HomeMy WebLinkAboutAgenda - 09-07-1999 - 9cORANGE COUNTY
BOARD OF COMMISSIONERS
Action Agenda
Item No. g- ~,
ACTION AGENDA ITEM ABSTRACT
Meeting Date: September 7, 1999
SUBJECT: Accept Smart Start Grant for Orange County Community Awareness Project and
Establish New Bilingual Community Awareness Coordinator Position
DEPARTMENT: Health
ATTACHMENT(S):
Grant Application
PUBLIC HEARING: (Y/N) No
INFORMATION CONTACT:
Rosemary L. Summers, Health Director
TELEPHONE NUMBERS: - - ezt. 2412
Hillsborough 732-8181
Chapel Hill 968-4501
Durham 688-7331
Mebane 227-2031
PURPOSE: To accept Smart Start Grant for Orange County Community Awareness Project and to
establish a new permanent time-limited Bilingual Community Awareness Coordinator Position
BACKGROUND: The Orange County Partnership for Young Children sent out a request for
proposals in early June for projects beginning in the fall of 1999. The deadline for submission was
late June. This project will improve health awareness and health behaviors of families of young
children by attempting to link them to services they need in the community. A particular focus will
be on historically hard-to-reach families such as those preschoolers who remain at home with
parents, relatives or unlicensed informal caregivers and on Spanish-speaking families with limited
or no access to services. This project's activities will focus on
^ promoting families' knowledge of and access to well-child care,
^ age-appropriate immunizations,
^ nutrition,
^ child safety resources,
^ health insurance options and
^ age-appropriate screenings for nutrition, vision, hearing, dental health, and social and
developmental milestones.
The project is directly in support of the health department's other programs that serve children at-
risk in the county, although the department has been unable to address the Hispanic population.
This proposal is related to the Commissioner's goal of improving the county's responsiveness to the
Hispanic/Latino population as well. While the project will contribute to the overall achievement of
Healthy Carolinians goals in preventing child abuse and neglect and will be coordinated with that
effort, this project is targeted at the preschool population and is separate from the positions that will
be working on Healthy Carolinians.
z
The outreach proposed will encompass many facets and should help achieve high rates of Health
Choice re-enrollment, high rates of age-appropriate immunizations, and increase the numbers of
children accessing needed services. Anticipated outputs include:
^ Reach at least 100 families with preschoolers through interagency participation in one
community-wide event in year one and increase to four events in year two.
^ Reach at least 900 children through one mass canvass/outreach event such as the Hope for
Kids' Annual Big Event.
^ Hold at least one comprehensive health promotion screening event for preschoolers in year
one and at least three during year two through collaboration with community agencies.
^ Create mechanisms to record and measure changes in referrals and utilization of services
based upon project efforts with agencies involved.
The Community Health Awareness Project proposes funding a position, entitled Bilingual
Community Awareness Coordinator, who will develop and spearhead an effective community
health awareness and health education campaign targeted to young families, including the Latino
population. It is proposed that this be created as a health educator position. The health department
is requesting the establishment of atime-limited position for the period 10/1/99 through 6/30/00
with renewal of the position subject to continuation funding from the Partnership an evaluation of
outcomes. At this time it is anticipated that the position will report to the Child Service Coordinator
in the Personal Health Division of the Health Department.
The Orange County Partnership for Young Children Board approved the award of this grant for one
year and expressed strong support for a second year of funding.
FINANCIAL IMPACT: The total project costs are $57,515 of which the Partnership will fund
$47,887 for one year. The remaining $9,628 are in-kind contributions of space and office
equipment, supervisory time, and a small amount of office supplies and materials.
RECOMMENDATION(S): The Manager recommends that the Board approve the project and
establish a new permanent, time-limited health educator position for the period October 1, 1999
through June 30, 2000 to carry out the project. Position renewal will be subject to continuation
funding and the evaluation of outcomes as established through the annual Smart Start evaluation
plan.
