healthy kids bus stop - warren evaluation report · integrated into this program supporting the bus...
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Healthy Kids Bus Stop - Warren
Evaluation Report ______________________________________________________________________________________
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Contents Acknowledgements ......................................................................................................................................... 3
Executive summary.......................................................................................................................................... 4
1. Introduction ................................................................................................................................................. 6
2. Background .................................................................................................................................................. 6
3. Description of the Program ......................................................................................................................... 7
4. Data and Methods ....................................................................................................................................... 8
4.1 Sample, demographics and contextual factors ..................................................................................... 8
4.2 Aims of the evaluation ......................................................................................................................... 12
4.3 Evaluation design ................................................................................................................................. 12
4.4 Methods .............................................................................................................................................. 12
5. Results and Discussion ............................................................................................................................... 13
5.1 Quantitative Data ................................................................................................................................ 13
Health Assessment ................................................................................................................................ 13
5.2 Qualitative data ................................................................................................................................... 16
Parents ................................................................................................................................................... 16
Clinical Team, Support Staff and members of the Project Committee ................................................. 17
7. Concluding comments ............................................................................................................................... 20
8. References ................................................................................................................................................. 20
9. List of Tables .............................................................................................................................................. 21
10. List of Figures ........................................................................................................................................... 21
11. Appendix 1 – Project Plan ....................................................................................................................... 22
Program Logic .......................................................................................................................................... 31
12. Appendix 2 ............................................................................................................................................... 32
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Acknowledgements In 2014, the pilot project of the Healthy Kids Bus Stop was successfully implemented and evaluated with
the assistance of experts in the field, practicing health professionals and organisations. We thank them for
their strong support and advice throughout the implementation of this project and look forward to a
successful, ongoing partnership.
We sincerely thank Auscott and the Commonwealth Bank for awarding Royal Far West (RFW) a grant to
support the implementation and evaluation of Healthy Kids Bus Stop. We also thank The Warren Shire
Council, Warren Country Women’s Association, Warren Lions Club and Warren Rotary Club for their support
and kind donations.
A special acknowledgement to Julie Cooper, Director Integrated Primary Care and Partnerships, Western
NSW Local Health District (WNSW LHD) and Jane Scotcher, Ronald McDonald House Charities (RMHC) for
the inception of this innovative concept.
To Ronald McDonald House Charities, a great appreciation is extended to you to celebrate a wonderful
partnership with Royal Far West. Our partnership allowed the Ronald McDonald Care Mobile to be
integrated into this program supporting the ‘bus stop’ concept and overall continuing to support clinical
programs to be delivered as close to home as possible.
A final thank you to the families of the participating children and the wider Warren community for
participating in the inaugural Healthy Kids Bus Stop Program.
The Healthy Kids Bus Stop Committee members
Royal Far West Western NSW LHD Western NSW Medicare Local
Donna Parkes Manager Rural and Remote Services
Debrah Davis Deputy Director Integrated Primary Care and Partnerships
Elizabeth Whale Allied Health Project Officer
Ali White Special Projects
Jennifer Floyd Director Oral Health Services
Belinda Piggott Community Liaison Officer
Caroline Harris Assistant Manager, Paediatric Developmental Program
Jacqueline Kelly A/District Manager Maternal Child and Family Strategies
Joy Adams Operations Manager, Northern Cluster
Carol George CNC Immunisation and Communicable Disease Control
Janelle Horwood CNC Child & Family Health, Northern Sector
Anne Roth CNC Child & Family Health, Southern Sector
Chris Letton Child & Family Health Nurse (Warren)
Tiana Trappell Paediatric CNC
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Executive summary Introduction Families living in regional or rural areas of Australia can face challenges that may be less commonly experienced by families in major cities; for example, in accessing services and good quality infrastructure (Edwards and Baxter, 2013). This situation has arisen because of an insufficient workforce and distribution of services that favour larger regional centres and towns and results in no or limited services for children living in smaller towns and communities.
In 2013, Royal Far West in partnership with the Western NSW LHD and the Western NSW Medicare Local set out to address this problem by developing and implementing Healthy Kids Bus Stop, a holistic ‘one stop shop’ child health screening and pathway to care program targeting children aged 3,4, and 5 years old. The program was provided to 65 children residing in Warren and surrounding communities including Nevertire, Nyngan, Trangie, Quambone, Tottenham and Girilambone.
The coordination of this program brought together three organisations with one common goal, a collaborative approach to early intervention to support child health outcomes. This report details the implementation and evaluation of the Healthy Kids Bus Stop Program providing the health outcomes, partnership achievements, project perceptions and implications for the future.
The specific aims of Healthy Kids Bus Stop are to:
1. Demonstrate that “Healthy Kids Bus Stop” is an effective program in the delivery of an early
intervention ‘whole of child’ screening, assessment and pathway to care for children.
2. Identify local health needs and ensure effective service plans are developed in partnership with
local service providers.
3. Reduce waiting time for children requiring essential health services and therapy through the collaborative.
4. Build a collaborative approach and strong partnerships to support the health needs of children in rural communities.
The aims of the evaluation were to:
1. Test the efficacy of Healthy Kids Bus Stop program. 2. Gain feedback from stakeholders to improve program effectiveness and future implementation. 3. Identify service gaps to inform future service delivery. 4. Gain further understanding of the potential for Healthy Kids Bus Stop Program to become a model
to identify and support early intervention in rural & remote communities.
Royal Far West led the development of a strong partnership between Royal Far West, Western NSW LHD and Western NSW Medicare Local. This project provided an unprecedented platform to provide a coordinated approach to child health. The three organisations worked together to support and enhance access to service as close to the children’s home as possible. This program undoubtedly achieved many of the Key Performance Indicators (KPI) set, and the success of this program is reflected not only in the health outcomes but also in the strength of the partnerships developed and the commitment to continue to build and implement this program across other identified communities across Western NSW.
Methodology The feasibility of the ‘one stop shop’ approach was evaluated by collecting screening process data and eliciting the perceptions of stakeholders including, parents, clinicians and project support staff through survey and a forum. This report presents the key findings of the evaluation which demonstrated that a holistic approach to childhood screening in collaboration with Local Health District and the Medicare Local provided sound outcomes for early identification and referral pathways. This collaborative approach to
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childhood screening through coordinated care is pivotal and highlights the feasibility and effectiveness of the Healthy Kids Bus Stop program. Results Over a three day period sixty five (65) children were screened, from these 59 children were referred to specialist services. The total referrals for these children totalled 122.
28 children were referred for a formal hearing assessment.
20 children were referred to the paediatrician.
19 children referred for dental treatment.
17 children were referred to RFW.
