Early Intervention ProgramNYC DoHMH
Families As Partners: Part 1 of 2
Early Intervention Program
EARLY INTERVENTION PROGRAM David Rosin, MD, Executive Deputy Commissioner
for Mental Hygiene Janice Chisholm, Acting Assistant Commissioner, EI Jeanne Clancy, Ph.D. Director, Families as Partners
Project Prashil Govind, M.D. Medical Director, EI Linda Stone, Ph.D., Director of EI Programs Judith Davison, Director of Training Barbara Burns, Ph.D. NYCEIP Consultant
Goals of Families as Partners Training
Educate Inform Inspire
Learning Objectives For Training the Trainer: Families as Partners (FAP)
1. Be able to explain to your staff the scientific basis for family involvement in Early Intervention
2. Understand new procedures and FAP forms 3. Learn tools, activities, references to train your
staff on FAP4. Learn about EI’s continued assessment of FAP
for quality improvement and better outcomes for children and families
EffectiveEarly
Intervention Child, Parent,
Interventionist
FAP Forms
Family Involvement
Assessment of Effectiveness
Train the Trainer in FAP
Part 1. Section 1: Why family involvement is critical to EI services Section 2: Families As Partners: Rationale, Principles, Forms Section 3: FAP: Co-Visits, Provider and Parent Progress
Notes
Part 2. Section 1: FAP Principles and natural routines of families Section 2: IFSP: Gateway to manageable family involvement Section 3: Coaching parents effectively Section 4: Evaluation of FAP and Effective Early Intervention
Why family involvement inEI services is critical
Part 1, Section 1
Brain development
Brain and early development
At birth, infants have about 100 billion brain cells and 50 trillion connections
By 3 months of age, the connections multiple to more than 1000 trillion
At 3 years, child has twice as many connections as adult
Connections not used disappear …
Understanding brain development
Advances in imaging technology have allowed new understanding of brain development
EEG (Electroencephalograph)
EEG--early way to measure electric signals produced by brain—can show how long it takes the brain to process certain information (though can’t tell where in the brain it is happening)
CAT scan (Computerized Axial Tomography)
Two-dimensional x-ray Can detect damage in brain and show changes in
flow of cerebral blood while person completes a task
PET scans (Positron Emission Tomography)
After injecting radioactive glucose the PET scan can show what is absorbed by brain cells. More active areas absorb more glucose. Allows assessment of structures deep in the brain.
MRI (Magnetic Resonance Imaging)
Using a gigantic magnet the protons (nuclei of hydrogen atoms) of an organism align with the magnet polarity.
Can image soft tissue (they contain more water)
MEG (Magnetoencephalography)
New technology which assesses magnetic fields due to brain activity. Magnetic detection coils in liquid helium are placed over a person’s head.
Highly accurate assessment of nerve cell activity
What do we know about early brain development?
Specific toxins (e.g., alcohol) negatively affect brain development
Prematurity is associated with differences in brain structures
Deprivation of stimulation impacts developing brain
Child abuse anddifferences in brain
Maltreated children have typically smaller brains than healthy children (biological reaction to intense stress)
Maltreated children often exhibit depression, learning problems, anxiety in childhood, and other problems…
Brain is sensitive to experience
“Experience can change the mature brain---but experience during the critical periods of early childhood organizes brain development” (Perry, et al., page 290)
Perry, B.D., et al., 1995 Childhood trauma, the neurobiology of adaptation and “use-dependent” development of the brain: How ‘states’ become ‘traits’. Infant Mental Health Journal, 16, 271-92.
Parent-child interactions impact brain functioning and development
Mothers with depression Typical behaviors: disengaged,
little interest in pleasure and/or
irritable and overintrusive P-C interactions: mother mirrors
infant’s negative emotions &
infant mirrors mom (Dawson, Frey, Self et al., 1999; Field, 1998)
Mom’s depression impacts infant’s neurological system
EEG patterns of 1 month old infants Reduced left frontal lobe activity compared to
right frontal lobe activity (left = joy, interest, anger and right = sadness, anxiety, distress)
By 32 months, reduced left frontal lobe activity in infants appears permanent
Even with animated, joyful caregiver!
Model of Parent-Child Interactions
Parent
ChildBirth
complications
Anxioushandling
Poor Self regulation
Disengage-ment
Poor lang, Soc. skills
(Sameroff, 2000)
Model of Parent-Child Interactions
Parent
ChildBetter lang, Soc. skills
Birthcomplications
Confidenthandling
Better Self regulation
High engage-ment
Developmental delays and stress
Children with developmental delays or children who are at risk for developmental delays (due to low birth weight, Down syndrome, etc.) often have multiple stressors (e.g., difficulties in sensory integration, frustration, delays in communication abilities, self regulation problems in temperament, feeding etc.)
Stressors may impact brain systems and brain circuitry (Porges, 1996)
Brain structures are malleable and affected by stress hormones
Hippocampus - brain structure important for learning and memory
Amygdala - mediates physiology and behavior and reaction to fear, emotions
Prefrontal cortex - important for learning, memory, executive function
Brain structures are malleable and impacted by stress hormones
Hippocampus - brain structure important for learning and memory
STRESS atrophy and memory impairments
Amygdala - mediates physiology and behavior, reaction to fear, very strong emotions
Prefrontal cortex - important for learning, memory,
executive function
Brain structures are malleable and affected by stress hormones
Hippocampus - brain structure important for learning and memory STRESS atrophy and memory impairments
Amygdala - mediates physiology and behavior, reaction to fear, very strong emotions
STRESS growth responses and anxiety/aggression
Prefrontal cortex - important for learning, memory, executive function
Brain structures are malleable and affected by stress hormones
Hippocampus - brain structure important for learning and memory STRESS atrophy and memory impairments
Amygdala - mediates physiology and behavior, reaction to fear, very strong emotions
STRESS growth responses and anxiety/aggression
Prefrontal cortex - important for learning, memory, executive function
STRESS atrophy and memory impairments
Stress impact brain systems and brain circuitry
Stress release of neurotransmitters (monoamines, amino acids, neuropeptides) and hormones (cortisol, ACTH)
Stress impacts connections between thalamus and amygdala and HPA axis and diminishes ability to calm down, focus, etc.
Chronic stress associated with learning problems and deficits in emotion regulation
Advances in molecular biology and understanding brain development
Path from fertilized egg to newborn to developing infant and toddler:
Not rigidly determined by genetic program
Dramatically influenced by experiences
Early experiences can change the neural connections in the developing brain.
Early experiences can alter how genes are expressed in the developing brain.
