The Outcome
An Early Intervention for Children Prenatally Exposed to Cocaine

Michele S. Scott & Keith G. Scott

Program Summary
The Outcome was developed to address all major developmental areas for children, aged birth to 36 months, who are at risk due to prenatal exposure to cocaine. The purpose of this early intervention program is to prevent later developmental problems. As such, the child is the primary intervention target, although a parent (or other primary caregiver) is also included in various program components. The Outcome curriculum can be delivered as either a center-based program or through home-visitation. Activities are included in the curriculum to foster cognitive, social/emotional, self-help, language, fine motor, and gross motor skills.

Evaluations of the Outcome program demonstrated statistically significant, moderate to large intervention effects in cognition, receptive and expressive language, and gross motor development for children in the early intervention conditions compared to the control condition at age 36 months. Small effects were observed for behavioral problems, and no statistically significant effects were found for fine motor or prosocial skills.
 
Target Population
Risk factors during pregnancy or birth
Low birth weight and/or premature infants
Low socioeconomic status
 
 

Evaluation Summary
At 36 months of age, statistically significant, moderate to large intervention effects were found for cognition, receptive and expressive language, and gross motor development in favor of the early intervention conditions compared to the control condition. Small effects were observed for behavioral problems, and no statistically significant effects were found for fine motor or prosocial skills. The center-based early intervention program was superior to the home-based version only in improving language.

Staffing Requirement/Training
In the original implementation, new teachers were paired with mentoring teachers, in which a more experienced teacher worked with the new teacher to do the initial 'crosswalk' from the intake scores of the assessment to the curriculum activities that best corresponded to the baselines. The mentor teacher also helped with the observations of individual children during each reporting quarter during the school year, to see how closely the new teacher and the mentor were interpreting the skill level of the child and the mastery of curriculum activities.

The program developers recommend that classroom teachers have at least a B.A./B.S. in Education, Early Childhood, Child Development, or Psychology with 2 to 3 years experience in a structured environment working with 0 to 3 year olds and their families. In the original implementation, the classroom assistants were required to have both a high school diploma and experience working with children ages 0 to 3 years old in a structured setting. In addition, classroom assistants were also required to undergo the State of Florida's mandatory 40 hours of training for childcare licensed daycares and 10 hours additional training each year.

Infant and/or Child Developmental Outcomes
Cognition
Language
Motor skills
 
Program Core Components
Early childhood education
Child development center
Health and development monitoring
Home visits
Parent involvement/enriched care giving
 
Curriculum Used
Activities/games for child functioning
Enriched care giving/parent involvement
Parent education and support
Home visiting
 
Delivery
Center-based
Home-based
School-based
Medical setting


Direct Participants
Child
Parent
 

Child's Age at Program Start
Birth to 12 months

Duration
Up to 3 years


The Program Package includes:

  • The Outcome Program Summary. Provides a general overview of the program and how the program has demonstrated positive impacts on child developmental outcomes.
  • The Outcome Curriculum (3 Volumes: Ages 0 ???12 Months, Ages 13 ??? 21 Months, & Ages 22 ??? 36 Months) . The Outcome Curriculum promotes learning through developmentally appropriate activities that exercise and extend a young child's emerging abilities. The curriculum is organized by age levels and by the following six domains: cognitive, social/emotional, self--help, language/communication, fine motor, and gross motor.
  • The Outcome Curriculum Tracking Forms. Forms used to track a child's progress in the program organized by age, developmental domain and curriculum activity.
  • The Outcome Curriculum Tracking Database CD-ROM. This CD-ROM contains a Microsoft Access database with which users may enter data collected from the Outcome Curriculum Tracking Forms. In addition, a PDF file of the Outcome Curriculum Tracking Forms is included from which users may print additional copies of these forms.
  • Evaluation Measures Resource List. Provides information on how to obtain measures utilized in the original evaluation of the Outcome, as well as sample copies of the Child Behavior Checklist for Ages 1 1/2 - 5.
  • Early Intervention Evidence-Based Practice Resource Guide. This USB drive features an interactive, easy-to-use tool that consists of practical tips and resources designed to assist professionals and organizations to select, adopt, and implement early intervention evidence-based practices to successfully promote child development and well-being.
  • Telephone technical support on implementation for 1 year
  • .


The Outcome Program Package
   
Hardcopy program package, shipped
Price: $320.00
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The Outcome Program Summary
   
Hardcopy Version of Program Summary - Shipped
Price: $18.00
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The Outcome Program Summary Digitized
   
PDF Version of the Program Summary - Download
Price: $12.00
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