9 children identified were behind in their current immunisation schedule or due within the next 3 months.
7 children referred for speech therapy.
6 children referred for occupational health therapy.
5 children referred to a dietician.
5 children referral to an orthoptist.
3 families referred to parenting support program.
1 child referred to a podiatrist.
1 child referred to the ENT.
1 child referred to a physio therapist. The findings from the evaluation of Healthy Kids Bus Stop will assist the ongoing partnership between the three organisations to enhance the delivery of a comprehensive child health screening and a coordinated pathway to care to services within the rural health context.
This evaluation of the Health Kids Bus Stop Program has given us confidence that this innovative model is effective in identifying the health needs of children, and through the coordinated pathway to care is likely to impact on the health trajectory of children in communities that are isolated with reduced or limited access to local services.
All parents provided feedback via a short questionnaire on completion of the program to ascertain their level of satisfaction with the program. Ninety-nine percent of parents were very satisfied with the program, with only one parent expressing a neutral benefit.
All clinical, program committee members and support personnel were very positive about the overall health outcomes and program achievements. Notably the potential for this program to impact on child health outcomes, to foster strong partnerships and to provide opportunities to work collaboratively were the highlights identified. All expressed enthusiasm to supporting further opportunities to continue to expand and develop the Healthy Kids Bus Stop program across rural and remote Western NSW.
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1. Introduction In Australia, people living in rural and remote regions tend to have poorer health than urban dwellers
(AIHW, 2008). Considerable research over recent decades has identified factors that contribute to this,
including the critical workforce shortage, limited or no access to health care services and poor coordination
between services (Doherty 2007; Hemphill et al. 2007; Winters et al. 2008). Further, delays in access and
poor coordination of services mean that problems often compound and secondary complications arise. This
in turn further increases the need for services (Hemphill et al. 2007). Unmet needs may also result in
reduced participation in family and community life. Flow-on social and economic costs such as social
isolation and lack of participation in the workforce may arise for individuals, families and communities from
missed opportunities to participate fully in society (Wakerman et al 2008).
In view of this, Royal Far West in partnership with Western NSW LHD and Western NSW Medicare Local
undertook to trial and evaluate the delivery of a ‘one stop shop‘ holistic child health screening and pathway
to care program for children.
The results of this evaluation demonstrate that a coordinated approach can produce positive outcomes for
child health, community engagement and partnership development.
Parents were very positive about the ability to access this program which offered a holistic child health
screening and coordinated health pathway not otherwise available. They were also encouraging about
many aspects of the program and the quality of the service provided. Overall, the evaluation will contribute
significantly to the current body of knowledge about the effectiveness and efficiency of providing a ‘one
stop shop’ and partnership approach to support early intervention and program delivery.
2. Background The life-long health outlook for a child depends on early detection of lifestyle risk factors, delayed development and illness. Early detection requires comprehensive, whole-of-child screening, and assessment, along with a clear pathway to care. This is particularly important in regional, rural and remote areas where there is often a lack of resources and services – particularly in specialist health care. In country New South Wales some patients experience long waiting lists and are required to travel great distances to access GP and allied health services. The inception of this program began with the renewal of Royal Far West and the creation of a new position, Manager, Rural and Remote Services. This appointment was significant for RFW as it was to be based in the bush and charged with supporting change, enhancing awareness, building partnerships, increasing access and reconnect communities to RFW. During an initial consultation with the Western NSW LHD of recruitment plans for this position, a discussion identified current service gaps and a commitment to work in partnership to support holistic child health programs – The Healthy Kids Bus Stop program was born. As a sign of commitment, Royal Far West set out to lead the concept of an innovative integrated model of care supporting holistic childhood screening and promoting an identified pathway to care in partnership with the Western NSW LHD. As planning progressed it was evident that an invitation to the Western NSW Medicare Local would be beneficial, bringing in all major stakeholders together to support the program.
A Project Committee was established to develop the concept and included representation from the key health providers of the Western NSW LHD and the Western NSW Medicare Local. A project plan was devised and refined to reflect the community needs and resources.
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The specific aims of this service included to:
1. Demonstrate that “Healthy Kids Bus Stop” is an effective program in the delivery of an early
intervention ‘whole of child’ screening, assessment and pathway to care for children.
2. Identify the local health needs and ensure effective service plans are developed in partnership
with local service providers.
3. Reduce waiting time for children requiring essential health services and therapy through the collaborative.
4. Build a collaborative approach and strong partnerships to support the health needs for children in rural communities.
3. Description of the Program The Healthy Kids Bus Stop program is a whole-of-child health screening, assessment and pathway to care
program for children. The program was designed as a fun and interactive health program where children
progressed through bus stops (health stations), hopping on and off to complete their health assessment
before moving on to the next health assessment station. The ‘health stations’ included a child health check
by a Child & Family Health Nurse after reviewing information gained from the Parents Evaluation of
Development Status (PEDS) and the Ages & Stages Questionnaire (ASQ) tools. A vision, hearing assessment
and an oral health assessment were also conducted. Children identified by their parents or the Child &
Family Health Nurse to have concerns with either their speech and language or fine and gross motor skill
development were also able to access assessment in these areas. All participating children had their
immunisation status reviewed prior to the commencement of the program and vaccines were made
available to bring those children up to date and in line with the current immunisation policy.
Children received a bus pass stamp at each health station along the way. Between ‘health stations’ children
were engaged in free or directed play, while their parent /carer consulted with professional services or
collected health promotion material of interest. When all stations had been attended, children were
rewarded with a ‘show bag’ that contained a toothbrush, tooth paste, drink bottle, sunhat, ball and other
goodies to support their health and development.
An important aim of the program was to promote service collaboration and partnership development
between local service providers within the community including the child’s GP, local dentist and other
related service providers to develop an appropriate pathway to care for children identified with health or
developmental concerns.
To support the project implementation the following clinical staff participated in the program; Child &
Family Health Nurses, Dental Therapist, Dental Therapy Assistant, Nurse Audiologist, Speech Therapist,
Occupational Therapist, Allied Health Assistants, Aboriginal Health Education Officers and a variety of
support staff were available to support the registration process, case conference, transport of clients,
health station rotations, place of play area, health promotion and catering services.
A range of health promotion material was made available to parents about topics such as asthma, skin care,
otitis media, oral hygiene, personal hygiene, the importance of healthy eating and exercise, simple healthy
food choices and recipes, parenting, road safety and how to access help. Information also promoted specific
NSW Health Programs including ‘Go for Fun’ and ‘Live Life Well’. The Western NSW Medicare Local E health
Team was available to encourage parents to create their families ‘e health record’.
