| Infant & Child Health | Birth to 3 | CYSHCN | Parenting Information & Resources | Immunizations |

The first three years of life are very important for any child’s future. We know that so much learning and growth happens in the first three years of life. The Birth to 3 Program provides support to families of children with delays or disabilities under the age of three.
Click on one of the following for more information……..
- Information for families
Information for referral sources
- Links and Resources
For more information please call……
Sara Sabelko, Program Coordinator
(715-273-6759) or e-mail sara.sabelko@co.pierce.wi.us
Useful Links:
· Pierce County Resource Manual http://www.co.pierce.wi.us/public_health/resourcemanual
· Developmental Charts
http://www.ed.gov/pubs/parents/Including/develop.html
What is the Birth to 3 Program?
Birth to 3 ...
Every family wants the best possible start for their child.
Even
though all children are different, there are certain milestones
that children are expected to achieve such as rolling, crawling,
sitting, walking, talking, and understanding what is said to them (to
name a few).
The Pierce County Birth to Three Program is a service to assist families who have concerns about their child's development. Developmental Screenings and/or evaluations are available at no cost to families.
Parents, family members, and professionals work as members of the
Early Intervention Team to promote a child's development.
How can the Birth to 3 Program help?

The Birth to 3 Program can screen or evaluate your child's development.
Pierce County Birth to 3 services will work with you to:
-
Develop a plan for services based on your family and child’s strengths, concerns, and needs
-
Provide information about additional community resources and link you to them
-
Offer advocacy and support

The earlier a child’s developmental delays are discovered, the more opportunities there are for a child to increase skills and abilities. The goal is to help children participate in their communities.
In addition to the skills the child develops, Birth to 3 Programs are committed to providing services in a way that makes sense for each family. This “family centered” program recognizes the importance of parents, family and friends in a young child’s life. The early intervention team will provide ideas and techniques to help a family enhance their child’s development and learning potential.
Who is eligible to receive services?
The Birth to 3 Program is for children ages birth to 36 months. Eligibility is based on a diagnosed disability or significant delay in one or more areas of development. The team will evaluate the child’s ability to: learn (cognitive development); move, see and hear (physical/motor development); communicate and understand other’s communication (speech and language development); respond to and relate with others (social and emotional development); and eat, dress and care for daily living needs (adaptive development). A county Birth to 3 service coordinator helps the family understand and participate in the evaluation process.
Services and supports a child and family receive are based on individual needs. Eligibility for this program is not affected by the family’s income; however, parents may need to contribute to the costs of services.

How are families’ rights protected?
Specific rights for children and families are built into the Birth to 3 Program. These procedural safeguards are legal requirements. They assure that the Birth to 3 Program will follow specific procedures that protect the rights of children and families. Some of these rights include:
· Parents must give written consent for any evaluations, assessments or services.
· Participation is voluntary, so parents can refuse any services, evaluations or assessments.
· Records will be kept confidential.
· Parents can review or request corrections to their child’s and family records.
· Parents have a right to disagree with decisions regarding their child’s eligibility or the provision of appropriate services to their child and family.