New York Academy of Sciences2006 Conference: Resilience in Children
Parenting behaviors impact sensory, perceptual and emotional systems in developing organism INDEPENDENT
from genes (Meaney et al., 2000, 2002)
Biology impacts parental behaviors Hormones involved (oxytocin, estrogen, prolactin) 9 genes isolated
Feb 26-28, 2006 Washington, DC
Parent-child interactions can buffer stress in infants/toddlers
Brain development and parent-child interactions
Parent-child interactions impact brain development
Parent-child interactions can impact how genes are expressed
Responsive parent-child interactions promote accelerated development of sensory, perceptual cognitive and emotional systems
Research has shown that: Parent-child interactions characterized by
responsivity are associated with higher levels of sensory, perceptual, cognitive, emotional development
Responsive parenting: Secure attachments Improved self-regulation
Advances in molecular biology have implications for early interventions for children with
developmental delays
Healthy brain development is supported by:
Interaction with caring people Touch Consistent responsive
relationships Positive affect Healthy environments
Sensory and social experiences are changed
Stress is reduced by parent education & support
Brain development is positively impacted by support of responsive parent-child interactions
Early intervention services are effective because:
Parent-child interactions are central to effective early intervention services
EI services can: Provide optimal stimulation Support healthy development of brain Wire the brain for learning Promote attachment processes
NYC EI Program aims to harness the power of family-child interactions
Traditional role of the interventionist (Guralnick,1997)
Traditional direct services One-on-one structured services in therapy
room Not in natural environment Parents not typically involved in session Time-limited and time-specific
Family participation in early intervention services improves child and family outcomes (Guralinick, 1997, 2005)
Consistent benefits of family involvement for early intervention:
“Without family involvement, intervention is likely to be unsuccessful, and what few effects are achieved are likely to disappear once the intervention is discontinues” (Bronfenbrenner, 1974)
Handbook of Effective Early Intervention (Guralinick, 1997)
“The most effective programs are those where parents are closely involved…” (Comptroller General, 1979)
“Interventions adapted to a particular child and family which include the family are most likely to benefit the child” (Landy, 2006)
“Parents act in synergy with many influences, most notably, the child’s biologically based characteristics but also… the family, preschool, child care center, school, neighborhood, community and larger culture.” (p. 247) Berger, 2001, Awakening Children’s Minds: How
Parents And Teachers Can Make A Difference, Oxford Univ. Press
Children are most influenced by factors that impact interactions in daily life
Family
Neighborhood
Child-parent interactions
Society, Culture
Bronfenbrenner, 1974
Developmental Systems Model(Guralnick, 2000; 2005)
CHILD CHARACTERISTICS & STRESSORS
FAMILY PATTERNS OF INTERACTION
CHILDDEVELOPMENT
OUTCOMES
Quality of Transactions
Child Experiences
Health and Safety
Individual Differences
of Child
Families AsPartners:
Message 1: The
human brain
changes
with experience.
Families AsPartners:
Message 2: Parent-
child interactions
are a powerful
component
of early intervention.
EffectiveEarly
Intervention Child, Parent,
Interventionist FAP
Forms
Family Involvement
Assessment of Effectiveness
Families As Partners in EI
Part 1, Section 2
Families As Partners – the Early Intervention Program
Rationale and principles
Keys elements that support family involvement
Forms: IFSP, Session Notes, Calendar or other Communication Tool, Progress Note-Provider, Progress Note-Parent
NYC Department of Health and Mental Hygiene’s Early Intervention Program
Services provided to 35,000 children Queens, Brooklyn, Bronx, Manhattan,
Staten Island Approximately 130 providers > 400 million dollar/year budget Children referred by pediatricians, parents,
Early Head Start programs, etc.
Services in Early Intervention Program
special instruction speech pathology and audiology occupational therapy physical therapy psychological services nursing services nutrition services social work services vision services assistive technology devices family education and counseling, home visits, parent support groups family training service coordination
Families As Partners: Goals Increase family/caregiver involvement
in EI services Incorporate EI services into the
natural routines of the child and family
FAP is designed to ensure that families receive education and training to support their child’s development EI
Family
Child
Families As Partners
Goals of Families as Partners
Improve developmental outcomes for children
Increase family skill and confidence in supporting child development
Early Intervention is focused on the ‘child in the context of the family’
We now know that doing a session just with a child is simply not enough!!
Early Intervention is designed to include the family so they can continue practicing skills with the child between sessions
Families As Partners is a system designed to empower families – ALL families
Families As Partners: Principles
When families learn to use natural routines as learning opportunities, they can continue helping their child between sessions with the EI interventionist
When families use natural routines as learning opportunities, they can continue helping their child after families leave EI
Family characteristics at entry to Early Intervention services:
43% in poverty 16% in single parent household; 63%
with biological father; 20% with another child with special needs
7% foster care 38% have > 3 environmental risks
Based on NEILS (2004) representative sample
Family characteristics at entry to Early Intervention services:
43% in poverty 16% in single parent household; 63%
with biological father; 20% with another child with special needs
7% foster care 38% have > 3 environmental risks
Based on NEILS (2004) representative sample
These factors can provide challenges to healthy
family interactions!
FAP principles support healthy child development and positive family-child relationships
Keys to the FamiliesAs Partners system
1. Clear messages to parents (and pediatricians) about family involvement and effective early intervention
2. Forms designed to support family involvement3. Individualized service plans for manageable family
involvement4. Ongoing training for EI staff and providers5. Continued quality improvement by monitoring
service fidelity and treatment effectiveness
Keys to Improving Services through Family Involvement
1. Clear messages to parents (and pediatricians) about family involvement and effective early intervention
2. Forms designed to support family involvement3. Individualized service plans for manageable family
involvement 4. Extensive training for EI staff and NYC providers5. Monitoring and accountability of service fidelity and
treatment effectiveness
Message 1: Family involvement in EI can enhance child development
Message 2: In EI, families will be coached to learn
new ways to help their child’s development
Natural Routines: Interventionists will help the family use their everyday activities to help improve their child’s skills
Message 3: These activities are NOT home work but simply part of the every day experience that families have.
Message 4: Frequent and continued family involvement will enhance EI services for your child
Messages to families
Service coordinator Brochures Letter to families Outreach to pediatricians Outreach to child care programs including
Early Head Start
Keys to Improving Services through Family Involvement
1. Clear messages to parents (and pediatricians) about family involvement and effective early intervention
2. Forms designed to support family involvement3. Individualized plans for manageable family
involvement 4. Extensive training for EI staff and Providers5. Monitoring and accountability of service fidelity
and treatment effectiveness
Keys to Improving Services through Family Involvement
1. Clear messages to parents (and pediatricians) about family involvement and effective early intervention
2. Forms designed to support family involvement3. Individualized service plans for manageable
family involvement 4. Extensive training for EI staff and Providers5. Monitoring and accountability of service fidelity
and treatment effectiveness
Keys to Families As Partners
Forms are designed to support family involvement
At initial IFSP meeting During services with child and families Between services to child and families At 3 month intervals to assess progress
on outcomes
Keys to Families As Partners
Forms are designed to support family involvement--OVERVIEW
At IFSP meeting IFSP paperwork has changed (see Part 2 of
training)
Individualized Family ServicePlan Meeting
TWO VERY IMPORTANT POINTS
(1) IFSP contract is for services with family involvement
(2) How family can be involved (time schedules, language issues,family limitations, etc.) must be identified at IFSP meeting
“planning for family involvement”
Keys to Families As Partners
Forms are designed to support family involvement
During services … SESSION NOTE
… FAP CALENDAR
FAP forms guide family involvement: SESSION NOTE
NEW AND IMPROVED—DESIGNED TO SUPPORT AND DOCUMENT FAMILY INVOLVEMENT
SESSION NOTEChild’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Worked with child o Worked with parent/caregiver and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply):O Reviewed Calendar with parent
0 Discussed session activity withy parent/caregiver 0 Parent/caregiver unavailableO Showed parent/caregiver activity0Paren/caregiver tried activity,therapist assisted 0 Therapist used alternate tool to work with parent (e.g., phone call, notebook)
List Family Plan/Calendar Activity for next week:
Just like now, interventionists must document what was done with child and how child responded.