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The wider Warren Community supported this program to be delivered in the community. The Warren Shire
donated the venue, the Country Women’s Association (CWA), Warren Rotary and Warren Lions Club all
assist in ensuring that the clinical and support team were well catered for providing morning tea, lunch,
afternoon tea and a dinner. This connection with the local community provided a gateway to promote the
event, an opportunity to learn more about the local community and supported great conversation and
connections.
4. Data and Methods 4.1 Sample, demographics and contextual factors A key focus of the work of all stakeholders is to address level of disadvantage in accessing services in rural
and remote areas of New South Wales. Therefore, demographic data was collected for participants,
including geographic variations, gender, age, Aboriginal and Torres Strait Islander status and out of home
care status.
Table 1: Number and gender of participant children
Activity Description Number
Healthy Kids Bus Stop - Warren Children participating in the program 65
Gender Boys 49.2% Girls 50.8%
Aboriginal/Torres Strait Islander Status
ATSI
21.5%
Non-ATSI
78.5%
Out of Home Care Participants in Out of Home Care 1.5%
Sex by Percentage
Female Male
0
10
20
30
40
50
60
70
80
90
ASTI Non ASTI
ASTI Non ASTI
Figure 1: Gender of participants Figure 2: Aboriginal and Torres Strait Islander status
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The majority of participants came from Warren and surrounding communities, and therefore travelled
short distances to access the program.
Table 2: Participants by location
Number of Children Participating
Percentage Community Population
2011 Census
Warren 48 73.8% 2758 Trangie 6 9.2 % 1250 Nyngan 5 7.7% 2389 Nevertire 3 4.6 % 331 Quambone 1 1.5% 247 Tottenham 1 1.5% 635 Girilambone 1 1.5% 221
Figure 3: Children participating by residential location
Table 3: Number of clients by ARIA classification
Children participating in ARIA classification areas Number Percentage
Area 1 Highly Accessible Area 2 Accessible Area 3 Moderately accessible 57 88% Area 4: Remote 8 12% Area 5: Very remote
Note: The Accessibility/Remoteness Index of Australia (ARIA) is widely used within the Australian community and has
become a recognised as a nationally consistent measure of geographic remoteness. The concept of remoteness is an
important dimension of policy development in Australia. The provision of many government services are influenced
by the typically long distances that people are required to travel outside the major metropolitan areas. The purpose
of the Remoteness Structure is to provide a classification for the release of statistics that inform policy development
Children Participating
Warren Trangie Nyngan Nevertire Quambone Tottenham Girilambone
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by classifying Australia into large regions that share common characteristics of remoteness. The ARIA/ARIA+
methodologies calculate distances from populated localities to service centres based on minimum road distance. The
classes have been characterised broadly as follows:
Highly Accessible—relatively unrestricted accessibility to a wide range of goods and services and opportunities for social interaction;
Accessible—some restrictions to accessibility of some goods and services and opportunities for social interaction;
Moderately Accessible—significantly restricted accessibility of goods and services and opportunities for social interaction;
Remote—very restricted accessibility of goods, services and opportunities for social interaction;
Very Remote—very little accessibility of goods, services and opportunities for social interaction (DHAC & GISCA 2001).
Table 4: Age in years /months on 24.02.2014
Age in Years Age as per the ASQ
Number of children
Percentage
2.5 30 months 1 1.5% 31 months 0 32 months 0 33 months 1 1.5% 34 months 0 35 months 0
3 36 months 1 1.5% 37 months 0 38 months 2 3% 39 months 2 3% 40 months 1 1.5% 41 months 1 1.5%
3.5 42 months 3 4.6% 43 months 0 44 months 3 4.6% 45 months 3 4.6% 46 months 2 3% 47 months 4 6.2%
4 48 months 5 7.7% 49 months 1 1.5% 50 months 2 3% 51 months 1 1.5% 52 months 4 6.2% 53 months 4 6.2%
4.5 54 months 0 55 months 2 3% 56 months 2 3% 57 months 1 1.5% 58 months 4 6.2% 59 months 3 4.6%
5 60 months 1 1.5% 61 months 1 1.5% 62 months 1 1.5% 63 months 4 6.2% 64 months 1 1.5%
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65 months 0 5.5 66 months 0
67 months 1 1.5% 68 months 1 1.5% 69 months 1 1.5% 70 months 1 1.5% 71 months 0
6 72 months 0
* Months identified in bold are specific ASQ questionaires. Children complete the questionaire that is
refective of their age.
Figure 4: Number of clients by age in years (from 2-5 years)
The Healthy Kids Bus Stop in Warren targeted children aged 3, 4 and 5 years old. There were only two, 2
year old children participating in the program, and therefore the program was well targeted.
Age in years
2 years 3 years 4 years 5 years
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4.2 Aims of the evaluation The specific aims of the evaluation were to:
1. Test the efficacy of Healthy Kids Bus Stop program. 2. Gain feedback from stakeholders to improve program effectiveness and
future implementation. 3. Identify service gaps to inform future service delivery. 4. Gain further understanding of the potential for the Healthy Kids Bus Stop
Program to become a model for identifying and supporting early intervention in rural & remote communities.
4.3 Evaluation design A Project Plan developed by Royal Far West in consultation with key stakeholders
detailing methodology, indicative timeframes and performance measures was
made available to our partners through our project committee meetings. (See
Appendix 1)
4.4 Methods The Healthy Kids Bus Stop pilot ran for 3 days in February 2014. Utilising
qualitative and quantitative analysis, the evaluation explored program
effectiveness in identifying health needs for the target group, referral pathways
and identified parents and stakeholder’s views about program. Findings from the
evaluation will inform changes to the program for future implementation.
The Parents Evaluation of Developmental Status (PEDS) and the Ages & Stages
Questionnaire (ASQ) along with other standardised assessment tools who utilised
across the clinical stations to identify developmental concerns. A daily case
conference was held to determine the pathway to care for children who were
identified as requiring further health intervention or specialist referral.
Occupational Therapy Preschool Assessment Tool compiled from the Get Set for
School Readiness and Writing Program Jan Olsen OTR and Emily Knapman M.Ed
OTR (2012) and Preschool Assessment Tool developed by Paediatric Focus Group
Western NSW Local Health District.
Qualitative data was obtained by conducting a survey with parents at the event.
Partners and key clinicians provided feedback over the course of the program and
contributed to an open forum a week after the event. Qualitative data obtained
from these interviews was particularly useful in helping to identify areas for
improvement.
FINDINGS AT A
GLANCE _______________ 65 children participated in
the program over 3 days.
59 children (91%) had
further referrals to
support identified health
concerns.
122 referrals were made
for the 59 children.
