Change Package
Your Team Name: Catholic Charities West
Michigan-Muskegon County, Healthy Families
Topic Area: Developmental Screening
Name of the Intervention: Developmental
Promotion, Early Detection and Intervention
Primary Driver: Engage families in promotion
of healthy development.
Definition of the Intervention
What is the intervention? Include a short definition of the intervention (1-2
sentences)
Healthy Families FSW will adequately track for follow-up of target children who
fall in the monitoring category on the ASQ. The FSW will also track and followup with parental concern.
Description of the Intervention
Include photos, and instruments or tools that accompany the intervention
(include tools that are for doing the intervention itself, like the Marion halfsheet for communicating results to parents, and tools that are used for
collecting data on the intervention during PDSA cycles)
*ASQ
*ASQ score sheet
*HELP at Home materials
*Marion half-sheet
*Supervision log
How is the intervention
carried out?
Include instructions about how to do the intervention (as if you were
explaining it to some one who has never done it before)
The FSW administers the ASQ at the required intervals in the home with
parent and child present. The FSW asks the family if they have any concerns
with regard to their child’s behavior and development. The FSW scores the
ASQ. If the ASQ score is in the Monitoring area, the FSW and the Supervisor
discuss HELP at Home activities to implement with the family, and complete
the Marion half-sheet. The supervisor and FSW will review data at two week
intervals and make changes, as needed.
Evidence that the intervention
is effective
Include run charts and summaries of PDSA cycles (PDSA ramp of several cycles ideally)
Include qualitative information as well – such as testimonies from LIAs or home visitors or
families who have used the intervention
How many LIAs / home visitors / famlies used the intervention ? Who are the experts who
can provide more information?
*Run chart:
*The family shared with their home visitor concerns about their child’s hearing. The family
was able to connect with their doctor in August and schedule further testing in for their child
in October.
*There are five home visitors who have been using this intervention.
Pre-requisites for the
intervention
What is needed in order to have success with this intervention? For example:
◦ Resources: ASQ kit bag, education in the ASQ and HELP at Home and Early ON
◦ Experience (strategies or model materials/training, QI skills, other interventions that
serve as a base for this intervention): Trained and confident staff who understand
and believe in the use of the ASQ and have highly developed engagement skills with
parents.
◦ Team members (for example, needs support of a parent/client, or an LIA director…):
Need cooperation and support from parent, and other community providers who
also complete the ASQ.
Advice
Barriers / Challenges
Key advice to overcome barriers
Parental fear of results of the ASQ.
Supervisor support and reflective
supervision.
Implementation of activities.
Adapting activities to meet the needs of
the family.
Adaptations (if applicable)
Are there adaptations of this information? For example, have other LIAs taken
the Marion half-sheet and made changes? If yes, include that information
here.
N/A
References/ Inspiration
(if applicable)
Where did this intervention come from? Include citations or links to
information about the intervetnion, or more evidence that it works
Based on our data from our 2014 COIIN study, which showed a number of
target children who might benefit from a more comprehensive intervention,
which included additional monitoring; specifically family led materials.