Testing Models

All ABCD states established demonstration sites—primary care practices willing to serve as laboratories for improvement and a nucleus from which to spread successful improvements.  These sites committed to various activities, including implementing developmental screening as part of designated well-child care visits; promoting linkages between primary care providers and other child and family service providers; receiving and helping to refine training; contributing to evaluative activities; sharing their experience with the stakeholder group; and serving as ‘champions’ in statewide spread plans. In return, these practices helped to shape state policy—and knew their work could not only improve the delivery of care to their patients but lead to improvements across their state and beyond.

This section will include resources that summarize successful pilot site selection and support strategies for improving the delivery of child health and development services—including ABCD consortia findings.


Title Description Date Published Resource State
Early Intervention/Early Childhood Special Education (EI/ECSE) Spanish Language Referral Form for Providers Birth to Age 5 (Oregon ABCD III Project: 2012) This is a Spanish translation of the below form. April 2013 State-specific Oregon
Early Intervention/Early Childhood Special Education (EI/ECSE) Referral Form for Providers Birth to Age 5 (Oregon ABCD III Project: 2012) This form was developed by the Oregon ABCD III team for providers to refer children to either Early Intervention or Early Childhood Special Education. The form is HIPAA and FERPA compliant and contains contact information for Oregon EI/ECSE offices. April 2013 State-specific Oregon
Arkansas Provider Feedback and Consent Form (AR LINKS: 2012) This is a standardized provider feedback and consent form that was developed by the Arkansas team for the ABCD III project. This form, which is both HIPAA and FERPA compliant, allows physicians to refer to and then receive feedback from providers of Early Intervention services with feedback on referrals to Early Intervention. August 2012 State-specific Arkansas
Illinois Standardized Early Intervention Referral Form (Illinois ABCD III Project) This form may be used by any service provider to make referrals to early intervention, with releases needed for early intervention to provide information back to both the referring source and the child’s PCP.  The team will continue to make changes to this form in an effort to make it more compatible with state EI reporting systems. October 2011 State-specific Illinois
Illinois Early Intervention Fax Back Form (Illinois ABCD III Project)  This form is used by Early Intervention to report back the status of a referral to the referring source and PCP. Part I is used initially to indicate whether early intervention has been able to reach the family and assign a coordinator. Part II is used later to inform the referring source and PCP about early intervention eligibility and services. The state will continue to make changes to this form in an effort to make it more compatible with state EI reporting systems. October 2011 State-specific Illinois
ABCD III Community Site Monthly Report (Oklahoma ABCD III Project) This is the monthly form that Oklahoma’s pilot sites are using to report progress as a part of its ABCD III project. January 2011 State-specific Oklahoma
Linking Children to Services: Building on Community Assets to Pilot Test Improvement Strategies (Carrie Hanlon: NASHP) This issue brief describes: 1) how the five ABCD III states are building on existing local partnerships and assets to organize community pilots, and 2) preliminary lessons that have emerged from these states, including new federal opportunities to bolster community partnerships that will improve service linkages for children. December 2010 NASHP – Commonwealth
Setting the stage for Success… Screening & Surveillance in Primary Care: Working with Demonstration Sites (Chris Collins and Marian Earls) PowerPoint presentation for ABCD Screening Academy Learning Session, July 2007. This presentation describes how North Carolina implemented its demonstration sites and provides insight into how demonstration site experience can be used in policy improvement and statewide spread of innovations. July 2007 NASHP – Commonwealth
Working with demonstration sites: Consultation with Iowa’s ABCD II project staff (Carrie Fitzgerald and Alfred Healy) Accompanying handout for Fitzgerald/Healy ABCD Screening Academy Learning Session presentation, July 2007. This handout includes key details about working with demonstration sites, based on the Iowa experience. July 2007 NASHP – Commonwealth
Working with demonstration sites (Scott G. Allen and Deborah Saunders) PowerPoint presentation for ABCD Screening Academy Learning Session, July 2007. This presentation describes how Illinois implemented its demonstration sites and provides insight into how demonstration site experience can be used in policy improvement and statewide spread of innovations. July 2007 NASHP – Commonwealth