What services and supports might be available?
If the child is eligible for the program, the service coordinator works with the family to see that the family and their child receive the services and supports they need within the family’s natural environment. The service coordinator and other early intervention staff meet with the family to discuss the child’s developmental strengths and needs. This team, including the parents, determines what services and supports would enhance the child’s development and prepares a plan to provide supports and services within the family’s typical routines and activities. This plan is called an Individualized Family Service Plan or IFSP. Some of the services and supports that might be provided to meet the developmental outcomes identified in an IFSP include:
· Family Education
· Developmental Education Services
· Communication Services
· Related Health Services
· Occupational Therapy
· Physical Therapy
Guiding Principles........
Children's optimal development depends on their being viewed first as children & second as children with a problem or disability.
Children's greatest resource is their family.
Parents are partners in any activity that serves their children.
Just as children are best supported within the context of family, the family is best supported within the context of the community.
Professionals are most effective when they can work as a team member with parents and others.
Collaboration is the best way to provide comprehensive services.
Early intervention enhances the development of children.
Who do I contact for more information?
For more information...to make a referral...or to request a screening...
Please call: (715) 273-6759 or (715) 273-6755
Birth to Three Coordinator - Sara Sabelko e-mail sara.sabelko@co.pierce.wi.us
Birth to Three Family Service Coordinator - Janet Cleary e-mail jcleary@co.pierce.wi.us
Link to Wisconsin Department of Health and Family Services - Birth to 3: http://dhfs.wisconsin.gov/bdds/birthto3/
Please be advised that electronic communications with the department are not encrypted and confidentiality cannot be assured. Pierce County Public Health Staff will not discuss your private information through email until we have received a signed Agreement on the Use of Electronic Mail for Client Communications. Upon review, please sign and return to the department via fax or U.S. mail at the address listed on the form. By signing the Agreement we can begin to communicate with you by e-mail. Click on E-mail Agreement to see document.
Children and Youth with Special Health Care Needs (CYSHCN)
Children and Youth with Special Health Care Needs (CYSHCN) serves families with children (birth to 21 years old) who have special health care needs. These special needs include children with chronic health conditions and developmental, physical or emotional/behavioral disabilities. Examples of conditions include cerebral palsy, leukemia, diabetes, autism, attention deficit hyperactivity disorder, and severe asthma. CYSHCN will help coordinate health care services and act as an advocate on your behalf.
ü First Step is a 24 hour
source of information for CYSHCN resources in Wisconsin.
Call 1-800-642-STEP (7837)
ü You can also call the
Western Regional CYSHCN Center on Monday-Friday, 8 a.m.- 4:30 p.m.
Call 1-800-400-FORU (3678)
ü Or contact Pierce County Public Health nurse Janet Cleary at 715-273-6755 or email; jcleary@co.pierce.wi.us
What can CYSHCN do for you?
Provide information on your child’s special needs:
· We can help you locate books, articles, videos, CDs and tapes on conditions, diagnosis, education, resources and support
· We can provide you with web sites about almost any topic related to your child’s and your family’s needs
Parent connections and support:
· We can connect you with parent support groups in your area
· Find out about conferences, workshops and training related to your child’s needs
Community services available:
· Learn about local programs, resources and services
· Find out how your county’s health department can help
· We can assist you with coordinating care and accessing services
The Guiding Principles of CYSHCN are:
ü Children are best
served within their families. 
ü Children and families are best supported within the context of their community.
ü Families will have convenient access to care coordinators.
ü Collaboration is the best way to provide comprehensive services.
ü Family perspectives and presence must be included in all aspects of the system.
For more information, contact Janet Cleary at 715-273-6755 or email; jcleary@co.pierce.wi.us
Pierce County Resource Manual for Children with Special Needs:
Western Region CYSHCN:
http://www.co.chippewa.wi.us/CCDPH/CSHCN
Wisconsin Department of Health & Family Services CYSHCN web site: http://www.dhfs.wisconsin.gov/health/children/index.htm
Developmental Charts:
http://www.ed.gov/pubs/parents/Including/develop.html
, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 795-3272 or (202) 720-6382 (TTY). USDA is an equal opportunity provider and employer.
Parenting Information
Breastfeeding:
· Human milk is nutritionally complete.
· Human milk supports optimal infant growth and development.
· Breastfeeding enhances bonding between mother and child.
· Human milk protects infants from many illnesses by boosting the immune system.
· Breast fed infants are less likely to develop diabetes, cancer and cardiovascular disease later in life.
· Breast fed infants experience fewer allergies.
· Breastfeeding mothers may experience more rapid postpartum weight loss.
· Breastfeeding may protect women from osteoporosis, heart disease, diabetes, and breast and ovarian cancers. http://dhfs.wisconsin.gov/health/Nutrition/Breastfeeding/index.htm
Infant Nutrition:
- The Child Care Nutrition Resource Center provides recipes, resources and information on child nutrition. http://www.nal.usda.gov/childcare/
- Solid Food Fact Sheet: “Solid Food: Ready or Not? http://dhs.wisconsin.gov/wic/cards/baby/index.htm
- WIC information on breastfeeding, formula feeding, and introducing solids: http://www.nal.usda.gov/wicworks/Topics/Infant_Nutrition.html
Child Development: Children develop at different rates. This table shows the ages by which most young children develop certain abilities. It is normal for a child to do some of these things later than the ages noted here. If your child does not do many of these things at the ages given or if you have questions about his or her development, talk with your child's doctor or nurses.
2 Months |
Smiles, coos. Watches a person, follows with eyes. |
4 Months |
Laughs out loud. Lifts head and chest when on stomach, grasps objects. |
6 Months |
Babbles, turns to sound. Rolls over, supports head well when sitting. |
9 Months |
Responds to name, plays peek-a-boo. Sits alone, crawls, pulls up to standing. |
1 Year |
Waves bye-bye, says mama or dada. Walks when holding on, picks up objects with thumb and first finger. |
18 Months |
Says three words other than mama or dada, scribbles. Walks alone, feeds self using spoon. |
2 Years |
Puts two words together, refers to self by name. Runs well, walks up stairs without help. |
3 Years |
Knows age, helps button clothing, washes and dries hands. Throws ball overhand, rides tricycle. |
4 Years |
Knows first and last name, tells a story, counts four objects. Balances on one foot, uses children's scissors. |
5 Years |
Names 4 colors, counts 10 objects. Hops on one foot, dresses self. |
http://www.cdc.gov/ncbddd/actearly/index.html
Other development charts:
http://www.ed.gov/pubs/parents/Including/develop.html

