Develop localized comprehensive resource and referral networks that meet community-specific needs to drive quality referrals, coordinate care, and ease navigation for families.
2.1.1 Create the opportunity for providers and families to access information about the available resources in their community. This could include a community-specific and/or statewide centralized access point and resource guide.
2.1.2 Establish a network of providers at the community level who refer families to services, communicate capacity and referral outcomes, and strengthen overall community partnerships and collaboration.
2.1.3 Use evidence-based, standardized screenings such as the Ages & Stages Questionnaires (ASQ) and the Edinburgh Postnatal Depression Scale to identify need and connect families to the right services as early as possible.
2.1.4 Offer families with newborns a developmental screening passport to track development and support communication between them and providers.
2.1.5 Emphasize care coordination46 that identifies and aligns with family needs and preferences across providers and settings.