3
Child Health Awareness Project
Proposal for Orange County Partnership for Young Children
1999 - 2001
Orange County Health Department
Rebekah Hermann, Project Contact
Eileen Kugler, Personal Health Services Director
Joyce Lee, Administrative Office
Rosemary Summers, Health Director
4
Orange County Partnership for Young Children for Young Children
Project Abstract
Project Title: The Orange County Community Health Awareness Project
Purpose of the Project: This initiative will strnre to improve health awareness and health behaviors of Orange
County families of young children by promoting new and existing health education/promotion activities and
gents and attempting to link identified families to services in the community. Strategies will be used to target
low-income families and the "historically hard-to-reach" by collaborating with key community agencies. The
Health Awareness Project will fill a critical link between the outreach and health promotion services available in
Orange County and the population of families with young children who have not benefited from the center-based
screenings offered in the past or traditional well child programs. Although the health and safety of young
children encompasses all the factors that impact their growth and developmeM,~this project's activities will focus
upon promoting families' knowledge of and access to well-child care, age-appropriate immunizations and
nutrition, child safety resources, health insurance options and age-appropriate screenings for nutrition, vision,
hearing, dental health, and social and developmental milestones. Helping parents of preschool children to
improve their capability io provide age-appropriate health services will promote childrens' health and help them
to arrive at school healthy and ready to loam.
Population to be Served: There are two primary target populations, Orange County families with preschool-
age children and the agencies that provide health and safety-related services. For several years OCPYC's Child
Health Review Committee has recognized that health promotion services are often more available to children
wt~o are attending registered or licensed childcare settings. Typically, young children of Spanish-speaking
families do not have access to these services due to language barriers and family preferences for familial or
informal caregivers. Furthermore, other young children who are at home with parents, relatives or unlicensed
caregivers may have limited access to community services and agencies that provide health. screenings (vision,
hearing, dental) immunizations, well-child care and developmental assessments. Attempts to provide screenings
and parent education events to families outside-of childcare settings have historically been poorly attended.
The specific Partnership goals that are addressed by this project are: To enhance family education and support;
To enhance early intervention services for children who are at-risk for emotional problems, developmental
delays or disabilities, and to ensure the physical and mental health of young children. The following outcomes
will be achieved by this project: Families are knowledgeable about child development and express confidence in
their parenting skills; Families are knowledgeable and have access to community resources; Children with
special needs are identified prior to reaching kindergarten; Preschool-aged children are properly immunized;
Preschool-aged children have access to consistent health care and have a "medical Home"; and Health
providers collaborate to improve early identification of preschool children with health/mental health needs.
Timetable for this project: be!
Staff: # FTE staff: 1
# Part time staff: 0
# Volunteers: ,~.Q
Total Smart Start funds requested:
Total matching funds provided:
Agency lnfonnation:
Legal Name of Agency: ~
Type of Agency: () Prival
Federal ID #: 56-6000327
Application Contact: RebE
Address: P.O.8181 Hiiisbc
Telephone: 1919) 732-818;
Nine of Agency Diredor:_
finning date: 1 / 9 ending date: X30/00
Position titles: Public Relations) Health Educator
# Volunteer Hours: 40 per month
X47.887 Total Project Cost: X57.515
Cash: ~ Q Inldnd: $9,628
ange Coun Health Deaartment
:e, nonprofit 501(c)3 ()For Profit (X) Public
~i~h Hermann Title: CSC Program Coordinator
Trough. NC 27278
;gxt. 2429 Fax: (919) 644-3007 E-Mail: h~rmann~co.oranae.nc.u
Rosemary Summers Title: Health Director
of Agency
ate
5
Orange County Partnership for Young Children for Young Children
Project Narrative
Project Title: The Orange Courrty Community Health Awareness Project
Target Population and Need: This initiative will strive to improve health awareness and health behaviors of
Orange County families by promoting new and existing health education/promotion activities and events. There
are two primary target populations, Orange County families with preschool-age.chiidren and the agencies that
provide health and safety-related services. Strategies will be used to target low-income families and the
"historically hard-to-reach" by collaborating with (at least) Hope for ICds, Orange County Preschool Interagency
Council (OCPIC), and the Orange County Partnership for Young Children (OCPYC).
For several years OCPYC's Child Health Review Committee has recognized that health promotion services are
often more available to children who are attending registered or licensed childcare settings. Typically, young
children of Spanish-speaking families do not have access to these services due to language barriers and family
preferences for familial or informal caregivers. In addition, other young children who are at home with parents,
relatives or unlicensed caregivers may have limited access to community.services and agencies that provide
health screenings (vision, hearing, dentan immunizations, well-child care and developmental assessments.