SESSION NOTEChild’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Worked with child o Worked with parent/caregiver and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply):O Reviewed Calendar with parent
0 Discussed session activity withy parent/caregiver 0 Parent/caregiver unavailableO Showed parent/caregiver activity0Paren/caregiver tried activity,therapist assisted 0 Therapist used alternate tool to work with parent (e.g., phone call, notebook)
List Family Plan/Calendar Activity for next week:
WHAT IS NEW: The interventionist must document how the family was involved.
SESSION NOTEChild’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Worked with child o Worked with parent/caregiver and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply):O Reviewed Calendar with parent
0 Discussed session activity withy parent/caregiver 0 Parent/caregiver unavailableO Showed parent/caregiver activity0Paren/caregiver tried activity,therapist assisted 0 Therapist used alternate tool to work with parent (e.g., phone call, notebook)
List FAP Calendar Activities:
WHAT IS NEW: The interventionist must also record what activities she/he taught the family to practice with the child.
Information about how the family was involved in the session
Documentation of specific activities taught to family members by the interventionist
Session Note requires:
SESSION NOTEChild’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Worked with child o Worked with parent/caregiver and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply):O Reviewed Calendar with parent
0 Discussed session activity withy parent/caregiver 0 Parent/caregiver unavailableO Showed parent/caregiver activity0 Paren/caregiver tried activity,therapist assisted 0 Therapist used alternate tool to work with parent (e.g., phone call, notebook)
List Family Plan/Calendar Activity for next week:
Date________________________________________________________________________________________________________________________________________________________________________________________Signatures_______________________________________________________
“Take out your copy of the
SESSION NOTE!”
SESSION NOTEChild’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Worked with child o Worked with parent/caregiver and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply):O Reviewed Calendar with parent
0 Discussed session activity withy parent/caregiver 0 Parent/caregiver unavailableO Showed parent/caregiver activity0Paren/caregiver tried activity,therapist assisted 0 Therapist used alternate tool to work with parent (e.g., phone call, notebook)
List Family Plan/Calendar Activity for next week:
Date________________________________________________________________________________________________________________________________________________________________________________________Signatures_______________________________________________________
SESSION NOTEChild’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Treated child o worked with parent/caregiver and child together o worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply): O Discussed session activity with parent/caregiver O Showed parent/caregiver activity O Parent/caregiver tried activity, therapist assisted
List Family Plan/Calendar Activity for next week:
Date________________________________________________________________________________________________________________________________________________________________________________________Signatures_______________________________________________________
Write in IFSP Outcome HERE
SESSION NOTEChild’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Treated child o Worked with parent/caregivener and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply) O Discussed session activity with parent/caregiver o Revuewed Calendar with parent O Showed parent/caregiver activity o Parent/caregiver unavaiklableO Parent/caregiver tried activity, therapist assisted o Therapist used alternate tool to work with parent/caregiver (e.g. phone call, notebook
List Family Plan/Calendar Activity for next week:
Date________________________________________________________________________________________________________________________________________________________________________________________Signatures_______________________________________________________
Write Child/Family progress HERE
SESSION NOTEChild’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Treated child o Worked with parent/caregiver and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply) O Discussed session activity with parent/caregiver o Revuewed Calendar with parent O Showed parent/caregiver activity o Parent/caregiver unavaiklableO Parent/caregiver tried activity, therapist assisted o Therapist used alternate tool to work with parent/caregiver (e.g. phone call, notebook
List Family Plan/Calendar Activity
Date________________________________________________________________________________________________________________________________________________________________________________________Signatures_______________________________________________________
Write activities completed during session HERE
SESSION NOTEChild’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Treated child o Worked with parent/caregiver and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply) O Discussed session activity with parent/caregiver o Revuewed Calendar with parent O Showed parent/caregiver activity o Parent/caregiver unavaiklableO Parent/caregiver tried activity, therapist assisted o Therapist used alternate tool to work with parent/caregiver (e.g. phone call, notebook
List Family Plan/Calendar Activity
Date________________________________________________________________________________________________________________________________________________________________________________________Signatures_______________________________________________________
Activities with parent/caregiver
Activities with parent/caregiver: Check off all that apply
Discussed session activity with parent/caregiver
Showed parent/caregiver activity
Parent/caregiver tried activity, therapist assisted
Activities with parent/caregiver (cont.)
Reviewed calendar with parent/caregiver
Parent/caregiver unavailable
Therapist used alternate tool to work with parent/caregiver (e.g., phone call, log, notebook)
SESSION NOTEChild’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Treated child o Worked with parent/caregiver and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply) O Discussed session activity with parent/caregiver o Revuewed Calendar with parent O Showed parent/caregiver activity o Parent/caregiver unavaiklableO Parent/caregiver tried activity, therapist assisted o Therapist used alternate tool to work with parent/caregiver (e.g. phone call, notebook
List Family Plan/Calendar Activity
Date________________________________________________________________________________________________________________________________________________________________________________________Signatures_______________________________________________________
Write here what you and the parent decided would be a good activity that would fit in the family’s routines, and
That they could try until the next time the therapist comes. Answer ‘what is the
family to practice with the child?”
SESSION NOTEChild’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Treated child o Worked with parent/caregiver and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply) O Discussed session activity with parent/caregiver o Revuewed Calendar with parent O Showed parent/caregiver activity o Parent/caregiver unavaiklableO Parent/caregiver tried activity, therapist assisted o Therapist used alternate tool to work with parent/caregiver (e.g. phone call, notebook
List Family Plan/Calendar Activity
Date________________________________________________________________________________________________________________________________________________________________________________________Signatures_______________________________________________________
what, and where OR when
IMPORTANT & REQUIRED
SESSION NOTEChild’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Treated child o Worked with parent/caregiver and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply) O Discussed session activity with parent/caregiver o Revuewed Calendar with parent O Showed parent/caregiver activity o Parent/caregiver unavaiklableO Parent/caregiver tried activity, therapist assisted o Therapist used alternate tool to work with parent/caregiver (e.g. phone call, notebook
List Family Plan/Calendar Activity
Date________________________________________________________________________________________________________________________________________________________________________________________Signatures_______________________________________________________
what, where OR when
FOR THE SESSION NOTE TO BE COMPLETETHIS MUST BE ON THE SESSION NOTE!
What is required in a Session Note?
Notation of IFSP outcomes Documentation of activities that therapists
teach parents to practice Record of child’s responses to session Record of family involvement Record of specific calendar activities
(what, where, OR when)
The FAP Session Note is a tool to LINK interventionists and families
Keys to Families As Partners
Forms are designed to support family involvement
During services … SESSION NOTE
… FAP CALENDAR
During services: FAP CALENDARS*
* Or other communication tool
The FAP Calendar is a daily reminder of activities that families can practice with their child to enhance development
The FAP Calendar is designed to support parent-child learning activities that occur during the daily routines of the family
Posting the FAP Calendar on the fridge may be ideal for many families…
FAP Calendar
That looks like a FAP
Calendar!
…as the kitchen is often a central part of a family’s home and the calendar can be easily seen and shared with the EI team.
FAP Calendar
Did he say FAP or YAP?
