Foundation Training for DC Early Intervention Introduction Purpose The purpose of Foundation Training is to provide the early intervention service provider with the necessary information to understand how Strong Start, the DC Early Intervention Program, implements early intervention services within the context of the Individuals with Disabilities Education Act (IDEA), Part C and other relevant laws, regulations, and mandates. Learning Objectives By completing the Foundation Training module, you will be able to describe IDEA, Part C The organization and administration of the Strong Start How the philosophy of family-centered care is applied in the District of Columbia Process of identification, referral and eligibility Role of the service coordinator IFSP process and document How early intervention is provided in natural environments The process of transition out of early intervention Agenda The Foundation Training module is divided into three parts: Part 1 Overview of Part C of IDEA The Overview introduces you to the components of the Individuals with Disabilities Education Act (IDEA) which guides the implementation of services to infants and toddlers with disabilities or delays. Part 2 Organization & Administration of the DC, Part C System This part describes the organization of Strong Start, the District of Columbia’s early intervention program. Part 3 Components of Contemporary Early Intervention Practice Key components of early intervention service delivery such as natural environments, eligibility, transition are described in Part 3 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 1 What do you already know? What does early intervention look like? Watch http://www.youtube.com/watch?v=Zwuyu5wS5c0&feature=c4-overviewvl&list=PLCBE09BD900359C53 What did you notice in this video? Part I: An Overview of the Individuals with Disabilities Education Act (IDEA), Part C Learning Objectives: Part I Background information about IDEA, Part C Intent of IDEA Required minimal components that each state must provide Types of services provided to children under the law History of IDEA.. What was the key point for IDEA during these points in history 1976: 1986: Section 619: Requirements of the states: Individuals with Disabilities Education Act (IDEA) Individuals with Disabilities Education Act (IDEA) For more information on IDEA see Federal Law with four main parts http://idea.ed.gov/ or Part A General Provisions http://nichcy.org/laws/idea/legacy/partc Part B Special Education (preschool, school) Part C Early Intervention Part D National Activities Each State has a Part C, Infant and Toddlers Program (Early Intervention) Family-centered, coordinated, comprehensive, care Purpose of IDEA, Part C Enhance development Reduce costs Minimize institutionalization and maximize independence Enhance the capacity of families to meet their child’s needs 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 2 Goals of providing services to young children Participate in activities that they would like to or are expected to participate in Interact with peers, family members, and others creating a social network Service systems must be family centered, culturally and linguistically competent, developmentally supportive, strengths based, and promote children's participation in their natural environments. Comprehensive, coordinated, and team based. Individualized, flexible, and responsive to the changing needs of young children and families. Based on the highest quality evidence available Minimum Components of a Statewide, Comprehensive System of Early Intervention Definition of developmental delay Timetable ensuring services Multidisciplinary evaluation IFSP, Service Coordination, Transition Child Find Public Awareness Central Directory Maintain a Comprehensive System of Personnel Development (CSPD) Lead agency Policies related to contractors Procedures to release funds Procedural safeguards Personnel standards Data collection Who receives early intervention? Explore the Data Accountability Center https://www.ideadata.org/default.asp What laws affect service delivery to infants & toddlers? IDEA Individuals with Disabilities Education Act Part C of IDEA The Infant Toddler Program Children from birth to age three who meet the DC definition of developmental delay are eligible for services under Part C of IDEA. MEDICAID Title XIX of the Social Security Act A federal-state partnership covering medical services for people who meet categorical and financial eligibility criteria. EPSDT Health Check 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 3 The Early Periodic Screening, Diagnosis and Treatment Program (EPSDT), known as “Health Check” in the District of Columbia, entitles Medicaid-eligible children (birth to 21) to free periodic screens, diagnostic assessments, and treatment as necessary. Health Check covers screening services such as: physical exams; vision and hearing exams and treatment; dental exams and treatment; immunizations; lab work. Full diagnostic exams and treatment plans are also covered when the screening identifies problems/concerns/needs. The list of services includes: inpatient and outpatient hospital care and services inpatient psychiatric services for persons under age 21 laboratory and x-ray services skilled nursing facility services family planning services physician's services federally qualified health centers and rural health clinic services services of optometrists, podiatrists, chiropractors, psychologists, & any other licensed practitioners recognized by state law: dietitians, nutritionists, PT, OT, speech language pathologists, etc. home health services private duty nursing dental services all preventive services, defined as any service by a physician or licensed practitioner to promote physical and mental health rehabilitative services in home or clinic to restore "best possible functional level" respiratory care services for ventilator-dependent children nurse-midwife services hospice care case management services pediatric nurse practitioner service any other care specified in regulations and policies issued by the Secretary of Health and Human Services