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“Don’t Worry. But Don’t Wait.”
                 Victoria Meeder,
            Public Awareness Supervisor
                 ...
Learning Objectives
             1. Learn about
                Michigan's early
                intervention system,
    ...
Organizational Structure
OFFICE OF INNOVATIVE PROJECTS

Early On® Training & Technical Assistance
  – Personnel developmen...
What is Early On®

•   A statewide system of early intervention services
    mandated by federal legislation (Part C of ID...
Purpose of Part C

• To enhance the development of
  infants and toddlers;
• To reduce costs to our society;
• To maximize...
Structure of Part C in Michigan
                                 United States Congress
                    Individuals wi...
Early On Services Are:

• Strength(s) based
• Family Centered
• Based on parent/professional
  partnerships
• Based on int...
Early On is a System of Services

  Health                                Insurance
 Services            Physicians
      ...
Eligibility for Early On Services

• Any infant or toddler with an established condition
  (i.e., a physical or mental con...
Established Conditions

•   Chromosomal anomaly/genetic disorders (e.g. Down
    syndrome)
•   Neurological disorders (e.g...
Delay in 1 of more of the categories:


 •   Physical (including hearing and vision)
 •   Gross and Fine Motor Development...
What is the Early On® timeline?

• Parental Notification
  – Within 10 days of referral
• Evaluation and Assessment
  – Wi...
Parent Notification

•   When first contact is made to parents, they need to know 3
    things
    1. What is Early On
   ...
Developmental Evaluation

• Two people (or more) from different professions or
  disciplines
  – Consists of 5 parts
     ...
Health Appraisal

• Obtain information about past and
  current health
  – Physical Examination
    • By doctor, nurse, or...
Individual Family Service Plan

• The IFSP meeting will include:
  –   Results of the evaluation
  –   Concerns of the par...
Review of the Plan of Service

•   Every Six-Months or sooner a Review of the IFSP
    outcomes must be evaluated
•   At l...
Services Provided by Early On

•   Assistive Technology          •   Speech Therapy
    Services                      •   ...
When to Make a Referral

• If an established condition exists, it's best
  practice to share information about Early
  On....
Red Flags at 6 Months

  •   Infant not reaching for objects
  •   Not yet rolling over from stomach to back
  •   Does no...
Red Flags at Twelve Months

   • Persistent mouthing of objects
   • Excessive self-stimulation
   • Cannot stand when sup...
Red Flags at 18 Months

   •   Not walking independently
   •   Walks on tiptoes
   •   Excessive rocking
   •   Withdrawn...
Red Flags at 24 Months

   •   Inability to walk up and down stairs
   •   Any regression of skills
   •   No two word phr...
Discussing Potential Referral

•    Discuss concern(s) with parent
•    If they share concern(s), proceed with a referral....
How to Place a Referral




1. Visit www.1800EarlyOn.org
2. Call 1-800-EARLY ON (327-5966)
3. Fax 1-517-668-0446
4. Contac...
1800EarlyOn.org
ProjectFindMichigan.org
Join Early On Michigan On Facebook
Follow Our Twitter Tweets




http://twitter.com/ChildFindMich
Order Public Awareness Products
                        Developmental
Brochures & Bookmarks          Wheels
              ...
Thank You for Attending
            1-800-EARLY ON
           1800EarlyOn.org

            1-800-252-0052
         Project...
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MiAEYC March 25th, 2010

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Transcript of "MiAEYC March 25th, 2010"