FAPFAPFAPFAPFAPFAP
During services: FAP CALENDARS*
* or other communication tool
“Take out your copy of
the FAPCALENDAR”
FAP CALENDAR: a communication tool for family involvement !
Families as Partners CALENDAR: a communication tool for family involvement !
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
______________
________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
________________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Interventionist and parent/caregiver
review what to work on for the next week.
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
what, when, where
________________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Interventionist writes in activities
for family to try
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
________________________
Su
+
M
+
T
+
+
+
W
+
T
-
F
-
+
+
S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Family can keep track of when activities in the Family Plan are
practiced HERE + (plus) means it went well - (minus) means not so well
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
Family feedback here!
Therapist adjustments here!
________________________
_________________________
_________________________
_________________________
S+
+
m
-
-
T
+
-
W
-
+
+
T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Family gives feedback-- how the activities are working, questions and concerns.
Interventionist writes adjustments to plan HERE
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
______
_____________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:___mom IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Family member(s) who complete the calendar puts their
name(s) here
FAP CALENDAR: Example
Consider treatments for communication delays: how might the family support child outcomes?
Show parent how to respond to child so more
conversation is generated
Show parent how to get conversations started with the child
Show parent how to deal with everyday communication issues in daily routines
Thinking in FAP : 3 questions
Interventionist thinking…
1) What activities can families complete between sessions to support progress?
2) What are the routines of this family and how can those activities be designed to fit within the routines of THIS family?
3) How can I communicate these activities to THIS family?
FAP thinking: IFSP to Calendar
Activities must be clearly
communicatedto THIS family
Use your
expertise to help parent adjust the
routine slightly
to work on child’s needs
Learn the
routines of this family
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
Practice sounds at meal times and at bath time
_______
________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Interventionist and parent design activities that support IFSP
outcome –Interventionist writes them here!
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
Practice sounds at meal times and at bath time
_______
________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Include what to do, where, and
when (Identify a family
routine!)
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
Practice sounds at meal times and at bath time
_______
________________________
Su
M
-
T
-
W T
+
+
+
F
S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Family makes a mark when he/she practices the activities and codes the baby’s response “ + ” means activity went well “ – ” means it did not go well
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
Practice sounds at meal times and at bath time
_______
________________________
Su
+
+
M
=
T
=
W
++
T
=
+
+
F S
-
+
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Before meals baby fussed At bath she enjoyed it
Family can provide feedback here– what worked, what
didn’t work?
What would it mean to design calendar activities with FAP thinking?
What, when and where included
Fits into daily routine of the family
Culturally sensitive and family-friendly language
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
EXAMPLE.“Child will imitate names of familiar body parts”
______________
________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Does this example illustrate the design of a calendar activity using FAP thinking???
What, when and where included?
Fits into daily routine of the family?
Family-friendly language?
“Child will imitate names of familiar body parts”
Does this example illustrate the design of a calendar activity using FAP thinking?
What, when and where included? NO
Fits into daily routine of the family? NO
Family-friendly language? NO
“Child will imitate names of familiar body parts”
What would it mean to design a calendar activity with FAP thinking?
What, when and where included
Fits into daily routine of the family
Family-friendly language
“Child will imitate names of familiar body parts”
Designed with FAP thinking:
“Practice pointing to body parts during dressing and bath time”
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
Mom will name body parts during dressing and bath time
______________
________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Let’s look at another example!
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
Do more lively activities with Siobhan –
before meals sing songs
at playtime use touching game we practiced today
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Therapist designs activities to address
IFSP outcomes and fit with family life
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
Do more lively activities with Siobhan –
before meals sing songs
at playtime play touching game we practiced today
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
WhatWhere OR When
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
Do more lively activities with Siobhan –
before meals sing songs
at playtime play touching game we practiced today
Baby screamed when we played touching game
________________
________________
________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Family can write in how the plan
worked
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
Do more lively activities with Siobhan –
before meals sing songs
at playtime play
tapping game we played today
Play the game only on her hands not head
________________
________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Interventionist makes
adjustments to the Family Plan
FAP CALENDAR: Example for a child receiving two services
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
___________________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
___________________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny ServiceNiki Gupta Speech Therapist ___________________________________Rachel Woo Occupational Therapist
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Speech Therapist and Occupational
Therapist share a
calendar
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
1) During mealtime, position Max and use word play
2) In stroller, position Max so he can see clearly and hold a toy
___________________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny ServiceNiki Gupta Speech THERAPIST ___________________________________Rachel Woo Occupational Therapist
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
OT designs two activities based on
family priorities
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
1) During mealtime, position Max and use word play
2) In stroller, position Max so he can see clearly and hold a toy
3) Practice blowing bubbles with Max at playtime
________________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny ServiceNiki Gupta Speech THERAPIST ___________________________________Rachel Woo Occupational Therapist
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Speech Therapist adds a third activity
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
1) During mealtime, position Max and use word play like in our session
2) In stroller, position Max so he can see clearly and hold a toy
3) Practice blowing bubbles with Max at playtime
________________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny ServiceNiki Gupta Speech THERAPIST ___________________________________Rachel Woo Occupational Therapist
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
What, where and when to do activity!
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
1) During mealtime, position Max and use word play 2) In stroller, position Max so he can see outside world and hold a toy 3) Practice blowing bubbles with Max at playtime
____________________________
Su
+
M
+
T
+
+
+
W
+
T
-
F
-
+
+
S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Family members can make a mark on the calendar when they
practice the activities and code their baby’s
response
“+” means it went well“ - ” means it didn’t go
well
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
1) During mealtime, position Max and use word play 2) In stroller, position Max so he can see outside world and hold a toy 3) Practice blowing bubbles with Max at playtime
Max can’t sit up straight in high chair or stroller. HELP!
___________________
___________________
___________________
___________________
Su
+
M
+
T
+
+
+
W
+
T
-
F
-
+
+
S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Any family member can write
in comments, questions etc.
Need to ask family at each
session “how is it going?”
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:________________________________________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
1) During mealtime, position Max and use word playrachel
2) In stroller, position Max so he can see outside world and hold a toy rachel
3) Practice blowing bubbles with Max at playtime niki
Max can’t sit up straight in high chair or stroller. Help!
OT- I will show parent how to use towel to help provide support for Max, BB 6/3/06
___________________
___________________
___________________
Su
+
M
+
T
+
+
+
W
2+
T
1-
F
1-
+
+
S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
At each session, the
interventionist reviews
calendar with family, makes
modifications to activities.
.
Session Notes and Calendars work together to increase family involvement
Sessions in EI consist of: Discussion of calendar activities and parent
feedback Explicit modeling by interventionist and skill
building of parent Supportive coaching for family involvement
FAP emphasizesfamily involvement:
Families receive coaching during EI sessions Interventionists discuss with family how to
implement activities that support child’s development
If parents are not present for a session, they should receive a phone call or notes, pictures, e- mails, examples, etc. from the interventionist
Recommended reading:
Coaching Families and Colleagues in Early Childhood by Barbara E.Hanft, Dathan D. Rush and M’Lisa L. Shelden ( 2004) Baltimore: Brookes.
Practical guidebook on ways to coach families in natural settings to support
their child’s development
…the family loses
the calendar?
…or...
Great idea! Love the FAP Calendar! Great tool for
behavior change but what if…
…the dog eats the calendar!