ABCD Healthy Beginnings Evaluation: Lessons Learned – Providers (Illinois ABCD Healthy Beginnings) This resource is a list of interview questions for pilot site providers and office staff – part of an overall evaluation to learn more about their experience with the ABCD project. The questions focus on successes and challenges in the implementation of social-emotional and maternal depression screening. December 2006 State-specific Illinois
Key Informant Interview Template for Children’s Hospital (Minnesota ABCD project) This resource is a script/template for conducting informative interviews with critical stakeholders at the Children’s Hospital pilot site with a particular focus on assessing mental health screening activities in primary care settings. December 2006 State-specific Minnesota
Quarterly Screening Form (Foundations for Success: Minnesota ABCD Project) This form was used by pilot sites to track and report screening rates and outcomes. December 2006 State-specific Minnesota
Setting the Stage for Success: Implementation of Developmental and Behavioral Screening and Surveillance in Primary Care Practice (Marian F. Earls and Sherry Shackelford Hay: Pediatrics Vol. 118 No. 1 July 2006, pp. e183-e188) This report examines how early identification of children with developmental and behavioral delays is important in primary care practice, and how well-child visits provide an ideal opportunity to engage parents and perform periodic screening. Integration of this activity into office process and flow is necessary for making screening a routine and consistent part of primary care practice. (From Abstract) July 2006 Peer-reviewed
Memorandum of Understanding Between Dubuque Medical Associates and The Iowa ABCD II Healthy Mental Development Initiative (Iowa’s ABCD Project) This MOU is a nonbinding agreement between the Iowa ABCD II Initiative partners and Dubuque Medical Associates to participate as a demonstration site in the Iowa ABCD II Healthy Mental Development Initiative. December 2005 State-specific Iowa
ABCD Healthy Beginnings Social-Emotional Screening Card Illinois ABCD Healthy Beginnings. (2005). This document was designed for Illinois ABCD pilot sites to track implementation and results of social-emotional screening. December 2005 State-specific Illinois
ABCD/Healthy Beginnings Social/Emotional and Maternal Depression Information, Screening, and Referral program needs assessment form Illinois ABCD Healthy Beginnings. (2005). This needs assessment was performed at pilot sites prior to each Healthy Beginnings training/presentation on social emotional screening implementation to assess the needs of each practice/clinic and tailor the program presentation to fit the needs identified in the survey responses. December 2005 State-specific Illinois
Healthy Beginnings: The Illinois ABCD II Initiative: Core Elements of the Primary Care Social Emotional Pilot Illinois ABCD Healthy Beginnings. (2004). The Illinois ABCD Initiative included a social emotional pilot project to test the integration of a social emotional component/protocol into three primary health care sites. There were core elements of the social emotional component/model that all three pilot sites implemented. The evaluation process will include identifying how these elements are implemented differently based on the characteristics of each site. December 2004 State-specific Illinois
Communication Tool Telephone Survey Morrisville Pilot Site North Carolina ABCD I Project. This telephone survey assesses provider perceptions of the implementation of peri-natal and pediatric communication tools developed for use at the pilot sites. December 2003 State-specific North Carolina
Ages and Stages Questionnaire (ASQ) Procedures (Washington ABCD I Project: Whatcom County Bright Futures) This flowchart was used in ABCD pilots to assist in implementing and integrating the Ages and States Questionnaire (ASQ). August 2002 State-specific Washington
The North Carolina ABCD Project: A New Approach for Providing Developmental Primary Care Practice Helen Pelletier, Melinda Abrams. (Portland, ME: National Academy for State Health Policy, July 2002). This field report provides an overview of the North Carolina ABCD project, its accomplishments to date, and lessons for other states. July 2002 State-specific North Carolina
Physicians’ attention to parents’ concerns about the psychosocial functioning of their children Beth Wildman, Ali Kizilbush, William Smucker. Arch Fam Med 1999;8(5):440. This report examines whether parental disclosure of concerns was a better predictor for physician identification of child psychosocial problems than was the presence of child behavior problems. (From overview) December 1999 Peer-reviewed


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