17 of the 59 children
requiring referral were
referred to Royal Far
West. 26% of the children
screened within the
program.
1 of the 59 children was
referred to RFW for
prioritised Ophthalmology
and specialist referral.
100% of parents were
positive about the ability
to access a comprehensive
child health service not
otherwise available.
33% of parents were
alerted to health concerns
that they were not aware
of prior to attending the
program.
Our partners were very
positive about the
program deliverables,
overall outcomes and
benefits of working in
partnership.
The wider community
support for this program
was very pleasing.
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5. Results and Discussion There were two key aspects to data collection which informed the analysis:
Quantitative data, such as data drawn from children’s clinical assessments following participation
in the Healthy Kids Bus Stop program.
Qualitative data was obtained by surveying parents and through direct consultation with participating clinicians, support personnel and members of the project committee.
5.1 Quantitative Data
Health Assessment The Healthy Kids Bus Stop program pilot reached 65 children. It was identified that 59 children required
further referral for identified health needs. The number of referrals to support the pathway to care for
these children totalled 122. A total of 295 occasions of service were provided over the three days by 3 Child
and Family Health Nurses, Nurse Audiologist, 2 Dental Therapist, Speech Therapist and an Occupational
Therapist.
Parents brought their child’s Blue Book and were supported to complete the relevant section and the Ages
and Stages (ASQ) screening tool to support the discussion for the developmental needs of the child.
Table 5: The Healthy Kids Bus Stop Program – Health Screening and Assessments
Health Assessment Total number of Children screened
Children who required further
referral
Percentage of children requiring
follow up
Child Health Assessment 65 59 91% Immunisation 65 9 9%
Vision 65* 5 8% Dietician 65 5 8%
Parenting Support Program 65 3 5% Audiology 47 16 34%
ENT 47 1 2% Oral Health Check 65 19 29%
Fine & Gross Motor Skill Development
32 6 19%
Physio Therapist 32 1 3% Podiatrist 32 1 3%
Speech and Language 21 7 33% Paediatrician 65 20 31%
Royal Far West (RFW) 65 17 26%
* The vision assessment was carried out as a part of the Child Health Assessment.
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The Child & Family Health Nurses (CFHN) identified a wide range of health concerns across the cohort that
warranted further assessment and referral.
The Immunisation status of the participating children was checked against the Australian Immunisation
Register, It was positively noted that very few children were behind in their immunisation schedule with a
variety of local clinics delivered through by the local Child & Family Health Nurse to support this compliance.
The majority of children identified were due to receive their scheduled immunisations within the next 2-3
months.
The Oral Health Screening program identified 19 children that required follow-up care, 6 of the 11 children
referred were already under the care of the Western NSW LHD Outreach Dental Program. Eight children
were referred locally under a Healthy Kids Bus Stop program initiative agreement with the local dentist to
bulk bill children referred from this program.
The audiometry screening was unavailable on the second day of the program reducing the number of
children screened to 47. All children (18) that were unable to access this component of the program were
automatically referred for a hearing assessment unless they had a recent hearing assessment. In total 32
children were referred to the Western NSW LHD Audiometrist. A local monthly clinic will provide the
platform for follow up to be received.
It was identified that a small number of children had a total BMI above childhood recommendations. Whilst
health promotion material and knowledge of NSW health key programs were available to these families at
the point of care it was suggested that adding a Dietician to the professional mix would provide immediate
information and support to these families.
Paediatric referrals were identified for 31% of the children, which included the 17 children referred to Royal
Far West. Children referred to Royal Far West needed a multidisciplinary assessment and diagnosis as they
presented with a multitude of developmental concerns. 47 % of the children referred to RFW identified as
Aboriginal. One child was identified to have a squint that required a prioritised specialist consultation.
Parents who identified that they had concerns with their child’s fine and gross motor skill development or
speech and language development during the registration process or child health check were able to access
a Speech Therapist and an Occupational Therapist at the point of care. One-hundred percent of referrals
received from the Child & Family Health Nurse to the speech therapist and the occupational therapist were
65 65 65 65 65 65
47 47
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32 32 32
65 6559
95 5 3
19 16
17 6
1 1
20 17
0
10
20
30
40
50
60
70
Children assessed Referral
Figure 5: The Healthy Kids Bus Stop Program – Health Screening and Assessments
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considered appropriate. Following assessment parents were offered further referral, strategies to support,
individual therapy plans and reassurance of emerging developmental milestones.
To support the pathway to care, parents provided details of their family GP and other locally engaged
services. The family GP, Child & Family Health Nurse and the parent all received a detailed summary and
actions to support findings from this program. Where children travelled from outside of Warren, child
summaries were passed on to the relevant Child & Family health Nurse. The occasions of service, identified
needs and outcomes were all noted in FERRET database of Western NSW LHD (Patient Information Recall
System).
Figure 6: Child Immunisation Status
Figure 7: Oral Health referrals Figure 8: Audiometry Assessment & Referral
Figure 9: Royal Far West Referrals RFW Referral
84%
8%6%
2%
Up to date
Due
Behind Schedule
Objection
6
0
2
4
6
8
10
12
LHD Private
DentalReferral
In currentcare
0
5
10
15
20
25
30
35
40
45
50
RFW Referral
Non Aboriginal Aboriginal
0
10
20
30
40
50
60
70
Childrenparticipating in
HKBS
Paediatrician RFW Referral
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5.2 Qualitative data This section of the report focuses on the feedback provided by the parents and the clinical staff, support
personnel and members of the project committee.
Parents Parents were asked to respond to a survey at the end of their child’s assessment to gain their perceptions
about various aspects of the Program. All parents responded to the survey providing positive feedback in
relation to the overall Program.
One-hundred percent of respondents agreed that the Healthy Kids Bus Stop program made it easier for
them to complete their child’s Health Check with 86.5 % stating that the availability of services reduced
the barriers to accessing health services for them.
All respondents agreed that the Healthy Kids Bus Stop Program provided more information about their
child’s current health status and development with 99% of respondents stating that their experience with
the Healthy Kids Bus Stop Program was positive (excellent 80.7%, very good 11.5% and good 5.7%) with or
1 parents indicating the program had a neutral impact.
Fifty percent of parents did not have health concerns for their child prior to accessing the program.
However through this program, 33% of these parents discovered a health concern that they were not
aware of.
Sixty-three and a half percent (63.5 %) of parent respondents had not tried to access services offered by
Healthy Kids Bus Stop in the last 12 months.
General comments offered by the respondents were:
“Excellent service”
“Much needed keep coming back”.
“Wonderful please come again”
“Great set up to have all in one.” “Set mind at rest as to the progress of child”.