…the babies hide the calendar!
…the toddler uses the FAP calendar for her own family plan!
FAP Calendars are easy to replace!
Interventionists need to carry copies of calendars with them to each session and replace as needed
Interventionists have their own record of family plan activities (on session notes)
Other communication tools that can be documented are also acceptable
All interventionists are required to discuss the
calendar or other tool with the parent. BUT…
PARENTS MAY CHOOSE TO NOT use a calendar at all Use one calendar for all therapists Use one calendar for each therapist working
with child Use one calendar at their home and one at
Grandma’s or the daycare or babysitter’s
Replacing a calendar may happen frequently for some families!
Interventionists must make continued efforts to involve each family in EI services
Authentic involvement
Manageable involvement
Calendars, behavior change and powerful early intervention…
Monitoring tools (e.g., calendars) are used in many fields of psychology, counseling, health maintenance, medication adherence, etc.
Calendars can support the practice of learning activities as part of daily routines
Consistent family interaction is powerful early intervention
…the family has difficulty with the calendar or needs extensive instruction?
Great idea! Love the FAP Calendar! Great tool for
behavior change but what if…
Family Training (FT) and manageable family involvement
Family Training (FT) is an established EI service that may be offered at IFSP meeting to further support family involvement in EI
FT allows one-on-one sessions for family to receive additional assistance in learning how to support their child’s development (family must be present)
DON’T MISUNDERSTAND THIS!!! Families are expected to be involved in all sessions.
EVERY SESSION whether billed as SP, OT, PT, SI, FT is expected to:
Involve the family Include review of the calendar, or other
communication tool Include efforts by interventionist to
communicate with family to receive feedback
Family Training: Who provides it?
Family training (FT) may be assigned to any of the interventionists approved to provide EI services
FT may also be used by the interventionist and family to train a babysitter, nanny or other family member on the best ways to interact with the child
Family Training (FT) may be authorized at IFSP for a specific number of sessions to be used as needed during the IFSP period
As with all EI services, FT is optional and individualized for each family
Family Training in FAP
Families AsPartners:
Message 3: In FAP,
family involvement
is expected at each
session.
Message 4: The FAP forms guide service
delivery.
Families AsPartners:
Message 5: The FAPCalendar is the
presumptive
communication
tool between
interventionists
and families.
Video Example: Jenni
Video Example of FAP Principles: Jenni
2 ½ year old girl in mono-lingual Spanish speaking family of 5
Diplegic cerebral palsy and delays in walking and expressive language
Video shows how therapists work with family to build intervention activities into family routines
8 minutes
Questions about the video
How does the video captures principles of FAP?
In the video a second provider who spoke fluent Spanish was brought in for consultation. What other strategies could be used? What other strategies have you used?
Jenni and FAP Forms
Jenni and FAP forms
Take out the one page handout marked Jenni (left side of folder). Collaborate with your video-watching partner.
Look at session note (top half of HANDOUT) and imagine that you were one of the interventionists for Jenni. Fill out a session note.
Look at FAP calendar (bottom half of HANDOUT). Write one activity for Jenni’s family to practice between sessions in space marked Family Plan. (WHAT< WHERE< WHEN)
SESSION NOTE (Jenni)Child’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Worked with child o Worked with parent/caregiver and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply):O Reviewed Calendar with parent
0 Discussed session activity withy parent/caregiver 0 Parent/caregiver unavailableO Showed parent/caregiver activity0Paren/caregiver tried activity,therapist assisted 0 Therapist used alternate tool to work with parent (e.g., phone call, notebook)
List Family Plan/Calendar Activity for next week:
Date________________________________________________________________________________________________________________________________________________________________________________________Signatures_______________________________________________________
SESSION NOTE (Jenni)Child’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Worked with child o Worked with parent/caregiver and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply):O Reviewed Calendar with parent
0 Discussed session activity withy parent/caregiver 0 Parent/caregiver unavailableO Showed parent/caregiver activity0Paren/caregiver tried activity,therapist assisted 0 Therapist used alternate tool to work with parent (e.g., phone call, notebook)
List Family Plan/Calendar Activity for next week:
Date________________________________________________________________________________________________________________________________________________________________________________________Signatures_______________________________________________________
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:__ ________________________JENNY________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
______________
________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Examples of family plan activities for Jenni
What Where When
Discuss family plan activities developed by
participants. Evaluate for FAP thinking…
…the family is not literate?
…or only speaks a language that the interventionist is not able to speak?”
“Great idea! Love the FAP Calendar! Great
tool for behavior change but what if…
Communication, calendars and challenges
How could the calendar be used for families in which the parents are not literate or family does not speak English?
What other challenges do you envision?
Discussion– translate some activities for calendar, at IFSP make sure key folks are identified to assist in translating information, photographs, other ideas?
…the child attends a center?”
but what if…
FAP CALENDAR and Center-Based Services
The FAP CALENDAR is the presumptive tool for EI sessions in Center-Based services
An alternate tool which can be documented is acceptable.
Interventionists in EI Center-Based Services currently use many ways to connect with families
Notebooks Notes Send home pictures Weekly updates written in notebook Phone calls E-mails
Using FAP Calendars as part of Center-based Services
FAP Calendar or other tool should become part of ongoing communication (stapled into notebook)
Communication tool should travel from program to home and back with the child
Interventionists should review feedback from calendar or other communication tool at EVERY session
Communication between the family and interventionists is critical for children receiving EI services in centers
Efforts to increase family participation must be documented on Session notes
If a family is not returning the communication tool, efforts are needed to increase family participation
Session Notes and Center-based services
Currently, interventionists use a variety of methods to document the services for children in center-based services
In FAP, the goal is to document the services and document the ways in which the family is involved in EI services
Communication with family should be documented on the session notes
FAP: New expectations for EI Interventionists
Learn about the child/family’s routines Design simple activities that can easily be
made a part of the usual routines Be a coach, a problem solver, a model of how
parent can help build the skills of their child Educate family that their involvement will
enhance their children’s development
EffectiveEarly
Intervention Child, Parent,
Interventionist FAP
Forms
Family Involvement
Assessment of Effectiveness
Video: Evan
Video Example of FAP Principlesin multiple settings: Evan
Evan is an 18 month old boy who has Down syndrome. A majority of his time is at a child care center.
Vignette shows sessions in which child and family goals are to achieve spoon feeding and more effective and active communication.
10 minutes
Watch Video for these specific points
Activities are incorporated into both household and child care settings.
Interventionist models activities for family and teacher (separately).
Interventions and family activities to practice are designed to work on multiple aspects of development.
Video illustrates a FAP session! (Pull out handout marked Evan)
Talk to your video partner --imagine you are Evan’s interventionist…
Sketch out a session note for the home visit shown on the video. Check off boxes!
Write in an activity taught to the family on both the calendar and the session note.
what, where and when
SESSION NOTEChild’s name _________________________________________________________________________________________________________Service provider ______________________________________________________________________________________________________
IFSP OUTCOME ADDRESSED
PROGRESS BY CHILD/FAMILY RELATED TO IFSP OUTCOMES:
O Worked with child o Worked with parent/caregiver and child together o Worked with parent/caregiver aloneActivity During Session:
Activity with parent/caregiver(check all that apply):O Reviewed Calendar with parent
0 Discussed session activity withy parent/caregiver 0 Parent/caregiver unavailableO Showed parent/caregiver activity 0Paren/caregiver tried activity,therapist assisted 0 Therapist used alternate tool to work with parent (e.g., phone call, notebook)
List Family Plan/Calendar Activity for next week:
Date________________________________________________________________________________________________________________________________________________________________________________________Signatures_______________________________________________________
All 3 activities were illustrated in video example of
Evan’s spoon feeding!
