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MiAEYC Conference 2011 in Dearborn, MI
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MiAEYC Conference 2011 in Dearborn, MI

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  • 1. “Don’t Worry. But Don’t Wait.” 1800EarlyOn.orgVictoriaMeeder, Marketing/PublicAwareness SupervisorStefanie Rathburn,Training & Technical AssistanceSpecialist Find us on Facebook Facebook.com/earlyonmichigan Find us on Twitter Twitter.com/ChildFindMich
  • 2. Learning Objectives 1. Learn about Michigan’s early intervention system, Early On 2. How to make a referral 3. Red flags of development
  • 3. Clinton County RESAOffice of Innovative Projects Early On® Training and Technical Assistance  Personnel development for Early On Pre-Service  Early On Center for Higher Education Early On Public Awareness  Child find for Infants and Toddlers, birth – 3 Project Find  Child find for Special Education, birth – 26 619 Training and Technical Assistance Early Childhood Special Education Focus 3 to 5
  • 4. What is Early On• A statewide system of early intervention services mandated by federal legislation (Part C of IDEA);• Designed to help families find the social, health and educational services that will promote the development of their infants and toddlers with special needs;• Based on partnerships between families and service providers and on collaboration among community agencies, organizations and private practitioners;• Emphasizes early identification and early services.
  • 5. Purpose of Part C•To enhance thedevelopment ofinfants and toddlers;•To reduce costs to oursociety;•To maximize thepotential of individualswith disabilities;•To enhance thecapacity of families…;•To enhance thecapacity of states…
  • 6. Structure of Part C in Michigan US Congress IDEA Michigan Interagency US Dept. of Education Coordinating Council Office of Special Education (MICC) Programs Major Grantees: Michigan State Board of Major Grantees: Education • Qualitative Compliance Information Project • Early On Training &MI Dept. of MI Dept. Technical AssistanceCommunity Michigan Department of of • EO Public Awareness Health Education • MI Alliance for Families/ Human Office of Great Start Parent Training & Services Information • Interagency Information Systems • Inter-Tribal Council ofDept. of Community Local Service Areas/ Michigan Public Intermediate School Districts • MI Compliance Info System Mental Health (funded by Part B)Health (57) Early On Coordinator Local Interagency Coordinating Council (LICC)
  • 7. Early On Services Are:• Strength(s) based• Family Centered• Based on parent/profession al partnerships• Based on interagency collaboration
  • 8. Early On is a System of ServicesHealth Services Physician Insurance Hospital Social Services Early Head Start Children’sSpecial Health Early Intervention Care Services Mental HealthChild Care Health Dept. Easter Seals
  • 9. Eligibility for Early OnServices•Any infant or toddler withan establishedcondition(i.e., a physical ormental condition likely tolead to a delay)•Developmental Delay •Under 2 months of age - any delay •2 to 36 months of age - 20% in one or more areas •Change in Eligibility Began July 2010 Eligibility is not determined by income
  • 10. EstablishedConditionsEstablished Conditions: Children withestablished conditions are those from birththrough age two who have a diagnosedphysical or mental condition that has ahigh probability of resulting in adevelopmental delay.Categories of Established Conditions:• Congenital Anomalies• Chromosomal Anomalies• Infectious Conditions• Endocrine/Metabolic Disorders• Other Diseases• Hearing Deficiency• Other Fetal/Placental Anomalies• Exposures Affecting Fetus• Chronic Illness• Developmental Disorders• Mental Health Conditions
  • 11. Developmental Delayin one of more of thefollowing categories: Physical (including hearing and vision) Gross and Fine Motor Development Communication Development Cognitive Development Social/Emotional Development Adaptive (self-help)
  • 12. What is the EarlyOn® timeline? Parental Notification ◦ Within 10 days of referral Evaluation and Assessment ◦ Within 45 days Individualized Family Service Plan (IFSP) ◦ Within 60 days Transition ◦ Up to nine months before exit ◦ Minimum of 90 days before exit