“People are very helpful and welcoming. I know what I need to know about my daughter. “
“Great service helpful staff “
“Very professional”
“Very thorough”
“Professional, organised, friendly
especially for my child “
“Well organised, My daughter loved it”.
“Having access to all services was wonderful”
“I hope this service continues,
excellent initiative.”
“This is absolutely wonderful thank you for this opportunity”.
“Learnt new things about how to help my children. Great helpful
staff”. “Quick service friendly people”
the convenience and friendly
staff
All the services together
“Everything was great - please have it again next year”
“Everybody was wonderful and make it very interesting, they
explained everything.”
“Friendly staff, very welcoming”
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Clinical Team, Support Staff and members of the Project Committee
During the implementation of the Program, the clinical and support team were brought together for a daily
briefing and case conference. This provided the opportunity to discuss the progress, clinical outcomes and
pathways to care and to address issues or amend specific processes.
All participating clinicians and support staff were very complimentary of the program organisation and
potential outcomes for the children. Specific quotes received included; “This is a true example of how to
work in partnership to support children and families to access greatly needed services.” “What a wonderful
program, it’s great to have so many people working together’ ‘ It was wonderful having the allied health
staff to refer to on site, I learnt more about what to look for and when I was concerned able to refer
instantly” “I just am thrilled with the response to having all the services being provided in the one space at
the one time, we are learning so much from each other” “It has been absolutely essential to have the local
Child & Family Health Nurse here, the inside information is supporting us to make informed decisions” “I
like how we adjusted the case conference to include the treating team” and “what an amazing 3 days the
results have been phenomenal, I feel supported and confident that the children that we have seen have a
confirmed pathway to care.”
During the implementation of Healthy Kids Bus Stop, the following suggestions were received which
resulted in instant amendment to a process or noted for inclusion next time. To support the flow of clients
to clinicians a holding bay was created at registration which allowed sufficient time for the clinicians to
record their clinical notes and to take a break if needed. It was also noted that amending the schedule
timing would allow for all clinicians to attend case conference, this was well received and was successfully
trialled on the last day, with all agreeing it was an essential amendment. It was noted that a dietician and
an orthopist to compliment and support the health checks along with an additional Speech and
Occupational Therapist would be an asset to support the high number of referrals. After implementing
Healthy Kids Bus Stop, all stakeholders were very positive about what had been achieved, particularly since
they had not been involved in a program of this type previously.
All were asked to provide one word to portray their reflection on the program. Words quoted included
‘opportunity’, ‘refreshing’, ‘successful’, amazing, innovative, fantastic, results, admirable, empowered, well
done, super outcomes, well-coordinated, surprising and unbelievable.
The group was able to identify recommendations to enhance and streamline the delivery of the program in
the future across the planning, implementation and evaluation stages. Suggestions identified included;
Local registration of participants (where possible) Collection of OT needs concerns at registration. Identification of transport requirements at registration. Provide ASQ to parents after initial registration to allow time to complete prior to the program
implementation. Additional stations to include dietetics, Orthoptist and a referral point for social work, psychology
and parenting programs. Ensure that the clinical schedule allows for all clinicians to participate in the daily Case Conference. Consider including more health promotion resources and activities. Review access to a central database that can be accessed by all service providers and exported into
agency programs. The identification of a care co-ordinator and support for the care co-ordinator post intervention
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3 to 6 month follow up on clinical pathways and individual compliance to identify as resolved or
unresolved and or further assistance required to access care
All stakeholders were very keen to continue to support implementation of this program across other
identified communities.
Program benefits Child Health Outcomes The project team and participating stakeholders all agreed that the Healthy Kids Bus Stop provided a wonderful opportunity to deliver an innovative integrated care model that fosters strong collaboration between stakeholders that assisted the pathway to care for children resulting in measurable child health outcomes. Collaboration and partnerships
The Healthy Kids Bus Stop relied on all three organisations to work collaboratively and build a strong
partnership. All stakeholders agreed that the opportunity to work alongside each other provided increased
networking opportunities as well as increased knowledge of each organisations core business.
In summary
The clinical team, support staff and members of the project committee were complimentary about:
The program planning, resources to support the program, promotional and media materials, venue,
catering, amendments to the station flow and case conference processes, goodie bags and the
overall station set up.
The opportunity to provide a coordinated whole of child screening and referral pathway to the
children of Warren and surrounding communities.
The Healthy Kids Bus Stop program was an effective program to support measurable health
outcomes.
The opportunity provided participants to develop professionally, enhanced networks and
supported clinical collaboration.
Involving the wider community groups such as the CWA, Lions and Rotary Clubs enabled greater
community ownership fostering supportive communities.
In summary, 100 % of participating clinicians and support team agreed that this program had been very
successful in developing partnership, increasing networks and knowledge of services across the three
organisations and in identifying children with a range of health and developmental concerns. Whilst we
were able to amend a few processes during the implementation other suggested amendments were
accepted as essential to include in future programs. The whole team were very committed to support the
further implementation of this program in other communities at risk or where lack of services were
available.
19
6. Findings in relation to aims. Table 6
Aims Findings 1. Test the efficacy of Healthy Kids Bus Stop.
The evaluation of Healthy Kids Bus Stop demonstrated that a whole of child health screening program with a collaborative approach to supporting a pathway to care was successful in providing greater awareness of health needs for the target group. It was also effective in identifying children with complex developmental needs for specialist multidiscipline assessment and diagnosis through RFW. The success of the program in identifying children with health issues has the potential to provide a change in their health trajectory if treated appropriately over a period of time.
2. Gain feedback from stakeholders to improve program effectiveness and future implementation.
Stakeholders identified areas for improvement to ensure the program continues to meet the needs of children and families and local communities. These included the
Local registration of participants (where possible)
Collection of OT needs concerns at registration.
Identification of transport requirements at registration.
Provide ASQ to parents after initial registration to allow time to complete prior to the program implementation.
Additional stations to include dietetics, Orthoptist and a referral point for social work, psychology and parenting programs.
Ensure that the clinical schedule allows for all clinicians to participate in the daily Case Conference.
Consider including more health promotion resources and activities.
Review access to a central database that can be accessed by all service providers and exported into agency programs.
The identification of a care co-ordinator and support for the care co-ordinator post intervention
3 to 6 month follow up on clinical pathways and individual compliance to identify as resolved or unresolved and or further assistance required to access care.
20
3. Identify service gaps to inform future program delivery.
The Project Committee agreed there is a need to:
Continue to work in collaboration to identify and deliver the Healthy Kids Bus Stop program to support the pathway to care particularly for rural & remote communities where access to services is limited.
