Refresher: Child Outcome Summary Form

1. Refresher: Child Outcome Summary Form Early Childhood Outcomes Center

2. Learning from Each Other • Did you attend a training on the COSF? • Have you participated in a COSF team rating process? • For more than 10 children? 20? 30? • Have you reviewed COSF forms completed by others? • Have you provided training on the COSF? • How confident are you in your knowledge of the COSF process? Early Childhood Outcomes Center

3. Essential Knowledge for Completing the Child Outcomes Summary Form Between them, team members must: • Know about the child’s functioning across settings and situations • Understand age-expected child development • Understand the content of the three child outcomes • Know how to use the rating scale • Understand age expectations for child functioning within the child’s culture Early Childhood Outcomes Center

4. Important point • It is not necessary that all team members be knowledgeable in all 5 areas • Especially, no expectation that parents understand the rating scale or typical child development • But the professionals have to! Early Childhood Outcomes Center

5. Essential Knowledge for Completing the Child Outcomes Summary Form Between them, team members must: • Know about the child’s functioning across settings and situations • Understand age-expected child development • Understand the content of the three child outcomes • Know how to use the rating scale • Understand age expectations for child functioning within the child’s culture Early Childhood Outcomes Center

6. 1. Know about the child’s functioning across settings and situations How we learn about the child’s functioning across settings and situations: Good assessment Early Childhood Outcomes Center

7. DEC* recommended practices for assessment • Involve multiple sources • Examples: family members, professional team members, service providers, caregivers • Involve multiple measures • Examples: observations, criterion- or curriculum-based instruments, interviews, norm-referenced scales, informed clinical opinion, work samples *Division for Early Childhood Early Childhood Outcomes Center

8. Assessment practices appropriate for outcomes measurement: ASHA* ASHA recommended practices: • Gather information from families, teachers, other service providers • Collect child-centered, contextualized, descriptive, functional information (*American Speech-Language-Hearing Association) Early Childhood Outcomes Center

9. Assessment the tool vs. assessment the process Assessment tools can inform us about children’s functioning in each of the three outcome areas Challenge: There is no assessment tool that assesses the three outcomes directly Assessment instruments Early Childhood Outcomes Center

10. Essential Knowledge for Completing the Child Outcomes Summary Form Between them, team members must: • Know about the child’s functioning across settings and situations • Understand age-expected child development • Understand the content of the three child outcomes • Know how to use the rating scale • Understand age expectations for child functioning within the child’s culture Early Childhood Outcomes Center

11. Resources for understanding age-expected child development • ECO link http://www.fpg.unc.edu/~eco/pdfs/Age-expected_child_dev_9-5-07.pdf (under “ECO Tools”) • New course coming soon • Watch ECO web site www.the-eco-center.org Early Childhood Outcomes Center

12. Essential Knowledge for Completing the Child Outcomes Summary Form Between them, team members must: • Know about the child’s functioning across settings and situations • Understand age-expected child development • Understand the content of the three child outcomes • Know how to use the rating scale • Understand age expectations for child functioning within the child’s culture Early Childhood Outcomes Center

13. Outcomes Jeopardy $100 $100 $100 $200 $200 $200 $300 $300 $300 Early Childhood Outcomes Center

14. Children have positive social relationships • Involves: • Relating with adults • Relating with other children • For older children, following rules related to groups or interacting with others Includes areas like: • Attachment/separation/autonomy • Expressing emotions and feelings • Learning rules and expectations • Social interactions and play Early Childhood Outcomes Center

15. Children acquire and use knowledge and skills • Involves • Thinking • Reasoning • Remembering • Problem solving • Using symbols and language • Understanding physical and social worlds • Includes: • Early concepts—symbols, pictures, numbers • Imitation • Object permanence • Expressive language and communication • Early literacy Early Childhood Outcomes Center

16. Children take appropriate action to meet their needs • Involves: • Taking care of basic needs • Getting from place to place • Using tools (e.g., fork, toothbrush, crayon) • In older children, contributing to their own health and safety • Includes: • Integrating motor skills to complete tasks • Self-help skills (e.g., dressing, feeding, grooming, toileting, household responsibility) • Acting on the world to get what one wants Early Childhood Outcomes Center

