Team-Based Early Intervention Overview

1. Team-Based Early Intervention Overview

2. Agenda • How did we get to Team-based Early Intervention? • What does Team-based Early Intervention look like? • What does it mean for service coordinators? • What does it mean for families? • What’s next?

3. How Did We Get to Team-Based Early Intervention Services?

5. The Foundation IDEA Part C Regulations requires each State to: include State policy that is in effect and that ensures that appropriate early intervention services are based on scientifically based research, to the extent practicable, and are available to all infants and toddlers with disabilities and their families.

6. Evidence-Based Practices “Practices that are informed by research, in which the characteristics and consequences of environmental variables are empirically established and the relationship directly informs what a practitioner can do to produce a desired outcome.” (Dunst, Trivette, & Cutspec, 2002)

8. Key Principles for Early Intervention Services 1. Infants and toddlers learn best through everyday experiences and interactions with familiar people in familiar contexts. 2. All families, with the necessary supports and resources, can enhance their children’s learning and development. 3. The primary role of a service provider in early intervention is to work with and support family members and caregivers in children’s lives. 4. The early intervention process, from initial contacts through transition, must be dynamic and individualized to reflect the child’s and family members’ preferences, learning styles and cultural beliefs. Workgroup on Principles and Practices in Natural Environments (November, 2007) Mission and principles for providing services in natural environments. OSEP TA Community of Practice-Part C Settings.

9. Key Principles for Early Intervention Services 5. IFSP outcomes must be functional and based on children’s and families’ needs and family-identified priorities. 6. The family’s priorities, needs and interests are addressed most appropriately by a primary provider who represents and receives team and community support. 7. Interventions with young children and family members must be based on explicit principles, validated practices, best available research, and relevant laws and regulations. Workgroup on Principles and Practices in Natural Environments (November, 2007) Mission and principles for providing services in natural environments. OSEP TA Community of Practice-Part C Settings.

10. What do Team-Based Early Intervention Services Look Like?

12. Team-Based Early Intervention • What it doesn’t look like: • What it looks like:

13. Team-Based Early Intervention What it looks like… What it doesn’t look like… • Family-centered • Strength based • Natural environments • Coaching • Team decision making • Team lead and joint home visits • Child centered • Deficit based • Center-based • Directing • Professional driven • Separate home visit by each team member

14. AzEIP Core Team DSI SLP OT PT Clipart by Picsburg - http://free.clipartof.com/

15. Early Intervention Team

16. Other IDEA, Part C Services • Assistive technology • Audiology • Family training, counseling, and home visits • Health services necessary to enable the child to benefit from another early intervention service • Medical services only for diagnostic or other evaluation purposes • Nursing • Nutrition • Transportation and related costs necessary for child and family to receive early intervention services • Vision services • Sign language and cued language

17. Team Lead • Who is a team lead? • How is a team lead identified? • What is the role of a team lead?

18. Team Lead • PT, OT, SLP, DSI, Psych, SW, ASDB Vision or Hearing Specialist can be a team lead • Identified by the IFSP team, which includes the parents • Primary provider who represents and receives team support

19. Dual Role Not just DSI/SC

20. ASDB Hearing and Vision Specialists(formerly Outreach Coordinator or Certified Parent Advisor) ASDB Hearing and Vision Specialists are generally certified Teachers of the Deaf or Teachers of the Visually Impaired, qualified to provide: • Service Coordination • Special Instruction • Vision Services: Functional Vision Assessment, Orientation and Mobility • Sign Language and Cued Language

21. Team Meeting Opportunity for team members to: • Collaborate • Coach one another • Share information/Updates • Brainstorm Microsoft Free ClipArt Images

22. Coaching • Building the capacity of care providers to promote child learning and development in family, community, and early childhood settings • Also occurs between team members to increase a practioner’s ability to reflect upon and learn from their practices

25. What Does Team-Based Early Intervention Mean for ASDB and DDD Service Coordinators?

26. Service Coordination • DDD retains service coordination for Targeted (AHCCCS Acute Care Eligible) and ALTCS eligible children • ASDB retains service coordination for ASDB eligible children • AzEIP Contractor provides service coordination for AzEIP-only and DDD only eligible (non ALTCS non-Targeted) children • Under certain circumstances ASDB and DDD may request AzEIP Contractor provide service coordination

27. What remains the same for ASDB and DDD service coordinators?

28. Coordination of child and family assessments • Coordinating and monitoring services • Family Rights; Family Cost Participation, Consents • Accessing other services • Coordinating with community resources • Coordination and documentation of transition activities for children exiting AzEIP

29. What Will be New? • Work as Part of a team: • Assigned team available to provides services – no more Service Inquiries • Participate in regular team meetings • Participate in quarterly reviews for children/families • Coordinate and schedule with team members • Collaborate with other team members • IFSP team members participate in IFSP reviews and are available for assessments

30. Team Meetings What if I can’t be there? Who should attend? How is ASDB involved? Do we talk about every family EVERY week? How is DDD involved? What if I work with multiple AzEIP teams? What if I need to talk about a child/family NOW? Microsoft Office Clip Art How are parents involved?

33. What Does This Mean for Families?

34. What We Know Now! • New AzEIP contracts will serve all AzEIP eligible children using Team Based Early Intervention Services • Children birth-3 years old enrolled in ASDB and ASDB will be transitioned to the new AzEIP Contractors to receive their early intervention services • Most families currently ASDB or DDD eligible will experience a change in the organizations/agencies and/or the individuals who are currently providing early intervention services for their family

37. How Will Families Be Notified of Changes? • Notifications sent to families by November 2012 • Additional notifications of team serving family’s zip code will be sent to families • DDD/ASDB service coordinators will receive copies of letters to prepare for questions from families ***Ensure parent’s mailing addresses are up to date

38. How Will the Transition from Current Providers to New Providers Happen? • New Contracts will be awarded in December of 2012 • New AzEIP Contractors will begin accepting referrals February 2013 • DES/AzEIP, DDD, and ASDB will work with the current providers and the newly contracted providers to prepare for the transition of existing families to the new AzEIP Contractors • Full transition of families already enrolled with DDD or ASDB to new AzEIP Contractors is expected to take a few months

39. How Can We Best Support Families During Transition? • Familiarize yourself with the Key Principles of Early Intervention • Be timely in responding to questions from families • Answer questions if you know the answer • If you don’t know the answer(s), let the family know that you will look into it and get back to them

40. Change Our attitude about the changes will come through to the families we serve; if we seek to be positive, it will help the family in the long term

41. Take care of yourself • Being okay not knowing everything • Focus on what is known and learn all you can about it • Talk to others who are experiencing the same change • Change takes time and is a process

42. THANK YOU!