1st Five Success Stories

Three-year old Samantha was seen for a well-child exam at one of the participating 1st Five medical practices that provides comprehensive developmental surveillance. During the assessment process, the physician identified significant speech and developmental delays. The medical staff referred Samantha to the local 1st Five care coordinator, who was able to link the family to the local AEA and the University of Iowa for further testing. The 1st Five care coordinator linked the child and family to services and provided follow-up referral status to the medical practice. The referring physician expressed gratitude and relief to the care coordinator for the one-call easy referral process. Medical practices are more apt to provide comprehensive developmental assessments when effective referral processes are in place.
Millie, a four-year old, was referred to 1st Five by her physician for further screening for autism. The Taylor County 1st Five coordinator linked her to Child Health Specialty Clinics for further evaluation and Growing Strong Families for home support, as well as Medicaid, food assistance, and Bridge to Care transportation assistance to medical appointments. With the help of AEA and these other comprehensive interventions, Millie was able to attend preschool that fall. Millie's mother still accesses 1st Five care coordination services as needs arise and she is not sure of available community resources.
An autistic child already receiving Early ACCESS services was referred to 1st Five in Marshall County, as the referring pediatrician was unsure what other services may be beneficial for the child. The 1st Five coordinator contacted the family to discuss their needs. The child's mother was concerned that AEA was not offering speech therapy services over the summer. 1st Five was able to refer the family to an alternative speech language pathologist to use over the summer months for continuity of care. Additionally, the care coordinator provided resources on autism and autism specialists close to home.
Sam, a three-year old, was referred to 1st Five by his pediatrician for a speech delay and lack of toilet training. 1st Five provided child development information to the family on toilet training and referred the child to the local AEA for speech evaluation. AEA intervened and the child's speech improved. Sam's parents shared how much their stress and worries about Sam had been reduced now that they're communicating with Sam like any normal three-year old.
A 4 ½ year-old male, was referred to 1st Five by his doctor having issues of speech delay, anger outbursts, delayed toileting self-management and general developmental delays. Contact was made with his mom and after initiating services from Early Developmental Intervention (EDI), the child is beginning to succeed. His issues with anger are resolving, and his toileting management abilities are is improving. His mom seems relieved to have things looking up.
A 2 month-old female was seen by her primary care provider who identified parental stressors and was referred to 1st Five. Initial phone call revealed that an interpreter was needed and InterpreTalk was utilized. The main stress for the mother was obtaining child care for 3 children when this single parent worked from 1:30 PM to 10:30 PM. Contacts were made with outreach programs at the YWCA, with DHS and Child Care and Resource and Referral to identify ways to assist the family. The language barrier continued to be of concern but with YWCA Hispanic Outreach and InterpreTalk, correct information was given to the mother. In addition, it was determined that the mother was eligible for DHS reimbursement for child care and steps were taken to assure this financial assistance was obtained. The mother states she is very happy with the new approved day care provider and is relieved to know that child care financial assistance is in place. She has assured the 1st Five Care Coordinator that her needs have been met and that she feels confident and grateful for the care being provided for her children while she is at work. She denied other needs and was discharged from 1st Five with the understanding that she may contact the program as needed if and when other concerns arise.
In Polk County, a nine-month-old child was referred to 1st Five for health insurance issues. The 1st Five coordinator contacted the mother and completed a 1st Five intake form and scheduled a home visit to meet with the mother. While speaking with the mother other issues came up including: depression, family stress, developmental delays and behavioral issues with her older children, her own physical disability, economic and housing difficulties, in addition to employment, educational and child care needs. Based on this relationship and the issues that arose, referrals were made to various resources, including the Child Guidance Center for psychological support for an older child and for mom's depression. Resources were also provided in areas such as employment support, GED classes, childcare, infant care and financial assistance.