  1. 1. “Don’t Worry. But Don’t Wait.” Victoria Meeder, Public Awareness Supervisor & Stefanie Rathburn, Training & TA Specialist MiAEYC Annual Early Childhood Conference March 25th, 2010 10:45 am - 12 noon
  2. 2. Learning Objectives 1. Learn about Michigan's early intervention system, Early On® 2. How to make referrals 3. Red flags of development
  3. 3. Organizational Structure OFFICE OF INNOVATIVE PROJECTS Early On® Training & 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 to age 3) Project Find – Child find for special ed. (0 to 26 yr's.)
  4. 4. What is Early On® • A statewide system of early intervention services mandated by federal legislation (Part C of IDEA) • Part C = birth to 3 years • Part B = 3 to 21 years • 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. 5. Purpose of Part C • To enhance the development of infants and toddlers; • To reduce costs to our society; • To maximize the potential of individuals with disabilities; • To enhance the capacity of families…; • To enhance the capacity of states…
  6. 6. Structure of Part C in Michigan United States Congress Individuals with Disabilities Education Act (IDEA) US Dept of Education Office of Special Education Programs Michigan Interagency Michigan State Board of Education Coordinating Council (MICC) MI Dept. MI Dept. Major Grantees: of of Michigan Department of Education • Qualitative Compliance Office of Early Childhood Information Project Comm. Human • Early On Training & Health Services Education & Family Services Technical Assistance • EO Public Awareness • MI Alliance for Families • MI Compliance Info System Dept of Comm. (funded by Part B) Public Mental Local Service Areas/ Intermediate School Districts Local Interagency Health Health (57) Coordinating Council (LICC) Early On Coordinators
  7. 7. Early On Services Are: • Strength(s) based • Family Centered • Based on parent/professional partnerships • Based on interagency collaboration
  8. 8. Early On is a System of Services Health Insurance Services Physicians Hospitals Social Services Early Head Start Early Intervention Children's Special Services Mental Health Health Care Health Child Care Dept. Easter Seals
  9. 9. Eligibility for Early On Services • Any infant or toddler with an established condition (i.e., a physical or mental condition likely to lead to a delay) • Any infant or toddler with a developmental delay • Change in Eligibility Beginning July 2010 • Up to 2 Months of Age Any Delay Will Qualify • 2 to 36 Months of Age 20% Delay Required
  10. 10. Established Conditions • Chromosomal anomaly/genetic disorders (e.g. Down syndrome) • Neurological disorders (e.g., cerebral palsy) • Congenital malformations (e.g., heart or cleft lip) • Inborn errors of metabolism • Sensory disorders • Atypical developmental disorders (e.g., autism) • Severe toxic exposure (e.g., alcohol or drug exposed) • Chronic illnesses (e.g., cystic fibrosis) • Severe infectious diseases
  11. 11. Delay in 1 of more of the categories: • Physical (including hearing and vision) • Gross and Fine Motor Development • Communication Development • Cognitive Development • Social/Emotional Development • Adaptive (self-help)
  12. 12. What is the Early On® 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. 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) • Every family receives at no charge 1. Evaluation and assessment 2. Service coordination 3. Development of an IFSP
  14. 14. Developmental Evaluation • Two people (or more) from different professions or disciplines – Consists of 5 parts • Cognitive Development • Physical Development, including vision and hearing, gross and fine motor • Communication Development • Social or Emotional Development • Adaptive Development • Parent input should be considered in all areas
  15. 15. Health Appraisal • Obtain information about past and current health – Physical Examination • By doctor, nurse, or nurse practitioner • Must be conducted within: – 3 months for a child 18 months or under – 6 months for a child over 18 months
  16. 16. Individual Family Service Plan • The IFSP meeting will include: – Results of the evaluation – Concerns of the parents – Outcomes desired by the parents for their child – Outcomes in natural environments and – daily routines – Supports needed by the family – Early intervention services identified to support the outcomes
  17. 17. Review of the Plan of Service • Every Six-Months or sooner a Review of the IFSP outcomes must be evaluated • At least every 12 months a new IFSP is developed • Up to nine months before a child turns three years of age a transition planning meeting is held
  18. 18. Services Provided by Early On • Assistive Technology • Speech Therapy Services • Physical Therapy • Audiology Services • Special Instruction • Family Training, Counseling • Social Work & Home Visits • Psychological • Nursing Services Services • Nutrition Services • Health Services • Occupational Therapy • Service Coordination • Transportation • Vision Services
  19. 19. When to Make a Referral • 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. 20. Red Flags at 6 Months • Infant not reaching for objects • Not yet rolling over from stomach to back • Does not make eye contact • Does not laugh or squeal * (see handout for additional information about typical development and red flags for children birth to 48 months of age)
  21. 21. Red Flags at Twelve Months • 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, pointing, or shaking head
  22. 22. Red Flags at 18 Months • 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. 23. Red Flags at 24 Months • 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. 24. Discussing Potential 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. 25. How to Place a Referral 1. Visit www.1800EarlyOn.org 2. Call 1-800-EARLY ON (327-5966) 3. Fax 1-517-668-0446 4. Contact your local county Early On directly
  26. 26. 1800EarlyOn.org
  27. 27. ProjectFindMichigan.org
  28. 28. Join Early On Michigan On Facebook
  29. 29. Follow Our Twitter Tweets http://twitter.com/ChildFindMich
  30. 30. Order Public Awareness Products Developmental Brochures & Bookmarks Wheels Growth Charts Magnets
  31. 31. Thank You for Attending 1-800-EARLY ON 1800EarlyOn.org 1-800-252-0052 ProjectFindMichigan.org 1-866-334-KIDS eotta.ccresa.org
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