  • 13. Parent Notification When first contact is made to parents, they need to know 3 things 1) What is Early On 2) Family rights (procedural safeguards) 3) A description of the consent that they must give in order for the child to be evaluated •Consent to evaluate form Authorization to share form (updated every six months or as needed)•Every family receives at nocharge •Evaluation and assessment •Service coordination •Development of an IFSP
  • 14. DevelopmentalEvaluation•Two people (or more) fromdifferent professions ordisciplinesConsists of 5 parts1. Cognitive Development2. Physical Development, including vision and hearing, gross and fine motor3. Communication Development4. Social or Emotional Development5. Adaptive Development•Parentinput should beconsidered in all areas
  • 15. Health AppraisalObtain information aboutpast and current health•Physical Examination •Bydoctor, nurse, or nurse practitioner•Must be conductedwithin: •3 months for a child 18 months or under •6 months for a child over 18 months
  • 16. Individual FamilyService PlanThe IFSP meeting will include:•Results of the evaluation•Concerns of the parents•Outcomes desired bythe parents for their child•Outcomes in naturalenvironments anddaily routines•Supports needed by thefamily•Early interventionservices identified tosupport the outcomes
  • 17. Review of the Planof Service•Every Six-Month orsooner a Review of theIFSP outcomes must beevaluated•Atleast every 12 monthsa new IFSP is developed•Up to nine monthsbefore a child turns threeyears of age a transitionplanning meeting is held
  • 18. Services Provided by Early On Assistive  Speech Therapy Technology  Physical Therapy Services  Special Audiology Services Instruction Family  Social Work Training, Counselin  Psychological g & Home Visits Services Nursing Services  Health Services Nutrition Services  Service Coordination Occupational  Transportation Therapy  Vision Services
  • 19. When to Make aReferral• If an established condition exists, it’s best practice to share information about Early On.• When a parent expresses concern.• When there is an identified red flag about a child’s development.
  • 20. Red Flags at 6Months• Infant not reaching for objects• Not yet rolling over from stomach to back• Does not make eye contact• Does not laugh or squeal(View handout foradditional informationabout typical developmentand red flags for childrenbirth to 48 months of age)
  • 21. Red Flags at TwelveMonths• Persistent mouthing of objects• Excessive self-stimulation• Cannot stand when supported• Uses only one side of body• Not transferring objects from one hand to the other• Not looking for hidden objects• Not using single words• Does not use gestures, e.g., waving, pointi ng, or shaking head
  • 22. Red Flags at 18Months• Not walking independently• Walks on tiptoes• Excessive rocking• Withdrawn• Does not respond to simple requests• Little or no social engagement• Does not point or try to indicate wants
  • 23. Red Flags at 24Months• Inability to walk up and down stairs• Any regression of skills• No two word phrases• Persistent poor transitions• Does not show affection• Does not know and point to 5 body parts
  • 24. DiscussingPotential Referral Discuss concern(s) with parent If they share concern(s), proceed with a referral.If not – what to do? Provide opportunities to observe similar age children Provide information about developmentally appropriate behaviors Keep log of identified concern(s) to share with parents Remind parent about the benefits of Early On, input from specific disciplines Provide an Early On brochure to parent
  • 25. How to Make a Referral • Call 1-800-Early-On • FAX: 517-668-0446 • www.1800EarlyOn.org • Email (link on website) • Online Referral Process • Contact your local county Early On directly
  • 26. www.1800EarlyOn.org
  • 27. www.ProjectFindMichigan.org
  • 28. Join Us on Facebook Facebook.com/EarlyOnMichigan
  • 29. Twitter.com/ChildFindMichFollow Our Tweets
  • 30. Public Awareness Products
  • 31. Thank You for Attending 1-800-Early On (327-5966) www.1800EarlyOn.org 1-800-252-0052www.ProjectFindMichigan.org