored by a Ventura First 5 grant, provides quick access to the Ages & Stages Parents Workbook, in Spanish and English, to the Health Steps User Manual, the Physicians and Nurses Healthy Steps Workbook and the PEDS Workbook and Scoring Guide. Materials are also available in Spanish at http://www.rain.org/los-pasitos/ Visit this web site often to check on new resources that will be of value to you throughout the year http://www.rain.org/video-magazine/CME-videos.html The Continuing Medical Education Video Center is a growing web site with new video units added regularly. Current videos include materials on Autism Treatment, Dental Varnish Information, Hansen Developmental Screening, Fetal Alcohol Spectrum Disorder Developmental Screening, and TCRC Developmental Screening. New materials are added all the time so check into the CME Video web often. =============================================================== http://www.rain.org/littlesteps/peds-menu.html PEDS Materials (Parents Evaluation of Developmental Status). Includes an Introduction to PEDS along with the complete PEDS Response Form, Scoring Form and Supplemental Measures. ============================================================== http://www.rain.org/video-magazine/ The MedMall Video Magazine is a Telemedicine Video web site from the Landon Pediatric Foundation with a wide variety of video units. Visit this month to see the full Ventura First Five Developmental Screening and Autism Seminar on Internet Video. The MedMall Telemedicine Video Magazine provides access to Internet Video units on many other topics and is updated on a regular basis. Visit often. ========================================================== Timothy Tyndall List Manager timothy at rain.org -------------- next part -------------- An HTML attachment was scrubbed... URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 1431 bytes Desc: not available URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: application/pdf Size: 1266947 bytes Desc: not available URL: