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Delaware First Signs

Delaware First Signs launched in April 2005 in collaboration with the Autism Society of Delaware, Delaware Department of Health & Social Services, Delaware Developmental Disabilities Council and University of Pennsylvania School of Medicine. Here we provide information about the program, links to articles in the press, and numerous Web-related disability resources for Delaware.

Delaware First Signs Program
Delaware Training
Delaware Evaluation Study
Delaware First Signs in the News
Delaware Disability Resources

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Delaware First Signs Program

Delaware First Signs launched in April 2005. The Autism Society of Delaware, Delaware Department of Health & Social Services, Delaware Developmental Disabilities Council, University of Pennsylvania School of Medicine, and First Signs, Inc. collaborated in this statewide initiative. The Delaware First Signs program offered professional training, parent outreach, and public education.

The Delaware First Signs program was funded by:


The Delaware First Signs program was endorsed by:

  • American Academy of Pediatrics, Delaware Chapter


The objectives of the Delaware First Signs program were to:

  • Increase knowledge of early warning signs among pediatric practitioners in Delaware to raise their level of awareness
  • Improve frequency and quality of screening young children
  • Facilitate timely referral of children in Delaware to local Early Intervention programs
  • Lower the age at which children are identified with autism and other developmental disorders in Delaware


The Delaware First Signs program consisted of:

  • Press campaign
  • Mailings to more than 2,000 health care providers and early childhood educators inviting them to participate in a training seminar, receive continuing education credits, and a First Signs Screening Kit
  • 2 regional training seminars
  • Page on our Web site dedicated to Delaware resources


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Delaware Training

First Signs presented a three-hour training course, “Improving Developmental Screening Practices for Young Children with Autism & Other Developmental Disorders” in two regional locations in Delaware. These training courses were held on April 26 at Alfred I. duPont Hospital for Children in Wilmington from 8:30 am-12:00 noon and at Delaware Tech in Dover from 8:30 am-12:00 noon. Click here for more information about the training.

This activity was planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Pennsylvania School of Medicine, Autism Society of Delaware, Delaware Department of Health & Social Services, Delaware Developmental Disabilities Council, and First Signs, Inc. The University of Pennsylvania School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

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Delaware Evaluation Study

The evaluation study was conducted by First Signs, University of Pennsylvania, and Autism Society of Delaware.

Evaluation questions

  • Are we improving knowledge of best developmental screening practices for young children with autism and other developmental disorders?


Evaluation strategy

  • Compare results from pre- and post-tests to measure knowledge gained from a single training session


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Delaware Evaluation Study Results

The Delaware First Signs program trained 139 healthcare providers, clinicians, and educators in two training presentations. 85% completed both pre- and post-tests and of these, 89% improved their overall score. First Signs provided outreach trainings to over 30 professionals from all over the state to expand their training for local outreach efforts. Delaware established three county-based outreach teams, consisting of one physician, an early interventionist, and one parent of a child with autism, to provide training on a local basis in all three counties. To date, they have completed more than 30 training presentations across the state, distributed First Signs screening materials throughout, and incorporated the First Signs training curricula into the Delaware Psychiatric Center (New Castle) lecture series on Disability and Mental Health for Psychiatric residents. In addition, Delaware has provided training materials and First Signs Screening Kits to every nursing program in the state, along with two training sessions to 130 nursing students at Del Tech.

In her final report, Theda Ellis, Executive Director of Autism Society of Delaware (ASD), states: "We have been successful in raising awareness of the issue of the need for better early diagnosis and the availability of effective parent screening tools. A major success has been to secure a major provider (Nemours) to enroll in the process as well as to alert the State Insurance Commissioner of the issues. Our efforts, along with more national studies, are creating a more fertile environment for change to take place. ASD will continue to support this effort through the summer of 2006 with funds available through the Lower Delaware Autism Foundation, and we will continue to staff training even following the completion of the project as requested.

The Autism Society is currently investigating how we can continue this project through our own organization and resources. The teams are up and running and well trained. The key is to consistently make presentations in medical programs, at conferences and workshops, and in local offices. We also plan to continue to monitor the use of the billing codes over time to determine that practices are actually using the codes, which means they are using the tools."

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Delaware First Signs in the News


April 17, 2005

Program: Early Detection of Autism Essential
Delmarva Daily Times

To read all news articles related to First Signs, visit our Press Center.


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