Podcast: Child Development Screening Part One
What, exactly, is child development screening (other than a free service that we offer to Washington families)? Stephanie is here to teach us all about it! This is part one, so stay tuned for the next episode when Stephanie and Emma dive into social and emotional development.
What’s new with the HPV vaccine?
- Evidence shows that adolescents mount a particularly strong immune response to the HPV vaccine if it’s given early. After age 15, the response begins to be weaken, so 3 doses are still needed for those ages 15-26.
- Previously, we only had robust research on a 3-dose series, but new evidence evaluating 2 doses is available and indicates long-lasting protection when it’s received through age 14. Two doses will protect younger adolescents just as much as three doses will protect older adolescents.
We encourage you, immunizer or otherwise, to spread the word about this change. We know that the clinical community will hear about this change via the usual channels, but word trickles down to kids themselves less quickly, so be a part of spreading the message! And remember, the most important talking point is that HPV prevents several cancers in both men and women—a cancer-preventing vaccine is one of the greatest gifts we can give to today’s adolescents.
Vaccines for children through 18 years old are free in Washington State, including the HPV vaccine. To find a health care provider, visit ParentHelp123.org or call the Family Health Hotline at 1-800-322-2588.
Big transitions are tough–reach out for help!
Around noon I gave Aaron a call because he mentioned that he was available for contact during his lunch hour. Once we were on the phone, I quickly found out that he and his wife were new parents and newly on a single income. His wife had taken extended leave to stay at home with their baby for the first few months. I also learned that this new dad was a full time student at the local technical college. This family was undergoing a lot of big changes at once, and I could tell that they were overwhelmed. Aaron let me know that they didn’t plan on needing assistance for very long – just a little help during this new transition period. After the brief screening, it appeared that Aaron’s household was likely eligible for Basic Food, Washington’s food assistance program. He was interested in pursuing Basic Food benefits so we took a few more minutes and completed the application together over the phone.
Amidst this new, exciting time in their lives Aaron and his wife found some financial stress. Aaron mentioned that with the single income they would really have to keep an eye on their expenses. He wanted to mitigate some of the challenges that would come with supporting his family on tight budget: “I don’t want to have to choose between money for gas and money for food, you know?” Aaron made it clear that one area of expenditure he did not want to worry about was proper nutrition for his family.
It can be difficult discussing “money problems” or financial instability, let alone conveying that you may be facing food insecurity. Aaron admitted that it was tough to even acknowledge a need, but he was open to receiving information about local resources and finding out if Basic Food was an option for his family. Basic Food and programs like it exist to help people when they are vulnerable— at WithinReach, we all believe that people like Aaron should never have to worry about how to put food on the table.
Our team is extremely knowledgeable about Washington’s Basic Food program and eligibility criteria. We’re happy to walk you through the process of applying for Basic Food. We make it simple and streamlined – you can complete your application over the phone with us, and go to your local DSHS office the very next day for your interview.
To find out if you might be eligible for Basic Food, call our Family Health Hotline at 1-800-322-2588 or check out our Benefit Finder.
Community connections for children with special health care needs
I have two children, both of whom occupy varying points on the autism spectrum (often depending on the day) with some other health issues thrown into the mix. As they have grown, so have their amazing personalities; so have the challenges. I suspect it is not all that different for parents of typically-developing children. Community can be particularly important for families with children who present unique challenges (and skills!) beyond the usual antics. However, for reasons from accessibility, to awareness, to stigma, those challenges/differences can be isolating.
Children and youth with special health care needs are those who have or are at risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services beyond what children generally require. For example, a child who has a developmental disability such as Down syndrome, as well as asthma or allergies, would be considered to have a special health care need. Another example might be someone with ADHD and diabetes. In Washington State, an estimated 235,920 children and youth under age 18 have a special health care need – that is 15% of all youth. Connection to health care, education, community, and family support are important factors in the quality of life for individuals with special health care needs and their families.
One important resource for children and families with a diagnosed or potential special health care need is Early Intervention, which is a system of services that can help infants and toddlers with disabilities or delays to learn key skills and catch up in their development. For children from birth to age three, Washington State Early Intervention providers offer free developmental evaluations and support services like speech, physical, or behavior therapy. These services “are designed to enable young children to be active, independent and successful participants in a variety of settings.”