4. Gain further understanding of the potential for Healthy Kids Bus Stop Program to become a model to identify and support early intervention in rural & remote communities
At a systems level, all partners learnt that:
We can increase our effectiveness by using an integrated approach to health service delivery.
There is great value in Royal Far West working in partnership with Western NSW LHD, Western NSW Medicare local and other community organisations to support the implementation of health initiatives that result in successful child health outcomes.
7. Concluding comments Royal Far West gives thanks to Western NSW Local Health District, Western NSW Medicare Local, Ronald
McDonald House Charities, Auscott, Commonwealth Bank, Warren Shire Council, Country Women’s
Association, Warren Lions Club and Warren Rotary Club for the opportunity to work in partnership to plan,
deliver and evaluate an innovative integrated care model supporting strong partnerships and child health
outcomes. We acknowledge the wonderful support of the Project Committee that provided the platform
to develop the relationship, trust and respect required to ensure that the project was a success.
The evidence obtained through the delivery of this pilot program will assist in the further implementation
of this program within the rural health context and also inform the application of such programs across
New South Wales. It is through this work that we can start to change the story for children residing in rural
and remote communities in New South Wales.
8. References
Australian Institute of Health and Welfare (2008). Rural, Regional and remote health: indicators of health
status and determinants of health. Canberra, ACT, Rural Health Series No. 9: AIHW Cat. No. PHE 97.
Doherty SR. (2007). Could we care for Amillia in rural Australia? Rural & Remote Health 7:768. (Online)
Available: http://www.rrh.org.au (Accessed 10 February 2013).
Edwards, B., & Baxter, J. (2013). The tyrannies of distance and disadvantage: Children’s development in
regional and disadvantaged areas of Australia (Research Report No. 25). Melbourne: Australian Institute of
Family Studies.
Hemphill E, Dunn S, Barich H, Infante R. (2007). Recruitment and retention of rural general practitioners: a
marketing approach reveals new possibilities. Australian Journal of Rural Health; 15(6): 360–367.
21
9. List of Tables Number Title
Table 1 Number and gender of participant children
Table 2 Participants by location
Table 3 Number of clients by ARIA classification
Table 4 Age in years / months on 24.02.14
Table 5 HKBS Screening Program
Table 6 Findings in relation to aims
10. List of Figures Number Title
Figure 1 Gender of participants
Figure 2 Aboriginal and Torres Strait Islander status
Figure 3 Children participating by residential location
Figure 4 Number of Participants by age in years
Figure 5 HKBS Screening Program
Figure 6 Child Immunisation Status
Figure 7 Oral Health Referrals
Figure 8 Audiometry Assessment & Referral
Figure 9 RFW Referrals
22
11. Appendix 1
ROYAL FAR WEST
Part A: Project Plan
Project Name: Healthy Kids Bus Stop
Project Ref:
Date: November 2013
Alignment to Strategic Framework: Child Health & Wellbeing Strategy
Pro
jec
t
go
ve
rna
nc
e
Project Sponsor Project Manager Project Partner
Business Director
Health Service Manager
Donna Parkes Western NSW LHD
Western NSW
Medicare Local
Pro
jec
t M
eth
od
olo
gy
Purpose /
Context
The need for “whole of child’ screening prior to primary school
entry emanates from the lack of specialist and resources in rural &
remote communities. Evidence demonstrates that a child’s
education and health trajectory can be enhanced through
screening and direction into tailored health support at the
preschool age.
Description The ‘Healthy Kids Bus Stop” program provides a multi-discipline
screening and pathway to care that covers; Physical health,
hearing, vision, oral health, speech language and communication,
fine and gross motor skills, allergies, toileting, nutrition and
immunisation status.
Deployed in partnership with Child & Family Health Nurses and
specialist allied paediatric staff to provide a comprehensive
assessment and care plan to address the needs of individual
children in the community. Program length in each community is
dependent on number of children within the identified target
group and local resources with the aim to be in a community for at
least 3 days. Clinical resources are shared based on utilisation of
local services where RFW would aim to support the gaps in
specialist services. A Care Coordination meeting with service
providers to determine the pathway to care for children requiring
further intervention.
Objectives 1. Demonstrate that “Healthy Kids Bus Stop” is an effective
program in the delivery of an early intervention ‘whole of
23
child’ screening, assessment and pathway to care for
children.
2. Local health needs are identified and effective service
plans are developed in partnership with local service
providers
3. Waiting time for children requiring essential health services
and therapy is reduced through our intervention.
4. To build collaborative approach and strong partnerships to
support the health needs for children in rural communities.
Acceptance
Criteria
Warren - children turning 4,4 and 5 in 2014
Deliverables See attached project plan and milestones
Establishment
milestones
1. Steering Committee established:
Donna Parkes-Project Manager
Ali White – Project Support
Caroline Harris – RFW Clinical Advisor
Debrah Davis – Partner
Janelle Horwood – Partner
Michelle Hunt – Partner
Jennifer Floyd – Partner
Joy Adams – Partner
Chris Letton – Partner
Jacquline Kelly – Partner
Carol George – Partner
Lyndal O’Leary – Partner
Elizabeth Whale – Partner
Belinda Piggott - Partner
2. Project Sponsor/partners
Harvey Gaynor - Auscott
Eileen Murray – Auscott
Commonwealth Bank
Pro
jec
t Lo
gis
tic
s
Indicative
budget
$15 000
Auscott and Commonwealth Bank
Inclusions Children turning 4, 4 and 5 yr olds in 2014
Child & Family Health Nurses to complete general check
Exclusions Children outside target group
Assumptions
Constraints &
Dependencies
Organisational service challenges
Limited Child and Family Nurses available
24
Key risks P
roje
ct
Sta
ke
ho
lde
rs a
nd
Ro
les
Stakeholders
Western NSW LHD
Western NSW Medicare Local
Nyngan Council
Local GP’s
Ronald McDonald House Charities
Preschool
Schools
Playgroups – Bogan Bush Mobile, Warren
Rug Rats
McKillop Rural Communities
Barnados
Responsibilities
Role
Pro
jec
t P
lan
nin
g
Pro
jec
t
imp
lem
en
tatio
n
Pro
jec
t o
ve
rsig
ht
Ap
pro
va
l/si
gn
-off
Info
rma
tio
n/L
iais
on
Pro
jec
t Eva
lua
tio
n
Project sponsor C/I C/I C/I R/A C/I C/I
Project Manager R/A R/A R/A R/A R/A R/A
Project Partner R/A R/A R/A NA R/A R/A
Steering
committee R/A R/A R/A NA R/A R/A
Key:
R: Responsible A: Accountable
Lines of communication: Project Manager
reports to Project Sponsor and consults
with, and is advised by broader Steering
Committee.