“Back to Sleep”:
Placing babies on their backs to sleep reduces the risk of Sudden Infant Death Syndrome (SIDS), also known as "crib death." http://www.nichd.nih.gov/sids/
Shaken Baby Syndrome:
“Shaken Baby Syndrome (SBS) is the collection of signs and symptoms
resulting from the violent shaking of an infant or small child. It is a form of child abuse. In
America every year an estimated 1,200 - 1,400 children are shaken for whom treatment is sought. Of these
tiny victims, 25 -30% die as a result of their injuries. The rest will have lifelong complications. It is
likely that many more babies suffer from the effects of SBS yet no one knows because SBS victims rarely have any
external evidence of trauma.”
http://www.dontshake.com/
The Public Health Department offers vaccines at five immunization clinics, schools, University of Wisconsin-River Falls, and some area businesses. Childhood vaccines as well as adult boosters and flu shots are offered (depending on availability) at the following clinics.We are now requesting persons desiring immunizations to call for an appointment. This change is being made so our clients have decreased waiting times and the nurses will be able to provide more individual attention to each person.Donations are accepted at all clinic sites. Your contributions help assure the continuation of the valuable service in Pierce County.Make sure your and your children are fully protected. If you have any questions or desire an appointment call the Pierce County Health Department at 715-273-6755.
If you are
traveling out of the country, please go to the Centers for Disease Control and
Prevention web site for disease and vaccination information. http://www.cdc.gov/travel/
PIERCE COUNTY PUBLIC HEALTH DEPARTMENT
2011 Immunization Clinics
Please Phone: 715-273-6755 for Appointments
River Falls Public Health Office |
Ellsworth Public Health Office |
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1st Tuesday |
1st Wednesday |
2nd Thursday |
3rd Thursday |
4th Wednesday |
January 4 |
January 5 |
January 13 |
January 20 |
January 26 |
Email Privacy Agreement
Please be advised that electronic communications with the department are not encrypted and confidentiality cannot be assured. Pierce County Public Health Staff will not discuss your private information through email until we have received a signed Agreement on the Use of Electronic Mail for Client Communications. Upon review, please sign and return to the department via fax or U.S. mail at the address listed on the form. By signing the Agreement we can begin to communicate with you by e-mail. Click on E-mail Agreement to see document.