Attempts to provide screenings and parent education events to families outside of childcare settings have
historically been poorly attended (perOCPYC's dentaVvisio~mmunization project reports):
In the past, local service agencies have sent representatives to community events to provide health, safety and
developmental information. These efforts (being available with agency brochures, magnets and/or simple
trinkets) have had difficulty competing with more entertaining and "flashy" attractions. Historically, the most
effective way to reach a targeted population has been to provide significant promotion and incentives (such as
the winter coats provided by LINKS in the Northern Orange Health Fair in 1997). Representatives from local
agencies have expressed a willingness to provide more frequent community-based screenings and initiatives.
Although these health professionals are willing, there has been no one with the time or energy to organize and
publicize such screening events. These are lost opportunities to the preschoolers and parents of this
community.
Project Description: This project will fill a critical link between the outreach and health promotion services
available in Orange County and the population of families with young children who have not benefited from the
center-based screenings offered in the past. There are a number of Ivcal interagency outreach and health
promotion efforts, but their historical reliance upon voluntary agency representatives (with limited time and
resources) has limited the effectiveness of these efforts in reaching their targeted populations. Local human
service agenaes do not currently fund a public relations position to pertorm effective advertising, coordinating
and promotional activities. This project will join forces with Hope for ICds, a volunteer force that has experience
in canvassing targeted neighborhoods. in April of 1999, 70 local volunteers (1 bilingual person per team)
reached 926 Orange County children with information about Health Choice, North Carolina's insurance initiative
for young children. Coitaborative efforts like this will enable this project to bridge gaps between outreach
services and "hard to reach" populations white building linkages to existing agencies.
i3y funding the position of a Bilingual Community Awareness Coordinator, who will develop and spearhead
an effective community health awareness and health education campaign, targeted to young families, an
important bamer to access will be breached for families and existing outreach services will more effectively
reach their targeted populations. The Community Awareness Project will utilize the services of a bilingual Health
EducatioNPublic Rations professional to coordinate activities that mobilize existing community resources in an
ongoing community awareness and education campaign. The Health EducatioNPublic Relations professional
will coordinate participation by agencies providing services to families of preschool-age children at existing
community events such as Apple Chill, Hog Day and La Fiesta Del Pueblo. Promotional strategies will be
implemented to entice families to take advantage of the infommation and services offered by representatives of
community agencies. Coordination efforts will continue after events to ensure that families are linked to
appropriate service providers.
Although the health and safety of young children encompass all the factors that impact their growth and
development, this project's activities will focus upon promoting families' knowledge of and access to well-child
6
care, age-appropriate immunizations and nutrition; child safety resources, health insurance options and age-
appropriate screenings for nutrition, vision, hearing, dental health, and social and developmental milestones. A
mechanism to record the number of children taking part in screenings and other health promotion activities will
track important demographic characteristics, such as ethnicity, usual source of health care and those who are
cared for in familial or non-registered settings.
The Orange County Community Health Awareness Project endorses the understanding that prevention of
illnesses and accidents is more humane and cost-effective than the provision of curative and rehabilitative
services. The lead agency, the Orange County Health Department, will begin recruitingrnterviewingfnr the
bilingual health educatoNpubiic relations position to begin employment on approximately October I, 1999.
During the orientatioNstart up phase (Oct-Dec, 1999), the coordinator will reach out to community agencies and
existing coalitions and set the calendar of events for the'remaining fiscal year. Anticipated activities for this
project include:
1. Utilize a calendar of annual community events to coordinate invohvement of appropriate
agencies/volunteers to participate, and provide promotional materials/activitiesthat would draw families
of young children to the information and/or services provided by the community agencies;
2. Promote the use of OCPYC's web site of community events and other health education links for
agencies and interested community members;
3. Identify (or develop) and Utilize effective promotional strategies to reach targeted populations (including
direct interfacing with Spanish-speaking community leaders);
4. Collaborate with existing agencies in community education and public heaRh awareness activities to
"get the word out", about the importance of and resources for routine well-child care and immunizations,
developmental, dental, vision and hearing screenings, social and mental health resources;
5. Provide (very) enticing promotional efforts and incentives to draw and hold targeted families so that they
have access to and take advantage of the health promotion activities and services offered at these
events;
6. Organize a comprehensive health promotioNscreening event to take place targeting either Hispanic
families and !or families in Northern Orange County;
7. Joint planning with OCPYC and OCPIC will take place regularly to coordinate publicity and agency
partiapation (including the follow up of positive findings) and evaluation measures;
8. Work with official and agencies sponsoring community-wide celebratory events to measure/document
promotional efforts and historical attendance of targeted populations;
9. Develop mechanisms to record and measure changes in referrals and utilization of services based upon
project efforts with at least four key agencies/programs (such as Child Service Coordination,
Developmental Evaluation Center, Orange-Person-Chatham Area Programs, Family Resource Centers,
local school systems, Early Head Start or Head Start).