A physician in Lee County referred a three-year old whose father was struggling with multiple issues associated with raising a young child as a newly single parent. The child was assessed as speech and toilet training delayed, showing fearfulness and acting out behaviors during the office visit and inappropriate responses to touch. The child's immunizations were also out of date. The 1st Five coordinator referred the family to services at the AEA, an immunization clinic, lead screening, and the University of Iowa developmental disabilities clinic. The child is now in a high quality childcare setting, which has helped with toilet training progress and support. The father is described as increasingly involved in the welfare of the child and showing follow-through with the support and referrals made available through the 1st Five initiative.
"Virginia" gained custody of her six grandchildren after they were removed from the care of a drug-addicted parent. The children, ranging in age from 19 days to eight years, were moved to Virginia's home where she also cared for her mother and uncle. The children suffered from a variety of behavioral and mental health issues that required extra attention. During one of the children's well-child exams, the pediatrician assessed her grandchildren's social-emotional development and asked if Virginia had been experiencing any potential depression and family stress in her new caregiver role. This opened the door for Virginia to share her feelings of stress and anxiety, and of often feeling down. The pediatrician referred Virginia to the local 1st Five care coordinator for her depression and stress. The care coordinator arranged to meet with her and together they identified a variety of concerns underlying her stress and depression. The care coordinator linked Virginia to sixteen community-based resources to begin addressing these concerns, ranging from Early ACCESS and WIC, to Section 8 housing, a local food pantry, an Early Childhood Iowa-funded home visiting program, and an outpatient counseling program for both her and her grandchildren. Thanks to the pediatrician who asked the questions about stress and depression, and to the 1st Five care coordinator who linked her to community-based resources, Virginia and her grandchildren now have numerous supports in place and a better chance for success.
An infant in Dallas County was referred to 1st Five for family stress. The infant's mother was wary of "the system" as she perceived it, but because the referral came from her child's pediatrician, with whom she had a trusting relationship, she was willing to follow through with 1st Five. The 1st Five care coordinator was able to refer the family to various financial resources as well as counseling through the Family Safety, Risk and Permanency team at Visiting Nurse Services of Iowa. The care coordinator also worked with the mother to help alleviate her fears of the Juvenile Court system and worked with the Department of Human Services to coordinate other services for this family.
Annie, a 4 year-old girl, was referred to 1st Five because she had been exposed to her father's violent behavior toward her mother and had begun exhibiting aggressive behavior herself. After talking with Annie's mother, the 1st Five coordinator referred her to the Tri-State Coalition Against Violence. The coordinator also referred the family to a counseling center, which has a young children's group for Annie to attend, and AEA for speech and hearing evaluations for both of the family's children. Annie's mother reported that she is coping better as a result of counseling and that Annie's behavior is improving as well.
Carrie, aged nine months, was referred because of a gross-motor developmental delay. After speaking with the family, the 1st Five care coordinator also discovered family stress related to financial difficulties. The coordinator referred Carrie to Parents as Teachers, Early ACCESS for evaluation for occupational therapy, and the UIHC Pediatric Ophthalmology Clinic. The 1st Five coordinator also referred Carrie's mother to the Maternal Health program for resources for her current pregnancy. The family was also referred to a social worker, heating assistance, food assistance, a local food pantry, and transportation assistance to Iowa City. Carrie's gross motor development has improved and the family's financial stress has decreased as a result of 1st Five's referrals. For this single medical referral, an additional nine referrals were identified to benefit this child and family.
A family in Polk County was referred to 1st Five for parental stress and possible depression. The 1st Five care coordinator made a home visit to the mother to discuss the family's needs. The mother admitted feeling overwhelming stress and depression related to caring for a severely disabled child. The 1st Five coordinator referred the mother to a family support program in her area that will provide in-home counseling and parent education and case management services. Additionally, the 1st Five coordinator accompanied the mother on a visit to Child Serve to discuss available options for respite care. The family was also able to apply for and receive food assistance, Medicaid, and holiday assistance. The 1st Five coordinator was able to provide ongoing emotional support and communication assistance to this mother to encourage her to follow through with referrals, something that is more difficult for busy medical practices to do.