In addition, Washington State has a robust and active family network of support when it comes to children and youth with special health care needs. From Parent to Parent, to PAVE , to the Father’s Network, caregivers with personal experience navigating the emotional and logistic complexities of special health care needs are an important resource. Whether you are just starting out on your journey, or have a question relating to a very specific diagnosis, chances are there is another family out there who has been down a similar path and can offer some experiential advice.
Raising children is hard and beautiful and humbling. It is a deeply individual, personal experience while at the same time having the capacity to be incredibly unifying. Parent and caregiver networks, supportive clinicians, and educational advocates have proved invaluable in my own journey to empower myself and my children to thrive and contribute as members of our local community. Working at WithinReach, I have the opportunity to help other families thrive, too.
To find out if your child would benefit from early intervention, ask your primary care provider or call our specialists at the Family Health Hotline (1-800-322-2588). This statewide, toll-free number offers help in English, Spanish and other languages.
You can find out more about peer support networks by calling the Answers for Special Kids line at 1-800-322-2588 or by visiting www.ParentHelp123.org.
A Call to End Summer Hunger
In Washington State, roughly 1 in 5 of all families with children struggle to put food on the table regularly. During the summer, the problem is exacerbated particularly for children who rely on meals from the free or reduced school lunch programs.
In hopes of ending summer hunger and addressing summer learning loss, the Summer Meals Program provides healthy, FREE meals for kids and teens under age 18 during the summer months. There are no citizenship or income requirements, and registration is also not required. The sites are held in various locations such as schools, community centers, libraries, YMCAs, parks and apartment complexes. Some of these sites have enrichment activities for children to help prevent summer learning loss so children are prepared to jump back into school come fall. This low-barrier program is a great resource for all families looking for something to do during the summer.
In King County, WithinReach has partnered with United Way of King County to reach a goal of serving an additional 82,500 meals this summer. WithinReach assists in the promotion of Summer Meals and serves as the local point of contact for families looking to locate a site close to them. Since February, our Summer Meals VISTA and Community Partnership team has partnered with school districts, attended community events, provided presentations to network meetings, and distributed materials to community organizations to promote the Summer Meals Program. It is a highly-needed resource in the community, but is often underutilized due to lack of awareness.
To continue the momentum of promoting Summer Meals, WithinReach hosted two Summer Meals Phone-a-thons on June 23rd and July 8th with volunteers to connect families to their nearest Summer Meals site.
At each event, our dedicated volunteers spent two hours in the evening at WithinReach’s office to make calls to families that had previously been assisted by WithinReach staff. Our 14 volunteers collectively made 385 calls, sharing Summer Meals information and offering to connect clients to their closest sites. Of the families they spoke to, 98% had never accessed Summer Meals, and many families indicated their appreciation in receiving a phone call. In addition to connecting families to Summer Meals, volunteers also made referrals to other services such as Basic Food benefits, health insurance and affordable housing options. While these events were largely successful in reaching new families that have never accessed Summer Meals, it also revealed that there is much more work that can be done.
Due to the great success of the events and work of volunteers, we have created a new volunteer opportunity for anyone that is interested in conducting Summer Meals calls on a more regular basis during WithinReach’s office hours. If you are interested, please contact Anna Balser at firstname.lastname@example.org for more information.
To find your nearest Summer Meals site please click here or text MEALS to 96859.
Updated WIC Materials Are Here!
Last year, the Women, Infants, and Children Nutrition Program, known as WIC, made a difference for over 304,000 people in Washington State. WIC helps improve the health of pregnant women, new moms, and families with children under age 5 through monthly checks for healthy food, health screenings and referrals, breastfeeding support, and nutrition education. Dads, grandparents, and other caregivers of children under the age of 5 may also sign kids up for WIC.
Help us reach more people who may be missing out on this important nutrition resource. WIC materials are free to any service provider (including employers!) in Washington State. Visit us online to order materials, or to simply learn more about WIC eligibility.
Finding a WIC clinic close to you is easy! Families can text “WIC” to 96859 to find a clinic in their area. Families can also go online to the ParentHelp123 Resource Finder or call the Family Health Hotline at 1-800-322-2588 to learn more about WIC.
Dare to Help Kids Grow and Learn This Summer!
Summer is officially here, which means a break from school and homework and a time for kids to play! We all know how important physical activity and creative play is for children, but a whole summer without academics can take its toll come fall.
