Orientation to Best Practices In Birth to 3

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Orientation to Best Practices In Birth to 3

• Linda Tuchman, Ph.D.
• Director, Wisconsin Personnel Development Project
• Waisman Center
• University of Wisconsin-Madison

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Birth to 3

• Provide resources, supports and services to
  enhance a childs development and address family
  needs related to their childs development.

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Birth to 3Guiding Philosophy

• Family-Centered
• Meaningful to the family
• Part of a vision for their child
• Based on the familys priorities, resources and
  concerns
• Strategies developed around family routines and
  activities

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Guiding Philosophy

• Comprehensive
• Individualized
• Coordinated
• Community-based in Natural Environments
• Culturally Competent

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History

• Wisconsin since 1970s discretionary
• Public Mandate 1986, 1993,1997

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Eligibility

• A child is eligible for early intervention
  services under the birth to 2 program if the EI
  team determines that the child is developmentally
  delayed or that the child has a diagnosed
  physical or mental condition which will likely
  result in a developmental delay.
• Source HFS90 90.04, p. 264

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Child Find/Outreach

• Outreach education
• Informed referral network
• Coordinated community efforts

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Birth to 3 Core Services

• Identification and Referral
• Evaluation and Assessment
• IFSP
• Service Coordination
• Procedural Safeguards
• NO Cost to Families

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Natural Environments

• ..to the maximum extent appropriate, early
  intervention services are provided in natural
  environments and the provision of early
  intervention services for any infant and toddler
  occurs in a setting other than the natural
  environment only when early intervention cannot
  be achieved satisfactorily for the infant or
  toddlers in a natural environment.

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Other EI Services

• Assistive technology
• Audiology
• Communication
• Family education and counseling
• Health care
• Medical
• Nursing

• Nutrition
• Occupational therapy
• Physical therapy
• Social work
• Special instruction
• Transportation
• Vision
• HFS90, p. 271-2

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Informal Community Resources

• Family day care
• Preschool program
• Respite
• Parent child groups
• Head Start
• Library story hour
• Church/Synagogue
• Others identified by the family

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Qualified Providers-EI Team (eval. eligibility)

• Audiologists
• Nutritionists
• Occupational therapists
• Physical therapists
• Physicians
• Psychologists
• Rehab. counselors

• Reg. Nurses
• School psychologists
• Special educators
• EC, VI,DHH
• Speech lang.
• Others qualified to determine eligibility

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Qualified Service Providers

• Audiologists
• EI Program Assistants
• Marriage fam. therapsits
• Nutritionists
• Occupational therapists
• OM specialists
• Parent facilitators
• Pediatrition

• Physical Therapists Psychologists
• Registered nurses
• Rehab. Counselors
• Schoold psychologists
• Nurses
• Social workers
• EC special education
• Speech Lang.

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Training Requirements

• 5 hour orientation in first year
• 5 hours of training each year

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Procedural Safeguards

• Prior notice
• Informed consent
• Confidentiality
• Records
• Dispute resolution
• Mediation
• Hearings
• HFS9090.12, p. 273

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Service Coordination

• Service coordination is inherently a simple
  servicefinding out what a family needs and
  helping them get it.
• Morton, 1988, p. 13)
• Service coordination is an active process for
  implementing the IFSP that promotes and supports
  a familys capacities and competencies to
  identify, obtain, coordinate, monitor and
  evaluate resources and services to meet its needs
• McGonigel, Kaufman, Johnson, 1991, p.86

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Service Coordination Part C of IDEA

• Service coordination means the activities carried
  out by a service coordinator to assist and enable
  a child eligible under Part C and the childs
  family to receive rights, procedural safeguards
  and services that are authorized to providers
  under the states early intervention program.

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Service Coordination

• Assist parents in gaining access to early
  intervention services and other services
  identified in the IFSP.
• Coordinate the provision of early intervention
  services and others that the child needs or is
  being provided.
• Facilitate the timely delivery of available
  services and continually seek the appropriate
  services and situations necessary to benefit the
  development of each child.

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Service Coordinator Qualifications

• A service coordinator shall have at least one
  year of supervised experience working with
  families with special needs, and have
  demonstrated knowledge and understanding about
• Children B-3 eligible for program
• Part C of IDEA and HFS90
• Nature and scope of services available under B-3
  and how these are financed.

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Who Can Be a Service Coordinator?

• Person from list of qualified personnel
• Person with experience and training named above.
• A parent facilitator
• A service coordinator can be called a case
  manager for purposes of reimbursement for
  medical assistance (TCM) and other programs.

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7 Service Coordination Responsibilities

• Coordinate performance of evaluations and
  assessments
• Facilitate and participate in the development,
  review and evaluation of the IFSP
• Assist families in identifying available service
  providers

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Service Coordination-cont

• Coordinate and monitor the delivery of available
  services
• Inform families of the availability of advocacy
  services
• Coordinate with medical and health providers
• Facilitate the development of a transition plan
  to preschool and other services
• HFS90 90.11, p 270

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4 Aspects of Service Coordination

• Getting Started with Families
• First contact with family through the development
  of IFSP
• Follow-along and IFSP Implementation
• IFSP development through transition from early
  intervention

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4 Aspects -cont

• Immediate and Urgent Needs
• May occur at any point in IFSP process
• Transitions
• Include transitions into,during or from early
  intervention