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MNAAP Newsletter

Expanding Help Me Grow in Minnesota


ElsaKeeler
By Elsa Keeler, MD, MPH

When a child age birth to five is at risk for or identified with developmental delays, referral for education evaluation through Minnesota’s current Help Me Grow connects the family to evaluation and possible early intervention/special education services. This robust system has positive developmental resources and assures early intervention for positive developmental outcomes (see sidebar).

Yet, we know that not all children at risk are referred, and even if referral takes place, many may not qualify for education-based early intervention services. We understand the need to refer a child with a medical diagnosis to early intervention. However, we also know that social determinants and toxic stress contribute to mental and physical health and developmental outcomes. That is, even a healthy appearing baby may be on an at-risk developmental trajectory when his family encounters environment stress, parent mental health concerns, trauma, poverty, or lack of social supports. For pediatric clinicians, knowing what referral resources are available to offer families can be challenging, given factors such as family culture, preference, and community.

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Member Profile: Angela Mattke, MD, FAAP


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Dr. Mattke is a pediatric consultant at the Mayo Clinic Children’s Center where she has have worked for four years since graduating in 2012 from Mayo Clinic’s Pediatric and Adolescent Medicine residency.

What does a typical day or week look like for you? 

I practice primarily outpatient pediatrics at the Mayo Clinic Children’s Center in Rochester, MN. I see patients about three to four days per week in my outpatient clinic which is a satellite, primary care clinic in Northeast Rochester. I spend a half-day per week supervising the pediatric residents’ outpatient clinic. This is my favorite part of the week. I am pretty sure I learn as much from the residents and their patients’ diagnoses as they learn from me. Their upbeat energy fuels my tank for the week. I am also part of the social media team for the Children’s Center.

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