NYC EARLY INTERVENTION PROGRAM FAMILIES AS PARTNERS (FAP) CALENDAR FOR MULTIPLE SERVICESChild’s Name:__ ________________________JENNY________ (Last) (First)EI #:_______________________ Dates: From ___/___/___ To ___/___/___
Family Plan
Month of _____(Filled out by Interventionists)
Questions about Family Plan: What worked well in the plan? What didn’t work? Comments, concerns and adjustments. (Filled out by Family/Caregiver or Interventionists)
Parent/Caregiver: Put “+” if the activity worked well and “-” if it didn’t work well. (Filled out by Family?Caregiver)
What activity did the interventionist design for Evan’s parents to practice?
______________
________________________
Su M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
S M T W T F S
Name of Interventionist/ AuthorizedAgeny Service____________________________________________________________________________________________________________________________________________
Family member(s)/Caregiver(s) who completed calendar:_____________________________IMPORTANT!! SAVE!! KEEP THIS PAGE AND GIVE IT TO YOUR SERVICE COORDINATOR!!__
Evan, multiple settings and FAP Interventionist addressed family priorities
and incorporated learning activities into the home AND center/child care settings
MODELING: Interventionist coached Evan’s family and teacher on spoon feeding
PRACTICE: Evan’s family and teacher practiced learning activities and got feedback during a session
EffectiveEarly
Intervention Child, Parent,
Interventionist FAP
Forms
Family Involvement
Assessment of Effectiveness
Families As Partners : Co-Visits, Provider and Parent Progress Notes
Part 1, Section 3
Families as PartnersInvolvement must be manageable
Children who receive more than one service need to receive integrated and coordinated family plan activities
Each interventionist can see what the others are working on through the FAP calendar
Co-Visit Session is another way to support coordination and integration of services
Review the letter from the STATE OF NEW YORK about Co-Visits
Letter Barbara McTague, Acting Director, Early Intervention Program, Division of Family Health, State of New York Department of Health
(electronic version attached)
Co-Visit Session: What is it?
Single session with 2 or more interventionists AND parent and child
Single session with 2 or more interventionists AND parent
Co-Visit Session:
Offered for families of children with multiple and severe delays
Not authorized routinely (weekly or biweekly) Can take place at family home or provider site
as specified on IFSP Not a separate service
Co-treat child Assess child’s progress Solve problems related to treatment Determine priorities for ongoing treatment Develop plan to integrate multiple services Provide instruction/training for parent Integrate services
Co-Visits: Purpose must be one of the following
Co-Visit Session: When appropriate?
Two or more interventionists are providing services
Multiple delays are severe Advantageous for treatment plan Advantageous to increase family
involvementNOT routine
Co-visits support the rationale and practice of
FAP. The Co-visit Session Note has been designed to guide integration of services
Co-Visit Session Note
Co-Visit SESSION NOTEChild’s Name______________________________________ DOB:_________ EI#_____________ List Co-Visit participants. Include name and role (discipline of interventionist):
Date: __/__/__ Date Session Note written: __/__/__Time: From____ To____ Location of Co-Visit (check one): o Home 0 Center
______________________________________________________________________________________________________________________________
IFSP OUTCOMES ADDRESSED:
PROGRESS OF CHILD?FAMILY RELATED TO ISFSP OUTCOMES:_____________________________________________________________________________________________________________DISCUSSION AT CO-VISIT If Appropriate: ACTIVITY AT CO-VISIT WITH
PARENT/CAREGIVER (check all that apply):o Discussion session activity with parent/caregiver
oParent/caregiver tried activity, interventionist assistedo Showed parent/caregiver activityo Reviewed Calendar with parento Interventionist used alternate tool to work w/ parentoOther (describe)
___________________________________________________________________________________________________________________________________________________________________
FAMILY PLAN FOR NEXT MONTH FOLLOW-UP BY TEAM OF INTERVENTIONISTS (listplans and strategies to (1) support next month’s Family Plan and (2) integrate services):
Co-Visit
What is required in the Co-Visit Session Note?
Notation of IFSP Outcomes Documentation of discussion at co-visit If appropriate, documentation of direct service
activities at co-visit Record of collaborative Family Plan for month
(must be duplicated on Calendar) Record of follow-up plans by EI team to (1) support Family Plan and (2) integrate
services
Co-Visit SESSION NOTEChild’s Name______________________________________ DOB:_________ EI#_____________ List Co-Visit participants. Include name and role (discipline of interventionist):
Date: __/__/__ Date Session Note written: __/__/__Time: From____ To____ Location of Co-Visit (check one): o Home 0 Center
______________________________________________________________________________________________________________________________
IFSP OUTCOMES ADDRESSED:
PROGRESS OF CHILD?FAMILY RELATED TO ISFSP OUTCOMES:_____________________________________________________________________________________________________________DISCUSSION AT CO-VISIT If Appropriate: ACTIVITY AT CO-VISIT WITH
PARENT/CAREGIVER (check all that apply):o Discussion session activity with parent/caregiver
oParent/caregiver tried activity, interventionist assistedo Showed parent/caregiver activityo Reviewed Calendar with parento Interventionist used alternate tool to work w/ parentoOther (describe)
___________________________________________________________________________________________________________________________________________________________________
FAMILY PLAN FOR NEXT MONTH FOLLOW-UP BY TEAM OF INTERVENTIONISTS (listplans and strategies to (1) support next month’s Family Plan and (2) integrate services):
Co-Visit
Write here the IFSP Outcome addressed
Co-Visit SESSION NOTEChild’s Name______________________________________ DOB:_________ EI#_____________ List Co-Visit participants. Include name and role (discipline of interventionist):
Date: __/__/__ Date Session Note written: __/__/__Time: From____ To____ Location of Co-Visit (check one): o Home 0 Center
______________________________________________________________________________________________________________________________
IFSP OUTCOMES ADDRESSED:
PROGRESS OF CHILD?FAMILY RELATED TO ISFSP OUTCOMES:_____________________________________________________________________________________________________________DISCUSSION AT CO-VISIT If Appropriate: ACTIVITY AT CO-VISIT WITH
PARENT/CAREGIVER (check all that apply):o Discussion session activity with parent/caregiver
oParent/caregiver tried activity, interventionist assistedo Showed parent/caregiver activityo Reviewed Calendar with parento Interventionist used alternate tool to work w/ parentoOther (describe)
___________________________________________________________________________________________________________________________________________________________________
FAMILY PLAN FOR NEXT MONTH FOLLOW-UP BY TEAM OF INTERVENTIONISTS (listplans and strategies to (1) support next month’s Family Plan and (2) integrate services):
Co-Visit
Write progress of child and family related to outcomes
Co-Visit SESSION NOTEChild’s Name______________________________________ DOB:_________ EI#_____________ List Co-Visit participants. Include name and role (discipline of interventionist):
Date: __/__/__ Date Session Note written: __/__/__Time: From____ To____ Location of Co-Visit (check one): o Home 0 Center
______________________________________________________________________________________________________________________________
IFSP OUTCOMES ADDRESSED:
PROGRESS OF CHILD?FAMILY RELATED TO ISFSP OUTCOMES:_____________________________________________________________________________________________________________DISCUSSION AT CO-VISIT If Appropriate: ACTIVITY AT CO-VISIT WITH
PARENT/CAREGIVER (check all that apply):o Discussion session activity with parent/caregiver
oParent/caregiver tried activity, interventionist assistedo Showed parent/caregiver activityo Reviewed Calendar with parento Interventionist used alternate tool to work w/ parentoOther (describe)
___________________________________________________________________________________________________________________________________________________________________
FAMILY PLAN FOR NEXT MONTH FOLLOW-UP BY TEAM OF INTERVENTIONISTS (listplans and strategies to (1) support next month’s Family Plan and (2) integrate services):
Co-Visit
Confirm and record thesessions for month and next co-visit session. Identify and record any new concerns ofparent/caregiver andInterventionists.
