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Child Care Health Consultation

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Choosing a child care health consultant and working together can help achieve the goal of providing a safe, healthy, and developmentally appropriate environment for our nation's young children.


What is a child care health consultant?
A child care health consultant (CCHC) is a health professional who has interest in and experience with children, has knowledge of resources and regulations and is comfortable linking health resources with facilities that provide primarily education and social services.*

Who can be a child care health consultant?
Child care health consultants include professionals such as nurses, nurse practitioners, physician assistants, physicians, health educators, dental hygenists, sanitarians, and medical social workers who have:

  • knowledge and experience in health and safety practices in child care, and
  • received CCHC training.

It is important to follow state regulations which may determine who can be a child care health consultant and whether or not your program is required to have one.

What is a child care health consultant trainer?
The National Training Institute for Child Care Health Consultants (NTI) is the national resource for training state and regional-level public health and early childhood education professionals to coordinate and train CCHCs in their community. In turn, these child care health consultants directly serve child care facilities.

What knowledge should a child care health consultant have?
Professionals interested in consulting with child care programs need basic training and ongoing professional development. The knowledge base of CCHCs (personally or by involving other health professionals) should include:

  • National health and safety standards for out-of-home care;
  • How child care facilities conduct their day-to-day operations;
  • Child care licensing requirements;
  • Disease reporting requirements;
  • Immunizations for children;
  • Immunizations for child care providers;
  • Injury prevention for children;
  • Staff health, including occupational health risks for child care providers;
  • Oral health for children;
  • Nutrition for children;
  • Inclusion of children with special health needs in child care;
  • Recognition and reporting requirements for child abuse and neglect;
  • Community health and mental health resources.*

In addition to these basic topics, CCHCs should also be aware of emerging trends and new recommendations (e.g., reducing the risk of SIDS in child care).

What are the benefits of having a child care health consultant in your child care program?
A CCHC can help improve the health and safety of children in your care by:

  • Teaching child care providers about health and safety issues;
  • Teaching parents/guardians about health and safety issues;
  • Assessing the needs of child care providers and parents/guardians for health and safety training;
  • Meeting on-site with child care providers about health and safety;
  • Providing telephone advice to child care providers about health and safety;
  • Providing referrals to community services;
  • Developing or updating policies and procedures for child care facilities;
  • Reviewing health records of children and child care providers;
  • Helping to manage the care of children with special health care needs;
  • Consulting with a child's health professional about medication;
  • Interpreting standards or regulations and providing technical advice, separate and apart from the enforcement role of a regulation inspector.*

How do you find a child care health consultant?
Because states use a variety of methods to support and deploy CCHCs, the pathway for locating a CCHC varies from state to state. For example, in some states, CCHCs are housed in local Departments of Public Health. In other states, CCHCs are private consultants who market their services for a fee; and in still others, pediatricians provide child care health consulting services. You may want to begin your search for a CCHC by contacting your local Child Care Resource and Referral Agency (CCR&R), your local Department of Public Health, or the American Academy of Pediatrics Chapter Child Care Contact.

How do I create a child care health consultant workforce in my state?
Since 1997 the National Training Institute (NTI) for Child Care Health Consultants has existed at the University of North Carolina (UNC)-Chapel Hill. Via the train-the-trainers model participants from across the United States gain knowledge and skills to serve as trainers of child care health consultants. After training, each returns to his or her home area to create a child care health consultant training program and network. To learn more about NTI click here to visit their Web site or contact Sandra Cianciolo at 919/966-6288 or nticchc@unc.edu.


*Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care, 2nd Edition, 2002.


Resources

How to Choose and Use a Child Care Health Consultant
Refer to this training resource for information about why you need a child care health consultant, what he or she should know, and where to find a child care health consultant trainer.

First Edition of our California Training Institute curriculum for Child Care Health Advocates in English and Spanish. The California Childcare Health Program is pleased to announce the completion of a 3-day curriculum with 18 modules developed for early care and education professionals to become Child Care Health Advocates (CCHAs). The content is based on the National Training Institute for Child Care Health Consultants. In California, Child Care Health Advocates work collaboratively with Child Care Health Consultants (CCHC) on health and safety issues in their early care and education staff role or as a team member with the CCHC in a county-wide program.

National Training Institute Video
Learn about the role of the child care health consultant with this video. With a growing number of children under the age of five enrolled in regular out-of-home child care, it is important that these facilities be equipped to respond appropriately to the health and safety of children. A child care health consultant is trained to address issues such as playground safety and infectious diseases. The viewer will hear the experiences of child care center directors, health consultants, and consultant trainers. (see clip here) Clip requires a broadband connection. (order or download here)

Health and Safety Consultation in Child Care DVD
A collaborative effort involving many child care experts, this interactive and multimedia training dvd is designed to inform and encourage health care professionals working with child care programs. The dvd's, produced by the Pennsylvania AAP Chapter, cover national resources, making observations, the child care culture, how to train child care staff, and making health and safety improvement plan. Click on the link above to order your copy from the AAP Bookstore.

In the News: Consulting to Child Care Centers an Extension of Daily Work
Read about pediatricians who help to make sure that child care centers are healthy and safe by working as child care health consultants. Featuring: Judy Romano, MD, FAAP.

Where can I learn more about child care health consultants?

  • Visit the National Resource Center for Health and Safety in Child Care Web site. It has information both for and about child care health consultants including Caring for Our Children National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care. (click here)
  • Visit the Child Care Health Consultation section of the Conference for Pediatric Advocates in Early Education and Child Care Web page. You can find presentations and resources on legal issues in health consultation, consulting on children with special needs, conducting an onsite assessment and more! Click here.