Washington
The ABCD project in Washington used multiple approaches to facilitate improvement in the provision of early child health and development services. Through pilot efforts in three counties and a statewide initiative, the project focused on linking existing developmental health services for children and families, improving EPSDT screening rates, reviewing and promoting the use of developmental screening tools, and enhancing provider training and parent education. A number of structural and process changes showed promise for improving the delivery of well-child care and developmental surveillance to children in Washington State communities.
| Title | Description | Date Published | Activity |
| Infant Toddler Early Intervention Program (ITEIP) Website | (Washington State Department of Social and Health Resources) This Early Intervention website provides useful information on appropriate developmental milestones as well as services available to parents and providers. | December 2007 | Spreading Results |
| Early Childhood Assessment Clinic | (Washington ABCD I Project: Whatcom County Health Department) This letter was provided to parents whose children had been screened at the Early Childhood Assessment Clinic using the Ages and Stages Questionnaire. It outlines relevant results and referral resource options. | August 2002 | Addressing Needs |
| Ages and Stages Questionnaire (ASQ) Procedures | (Washington ABCD I Project: Whatcom County Bright Futures) This flowchart was used in ABCD pilots to assist in implementing and integrating the Ages and States Questionnaire (ASQ). | August 2002 | Testing Models |
| ASQ_Procedural_Flow.pdf | 59.6 KB |
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