Co-Visit SESSION NOTE
Child’s Name______________________________________ DOB:_________ EI#_____________Interventionist’s Name:______________________________ Discipline:_______________________Interventionist’s Name:______________________________ Discipline:_______________________Interventionist’s Name:______________________________ Discipline:_______________________Date: __/__/__ Time: From____ To____ Location of Co-Visit (check one): o Home o Center_______________________________________________________________________________________________________________
______IFSP OUTCOMES ADDRESSED:______________________________________________________________________________________________
_DISCUSSION AT CO-VISIT ACTIVITY AT Co-VISIT:
Indicate only one: Worked with caregiver and childWorked with caregiver aloneWorked with child alone Check all that apply:o Discussed session activity with parent/caregivero Parent/caregiver tried activity, interventionist assistedo Showed parent/caregiver activityo Reviewed Calendar with parento Interventionist used alternate tool to work w/ parentoOther (describe)
Co-Visit Check off the boxes that apply and write in additionalinformation as appropriate
Co-Visit SESSION NOTEChild’s Name______________________________________ DOB:_________ EI#_____________Interventionist’s Name:______________________________ Discipline:_______________________Interventionist’s Name:______________________________ Discipline:_______________________Interventionist’s Name:______________________________ Discipline:_______________________Date: __/__/__ Time: From____ To____ Location of Co-Visit (check one): o Home o Center_____________________________________________________________________________________________________________________IFSP OUTCOMES ADDRESSED:________________________________________________________________________________________________DISCUSSION AT CO-VISIT If Appropriate: ACTIVITY AT CO-VISIT WITH
PARENT/CAREGIVER (check all that apply):X Discussion session activity with parent/caregiver
X Parent/caregiver tried activity, interventionist assisted
X Showed parent/caregiver activity
X Reviewed Calendar with parento Interventionist used alternate tool to work w/ parentoOther (describe)
PT and ST worked on positioning in high chair to improve
breath control to enhance speech production. Showed
parent
____________________________________________________________________________________________________________________________________________________
Co-Visit Write in what activities done with multiple interventionists, parent/caregiver, and child
Co-Visit SESSION NOTEChild’s Name______________________________________ DOB:_________ EI#_____________
Interventionist’s Name:______________________________ Discipline:_______________________
Interventionist’s Name:______________________________ Discipline:_______________________
Interventionist’s Name:______________________________ Discipline:_______________________Date: __/__/__ Time: From____ To____ Location of Co-Visit (check one): o Home o Center
_____________________________________________________________________________________________________________________
IFSP OUTCOMES ADDRESSED:
________________________________________________________________________________________________
DISCUSSION AT CO-VISIT If Appropriate: ACTIVITY AT CO-VISIT WITH
PARENT/CAREGIVER (check all that apply):o Discussion session activity with parent/caregiver
oParent/caregiver tried activity, interventionist assisted
o Showed parent/caregiver activity
o Reviewed Calendar with parent
o Interventionist used alternate tool to work w/ parent
oOther (describe)
____________________________________________________________________________________________________________________________________________________
FAMILY PLAN FOR NEXT MONTH FOLLOW-UP BY TEAM OF INTERVENTIONISTS (list
plans and strategies to (1) support next month’s Family Plan and (2) integrate services):
Co-Visit
Write here specific activities for family to practice between now and next session Specific activities should be designed by the team of interventionists
Specific activities must be designed
using FAP thinking (family involvement should be connected to family routines)
Co-Visit SESSION NOTEChild’s Name______________________________________ DOB:_________ EI#_____________
______________________________________________________________________________________________
DISCUSSION AT CO-VISIT If Appropriate: ACTIVITY AT CO-VISIT WITH
PARENT/CAREGIVER (check all that apply):o Discussion session activity with parent/caregiver
oParent/caregiver tried activity, interventionist assisted
o Showed parent/caregiver activity
o Reviewed Calendar with parent
o Interventionist used alternate tool to work w/ parent
oOther (describe)
__________________________________________________________________________________________________________________________________________________
FAMILY PLAN FOR NEXT MONTH FOLLOW-UP BY TEAM OF INTERVENTIONI
plans and strategies to (1) support next month’s Plan and (2) integrate services):
Co-Visit
1. During mealtime, position Max and use word play
2. In stroller, position Max so he can see clearly and hold a toy
3. Practice blowing bubbles with Max at afternoon playtimes
Co-Visit SESSION NOTEChild’s Name______________________________________ DOB:_________ EI#_____________
Interventionist’s Name:______________________________ Discipline:_______________________
Interventionist’s Name:______________________________ Discipline:_______________________
Interventionist’s Name:______________________________ Discipline:_______________________Date: __/__/__ Time: From____ To____ Location of Co-Visit (check one): o Home o Center
_____________________________________________________________________________________________________________________
IFSP OUTCOMES ADDRESSED:
________________________________________________________________________________________________
DISCUSSION AT CO-VISIT If Appropriate: ACTIVITY AT CO-VISIT WITH
PARENT/CAREGIVER (check all that apply):o Discussion session activity with parent/caregiver
oParent/caregiver tried activity, interventionist assisted
o Showed parent/caregiver activity
o Reviewed Calendar with parent
o Interventionist used alternate tool to work w/ parent
oOther (describe)
____________________________________________________________________________________________________________________________________________________
FAMILY PLAN FOR NEXT MONTH FOLLOW-UP BY TEAM OF INTERVENTIONISTS (list
plans and strategies to (1) support next month’s Family Plan and (2) integrate services):
Co-Visit
Write in specific thingsthat interventionists will do to support planand other directives tobetter integrate services
Co-Visit SESSION NOTE
FOLLOW-UP BY TEAM OF INTERVENTIONISTS (list plans and strategies to (1) support next month’s Family Plan and (2) integrate services:
Co-Visit
1) PT will show parent how to adjust high chair and use household items to provide support
2) PT will show positioning to babysitter 3) PT will teach positioning outside of home4) Speech T-make sure child is positioned properly during
feeding sessions5) PT and Speech T- Use repetitive simple labeling during
sessions
FAP Calendars and Co-Visit Session Notes
Together the FAP Calendar and Co-Visit Session Note guide session activities for therapists and family members.
