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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 Michigan's early intervention system, Early On® 2. How to make a referral 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 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 Michigan Department Department of Education Information Project • Early On Training & of of Office of Early Childhood Technical Assistance Community 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 Health Services Physicians Insurance Hospitals Early Head Start Social Services Early Intervention & Mental Health Educational Services Children's 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 Conditions Established Conditions: Children with established conditions are those from birth through age two who have a diagnosed physical or mental condition that has a high probability of resulting in a developmental 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, 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, 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 Referral 1. Visit 2. Call 1-800-EARLY ON (327-5966) 3. Fax 1-517-668-0446 4. Contact your local county Early On directly
  26. 26.
  27. 27. (3-25)
  28. 28. Order Public Awareness Products Growth Charts Brochures & Bookmarks Magnets
  29. 29. Bookmark These Websites 1-800-EARLY ON 1-800-252-0052 1-866-334-KIDS