So there’s a lot of work in Oregon, and especially in the tri-county area, around kindergarten readiness. We don’t know exactly how to do this and exactly which things should be happening in the health care office, the education setting, or our community-based settings. I think we all have to do a lot of education, understanding, self-reflection - and then it begins to make sense, right? We all know from raising our own children, or our nieces or nephews, or our community and schools, that we do have to do things differently. They’re just really struggling to figure out how to make the nuts-and-bolts work from a financing, especially because of the siloed funding streams in the past. I think the pediatricians are really embracing and seeing the value of having psychologists, social workers, developmental therapists, and other areas within the primary care setting. And sometimes those diagnoses won’t qualify, certain codes don’t work, and you need to just be able to provide the needed services. We really should be delivering that care to the whole family in those early ages and getting upstream. Certainly there’s problems when you get older with stigmas and wanting to do that, but really in an 0 to 8 space, they don’t belong in a specialty mental health setting. And in very young children, families are not going to take their young children to a specialty mental health service. With children it’s really, really important that we start this really early - all the way from infancy into adolescence. “You know in pediatrics, there’s several big areas, but one of the most important areas we really need to focus on is the ability to de-silo funding and ability to deliver and pay for integrated behavioral health in primary care settings. She joins us in this edition of “What They’re Watching” to discuss transforming financial silos for pediatric care. Resa Bradeen, MD, is the Chief Medical Officer at Metropolitan Pediatrics. Click to share on Tumblr (Opens in new window).Click to share on Pocket (Opens in new window).Click to share on Reddit (Opens in new window).Provide timely and practical advice to parents and guardians and provide the knowledge and skills to them to assist in maximizing a child's independence at home.Work collaboratively with other team members to assure that the child reaches their full potential.Regularly evaluate their progress and implementing changes to the therapy program as and when needed.Vigilant at all times to ensure and maintain a safe environment for the child.Assist children in their fine motor and gross motor skills, self-care skills, visual perceptual skills to help the child build on their confidence and reach their full potential.Use a variety of strategies to assist children with self-regulation, processing and sensory stimulation to become more independent in their daily lives.Work with children with learning difficulties to improve their coordination, organization and planning abilities.Works on developing confidence, self-esteem and social skills to help achieve their maximum potential.Perform an assessment of the child to establish what areas they are weak in and create a personalized treatment plan to aid the development of specific skills the child needs to complete tasks successfully.
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