17. Essential Knowledge for Completing the Child Outcomes Summary Form Between them, team members must: • Know about the child’s functioning across settings and situations • Understand age-expected child development • Understand the content of the three child outcomes • Know how to use the rating scale • Understand age expectations for child functioning within the child’s culture Early Childhood Outcomes Center

18. The two COSF questions a. To what extent does this child show age-appropriate functioning, across a variety of settings and situations, on this outcome? (Rating: 1-7) b. Has the child shown any new skills or behaviors related to [this outcome] since the last outcomes summary? (Yes-No) Early Childhood Outcomes Center

19. 7 – Completely • The child shows behaviors and skills expected in all or almost all everyday situations that are part of the child’s life • Home, store, park, child care, with strangers, etc. • The child’s functioning is considered appropriate for his/her age • No one has significant concerns about the child’s functioning in this outcome area Early Childhood Outcomes Center

20. 6 – Between completely and somewhat • The child’s functioning generally is considered appropriate for his or her age • but there are somesignificant concerns about the child’s functioning in this outcome area Early Childhood Outcomes Center

21. 5 – Somewhat • The child shows functioning expected for his/her age some of the time and/or in some situations • The child’s functioning is a mix of age-appropriate and not appropriate functioning • The child’s functioning might be described as like that of a slightly younger child Early Childhood Outcomes Center

22. 4 – Between a 5 and a 3 • Child shows some age appropriate functioning some of the time or in some situations or settings but most of the child’s functioning would be described as not yet age appropriate. • The child’s functioning might be described as like that of a younger child Early Childhood Outcomes Center

23. 3 – Emerging • The child does not yet show functioning expected of a child his/her age in any situation • The child’s behaviors and skills include immediate foundational skills on which to build age-appropriate functioning • The child’s functioning might be described as like that of a younger child Early Childhood Outcomes Center

24. 2 – Between 3 and 1 • The child does not yet show functioning expected of a child his/her age in any situation • The child’s behaviors and skills does have some the immediate foundational skills on which to build age-appropriate functioning but these are not displayed very often • The child’s functioning might be described as like that of a younger or even much younger child Early Childhood Outcomes Center

25. 1 – Not yet • The child does not yet show functioning expected of a child his/her age in any situation • The child’s skills and behaviors also do not yet include any immediate foundational skills on which to build age-appropriate functioning • The child’s functioning might be described as like that of a much younger child • Children with 1 ratings still have skills, just not yet at an immediate foundational level Early Childhood Outcomes Center

26. Rating Scale Jeopardy $100 $100 $100 $200 $200 $200 $300 $300 $300 Early Childhood Outcomes Center

27. Early Childhood Outcomes Center

28. Essential Knowledge for Completing the Child Outcomes Summary Form Between them, team members must: • Know about the child’s functioning across settings and situations • Understand age-expected child development • Understand the content of the three child outcomes • Know how to use the rating scale • Understand age expectations for child functioning within the child’s culture Early Childhood Outcomes Center

29. Point of clarification • Process is NOT about comparing groups of children – it IS about asking how close children are to being able to do what is expected at their age • Early learning guidelines • Kindergarten and access to the general curriculum Early Childhood Outcomes Center

30. What we are learning nationally The process of training for child outcomes data collection has uncovered other areas of significant need related to professional development. Early Childhood Outcomes Center

31. Providers need to know more about: • Assessment • How to gather assessment data to reflect functioning across settings and situations, especially how to gather child functioning information from families • Understanding the results of the assessment • Sharing assessment results sensitively and honestly with families Early Childhood Outcomes Center

32. Providers need to know more about: • Functional outcomes • What are they? • How do they differ from outcomes organized around domains? • What do they mean for how professionals from different disciplines operate as a team? • Typical child development • What are the functional expectations for children at different ages with regard to each of the 3 outcomes statements? Early Childhood Outcomes Center