Research shows that students who take standardized tests at the beginning and end of summer break consistently receive lower scores on the second test. Students from low-income families are especially at risk: while most students fall about two months behind their grade level in math during the summer, low-income students also consistently fall behind in reading. This loss of knowledge means that teachers need to spend the beginning of the school year re-teaching last year’s curriculum—which cuts into learning new topics. Compounded over the course of elementary and secondary education, these yearly learning losses lead to poor long-term outcomes.
Summer learning loss for low-income kids is part of an even larger issue. Aside from the fact that they do not have access to luxuries such as summer camp, full-time childcare, or family vacations to stimulate their minds over the summer, these kids lack a very basic resource: food. Kids can’t play or learn when they’re hungry; the summer learning loss that affects all kids hits those without adequate nutrition especially hard. Summer hunger affects thousands of kids in Washington—the 476,000 students who receive free or reduced school meals have to find other sources of nutrition during the break. Their families may spend an additional $300 a month to feed them the meals they would otherwise get at school.
The good news is that partners all over the state work together to alleviate summer hunger for kids in need. The Washington State Summer Food Service Program, better known as the Summer Meals Program, is an extension of the free and reduced meals that kids get during the school year. There are sites all over the State that serve any combination of breakfast, lunch, snacks, and even dinner to anyone under age 18 for free. There are no sign-ups, no income requirements, and no proof of identification necessary to qualify.
In addition to alleviating hunger, many sites also have learning activities for kids and teens to help combat summer learning loss. Find the closest site to you right here!
So, we know that a whole summer without educational activities and nutritious food hurts kids and classrooms. That’s why we want to dare you to help kids grow and learn this summer. Summer learning doesn’t have to mean sitting inside and drilling the multiplication tables— with a little creativity, you can combat summer learning loss in a fun way and make sure the kids you know are ready to begin the school year come September. Here are some ideas to help you dare to reach for the kids in your life:
Get outside: Walk, bike or run outside!
Trails: There is so much green space to explore in King and Snohomish Counties! Bring a nature guide and try to identify as many plants, animals, and bugs as you can. And you don’t have to stop there; check out these great hikes for young children. From Whidbey Island and Wenatchee to the Columbia River, there is no shortage of places to explore!
Use the library: The library is an incredible summer resource. It’s more than just a place to borrow books—Seattle Public Libraries offer a limited number of free museum passes every day to people with library cards. Even better, you can reserve your tickets online! Also be sure to check out your local library’s calendar of events–there are fun activities, classes and story times to take part in.
Museums: There are a bunch of museums in Seattle and Snohomish counties that are free on the first Thursday of every month, and others that have free or discounted admission at different times. If you live outside of King and Snohomish Counties, check out this great search tool to find museums in your area.
Family fun: SeaFair is a Puget Sound tradition that shouldn’t be missed. Feed your child’s curiosity about planes, boats, music and more at this summer-long festival!
Rainy days: If you’re having an inside day, check out this list of educational (and fun!) apps, games, and websites for kids. Filter by age to find something for everyone! We especially love Khan Academy for tweens and teens, and the Toontastic app for elementary-age kids.
ParentMap: Find your Northwest summer adventures through ParentMap’s great list of family events and activities around the Puget Sound! Look for the green FREE circle!
Learn to Code: Check out these free workshops for youth at the Microsoft store in Seattle!
See a Play: Shakespeare in the Park starts on July 10th, and its rotating schedule means that you can find a location close to you! Pack a picnic and bring the whole family for these free performances.
And of course,
Free Summer Meals: Find the site closest to you and get all the information about the activities offered at sites throughout King County—and let others know about them too!
There are so many ways to make sure the kids in your life are staying engaged throughout the summer. We dare you to take the initiative and try our suggestions for a summer of learning and growing together!
Breastfeeding: Your rights in the workplace
A couple of months ago I got a call on our Family Health Hotline from a woman who was approaching the end of her maternity leave and was trying to better understand her rights in going back to work as a breastfeeding mother. She was returning to work at a large tech company and her expectations were low that her employer would be accommodating of a flexible schedule that would allow her to breast-pump. As I scrambled to locate and articulate the legal jargon around this topic, I was glad to discover that the law does protect women in this situation, but I also craved more detail to better guide callers in the future and provide women with confidence to advocate for themselves in the workplace.
