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Pediatrics - Project DULCE

Project DULCE Implementation Manual 

Table of Contents

1. Overview

A. Guiding Principles / History
B. Logic Model
C. DULCE Intervention
D. DULCE Intervention Model
E. Social Ecological Model

2. Getting Started

A. Patient-Centered Medical Home

  • Primary Care Clinicians
  • Social Work
  • Nursing
  • Support Staff

B. DULCE Partners

  • Pediatrics Primary Care
  • Healthy Steps
  • Medical-Legal Partnership | Boston

C. Required Resources

  • DULCE Staff
    • Organizational Charts: Intervention & Research
    • Family Specialists
    • Clinical Supervisors/Case Review
    • Administrative
  • Facilities and Other Resources

3. Required Training for DULCE Family Specialists

A. Strategies for Supporting Early Brain Development 
B. Parenting/Child Development
C. Concrete Supports
D. Assessment Toolbox

  • Newborn Behavioral Observations (NBO)
  • Ages & Stages Questionnaires®, Third Edition (ASQ-3™)
  • Ages & Stages Questionnaires®: Social-Emotional (ASQ:SE)
  • Patient Health Questionnaire (PHQ-9)
  • Healthy Steps Temperament Scale

4. DULCE Intervention

A. Identifying Eligible Families
B. Creating the Relationship with the Family

  • First Week Visit
  • One Month Visit

C. Partnering with the Family

  • Two Month Visit
  • Four Month Visit

D. Family’s Next Steps

  • Six Month Visit

5. Family Assessment Queries

A. Trigger Questions
B. Screening Questions 

  • Housing & Utilities Screening
  • Income & Food Screening
  • Domestic/Community Violence
  • Additional Screening Questions

6. Project DULCE Research

A. Plan 
B. Challenges in Implementing Project & How Addressed

7. Evaluation of Implementation

A. Evaluation Summary
B. Lessons Learned
C. Dissemination/Communication about the Project with the Broader Community
D. Sustaining the Project

8. PowerPoint Presentations

A. Parenting/Child Development

B. Concrete Supports

9. Appendices

A. DULCE Activity Log
B. DULCE Family Profile
C. DULCE Checklists (7 checklists: one for each Visit, Income, Housing & Utilities)
D. Healthy Steps Temperament Scales: English and Spanish

10. Parent Handouts: English and Spanish

Contact Us

Call: 617.414.7425
Fax: 617.414.7915
Email: projectdulce@bmc.org

Boston Medical Center
Pediatrics - Project DULCE
Vose Hall, 4th Floor
88 East Newton Street
Boston, MA 02118

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