Collaboration: The following agencies have agreed to collaborate and work closely with this project: Orange
County Preschool Interagency Council, Orange County Partnership for Young Children, Hope for Kids, Orange
County Health Department (Personal Health Services including Health Check and Dental Divisions),
Developmental Evaluation Center, Piedmont Health Services, Orange County Cooperative Extension, Orange
Person Chatham Area Program (Early Intervention and Family Services).
Programs to be contacted/enlisted as the project is developed include (at least): Orange Congregations in
Mission, Inter-Faith Council, Family Resource Centers, Women Infants and Children (V1I1C) Program, Health
Choice Coalition, UNC Student Health Action Coalition (SHAC),,Family Support Network, Prevent Blindness,
Orange County Department of Social Services, Horizons, Project Homestart, Ronald MacDonald House, UNC
Division of Speech and Hearing, Orange County Early Head Start, Chapel Hill-Carrboro Head Start, Cedar
Grove Head Start, Chapel Hill Carrboro Schools, Orange County Schools, Kiwanis, Sertoma, Dons Club, Delta
Sigma Theta Sorority, UNC School of Public Health and UNC Hospitals.
Outputs: Anticipated outputs for this project include:
1. The Public Relations professional will establish effective working relationships with contact persons in at
least 80% of the above mentioned agencieslprograms;
2. Coordinate inter-agency participation to reach at least 100 families with preschoolers in one community-
wide celebratory events (such as Apple Chili or Hog Day);
3. One mass carnass/outreach event will reach at least 900 children through Hope for lCds' Annual Big
Event in year one;
4. In year two of the project increase interagency participation to four community-wide celebratory events
(such as: Apple Chill, Hog Day, Festa del Pueblo, Cinco de Mayo, Kwanza), and one mass
canvass/outreach event (such as Hope for IGds' Annual Big Event);
5. At {east one comprehensive health promotion/screening event for preschoolers will take place in
collaboration with community agencies during year one, arid at least 3 during year two;
6. Referrals to service agencies will document an increase in utilization based upon case-finding and
promotional efforts of this project;
7. Mechanisms to record and measure changes in referrals and utilization of services based upon project
efforts will be improved, operationalized and formalized by the agencies irnolved.
Consumer Involvement and Satisfaction: There are two consumer groups whose irnolvement and
satisfaction will be critical. Families of young children who are served at community. celebratory events or
specially organized screening campaigns will be polled for their reactions to the .health promotion and/or
screening activities that are offered. The human service agencies in Orange County who provide health-related
services to families with preschool children will be polled for their assessment of the effectiveness of the project
in improving outreach and services to "hard-to-reach" populations.
Evaluation: Several measures can be tracked to evaluate the effectiveness of The Community Health
Awareness Project. The unduplicated numbers of preschool children who are screened will be measured and
tracked over time. This will be compared to the number of children in unregistered childcare settings who have
received health-promotion and/or screening in previous years.
The impact of the project's community education and promotional efforts will also be evaluated through
mechanisms to record and measure changes in referral and service utilization by at least four key agencies
including: Child Services Coordination, The Developmental Evaluation Center, OPC Area Programs, Family
Resource Centers and the. Head Start programs.
Budget Narrative: Although community agencies acknowledge that "an ounce of prevention is worth a pound of
cure", there have not been community resources to support the type of community health awareness activities
needed to effectively reach the "unreached" and "underserved". This project will piggyback onto current
community events to minimize publicity costs and to maximize use of "volunteer" professional time. This project
coordinator wilt work closely with other local projects such as Prevent Blindness, Dental Screening, Child
Service Coordination, OCPYC community development staff, members of the Orange County Preschool
Interagency Council, and others to avoid duplication of services. No other state or federal funds are known to
be available for this activity in our community.
