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Upecc early childhood_april_2011


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Upecc early childhood_april_2011

  1. 1. “Don’t Worry. But Don’t Wait.” Welcome to the 2011 UPECC Early Childhood Conference Stefanie Rathburn, Training & Technical Assistance Specialist Workshop Session VI: Saturday, April 16th, 2011 2:30 pm - 3:30 pm
  2. 2. Learning Objectives 1. Learn about Michigans early intervention system, Early On® 2. How to make a referral 3. Red flags of development
  3. 3. Organizational Structure OFFICE OF INNOVATIVE PROJECTSEarly On® Training & Technical Assistance • Personnel development for Early OnPre-Service • Early On Center for Higher EducationEarly On Public Awareness • Child find for Infants and Toddlers (Birth to age 3)Project Find • Child find for special education (0 to 26)619 Training and Technical Assistance• Early Childhood Special Education Focus 3 to 5
  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 U.S. Congress - IDEA US Dept of Education -Office of Special Education Programs Michigan Interagency Michigan State Board of Education Coordinating Council (MICC) Major Grantees: Michigan Department • Qualitative Compliance Michigan MichiganDepartment Department of Education Information Project • Early On Training & of of Office of Early Childhood Technical AssistanceCommunity Human Health Services Education & Family Services • EO Public Awareness • MI Alliance for Families/ (MDCH) (DHS) (MDE) Parent Training & Information • Interagency Information Local Service Areas/ Systems • Inter-Tribal Council of Public Community Intermediate School Districts Michigan Health Mental (57) • MI Compliance Info System Health (funded by Part B) Early On Coordinators Local Interagency Coordinating Council (LICC)
  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 HealthServices Physicians Insurance Hospitals Early Head Start Social Services Early Intervention & Mental Health Educational Services Childrens Special Health Care Health Easter Seals Department Child Care
  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)• 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
  10. 10. Established ConditionsEstablished Conditions: Children with established conditions are those from birth through agetwo who have a diagnosed physical or mental condition that has a high 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. 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, • Social Work Counseling & Home • Psychological Visits Services• Nursing Services • Health Services• Nutrition Services • Service Coordination• Occupational • Transportation Therapy • Vision Services
  19. 19. When to Make a Referral• If an established condition exists, its 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, i.e., 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 Make a Referral1. Visit www.1800EarlyOn.org2. Call 1-800-EARLY ON (327-5966)3. Fax 1-517-668-04464. Contact your local county Early On directly
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  27. 27. (3-25)
  28. 28. Order Public Awareness Products Growth ChartsBrochures & Bookmarks Magnets
  29. 29. Bookmark These Websites1-800-EARLY ON1800EarlyOn.org1-800-252-0052ProjectFindMichigan.org1-866-334-KIDSeotta.ccresa.org