Team-Based Early Intervention Overview

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Team-Based Early Intervention Overview
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Agenda

• How did we get to Team-based Early Intervention?
• What does Team-based Early Intervention look
  like?
• What does it mean for service coordinators?
• What does it mean for families?
• Whats next?

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How Did We Get to Team-Based Early Intervention
Services?
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The Foundation

• IDEA Part C Regulations requires each
• State to
• include State policy that is in effect and that
  ensures that appropriate early intervention
  services are based on scientifically based
  research, to the extent practicable, and are
  available to all infants and toddlers with
  disabilities and their families.

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Evidence-Based Practices

• Practices that are informed by research, in
  which the characteristics and consequences of
  environmental variables are empirically
  established and the relationship directly informs
  what a practitioner can do to produce a desired
  outcome.
• (Dunst, Trivette, Cutspec, 2002)

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Key Principles for Early Intervention Services

• 1. Infants and toddlers learn best through
  everyday experiences and interactions with
  familiar people in familiar contexts.
• 2. All families, with the necessary supports and
  resources, can enhance their childrens learning
  and development.
• 3. The primary role of a service provider in
  early intervention is to work with and support
  family members and caregivers in childrens
  lives.
• 4. The early intervention process, from initial
  contacts through transition, must be dynamic and
  individualized to reflect the childs and family
  members preferences, learning styles and
  cultural beliefs.
• Workgroup on Principles and Practices in Natural
  Environments (November, 2007) Mission and
  principles for providing services in natural
  environments. OSEP TA Community of Practice-Part
  C Settings.

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Key Principles for Early Intervention Services

• 5. IFSP outcomes must be functional and based on
  childrens and families needs and
  family-identified priorities.
• 6. The familys priorities, needs and interests
  are addressed most appropriately by a primary
  provider who represents and receives team and
  community support.
• 7. Interventions with young children and family
  members must be based on explicit principles,
  validated practices, best available research, and
  relevant laws and regulations.
• Workgroup on Principles and Practices in Natural
  Environments (November, 2007) Mission and
  principles for providing services in natural
  environments. OSEP TA Community of Practice-Part
  C Settings.

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What do Team-Based Early Intervention Services
Look Like?
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Team-Based Early Intervention

• What it doesnt look like

• What it looks like

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Team-Based Early Intervention

• What it looks like

• What it doesnt look like

• Family-centered
• Strength based
• Natural environments
• Coaching
• Team decision making
• Team lead and joint home visits

• Child centered
• Deficit based
• Center-based
• Directing
• Professional driven
• Separate home visit by each team member

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AzEIP Core Team
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Early Intervention Team
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Other IDEA, Part C Services

• Assistive technology
• Audiology
• Family training, counseling, and home visits
• Health services necessary to enable the child to
  benefit from another early intervention service
• Medical services only for diagnostic or other
  evaluation purposes
• Nursing
• Nutrition
• Transportation and related costs necessary for
  child and family to receive early intervention
  services
• Vision services
• Sign language and cued language

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Team Lead

• Who is a team lead?
• How is a team lead identified?
• What is the role of a team lead?

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Team Lead

• PT, OT, SLP, DSI, Psych, SW, ASDB Vision or
  Hearing Specialist can be a team lead
• Identified by the IFSP team, which includes the
  parents
• Primary provider who represents and receives team
  support

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Dual Role
Not just DSI/SC
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ASDB Hearing and Vision Specialists(formerly
Outreach Coordinator or Certified Parent Advisor)

• ASDB Hearing and Vision Specialists are generally
  certified Teachers of the Deaf or Teachers of the
  Visually Impaired, qualified to provide
• Service Coordination
• Special Instruction
• Vision Services Functional Vision Assessment,
  Orientation and Mobility
• Sign Language and Cued Language

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Team Meeting

• Opportunity for team members to
• Collaborate
• Coach one another
• Share information/Updates
• Brainstorm

Microsoft Free ClipArt Images
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Coaching

• Building the capacity of care providers to
  promote child learning and development in family,
  community, and early childhood settings
• Also occurs between team members to increase a
  practioners ability to reflect upon and learn
  from their practices

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• What Does Team-Based Early Intervention Mean for
  ASDB and DDD Service Coordinators?

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Service Coordination

• DDD retains service coordination for Targeted
  (AHCCCS Acute Care Eligible) and ALTCS eligible
  children
• ASDB retains service coordination for ASDB
  eligible children
• AzEIP Contractor provides service coordination
  for AzEIP-only and DDD only eligible (non ALTCS
  non-Targeted) children
• Under certain circumstances ASDB and DDD may
  request AzEIP Contractor provide service
  coordination

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• What remains the same for ASDB and DDD service
  coordinators?

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• Coordination of child and family assessments
• Coordinating and monitoring services
• Family Rights Family Cost Participation,
  Consents
• Accessing other services
• Coordinating with community resources
• Coordination and documentation of transition
  activities for children exiting AzEIP

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What Will be New?