It’s recommended by the American Academy of Pediatrics that mothers give their babies nothing but breastmilk for the first six months of life, and continue giving breastmilk for at least one year or longer. The reasoning behind this is worth celebrating! Breastfeeding provides significant cost-savings and strengthens the trusting, loving bond between a mother and her baby by increasing levels of oxytocin, also known as the “love hormone.” The cells, hormones, and antibodies in breastmilk make it easier for babies to digest than formula and reduce their incidence of developing respiratory infections, asthma, diabetes, and obesity, among other health conditions. From a mother’s perspective, breastfeeding has also been shown to reduce the risk of breast and ovarian cancer as well as postpartum depression. Employers also have reason to encourage breastfeeding as research supports it contributes to lower health care costs and absences from work due to caring for a sick child. For more information on the benefits of breastfeeding as well as tips for making the transition back to work while breastfeeding, please visit our “Work and Breastfeeding” resource.
The Affordable Care Act (ACA) advanced the rights of mothers in the workplace and the benefits that breastfeeding mothers are required to receive. New health insurance plans (since March 2010) are now mandated to offer women full coverage of a breast pump as well as a range of preventative services and lactation counseling. Breastfeeding is now more accessible to a majority of employed women as most employers are required to provide a space and “reasonable break time” for women to express breast milk or pump during the workday. The space provided must be “shielded from view and free from intrusion from coworkers and the public.” A bathroom, even if private, is not considered an acceptable location under the Act. Employers can find cost-effective tips on providing time and space to support nursing mothers in a variety of work settings on the Office of Women’s Health Website.
While the Affordable Care Act established a new and improved standard for the affordability and accessibility of breastfeeding, there are still barriers to breastfeeding supplies and support that need to be addressed. For example, while most women can now receive full coverage of a breast pump and lactation consulting through their insurance, this may not apply to Medicaid-recipients in certain states, mothers who are most in need of extra assistance. In this case, it’s likely that the Women, Infants, and Children (WIC) program can pick up where the law left off and provide women with these resources. Increasing awareness of how the law protects nursing women and how to navigate health and legal systems can help bring our workplaces and communities forward in recognizing the importance of breastfeeding in fostering healthy, happy mothers and babies.
Here are a few additional resources to learn more about breastfeeding and how to access WIC and other food and health programs:
Obstacles to Access: Tent City
Several residents of Tent City 3 shared that they were in need of dental care, but were having difficulty finding a dentist that would take their Apple Health insurance. We were able to use the WithinReach Resource Finder to pull up a list of providers for these clients to use; however, lack of regular internet and phone access makes finding accessible dental and health care an ongoing struggle.
Similarly, a woman enrolled in Washington Apple Health and Basic Food told us that she was unable to access her benefits because she had recently been a victim of theft. This is an issue that disproportionately affects the homeless, who often don’t have a secure place to store their belongings. Her cell phone and wallet were stolen while she was sleeping, leaving her without personal identification cards, insurance cards, Electronic Benefits Transfer (EBT) card, or a way to connect and replace these items. In this situation, simply contacting the various agencies in order to request replacement cards was a great challenge and a barrier limiting this woman’s access to health services and food.
Also that night, a 23-year-old woman we worked with was having difficulty accessing the prescription she needed to treat her bronchitis. People experiencing homelessness tend to be more susceptible to chronic illnesses, such as bronchitis, than those with stable housing. Without regular access to a mailbox, this young woman had not received her insurance card and had been denied prescriptions from her pharmacy, even though she has active coverage. We were able to offer suggestions about locations where she could receive mail in the future, and provided her with the phone numbers she needed to replace her insurance card.
Although the AmeriCorps team was able to offer short-term solutions to these clients so that they could access health and food resources, barriers to access, remain in place for the homeless population. These client interactions reminded me that simply signing a person up for benefits is often not enough; working around or removing barriers such as the lack of a mailbox or regular phone access is necessary for successfully connecting homeless clients. As we continue our outreach work with homeless communities, it is important to remember these common issues and try our best to work around them so that all of our clients can have access to health and food resources, no matter what their living situation is.
Need Shelter? Find Tent City sites here: http://www.sharewheel.org/Home/tent-cities
Tags: access AmeriCrops Basic Food Electronic Benefits Transfer (EBT) card Health care homeless communities ParentHelp123 resource finder Seattle Shelter Tent City 3 Washington Apple Health WithinReach
Being Prepared Over Feeling Invincible: Why Medical Insurance Is Important While You Are Young
Not Having Health Insurance Might Impact Your Family’s Finances!
