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HRIF Clinic Organization: A Statewide Approach

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Follow-Up for NICU Graduates

Abstract

There are a great deal of variability in the structure of neonatal follow-up clinics and no clear standards. In California, there is an established Title V program referred to as California Children’s Services (CCS) which has a High-Risk Infant Follow-Up program as a diagnostic service to ensure NICU graduates are connected to medical specialty practices and early intervention services at the earliest signs of difficulty or developmental delay. Key to the program is a dedicated coordinator who makes certain that the child accesses follow-up services. Medical eligibility is determined by risk factors for neurodevelopmental disabilities. HRIF evaluations include assessments of complex care needs, growth, development and the neurological examination. Many ill children need EI services, but states are variable in their criteria required to access these services and many do not accept an “at-risk” eligibility category. A recommended follow-up schedule is included.

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Correspondence to Anne DeBattista .

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DeBattista, A. (2018). HRIF Clinic Organization: A Statewide Approach. In: Needelman, H., Jackson, B. (eds) Follow-Up for NICU Graduates. Springer, Cham. https://doi.org/10.1007/978-3-319-73275-6_11

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