As noted above, effective outreach requires more than handing out pamphlets and magnets. Therefore, this
budget provides (service related supplies) funds to provide creative, fun, and culturally relevant incentives and
promotional tools to capture the attention of the targeted population".
The Executive Director of Hope for Kids has offered to support this project by making available his agency's
volunteer force for local outreach activities. We anticipate this to average 40 volunteer hours each month.
Additional in-kind contributions salary of the program supervisor, office supplies, telephone, and office fumlture.
Also, the Dental Division of the Health Department has offered office space and a computer at its Carr Mill Mall
site for this project's use.
Salary justification: the proposed salary is at a level that allows us to attract a professional with extensive
experience in public relations and health education work This person needs to be able to function
independently as to not further drain the health professionals that are on the front line delivering services. We
want the professionals serving the targeted population to view this project as an asset to themselves as well as
offering the community a new approach to reaching families of preschoolers and the "historicaNy hard to reach".
The total personnel services amount includes the coordinator's nine-month salary, including fringe benefits and
10% overhead for administrative and grant accounting personnel support.
00
Table 1: Key Goals, Outcomes and Indicators
Partnershi Goals Partnershi Outcomes Activit Identified Need Outcome Outcome Indicators
Goal # 3: Enhance Families are Provide effective Many Smart-Start sponsored health An increased The number of families
family education knowledgeable about promotional and promotion efforts are sponsored number of families who receive child and
and support: child development and organizational support to through registered childcare will access chifd and family health related
express confidence in family education and chifd settings. limiting access to those family health information at
their parenting skills; health promotion efforts at families who do not utilize these promotion community events.
community celebrations. settings. information and
activities.
Families are Provide effective Many Smart-Start sponsored health An increased The number of families
knowledgeable and promotional and promotion efforts are sponsored number of families who receive child and
have access to organizational support to through registered childcare wilt access child and family health related
community resources; family education and child settings. limiting access to those family health information at
health promotion efforts at families who do not utilize these promotion community events.
community celebrations. settings. information and
activities
Goal # 4: Enhance Children with special Coordinate and promote Young children cared for in their Children in The number of children
early intervention needs are identified attendance at health home or in unregistered childcare unregistered in non-licensed child
services for children prior to reaching education and screening settings have limited access to childcare settings care settings who
who are at-risk for kindergarten; events health promotion and screening will receive health receive screenings and
emotional activities. screenings and follow-up.
problems, appropriate follow:
developmental
' up referrals.
delays or
disabilities-
Goal # 5: Ensure Preschool-aged children Provide effective Historically, health education efforts An increased The number of families
the physical and are properly immunized; promotional and and health fairs have not been well number of families who receive child and
mental health of ~~ organizational support to attended. Bringing these efforts to will access child and family health related
young children:. Preschool aged- family education and child already popular community family health information at
children have access health promotion efforts at celebrations will provide more promotion community events.
to consistent health community celebrations. effective outreach in the community. information and
care and have a activfties. Services providers will
primary care provider
° AND Families with multiple socio- document an increase in
or
medical home"; economic stressors may be Children in need of the number of children
AND Coordinate events for health reluctant to come forward for well-child care will who receive
Health providers education and screenings parenting support and assistance. receive Indicated immunizations,
collaborate to improve Providing information about services and preventive health care
early identification of community resources in anon- appropriate follow and developmental on
preschool children threatening environment may be a up through an age-appropriate
with health/mental more effective strategy. established health schedule.
health needs. service providers.
Line Item Justification
~
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Personnel 1 1~'E
senior ublic health educator, 9 months
Contracted Services
~ r~'~ .b' + - r _ w ~
Office Supplies & Materials
Service Related Supplies Unusual, catchy, incentives to attract and hold
arent/child attention Burin activities
-
Travel Milea at
$.515/mile to meetin s, outreach activities
Communications & Postage Phones, mailings and postage @ current postal rate for
inter a nc communications and anent outreach
Utilities
Printing & Binding Printin costs for ublici and outreach activities
Repair & Maintenance
Meetin /Conference Expense
Employee Training (no travel) -
ClassifiedAdvertising
In-State Board Meeting Expense
t .~ x ~ ~
Office Rent (land, buildings, etc.)
Furniture Rental
Equipment Rental (phones, computer, etc.)