C: Consulted I: Informed
Pro
jec
t Tr
ac
kin
g Issues Arising Action Mitigation
Previous pilot date
unsuitable due to
unavailability of C&F
Nurses
New date scheduled to
elevate
Risks Arising Action Mitigation
Pro
jec
t C
losu
re Timeline:
March 2014
Evaluation ‘Occasions of Service’ through the initial
screening and assessment of preschool children.
Referrals into RFW Manly Service for children
identified with complex health needs.
Utilisation of the Ronald McDonald Care Mobile.
25
Seamless identification and referral into local
health and education services.
Supported transition to school for children with
specialist care plans.
Formalised partnership with the LHD, Western
NSW Medicare Local and AMS
Program Evaluation (impact and process) to
determine the value of the initiative on early
intervention and whole of child screening.
External funding support for RFW specifically for
this initiative.
Principles
The aim of the project and evaluation is to provide the best information possible to assess the
effectiveness of Healthy Kids Bus Stop and to inform improvements to the Program and
implementation processes. The following principles inform the Project Plan in delivering positive
outcomes for children, their families and carers:
Quality: the implementation and evaluation process will use best practice standards,
qualified and credible staff to ensure the highest quality of care is implemented.
Relevant: The ‘Healthy Kids Bus Stop’ program will be informed by current and emerging
policy and RFW’s corporate priorities;
Partnership fosters and enables strong partnerships to improve quality of outcomes for
children and their families
Responsive: strategies to address health needs will be responsive, timely and targeted in
their delivery;
Continuous improvement: Evaluation tools will provide avenue to support a process of
continuous improvement in policy, program and service delivery;
Collaborative: results and outcomes will be effectively and efficiently communicated, with
the implications of findings enhanced by collaboration with partners, across other
agencies and with other stakeholders, including people with a disability, their families and
carers;
Sustainable: the evidence base will be sustainable with adequate theoretical and
practical capacity to inform long-term decision making.
26
Phases to meet
objectives
Strategies/tasks Timeline Key performance indicators-
process/impact
Status
1. Development of
Steering
Committee
Identify Key Stakeholders and
Develop Mtg TOR and Schedule.
December 2012 Steering Group Established
Project Meeting attended
Completed
2. Program
Funding
Grant applications completed
and submitted
February, 2013 Grants received from Auscott and
Commonwealth Bank
Completed
Confirm communities to
participate.
June 2013 4 communities identified across
Moree, Warren, Gunnedah and
Narrabri
Completed
3. Planning Identify roles and responsibilities
of project stakeholders/steering
group including clear lines of
communication
November 2013 Project roles and responsibilities
documented
Completed
Develop program logic November, 2013 Developed and endorsed Complete
Develop Community Clinical
Resource Matrix
November 2013 Developed
Identified gaps
Complete
Identify Specialist gaps required
to support program
implementation
November 2013 Speech Therapy / Occupational
Therapy.
Medicare Local / RFW and Local
Providers
Complete
Contact key partners /
stakeholders to secure identified
specialist gaps
November 2013 Speak to local OT / Speech therapist
to access local support
Complete
27
Contact Playgroup / other
stakeholders to engage
participate in program
Community Consultation
Barnardo’s, Medicare Local,
Mackillop,
November 2013 Complete
All days covered. Bernardos Mon / Fri
Warren Rug Rats Wed
Bogan Bush Mobile Tue / Thurs
Medicare Local engaged
Complete
Contact local GP’s to gain
commitment to contribute to
care plan
December 2013 Dr Adie and Dr McCarthy have
details.
Follow up in Jan 2014 to confirm local
process for care plans.
Complete
Health Promotion resources and
stalls.
Identify full list of suitable program
and resources.
December 2013 Ali engaged Volunteer to order
resources.
Smoking, road safety, nutrition,
exercise, parenting skills, DV, ottis
media,
Complete
Develop Program Support
Materials
Program Poster, Program signs
(Registration, Place of Play, Teeth,
Hearing, Speech, OT,
Immunisation, Health Check
Station 1,2,3,4,5,6 (colours)
Bus Pass
Station stamps
December 2013 –
Jan 2014
Poster complete.
Jan 15 for other materials
Complete
Registration Sheet, Spreadsheet,
Day Sheets, Case Conference,
Care Plan, referral to RFW process
Complete
T Shirts for Program providers Jan 2014 See if local provider in warren to
sponsor shirts
Complete
28
Identify other key stakeholders November 2013 Full list of program stakeholders /
partners in project plan.
Complete
Identify screening tools for health
checks C&F Health Check,
Dental, OT, Speech, Hearing.
Identify Care Plan and referral
pathway
Develop Parent / Carer follow up
sheet referral sheet to GP /
specialist services.
Jan 2014 Child Health Check Screening tool
confirmed
Hearing, Dental, OT and Speech to
be confirmed.
Complete
Contact Warren Council to
secure Venue
December 2013 Letter written to GM
Followed up in Dec - awaiting
response
Complete
Schedule Event in RMCM
Calendar
December 2013 In Care Mobile Diary - Complete
Invite CEO RMHC
Complete
Obtain and secure point of care
laptops to support clinical
intervention
December 2013 Debrah Davis Complete
Develop Evaluation Tools
(parents stakeholders, Children,
Partners)
Jan 2014 Methodology developed and key
aspects planned for
Complete
Develop Marketing Plan
Develop Media Release,
Community Announcement,
Radio announcement
Direct promotion through
Playgroups, preschool and
schools
December 2013 Poster and prevent media release
disseminated to stakeholders.
Ongoing monitoring and attention
required if take up slow.
Media release developed for event
week.
Complete
29
Develop project overview November, 2013 Project Overview completed to
demonstrate project elements.
Complete
Complete Project Plan November, 2013 o Completed and endorsed
o Steering Committee reporting it
assisted Project implementation
Complete
Develop and obtain Healthy
Check bags and resources
required
December, 2013 Identify bags / Sticker
Identify and order resources
Complete
Accommodation Jan 2013 Discuss and confirm local
accommodation needs and rates
Complete
Identify catering for clinicians Jan 2014 Confirm local community support for
catering over program
Water containers from McDonalds
Dubbo
Ice from local supplier
IGA, Lions, Rotary, Macquarie
Matrons
Complete
Complete risk assessment for
venue
December 2013 Complete
4. Implementation Identify and confirm immunisation
status of registered children
3 February , 2014 Provide registration sheet to Carol
George on Feb 3 to look up
Complete
Confirm children registered are
registered in IPM
3 February , 2014 Provide registration sheet to Debrah
Davis for IPM cross check.
