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Providing Early Intervention Training in a Local Control State

Providing Early Intervention Training in a Local Control State. National EHDI Conference Salt Lake City, UT March 26, 2007. Nancy Hatfield Director, Early Childhood Washington Sensory Disabilities Services Nhatfield@psesd.org 425/ 917-7828 V/TTY. Amber Roche

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Providing Early Intervention Training in a Local Control State

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  1. Providing Early Intervention Training in a Local Control State National EHDI Conference Salt Lake City, UT March 26, 2007

  2. Nancy Hatfield Director, Early Childhood Washington Sensory Disabilities Services Nhatfield@psesd.org 425/ 917-7828 V/TTY Amber Roche Genetic Services Specialist Washington State Dept. of Health, Genetic Services Amber.roche@doh.wa.gov 253/ 395-6743

  3. 80,000 births 69 birthing hospitals

  4. Our Part C Challenges: • No single point of entry • No State mandate for hearing screening • County-level Part C services • Gaps in specialty services • Cuts in Part C funding

  5. Our Strengths: • Several strongEI models • Strong state EHDDI program • Inter-agency cooperation • Many enthusiastic stakeholders • Commitment from county Part C

  6. EHDDI in WA • Hospital Screening • Tracking & Surveillance • Best Practices Guidelines • EHDDI Summits Timeline 2000 2007

  7. Hospital Screening • Technical assistance to birthing hospitals to initiate & maintain Universal Newborn Hearing Screening programs • Contract with Children’s Hospital & Regional Medical Center (Seattle) • Purchased hearing screening equipment • Partnership with Northwest Lions Foundation; contract with MSR Northwest

  8. Screening Rates 1998-2006 1998-2005:data reported by hospitals via survey (includes military hospitals) *2006: Hearing screening rate obtained from screening results reported to EHDDI Tracking System (does not include military hospitals).

  9. Tracking & Surveillance • Contracted with Limelight Technologies • Used existing Newborn Screening data system to populate EHDDI Tracking system • Data sent from hospitals via modified blood spot cards

  10. Second Hearing Screen EarlyIntervention DiagnosticEvaluation BIRTH First Hearing Screen • By Hospital Discharge or One Month of Age: Hearing Screen • By Three Months of Age: Diagnostic Evaluation • By Six Months of Age: Early Intervention

  11. Best Practices Guidelines • Stakeholders’ meetings: 2001 - 2003 • Through a consensus process, developed: • Protocol for Newborn Hearing Screening • Protocol for Diagnostic Audiologic Assessment (and. . .)

  12. Best Practices Guidelines (cont.) • Best Practices Guidelines in Early Intervention for Children with Hearing Loss Available on DOH EHDDI Website: www.doh.wa.gov/cfh/mch/Genetics/ehddi/default.htm

  13. EHDDI Summits. . . • Leavenworth Summit (Sept. 2003) • Skamania Lodge (Aug. 2005) • Proposed: Alderbrook (November 2007)

  14. EHDDI Summit Goals • Leavenworth: Appropriate intervention, family support, decrease loss to follow-up • Skamania: Develop community plans to ensure that infants with hearing loss meet the 1-3-6 goals; decrease loss to follow-up

  15. EHDDI Summit Outcomes • Evaluation: What did participants learn? • Recommendations • Follow-up actions • Participants • EHDDI Program

  16. Getting to the “I” in EHDDI Our Charge: To help under-served parts of Washington State provide early intervention services to support families with babies newly diagnosed with hearing loss.

  17. Underlying Principles: • EI training will support best practices • Content: speech, language, listening & learning • Focus: Individual counties • Common set of EI - DHH resources • Buy in from EI specialty providers

  18. Specialty DHH Service Areas HSDC/PIP, Listen & Talk, Family Conversations WA School for the Deaf Other Whatcom Underserved Pend Oreille Ferry San Juan Okanogan Skagit Stevens Island Clallam Snohomish Chelan Jefferson Douglas Lincoln Spokane Kitsap King Mason Grays Harbor Kittitas Grant � Adams Whitman Pierce Thurston � Pacific Lewis Franklin Garfield Yakima Walla Walla Cowlitz Benton Asotin Skamania Wahkiakum Klickitat Columbia Clark

  19. Cooperating Agencies

  20. Development of EI Training • Evaluation and selection of training materials (e.g., Ski*Hi Curriculum, videos) • Criteria for inviting counties • Mayflower Hotel meeting: 2004 (Input from DHH program providers)

  21. 1 or more per county

  22. Sequence of EI Training • Invite ~8 targeted counties per year • Hold orientation meeting • Follow-up training menu: • Distance training events (e.g., IVC or online coursework) • Session at Infant & EC Conference • Deaf/HH Family Weekend (May 2006) • On-site coaching

  23. A Word About “Coaching” • Criteria: experience, follow best practices, no current affiliation • Work on county teams’ priorities • May model EI family support, assess-ment, training of community

  24. August 2004: Pack Forest Summer Institute • Participants from 8 invited counties • 8 families with infants & toddlers who are deaf/ hard of hearing • Modeled EI services • Presented content • Panel discussions

  25. Follow Up Training: 2004-05 • Four 3-hr interactive videoconferences: • “Seeing: Visual Communication” • “Listening: Auditory Communication” • “Expressing: Spoken & Signed Comm.” • “Deaf/HH Children w/Special Needs” • On-site coaching • Deaf/HH Family Weekend (May 2005)

  26. County Self Assessment • What are our strengths? • What are our challenges? • Where are we losing babies to follow up? • How do our EI services for families measure up?

  27. EI Training: 2005-06, 2006-07 • Kick-off meeting (1 day) • On-site coaching • Infant & Early Childhood Conference • Deaf/HH Family Weekend (May) • Content via on-line course (40 hrs.): “Facilitating Outcomes: Language, Learning, Speech & Listening”

  28. Participating Counties: 2004 - 2007 2004-05 2005-06 2006-07 Declined 2007-08? Whatcom Pend Oreille Ferry San Juan Okanogan Skagit Stevens Island Clallam Snohomish Chelan Jefferson Douglas Lincoln Spokane Kitsap King Mason Grays Harbor Kittitas Grant Pierce Adams Whitman Thurston Pacific Lewis Franklin Garfield Yakima Walla Walla Cowlitz Benton Asotin Skamania Wahkiakum Klickitat Columbia Clark

  29. Lessons Learned • IMPACTS ON: • County systems • EI services to families • Infants & toddlers • (Based on annual evaluations and two-year follow up survey)

  30. Early Hearing-loss Detection, Diagnosis, and Intervention Website: www.doh.wa.gov/cfh/mch/Genetics/ehddi/default.htm EHDDI Follow-Up Staff ehddi2@doh.wa.gov Phone (206) 418-5613 Fax: (206) 418-5415 Amber Roche Amber.Roche@doh.wa.gov Phone (253) 395-6743 Fax (253) 395-6737

  31. Website: www.wsdsonline.org Nancy Hatfield, Ph.D. Nhatfield@psesd.org Phone (425) 917-7828 V/TTY Fax (425) 917-7838

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