Team-Based Early Intervention Overview

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?What’s next?

How Did We Get to Team-Based Early

Intervention Services?

The Foundation

IDEA Part C Regulations requires eachState 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.

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)

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 children’s 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 children’s lives.

4. The early intervention process, from initial contacts through transition, must be dynamic and individualized to reflect the child’s 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.

Key Principles for Early Intervention Services

5. IFSP outcomes must be functional and based on children’s and families’ needs and family-identified priorities.

6. The family’s 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.

What do Team-Based Early Intervention Services Look

Like?

11

Primary Coach

Teaming Practices

Evidence-based Paradigm

Coaching Practices

Natural Learning Environment

Practices

Participation and

Competence

Team-Based Early Intervention

What it looks like: What it doesn’t look like:

What it looks like…What it looks like… What it doesn’t look like…What it doesn’t look like…

Family-centeredStrength basedNatural environmentsCoachingTeam decision makingTeam lead and joint

home visits

Child centered Deficit basedCenter-basedDirecting Professional drivenSeparate home visit

by each team member

Team-Based Early Intervention

AzEIP Core Team

DSI

SLP

PT

OT

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Early Intervention Team

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

Team Lead

Who is a team lead?How is a team lead identified?

What is the role of a team lead?

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

Dual Role

Not just DSI/SC

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 CoordinationSpecial InstructionVision Services: Functional Vision Assessment, Orientation and MobilitySign Language and Cued Language

Team Meeting

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

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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 practioner’s ability to reflect upon and learn from their practices

What Does Team-Based Early Intervention Mean

for ASDB and DDD Service Coordinators?

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

What remains the same for ASDB and

DDD service coordinators?

Coordination of child and family assessmentsCoordinating and monitoring servicesFamily Rights; Family Cost Participation,

ConsentsAccessing other servicesCoordinating with community resourcesCoordination and documentation of transition

activities for children exiting AzEIP

What Will be New?

Team Meetings

Who should attend?

Do we talk about every

family EVERY week?

What if I can’t be there?How is ASDB

involved?How is DDD

involved?

How are parents

involved?

What if I need to talk

about a child/family

NOW?

What if I work with multiple

AzEIP teams?

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Team Meeting Agenda - Sample

Date: 10/27/04 Team Name: TV Land Beginning Time:

9:00 a.m. Ending Time: 10:30 a.m.

Team Members Present:

Richard Cunningham, SLP; Potsie Weber, OT; Laverne DeFazio,

ECSE; Ralph Malph, Service Coordinator; Shirley Feeney, PT; Chaci Arcola,

Nutricionist (absent)

1. Pre-IFSP activities o New referral – Cindy Brady o Assessment planning – Addams family o Eligibility status – Danny Partridge

2. Primary Coaching Opportunities o Shirley Feeney, PT

Ideas for child care resources in TVLand Need coaching on mealtime with BamBam Rubble

o Potsie Weber, OT Needs coaching on additional ideas for helping Samantha and Darren

Stevens encouraging Tabatha to make requests (especially during mealtime)

3. Quarterly Updates o Potsie Weber, OT

Simpson Family Walton Family

o Laverne DeFazio, ECSE Cleaver Family

4. Announcements o Granny’s Giggles and Grins Child Care has a new Director – Ethel Moses o New article on child learning is in everyone’s mailbox o Who will share staffing information with Chachi?

5. Scheduling o Richard Cunningham, SLP - Needs assistance making highchair insert o Ralph Malph, SC – Needs to schedule IFSP meeting for Ricardo family

Team Meeting Minutes – Sample

Date: 10/27/04 Team Name: TV Land       Beginning Time:  9:00  Ending Time: 10:30        Team Members Present: 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:  9:15  Ending Time: 9:25        Topic:

Shirley asked for help regarding BamBam’s behavior during mealtime.  He has been hitting his

sister and she wants to make sure she’s 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:  9:25  Ending Time:  9:45        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

What Does This Mean for Families?

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

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 family’s 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

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 child’s record remains open. Family will also have support from other core team members and the pscyhologist, social worker and ASDB’s 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

How Will Families Be Notified of Changes?

Notifications sent to families by November 2012

Additional notifications of team serving family’s zip code will be sent to families

DDD/ASDB service coordinators will receive copies of letters to prepare for questions from families

***Ensure parent’s mailing addresses are up to date

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

New Contracts will be awarded in December of 2012New AzEIP Contractors will begin accepting referrals

February 2013DES/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

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 don’t know the answer(s), let the family know that you will look into it and get back to them

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

Take care of yourself

Being okay not knowing everything Focus on what is known and learn all you can

about itTalk to others who are experiencing the same

changeChange takes time and is a process

THANK YOU!