Complete
Set up complex 24 February 2014 Complete
Ensure first Aid Kit available 24 February 2004 Complete
Children assessed 24 February, 2014
Complete
30
Care Coordination Meetings 24 February, 2014 Document data and referrals
required for each child
Complete
Ongoing consultation with
partners to support service
delivery and referral pathways
March, 2013 –
Project completion
Structures in place to facilitate
effective consultation and
communication
Complete
5. Evaluation Develop Excel summary spread
sheet for recording data
outcomes of program
March 2014 Data recorded Complete
Design interview questions for
staff/stakeholders to determine
Program satisfaction, inform
evaluation and identify any
changes required
Complete
Conduct participant/parent
interviews
February 2014 Complete
Review and analyse data in
relation to Project goals,
objectives and financial impact
March 2014 Complete
Complete Project Report and
effectively disseminate findings
April 2014 In Progress
6. Continuous
improvement
Submit abstract to appropriate
Conference(s) with partners
ongoing Identification of conferences
Abstract written
Abstract accepted
Project outcomes promoted
Identified
In Progress
Project strengthened to improve
implementation
April 2014 Evaluation utilised to strengthen
practice and enhance organisational
capacity
In progress
Secure ongoing funding to
expand and embed initiative
Ongoing Funding secured Ongoing
31
C: Program Logic
INPUTS OUTPUTS OUTCOMES Program
Investments
Clinical expertise
Financial resources
Staff time/organisational focus
Planning processes
Strong partnerships
Activities
Consultation with key service providers, partners and stakeholders
Information provided and children identified
Child Health assessments
Identification of health needs for children
Referral to RFW for complex children
Identification of service providers to support referrals and therapy
Case Conference
Conduct evaluation
Participation
(who do we want
to reach)
Children
Parents
Preschools
schools
playgroups
communities
Service Providers
Short
Clinical expertise to identify health needs for target group.
Project operational
Children receiving heath check
Identification of health service gaps in community
Understanding of service providers across community.
Medium
Improved understanding of and commitment to support Health Needs identified in the community.
Greater understanding of actions needed to refine project
Evidence of effectiveness
Greater awareness of HKBS by key support agencies and funders
Long term
Sustainability and long term capacity of Healthy Kids Bus Stop
Better health outcomes for children
Long term Partnerships developed
funding sourced to expand and embed initiative
32
12. Appendix 2 Project Logo
33
Project Poster
34
Participant Bus Pass
35
Health Station – Bus Stop Signs
36
Media Release
Media Release
4 December, 2013
Royal Far West and partners pilot a
new child health screening program in Warren
Royal Far West is partnering with Western Local Health District to pilot in Warren a new
‘whole of child’ health screening program called the Healthy Kids Bus Stop. It is being
supported by Auscott and the Commonwealth Bank. Other partners include Warren
General Practice, Western NSW Medicare Local, Warren Council and Ronald McDonald
House Charities.
The pilot program provides a full child health evaluation that includes a physical health
check of eyes, ears and teeth, as well as testing of language, learning and coordination.
Vaccinations will also be available for children who need them.
“The Healthy Kids Bus Stop is a transition program to support children and their health
needs prior to starting school,” explained Donna Parkes, Royal Far West’s Manager of
Rural & Remote Services.
“It is unique because it combines the support of private sector donors such as Auscott
and Commonwealth Bank, with the health resources from the Western Local Health
District and the non-government organisations including Royal Far West, Ronald
McDonald House Charities and the Western NSW Medicare Local,” she said.
37
The program is available to children who are turning 4 in 2014, currently 4 to 5 years old.
Check-ups will be conducted at Warren Sports Complex from Monday 24 to Friday 28
February, 2014, between 9am and 4pm every day.
Bookings are required. Make a free call to Royal Far West on 1800 500 061 and ask for the
client services desk. A 2 hour health check time slot will be booked for you and your
child. The Healthy Kids Bus Stop gets its name from the fun but efficient methods used to
screen large numbers of children. Each child will be given a ‘bus pass’ which they will
have stamped at each ‘bus stop’ around a large room. Each ‘bus stop’ will be one type
of health check station so by the end of the session each child should have stopped at
each station. It’s not all serious; there’s also a ‘bus stop’ for a play area equipped with
toys and games. This stop is supported by the local playgroups who have also
volunteered their time and resources to support this event.
About Royal Far West
Royal Far West is a non-government organisation that has been providing health
services to children living in rural and remote New South Wales for over 88 years.
Its vision is healthy country children. Its mission is to make an outstanding contribution
to the health and well-being of children in regional New South Wales.
To achieve this, Royal Far West works in partnership with families and their local
health and education providers to complement existing services within the community.
Every year, thousands of country children who have non-acute developmental,
behavioural, learning, emotional and mental health disorders, and limited access to
local services, benefit from its integrated clinical and educational model of care.
About RMHC
Ronald McDonald House Charities® (RMHC®) is an independent charity that that helps
seriously ill children and their families. The cornerstone program of RMHC, the Ronald
McDonald House® Program provides a ‘home away from home’ for families of seriously ill
children being treated at nearby hospitals, and gives families the opportunity to stay
together to support their sick children.
Other programs include; the Ronald McDonald Family Room® Program which provides a
relaxing haven within hospitals giving families a break from the stress of many hours spent
by their child’s bedside and The Ronald McDonald® Learning Program which helps
children recovering from serious illness catch up on missed schooling.
As well, the Ronald McDonald® Family Retreat Program provides families with seriously ill
children a week’s free accommodation, enabling them to reconnect and enjoy a break
when they most need it and can least afford it, and the newest program, the Ronald
McDonald Care Mobile® taking specialised health care professionals to children in
regional and remote areas.
- Ends -
For more information, contact:
Donna Parkes, Rural & Remote Service Manager, Royal Far West
Telephone: 0499 157 500
Email: [email protected]
38
Healthy Kids Bus Stop - Warren
21-23rd February 2014
Chris Letton – Child & Family Health Nurse W NSW LHD
Bogan Bush Mobile – Supporting the Place of Play Station
39
Amanda McNulty – Dental Therapist WNSW LHD Stacey Marshal Speech Therapist Western ML
Anne Roth CNC Child & Family Health – Southern Sector WNSW LHD
40
Janelle Horwood - CNC Child & Family Western Sector WNSW LHD Amanda McNulty Dental Therapist WNSWLHD
Katie Rogers – Occupational Therapist Western Medicare Local
41
Caroline Harris, Tom Heal, Donna Parkes and Ali White – Royal Far West
Caroline Harris, Ali White, Donna Parkes and Tom Heal – Royal Far West