Vehicle Rental
Dues & Subscriptions
Insurance & Bondin
Books/Library Reference Materials
Other Expenses
Building & Improvements
Leasehold Improvements
Furniture/Non-Computer Egpt.,$5o0+ per item
Computer Equipment/Printers, $500+ per item
Furniture/Egpt., under $50o per item
~~. ~ - ~ ..t . .
_; _ _ n i
..
;-
$'- i T-
Purchase of Services
Contracts With Service Providers, Related
Contracts With Service Providers, Non-Related
Stipends/Scholarships/Bonuses
Grants/Cash Awards
Grants/Non-Cash Awards
Total Participant Training Expense
<'+n ~ x Cu~
"4
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i
f ^~
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Budget Summary
Agency;Orange County Health Department
Project: Community Health Awareness P Smart In-Kind Cash Total
Fiscal Year: 1999/20 Stott Funds Match Funds
DescripSorl Funds Amount Amount Amount
Personnel
Contracted Services 536,b34.00 54,246.00 $40:880.00
Totcl Personnel/Contracted Services $36,634.00 $4,24b.00 $40.880.00
Office Su Iles & Materials 5200.00 $2()0.00
Service Related S Ices $5,000.00 $5,000.00
Total S qos 8c Materials $5,000.00 $200.00 55,200.00
Travel $1,000.00 ~ 51,000.00
Communications & Poste a 5415.00 5415.00
Utilities
Println 8c Bindih $900.00 $900.00
R rand Maintenance ~•
Meetin /Conference ense
Em to es Tralnin no travel
Classifted Advertisin
in-State Board Meetin Ex ense
Total Non-Fixed Operatin Expenses $1,9.00 $415.00 $2,315.00
Office Rent Land, Bulidln & etc. 52467.00 S2467,~
Furniture Rental
E ul ment Rental Phones, Com uter, etc.
Vehicle Rental
Dues & Subscri Lions
Insurance & Bondin
Books/Library Reference Materials
Other Expenses
Total Fixed Gha & Other Expenses
$2,467.00
$2,467.00
Bulldin s & I rovements
Leasehold Im rovements
Furniture/Non-Com uter E t., $500+ er item 5500,00 5500.00
Co uter E ul ment/Printers, $500+ er Item 51,800.00 51,800.00
Furniture/E t., under $500 er item
Total Pro & E mant Outs $2,300,00 $2,300.
Purchases of Services
Contracts With Service Providers
Stl ends/Scholarshl s/Bonuses
Grants/Cash Awards
Grants/Non-Cash Awards
Total Serves/ContractsiGrants
Total Participant Trainin Expense
1096 Overhead $4,353.00 54,353.00
Total Bud eted enditures 7,887.00 $9,628.00 57,515.00
10
amoun 1 7/14/99
11
North Carolina Department of Health and Human Services
James B. Hunt Jr.,Governor
H. David Bruton, M.D., Secretary
Division of Public Health
Developmental Evaluation Center CSHS Speech and Hearing C ' 'c
Bull City Business Center • Suite 201 • 115 Market Street • Durham, North Carolina 27701-3221
Telephone (919) b60-6600 • FAX (919) 560-3018 • Courier 1?-28-08 • Email 0124Qinterpath.com
Beckie Herman, RN, CSCP Coordinator
Orange County Health Department
P.O. Box 8181
Hillsborough, NC 27278
Ann E Wolfe, M.D., M.EH., Director
Patsy D Pieroa, Ph.D., DEC/CSHS Director
Dear Beckie,
We are thrilled that you are seeking Smart Start support for a position to
coordinate and implement several activities to help young children and their families to
obtain needed services and supports. _ Orange county has needed abroad-based
developmental screening clinic for many years. I believe having someone in a funded
position to coordinate this essential service will make it happen. A developmental
screening clinic will help to identify children and families at a much earlier age, when
services can truly make a positive difference.
I understand that this position, if funded, will also coordinate many public
awareness activities. These activities are needed to help Orange county residents to learn
of all of the valuable services and supports which are available. Again this coordinated
public awareness effort is an essential and very needed aspect of Orange county's
wonderful array of services for young children and their families.
We sincerely hope that your proposal will be fully funded. Our staff here at the
DEC will be glad to help with developmental screening and public awareness activities.
Having someone to coordinate these vital services will turn a dream into reality for
service providers and for consumers.
Sincerel ,
Patsy Pierce, Ph.D., Director
~~
North Carolin¢: Host of the 1999 Special Olympics World Summer Games r~i