The document outlines how to conduct support-based home visits using the Routines-Based Model. It discusses assessing staff practices and ideals using tools like FINESSE. It provides guidance on developing individualized plans by constructing ecomaps, conducting Routines-Based Interviews, writing child and family goals, and collecting baseline data. The document then reviews how to structure home visits using forms like the Next-Steps form, Vanderbilt Home Visit Script, and matrices. It presents a family consultation flow chart and checklist for support-based home visits.

1. Experiencias de L’Alquería… y Algo
Más
Dra. Margarita Cañadas y Dr. Robin McWilliam

2. Contact
robin@mcwilliamconsulting.com
margarita.cañadas@ucv.es
Copy of this PowerPoint will be at ramgroup.info
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3. Outline
How to assess your staff’s typical practice and what
they consider ideal
How to develop an individualized plan, according to
the Routines-Based Model
How to conduct a support-based home visit
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4. How to assess your staff’s typical practice and
what they consider ideal
FINESSE
Family FINESSE
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5. FINESSE
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7. Family FINESSE
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8. Family FINESSE
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9. How to Develop an Individualized Plan,
According to the RBM
Construct an ecomap with the family
Conduct a Routines-Based Interview (RBI/EBR)
Write participation-based child goals
Write family goals
Collect baseline data on
Child functioning in routines
Family quality of life
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10. Construct an Ecomap With the Family
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11. Conduct a Routines-Based Interview (RBI/EBR)
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12. The Routines-Based Interview
 Go through each “routine” (i.e., time of day or activity)
 Get a sense of family’s and child’s functioning
 Write down significant information
 Star the concerns
 Recap concerns with the family, showing them the starred items
 Ask what the family would like to concentrate on
 Write down these outcomes
 Ask them for the priority order
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13. Structure
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Home Routines
Waking up
Changing diaper/bathroom
Going to kitchen
Breakfast
Parent getting dressed
Going out
In shops
Lunch
Going to park
Other family members
coming home
Dinner preparation
Dinner
Bath
TV
Bedtime
“Classroom” Routines
Arrival
Circle
Free play
Snack
Small toys
Centers
Outside
Music
Story
Lunch
Nap
Centers
Departure
Within Each Routine
1. What does everyone else do?
2. What does this child do?
a) Engagement
b) Independence
c) Social relationships
3. How satisfactory is this routine?
3. How well is this routine
working for the child
(“goodness of fit”)
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14. Write participation-based child goals
What does the family want the child to be able to do?
At what times of day did this need arise?
How will we know the child can do this?
How often? How many? How much? How far?
Over how many times of day?
For how long?
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16. Write Family Goals
Usually, 1 criterion
Family will have information about sleep problems in
children with autism by January 1, 2016
Jill will enroll in a class to complete her high-school
education by January 1, 2016
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17. Kathy and Leon will have one date night a month for three
months in a row.
Family will get a new car that fits Michael’s travel chair by
February 1, 2016
Nina will feed Peter via tube without fear, on a 1-5 scale, at a
level of 4 for 3 consecutive weeks
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18. Baseline data on child functioning in routines
Measure of Engagement, Independence, and Social
Relationships (MEISR)
“Mai-ser”
[Autism: “oh-tis-m”]
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21. Family quality of life
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22. FaQoL Factors
Family Relationships
Access to Information and Services
Child Functioning
Overall Life Satisfaction
(Total Score)
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23. How to conduct a support-based home visit
Next-Steps Form
Vanderbilt Home Visit Script-Expanded
Matrix
Support-Based Home Visit Checklist
Family Consultation Flow Chart
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24. Next-Steps Form
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26. VHVS-E
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27. Matrix
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28. Completed Matrix
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29. Support-Based Home
Visit Checklist
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31. FamilyConsultation
FlowChart How’sit goingw/
each outcome?
Not much
improvement
Child is
improving
Child can do it
Get detailed
description
Ask for demo
of child func, if
nec
How’s
intervention
going?
Ask-to-
Suggest
Offer to demo (8 modeling
steps)
Description
Implementing
Demo by
parent?
Refine skill
Tweak
implementation
Why?
Hard to fit in
intervention
Child not
responding
Forgot
Change interv
or routine
Change or
persist
Try matrix
Need help?
No
Yes
End
intervention
Not implementing
End
intervention?
Yes
Up the ante
No
Yes
Behavioral Consultation in
Home Visits
Encourage
R. A. McWilliam © 2009
Don’t know
how to
implement
intervention
Intervention
previously
planned?
No
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35. How’sit goingw/
each outcome?
Not much
improvement
Child is
improving
Child can do it
Get detailed
description
Ask for demo
of child func, if
nec
How’s
intervention
going?
Ask-to-
Suggest
Offer to demo (8 modeling
steps)
Description
Implementing
Demo by
parent?
Refine skill
Tweak
implementation
Why?
Hard to fit in
intervention
Child not
responding
Forgot
Change interv
or routine
Change or
persist
Try matrix
Need help?
No
Yes
End
intervention
Not implementing
End
intervention?
Yes
Up the ante
No
Yes
Behavioral Consultation in
Home Visits
Encourage
R. A. McWilliam © 2009
Don’t know
how to
implement
intervention
Intervention
previously
planned?
No
12/22/2015Cañadas y McWilliam (2015) 35

36. How Do I Begin?
FINESSE II
Discuss routines with family (include MEISR, if you like)
and find out what family wants child to be doing 6
months from now
Get training on RBI
www.ramgroup.info
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