Children 1st- 1st care [Jan. 2012]

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PARTMENT

The Georgia Department Of Public Health

FACT SHEET

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CHILDREN 1ST

Division of Health Promotion
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1ST CARE

What is the purpose of 1st Care? 1st Care services are designed to assure that families with high risk infants:
Receive appropriate health and developmental screenings, nursing assessments, care coordination, and monitoring; Gain knowledge, skill, and abilities to provide care for their high-risk infant and; Receive tools necessary to access and navigate services for their infant.

What does 1st Care do? 1st Care is a voluntary program. Services may include in-home or clinic-based nursing assessment, developmental screening and monitoring; follow-up and care coordination. Services are designed to provide family support, education, connections with a medical home and community resources to improve health and developmental outcomes as well as enhance parenting skills.

How many infants are helped by 1st Care? During SFY 2011, over 1,800 families of infants with special health care needs received 1st Care services.
How many children are helped by Children 1st? During SFY 2011:
QHZERUQVFKLOGUHQLGHQWLHGDVDWULVNIRUQHHGLQJPHGLFDODQGRUGHYHORSPHQWDOVHUYLFHV 14,938 assessments were completed on at-risk children; 8,071 assessments were conducted in the home. 16,032 children were linked to a primary health care provider (private and public). 43,599 children were monitored for health and developmental status (duplicated count). 6,314 children were referred from the Division of Family and Children Services (DFCS) for Part C services.

Who is eligible? Infants who may be at an increased risk for morbidity or mortality because of low birth weight, prematurity, or diagnosed health or medical conditions may be eligible. Infants with other categorical risk factors or conditions, which impact the parent's ability to provide or meet the health and/or medical needs of the infant, also may be eligible. 1st Care serves infants and families until the baby is one year old at which time they may be enrolled in Children 1st.

Why is the 1st Care program important? The total number of births in Georgia for 2008 was 146,464. Approximately 14,014 (10%) of these births were low birth weight (less WKDQYHDQGDKDOISRXQGV DQGDOPRVW ZHUHYHU\ORZELUWKZHLJKWDSSUR[LPDWHO\WKUHHSRXQGV 0DQ\RIWKHVHORZELUWK weight infants, plus infants born with congenital anomalies, genetic syndromes and other health/medical conditions are at increased ULVNIRUKHDOWKDQGGHYHORSPHQWDOSUREOHPVGXULQJWKHUVWIHZ\HDUVRIOLIH7KHUHDOVRLVDQLQFUHDVHGUDWHRIUHKRVSLWDOL]DWLRQDQG RUHPHUJHQF\URRPYLVLWVGXULQJWKHUVW\HDURIOLIHIRUWKHVHLQIDQWV Where are services located? Statewide through the public health district or county health departments.

Outcome measures. Increase the number of eligible families with infants with health or medical conditions who receive 1st Care services. Increase the number and percent of low and very low birth weight infants in each Health District who receive 1st Care services. Decrease the number of low birth weight infants requiring an emergency room visit or hospital stay.

Legislative Authority 2IFLDO&RGHRI*HRUJLD2&*$ Contact: Deborah Chosewood (404)463-0183 (0DLOGFFKRVHZRRG#GKUVWDWHJDXV KWWSKHDOWKVWDWHJDXVSURJUDPVFKLOGUHQUVW
2 Peachtree Street, Atlanta, Ga 30303 www.dph.ga.gov

January 2012