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8 <br /> The Child Service Coordination (CSC) Program focuses on the <br /> organization of services and resources to respond to the needs of <br /> children and their families. The goal of CSC is to collaborate <br /> and cooperate with families of children birth to 5 years old to <br /> assure early identification of and access to preventive, <br /> specialized and support services. A subset of the CSC Program <br /> includes children qualifying for PL 99-457 (IDEA - Individuals <br /> with Disabilities Education Act) services. North Carolina has <br /> been a forerunner in -the United States in implementing this law <br /> with its emphasis on prevention and early detection of and <br /> intervention in disabilities. To promote the well-being of <br /> children, Orange County Health Department' s Public, Health Nurses <br /> (PHN) and Social Workers (SW) provided CSC services to 234 <br /> children in fiscal year 91-92, 272 in 92-93 and 258 in the first <br /> half of 93-94 . This was done through the provision of 650 home <br /> visits in 91-92, 806 in 92-93 and 588 in the first 6 months of 93- <br /> 94 . --- <br /> Due to the increase in staff to serve these children, it is <br /> necessary to purchase additional basic developmental and hearing <br /> screening kits and scales to be available to staff for home <br /> visits. These items will augment supplies currently available to <br /> staff. On occasion, OCHD PHN/SW and PACT (OPC - Mental Health) <br /> staff share cases that require frequent weights. This <br /> necessatates sharing of equipment between PACT and OCHD. An <br /> additional scale would facilitate timely, coordinated, and <br /> unduplicated care. <br /> Additional materials are needed to enhance parenting <br /> education during routine CSC visits. Presently the Kiwanis Club <br /> of Hillsborough supports CSC by providing gift packs with <br /> developmental information, a toy and a book to new clients. The <br /> Health Department provides information that is written for 3-month <br /> increments of development (i.e. , "Birth to Three Months" ) while <br /> many families would benefit more from month-by-month growth and <br /> development literature (i.e. , "Parent Express" newsletter) that <br /> has previously been prohibitive to purchase in volume due to cost. <br /> Other areas of educational needs such as information on <br /> prematurity and nutrition will continue to be provided by OCHD <br /> resources. <br /> Routine developmental screenings have shown that common areas <br /> of concern or delay are fine motor and speech/language. Several <br /> parents are unable to read to their children due to mental <br /> retardation or lack of education; availability of simple, colorful <br /> books and talking toys and books would increase parent/child <br /> interaction with books as a focus. A lending library of <br /> developmental toys/materials would provide the supplies necessary <br /> for staff to demonstrate to parents specific, age-appropriate <br /> stimulation, thereby preventing delays. <br /> #1 BH ScHrKits <br />