Child Find & Eligibility

1. Child Find& Eligibility Kansas Infant Toddler Services – KDHE Kansas Inservice Training System (Sarah, Kelly, Peggy)

2. Webinar Instructions • We recommend use of a land line.  This will allow for clearest reception for you and for the presenters when you ask a question. Dial into conference line : a. 866.620.7326 b. Conference Code:  6365188914 If youneedassistanceplease Contact KimPageatkpage@ku.eduorcall620--‐421--‐6550, Ext. 1638.

3. Today’s Agenda • Child Find • Primary Referral Sources • Guidelines for Established Risk or “Auto Eligible” • Evaluation and Assessment Process • Social-Emotional Eligibility • Informed Clinical Opinion • Re-determining Eligibility

4. Participant Outcomes • Participants will better understand the responsibilities of child find and referral activities required by Kansas Infant Toddler Services. • Participants will better understand the guidelines for “Established Risk” or “Auto Eligibility” required by Kansas Infant Toddler Services. • Participants will better understand the evaluation and assessment process with regard to social-emotional eligibility, informed clinical opinion, and the re-determination of eligibility.

5. Child Find • Child Find is a 12 month responsibility • Primary referral sources to refer a child to the part C program “as soon as possible but in no case more than seven days” after identification. Basically, all or your early childhood partners are primary referral sources • Referral sources you might not think about: Domestic violence shelters and agencies • Critical to work with foster care!

6. Referral of Specific At-Risk Infants and Toddlers • Child is subject of substantiated case of child abuse or neglect • Child is identified as directly affected by illegal substance abuse or withdrawal symptoms resulting from prenatal drug exposure • Diagnosis of fetal alcohol syndrome and effects

7. Required Scope of Child Find • Indian infants and toddlers with disabilities residing on reservation • Infants and toddlers with disabilities who are homeless in foster care, and wards of State • Definition of homeless

8. Primary Referral Sources • Hospitals – including prenatal and postnatal care facilities • Physicians • Parents – including parents of infants and toddlers • Child Care programs/Early Learning Programs (EHS, PAT) • LEAs and schools

9. Primary Referral Sources (continued) • Public Health facilities (Local Health Departments) • Other clinics and health care providers (Sound Beginnings) • Public agencies and staff in the child welfare system – including child protective services and foster care • Homeless family shelters • Domestic violence shelters and agencies.

10. Child Find Responsibilities • To find every eligible child. This responsibility extends to your local ICC and community primary referral sources • Screening for child find is NOT subject to Prior Written Notice (PWN), Consents, etc.

11. Guidelines for Established Risk or “Auto Eligible” • Neonatal Conditions and Associated Complications. These are children diagnosed with one or more of the following neonatal conditions known to have developmental implications: a. Gestational age less than 27 weeks or birth weight less than 1,000 grams; b. Neonatal encephalopathy with neurological abnormality persisting at discharge from the neonatal intensive care unit; c. Moderate to severe ventricular enlargement at discharge from the neonatal intensive care unit or a ventriculoperitoneal shunt;

12. Guidelines for Established Risk or “Auto Eligible” d. Neonatal seizures, stroke, meningitis, encephalitis, porencephaly, or holoprosencephaly; e. Bronchopulmonary dysplasia requiring supplemental oxygen at discharge from the neonatal intensive care unit; f. Intrauterine growth retardation; g. Necrotizing enterocolitis requiring surgery; h. Abnormal neurological exam at discharge; i. Intraventricular hemorrhage III ; j. Periventricular leukomalacia.

13. Important • A combination of risk factors that, taken together, makes developmental delay highly probable (including but not limited to a combination of these factors: prematurity < 30 233ks, very low birth weight < 1500 grams, small or large for gestational age, length of hospital stay in newborn period >45 days, family history of hearing impairment, apnea, prolonged ventilation, low Apgar scores)

14. Additional Reminders • Failure to thrive • Prenatal exposure

15. Evaluation and Assessment Process • What are the requirements of evaluation? • How many people need to be involved in evaluation? • How could you use information in the records to establish evaluation? • What are the requirements of assessment? • How many people need to be involved in assessment?

16. Multidisciplinary Evaluation Bo Knows Football and Baseball The involvement of two or more separate disciplines or professions and with respect to: • Evaluation of the child…and assessments of the child and family ... • May include one individual who is qualified in more than one discipline or profession;

17. Social – Emotional Eligibility • You CAN and MUST qualify children even if delays are primarily in the social-emotional area. Not just a good idea.. It is the law.. And our responsibility • Eligibility criteria state the delay must be in one or more of the following areas: cognitive, physical, communication, social or emotional or self-help/adaptive. • Auto eligible = Childhood depression, Reactive attachment disorder, attachment disorder

18. Facts About Young Children with Challenging Behavior • What are the COSTS of failing to address these challenging behaviors? • Children who grow into adolescence with challenging behaviors are likely to drop out of school, be arrested, abuse drugs and alcohol, have marginalized adult lives, and die young.

19. Facts About Young Children with Challenging Behavior • There is evidence to show that young children with challenging behavior are more likely to experience: early and persistent peer rejection, mostly punitive contacts with teachers , family interaction patterns that are unpleasant for all participant , school failure; and; high risk of fatal accidents, substance abuse, divorce, unemployment, psychiatric illness, and early death.

20. Positive Outcomes • Positive peer relationships including understanding of friendship, cooperation, and sharing • Increased self-control, self-monitoring, and self-correction and improved social-emotional health • Academic success • Reduced risk for teen pregnancy, juveniledelinquency, and special education • Decreased risk of withdrawal, aggression, non-compliance, and disruption • Treatment impact on fears, phobias, depression, anxiety, hyperactivity, conduct, and obsessive-compulsive disorders

21. Informed Clinical Opinion • Use with every child as part of eligibility evaluation • When used as the sole reason for eligibility

22. Use of Informed Clinical Opinion • Anytime you use a curriculum based assessment alone to determine eligibility, you would check “informed clinical opinion” as the basis for eligibility on the IFSP. These assessments are not designed to determine a percentage of developmental delay.  The authors, however have often adapted the assessment tools to correlate with scores developmental delay (the AEPS does this). This allows you to make an estimate of the amount of developmental delay the child has, but not a specific % delay. 

23. Use of Informed Clinical Opinion • Kansas Infant Toddler Services allows and highly recommends you use curriculum-based assessments in your eligibility determination rather than a standardized evaluation tool, like the Bailey Scales of Infant Development, or the Battelle Developmental Inventory.  This is because curriculum-based assessments are designed to assess functional skills in everyday contexts and give a more complete picture about how children are actually using what they have got.  They can also be used for program planning and on-going assessment.   Plus, as you know, they are required for COSF ratings.  Utilizing a curriculum-based assessment alone reduces time requirements and unnecessary use of multiple tools. • The additional information after you check the box gives evidence to how you determined eligibility and a clear picture of the process. " Eligibility determined through use of H.E.L.P, interview, observation, and record review".

24. Re-Determining Eligibility? • No need to determine eligibility every year. Eligibility information remains constant. • Auto eligible • Developmental Delay • Clinical Judgment • If child is not longer eligible = IFSP review

25. Questions?

26. After Completion of this Webinar please…. 1. Complete theonlineevaluationavailable at: https://www.surveymonkey.com/s/ZPLBSS6 2. Email the names of those attending the webinar to klawson@ku.edu. This e-mail message will serve as your electronic sign in for the webinar. You will receive a reply message with your certificate of attendance.

27. Goodbye and Thank You!