Feedback and discussion of integrated services for child
Coordinated skill building for family members Integration of activities for family members Supportive and sensitive coaching for family
involvement
This sounds better and better! Are there other
FAP forms to support
family involvement?
Keys to Families As Partners system
Forms are designed to support family involvement
Provider Progress Note - EVERY 3 MONTHS
FAP Provider ProgressNote: What is required?
Information about progress towards each IFSP outcome
Details about family involvement Specific instruments for assessment noted Information about challenges to family
partnership Information about how family feedback was
used to address barriers
Provider Progress Note- Page 1IFSP Outcome (s)___ Rate Progress in This Time Period__________________ No Little Moderate Great deal Outcome
__________________ Progress Progress Progress of Progress Achieved__________________________ O O O O O
How did you work with the family to help the child to reach this outcome?_____________________________________________________________________________________________________________________________________________________________________________________________________________________________
IFSP Outcome (s)___ Rate Progress in This Time Period__________________ No Little Moderate Great deal Outcome
__________________ Progress Progress Progress of Progress Achieved__________________________ O O O O O
How did you work with the family to help the child to reach this outcome?_____________________________________________________________________________________________________________________________________________________________________________________________________________________________
IFSP Outcome (s)___ Rate Progress in This Time Period__________________ No Little Moderate Great deal Outcome
__________________ Progress Progress Progress of Progress Achieved__________________________ O O O O O
How did you work with the family to help the child to reach this outcome?_____________________________________________________________________________________________________________________________________________________________________________________________________________________________
Provider Progress Note- Page 1IFSP Outcome (s)___ Rate Progress in This Time Period__________________ No Little Moderate Great deal Outcome
__________________ Progress Progress Progress of Progress Achieved__________________________ O O O O O
How did you work with the family to help the child to reach this outcome?_____________________________________________________________________________________________________________________________________________________________________________________________________________________________
IFSP Outcome (s)___ Rate Progress in This Time Period__________________ No Little Moderate Great deal Outcome
__________________ Progress Progress Progress of Progress Achieved__________________________ O O O O O
How did you work with the family to help the child to reach this outcome?_____________________________________________________________________________________________________________________________________________________________________________________________________________________________
IFSP Outcome (s)___ Rate Progress in This Time Period__________________ No Little Moderate Great deal Outcome
__________________ Progress Progress Progress of Progress Achieved__________________________ O O O O O
How did you work with the family to help the child to reach this outcome?_____________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please look in your packet and pull out a
Provider Progress Note!
Provider Progress note- Page 1
IFSP Outcome (s)___ Rate Progress in This Time Period__________________ No Little Moderate Great deal
Outcome
__________________ Progress Progress Progress of Progress Achieved
_______________________ O O O O O
How did you work with the family to help the child to reach this outcome?__________________
_____________________________________________________________________________
_____________________________________________________________________________
Write an IFSP Outcome Here
Provider Progress note- Page 1
IFSP Outcome (s)___ Rate Progress in This Time PeriodChild communicates___ No Little Moderate Great deal
Outcome
_effectively_________ Progress Progress Progress of Progress Achieved
_______________________ O O O O O
How did you work with the family to help the child to reach this outcome?__________________
_____________________________________________________________________________
_____________________________________________________________________________
Write the IFSP Outcome Here
Provider Progress note- Page 1
IFSP Outcome (s)___ Rate Progress in This Time Period__________________ No Little Moderate Great deal
Outcome
__________________ Progress Progress Progress of Progress Achieved
_______________________ O O O O O
How did you work with the family to help the child to reach this outcome?__________________
_____________________________________________________________________________
_____________________________________________________________________________
Estimate the child’s progress in previous 3 month-period
Provider Progress note- Page 1
IFSP Outcome (s)___ Rate Progress in This Time Period__________________ No Little Moderate Great deal
Outcome
__________________ Progress Progress Progress of Progress Achieved
_______________________ O O O O O
How did you work with the family to help the child to reach this outcome?__________________
_____________________________________________________________________________
_____________________________________________________________________________
Report on how you achieved this(sum up session notes)
Provider Progress note- Page 1
IFSP Outcome (s)___ Rating of Progress of IFSP Outcomes
Communicateseffectively No Little Moderate Great deal Outcome
Progress Progress Progress of Progress Achieved
O O x O O
How did you work with the family to help the child to reach this outcome?__________________
Worked with family members to practice words with child across the day (meals, baths, visits to grandma, grocery shop.) Met parent during shopping trips to demonstrate how to generate language during grocery shopping expedition. Met with grandma to do same.
Report on your services(summary of session notes)
Provider Progress Note – Page 2
1. For the 3 and 9 month report, provide a description of child’s progress and current level of functioning. For the 6 and 12 month report, provide the description of progress; in addition, please estimate the percentage of delay at the end of the 6 and 12 month period and state how that was determined; e.g., criterion referenced instrument, developmental checklist, or clinical opinion (Standard deviation scores or formal evaluations are not required).
2. List factors that limit the collaboration between parent and interventionist. How have you addressed these factors? Be specific.
3. How have you used feedback from the family to modify how you work with the family? Be specific and provide examples.
4. Recommendations (include here any new IFSP outcomes, or changes in strategies and activities):
Identified challenges to family involvement can be addressed quickly
Keys to Families As Partners system
Forms are designed to support family involvement
Parent Progress Note - EVERY 3 MONTHS
The Parent Progress Note has two main goals
Parent progress note makes clear that:
family feedback is important and needed
the family partnership with EI is a priority
FAP Parent Progress Note
Parent completes PPN with Service Coordinator
every 3 months
The FAP Parent Progress Notes support
our partnership with families
FAP Parent Progress Note1. Have you seen positive changes in your child as a result of EI
services? 2. Have you been taught skills or given ways to help support your
child’s growth? 3. Do you and the therapists/teachers review which activities are
working well and which are not working well? 4. For home based: Were the therapists or teachers flexible about
scheduling services for you and your child (days, nights, weekends)?For center based: Did the teacher or therapist keep in touch with you?
5. What are your current concerns about your child? Are there new skills you would like to learn?
In Families as Partners, there are clear expectations for families:
Communicate frequently with the EI interventionist
Learn activities from the EI interventionist to practice with your child during daily routines
Give feedback to the EI interventionist(s) as to how the learning activities are working in your family’s daily life
In Families as Partners,
there are clear expectations for interventionists:
Design activities to address priorities of families and design activities to fit into family routines
Coach families to learn and practice activities between sessions (home & center)
Support families to become more confident and flexible such that families can enhance children’s learning and development
FAP: A System for More Effective Early Intervention
Family involvement is expected during EI sessions and between EI sessions
Major focus in EI is on partnership of the interventionist and the family
The FAP system supports this partnership through documentation, assessments
Team EI
Keys to the FamiliesAs Partners system
1. Clear messages to parents (and pediatricians) about family involvement and effective early intervention
2. Forms designed to support family involvement3. Individualized plans for manageable family
involvement 4. Extensive training for EI staff and Providers5. Monitoring and accountability of service fidelity
and treatment effectiveness
Families AsPartners:
Message 6: The FAPSession note, Co-Visit
Session note, Provider
Progress Note, and
Parent Progress Note
guide the
implementation of
service delivery.
EffectiveEarly
Intervention Child, Parent,
Interventionist FAP
Forms
Family Involvement
Assessment of Effectiveness
End of FAP TRAINING Part 1 of 2