Health insurance is a very broad term and could encompass a variety of health insurance plans. For the purposes of the Affordable Care Act health insurance coverage is determined by a standard called “minimum essential coverage”. If a health plan has this label, it means that it has met the federal standard of a quality health insurance plan. For many people the establishment of minimum essential coverage plans now provides a higher quality and broader scope of service from their health insurance providers than what was available prior to the Affordable Care Act. All minimum essential coverage plans must cover 10 essential health services that are outlined here. For a large number of people, the minimum essential coverage requirement has been met through their existing health plan. If not, the Affordable Care Act has created new health plan options.
Common types of minimum essential coverage:
- The vast majority ofemployer-sponsoredhealth plans
- All of theprivate health plans offered through the Washington HealthPlanFinder
- Apple Health plans offered through the Washington HealthPlanFinder
- TRICARE plans offered through the US Military
For some people, there will be no changes in their health plans or how they apply for health insurance. But for 41 million uninsured Americans , the enactment of the Affordable Care Act has opened new doors to affordable, accessible and quality health insurance coverage. In Washington State, new health insurance plans are now offered through the Washington HealthPlanFinder with government subsidies such as tax credits and cost sharing reductions to make the insurance more affordable for most individuals and families. Other programs, like Washington Apple Health, have expanded to allow more people to enroll in free and low-cost health insurance. These new options present viable opportunities for health insurance that have not existed in the past.
What happens if I did not get health insurance?
If an individual or family was not able to enroll in a health insurance plan in 2014, they could face a fee when they file their 2014 taxes. This fee acts as the enforcement piece of the Affordable Act Care and it is commonly referred to as the individual responsibility requirement. In order to make health insurance affordable and accessible to everyone, the majority of people need to participate. Fees acts as a way to hold each other accountable and keep the overall cost of health insurance low. The amount of the fee will vary by household. The basic fee schedule for not having health insurance in 2014 and 2015 is:
Are there any other options?
The fee is not designed to punish people that cannot afford health insurance or have experienced hardship. There are a number of reasons why someone may not have been able to enroll in health coverage over the past year. In response to the unique needs of individuals and families, the federal Health Insurance Marketplace offers exemptions that allow people to go insured for short periods of time or to be completely exempt from the individual responsibility requirement and therefore exempt from paying any fees associated with not having health insurance.
To find out more about the exemptions offered through the Health Insurance Marketplace and how to apply for them, call the Family Health Hotline at 1-800-322-2588 or contact us through our website: ParentHelp123.org
2015 Open Enrollment for the Washington HealthPlanFinder is happening now to February 15th. Call the Family Health Hotline to speak to a Health Insurance Navigator about your options: 1-800-322-2588.
 Kaiser Family Foundation. Key facts about the uninsured population. http://kff.org/uninsured/fact-sheet/key-facts-about-the-uninsured-population/
Tags: ACA Affordable Care Act Family Health Hotline fee exemption options Health Coverage Health Fee health insurance Health insurance enrollment marketplace ParentHelp123 TRICARE uninsured Washington Apple Health Washington HealthPlanFinder Washington state
An Unusual Birthday Gift!
I met Jamie Clausen some years ago and was immediately impressed by the thoughtful way she approached and approaches, what is for most of us, a daunting task. Considering it is based on our worst collective nightmare – not being here for our children— Jamie does an excellent job of taking care of our families.
Jamie also encourages clients who are updating their wills to consider using the process to support other things they care deeply about. Any client who includes a gift of $500 or more in his/her will to one of Phinney Estate Law’s charities of choice (including WithinReach), receives a significant discount. In fact, Phinney Estate Law is so committed to proactive planning that they dedicate at least 25% of their practice to pro bono services and free classes.
We both included gifts to WithinReach in our wills (of course!), and were rewarded with the discount; though, the best reward of all is knowing that Mari will be taken care of, no matter what.
Is it time to create or update your will? If so, consider calling Jamie at Phinney Estate Law. You will be giving yourself and your family a valuable gift. And, if you decide to give towards one of the “charities of choice”, please keep WithinReach in mind!
*Find other legal services in your area by going to our legal resources page through the ParentHelp123 website.