• Work as Part of a team
• Assigned team available to provides services no
  more Service Inquiries
• Participate in regular team meetings
• Participate in quarterly reviews for
  children/families
• Coordinate and schedule with team members
• Collaborate with other team members
• IFSP team members participate in IFSP reviews and
  are available for assessments

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Team Meetings
What if I cant be there?
Who should attend?
How is ASDB involved?
Do we talk about every family EVERY week?
How is DDD involved?
What if I work with multiple AzEIP teams?
What if I need to talk about a child/family NOW?
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How are parents involved?
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Team Meeting Minutes Sample Team Meeting Minutes Sample Team Meeting Minutes Sample Team Meeting Minutes Sample
Date 10/27/04 Team Name TV Land
       
Beginning Time  900  Ending Time 1030 
       
Team Members Present Richard Cunningham, SLP Potsie Weber, OT Laverne DeFazio, ECSE  Ralph Malph, Service Coordinator Shirley Feeney, PT  Richard Cunningham, SLP Potsie Weber, OT Laverne DeFazio, ECSE  Ralph Malph, Service Coordinator Shirley Feeney, PT  Richard Cunningham, SLP Potsie Weber, OT Laverne DeFazio, ECSE  Ralph Malph, Service Coordinator Shirley Feeney, PT 
       
Primary Coach Shirley Feeney, PT     
       
Child Name  BamBam Rubble    
       
Beginning Time  915  Ending Time 925 
       
Topic Shirley asked for help regarding BamBams behavior during mealtime.  He has been hitting his sister and she wants to make sure shes not missing any information that will help BamBam participate in mealtime with his family and not get sent to the naughty corner every meal. Shirley explained all of the ideas she and Mrs. Rubble have tried, what they  are planning on.. Shirley asked for help regarding BamBams behavior during mealtime.  He has been hitting his sister and she wants to make sure shes not missing any information that will help BamBam participate in mealtime with his family and not get sent to the naughty corner every meal. Shirley explained all of the ideas she and Mrs. Rubble have tried, what they  are planning on.. Shirley asked for help regarding BamBams behavior during mealtime.  He has been hitting his sister and she wants to make sure shes not missing any information that will help BamBam participate in mealtime with his family and not get sent to the naughty corner every meal. Shirley explained all of the ideas she and Mrs. Rubble have tried, what they  are planning on..
       
Primary Coach Shirley Feeney, PT     
       
Child Name       
       
Beginning Time  925  Ending Time  945 
       
Topic Shirley asked for help identifying resources in TVLand for families who do not speak English. Ralph used  coaching strategies to assist Shirley in identifying some additional resources in the Shirley asked for help identifying resources in TVLand for families who do not speak English. Ralph used  coaching strategies to assist Shirley in identifying some additional resources in the Shirley asked for help identifying resources in TVLand for families who do not speak English. Ralph used  coaching strategies to assist Shirley in identifying some additional resources in the
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• What Does This Mean for Families?

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What We Know Now!

• New AzEIP contracts will serve all AzEIP eligible
  children using Team Based Early Intervention
  Services
• Children birth-3 years old enrolled in ASDB and
  ASDB will be transitioned to the new AzEIP
  Contractors to receive their early intervention
  services
• Most families currently ASDB or DDD eligible will
  experience a change in the organizations/agencies
  and/or the individuals who are currently
  providing early intervention services for their
  family

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What Do EI Services Look Like Now? What Will EI Services Look Like in the Team-Based Early Intervention?
More than one, regularly occurring IFSP service may be identified for a child and family One primary service provider (team lead) with skills to best meet the familys needs works with the child/family on a regular basis with support from core team and the psych, social worker and ASDB Vision/Hearing Specialist as appropriate
DDD/ASDB searches for service providers among their existing contracts and family chooses a provider, if available, for each service AzEIP Contractor provides core team services (PT, OT, SLP, DSI), social work and psychology. Team Lead is selected from the AzEIP Contractor or ASDB Vision/Hearing Specialist, as appropriate
Family receives support from the IFSP team, which includes service coordinator and the individual providers identified on the IFSP Family receives support from IFSP team, which includes service coordinator, the Team Lead, others identified on the IFSP, other core team members (PT, OT, SLP, DSI), and as needed, psychologist, social worker, and ASDB Vision/Hearing Specialist
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What Do EI Services Look Like Now? What Will EI Services Look Like in the Team-Based Early Intervention?
After DDD/ASDB identifies and puts in place IFSP service providers, AzEIP Contractor closes record, and family no longer has contact with them AzEIP Contractor will provide on-going IFSP services, and childs record remains open. Family will also have support from other core team members and the pscyhologist, social worker and ASDBs Vision/Hearing Specialist, as appropriate
IFSP service providers may work for different agencies resulting in fragmented services IFSP service providers on core team, psychologst, amd social worker all work for AzEIP Contractor
IFSP service providers work independently and are generally unable to collaborate/communicate to meet needs of the child/family. Families have to share information/updates multiple times, with each provider IFSP service providers and other team members will meet and share information with each other regularly, so everyone will have the same information. Families only have to share information with team lead who will share with other team members. Families can participate in team meetings by phone or in person as much as they like
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How Will Families Be Notified of Changes?

• Notifications sent to families by November 2012
• Additional notifications of team serving familys
  zip code will be sent to families
• DDD/ASDB service coordinators will receive copies
  of letters to prepare for questions from families
• Ensure parents mailing addresses are up to
  date

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How Will the Transition from Current Providers to
New Providers Happen?

• New Contracts will be awarded in December of 2012
• New AzEIP Contractors will begin accepting
  referrals February 2013
• DES/AzEIP, DDD, and ASDB will work with the
  current providers and the newly contracted
  providers to prepare for the transition of
  existing families to the new AzEIP Contractors
• Full transition of families already enrolled with
  DDD or ASDB to new AzEIP Contractors is expected
  to take a few months

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How Can We Best Support Families During
Transition?

• Familiarize yourself with the Key Principles of
  Early Intervention
• Be timely in responding to questions from
  families
• Answer questions if you know the answer
• If you dont know the answer(s), let the family
  know that you will look into it and get back to
  them

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Change

• Our attitude about the changes will come through
  to the families we serve if we seek to be
  positive, it will help the family in the long
  term

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Take care of yourself

• Being okay not knowing everything
• Focus on what is known and learn all you can
  about it
• Talk to others who are experiencing the same
  change
• Change takes time and is a process

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• THANK YOU!