Title Health Support for Lead Poisoned Children
AAP Grant ID 1901
Project Year 2011
City & State East Providence, RI
Program Name CATCH Implementation
Topic Child Development/Developmental Delay
Program Description
Providence's Olneyville neighborhood is one of the city's poorest, with more than half of its children living in poverty (2000 census). With a high concentration of older housing stock, 8% of Olneyville children under the age of six have elevated blood lead levels (>10ug/dl). However, recent findings suggest that children with blood lead levels greater than or equal to 5ug/dl are less likely to enter kindergarten at reading standards compared to children with blood lead levels below 5ug/dl. While public health guidelines indicate interventions at or above 10ug/dl, and Rhode Island's Early Intervention system considers blood lead levels only above 15ug/dl as one of four required factors for eligibility, a coordinated array of health, education, and parent oriented strategies for children with blood lead levels at or above 5ug/dl have the potential to prevent future lead exposure and related health problems (physical, developmental, and emotional). Using an evidence-based child development and parenting education program, we will develop a neighborhood coalition that will support this coordinated approach to improve the health and educational status of 50 children ages birth to 3. All children will be linked to medical homes. Partners include the Health Department, local health center, local elementary school, SCHIP, and others.
1. To identify, engage, and provide 50 children in Olneyville with EBLLs greater than or equal to 5ug/dl with high quality interventions that promote healthy development.
2. To ensure that 100% of participating families have health insurance/SCHIP for their child, a medical home/accountable care organization, and other services that promotes their child's health and well being.
3. To change Early Intervention eligibility policy and SCHIP reimbursement practices through demonstrating the efficacy of interventions among children with low" blood lead levels in improving developmental and educational outcomes. "
AAP District District I
Institutional Name Meeting Street 1000 Eddy Street Providence RI 02905
Contact 1 Robert Griffith, MD
Contact 2 James Berson, MPH
ID 52