or recognized under state law. States must provide necessary transportation and scheduling assistance. DC Healthy Families Program State Children's Health Insurance Program (CHIP) Expands health insurance coverage to more children and working families. DC opted to expand its Medicaid program by easing income eligibility guidelines and expanding automatic eligibility categories, such as working families at 200% of the federal poverty rate (poverty guidelines) and cover children only at 300% of the federal poverty rate. According to the poverty guidelines from the U.S. Department of Health and Human. Find eligibility information for DC https://www.dchealthyfamilies.com/Member/MemberHome.aspx TANF Temporary Assistance for Needy Families Replaced the AFDC Program (Aid to Families with Dependent Children). Families receiving TANF also receive Medicaid/Health Check benefits. SSI Supplemental Security Income Provides financial assistance to children who meet Social Security disability and financial guidelines, and in most states makes child eligible for Medicaid as well. In DC, children on SSI can choose to have health care provided through a "special needs" managed care provider (The Net) or through straight Medicaid 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 4 funding. To be eligible for SSI benefits a child must have “marked and severe functional limitations in two (2) out of six (6) domains including health and physical domain”. ADA Americans with Disabilities Act Guarantees people with disabilities equal access to transportation, state and local government services, public accommodations, telecommunications and employment. Child-care programs that accept public subsidies must comply with the ADA. All of the programs in DC that receive funding through the Child Care Development Block Grant administered by the DC Early Care and Education Administration are required to accept children with disabilities in accordance with the ADA. CDBG Child Care Development Block Grant Provides funds to states to create a system of subsidized childcare for families who participate in the TANF program and other families in need. Families of children with disabilities do not have to meet income guidelines to qualify for a subsidized childcare slot. In the District of Columbia, the CDBG is administered by the Office of the State Superintendent of Education, Division of Early Childhood Education. Early Head Start Early Head Start Early Head Start is the downward extension of the Head Start program. Early Head Start accepts children from birth through three years of age. As with Head Start, ten (10) percent of the children enrolled must have a developmental delay or disability. Part I Summary Part C was described as a specific component of a much larger law, the Individuals with Disabilities Education Act (IDEA). Part C of the law describes what the minimal components are that each state must provide in order to receive federal funds to support the program. The intent of Part C was described Basic information on other laws that impact services to infants and toddlers with disabilities and/or delays were also defined Notes: 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 5 Part II Organization and Administration of Strong Start Learning Objectives: Part II How the, DC Early Intervention Program, Strong Start is organized. The general contact information for Strong Start Mission of Strong Start The 7 components that Strong Start provides DC Part C Lead Agency Office of the State Superintendent (OSSE) Division of Early Learning, DC Early Intervention Program, Strong Start Program Email: osse.dceip@dc.gov Phone: (202) 727-3665 Fax: (202) 724-7230 Address: 810 First Street NE, 5th Floor Washington, D.C. 20002 Website: http://osse.dc.gov/service/dc-early-intervention-program Mission of Strong Start The mission of Strong Start, the DC Early Intervention Program is to identify and serve infants and toddlers from birth through age two with developmental disabilities and delays, and their families. We provide services in a caring manner that support the culture and meet the needs of families. Maximizing the potential of children so that they can become contributing and valued members of society as they grow into adults. What does Strong Start Provide? Part C Program Administration: Intake, policies and procedures, contracts and agreements, data collection and reports Child Find: Public awareness campaign, screening, evaluation Service Coordination: Initial and dedicated service coordination IFSP Development and EI Services Transition Procedural Safeguards: Mediation and due process Interagency Coordinating Council Summary of Part II Consistent with federal law (IDEA), the Strong Start program provides a comprehensive system of supports and services to infants and toddlers with disabilities or delays and their families promoting the child’s development and the capacity of the family to care for their child. Part 3 of this module will described a variety of components that are indicative of contemporary early intervention practice. 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 6 Part III: Contemporary Early Intervention Practices Learning Objectives: Part III Family Centered Care o Cultural and linguistic competence o Family rights o Family assessment o Procedural safeguards o Conflict resolution Referral, Evaluation, and Assessment Service Coordination Individualized Family Service Plan Providing services in the Natural Environment Transitioning from Part C at age 3 Family-Centered Care Families are big, small, extended, nuclear, multi-generational, with one parent, two parents, and grandparents. We live under one roof or many. A family can be as temporary as a few weeks, as permanent as forever. We become part of a family by birth, adoption, marriage, or from a desire for mutual support. A family is a culture unto itself with different values and unique ways of realizing its dreams. Together, our families become the source of our rich cultural heritage and spiritual diversity. Recognizes the family as expert on their child and the context in which their child develops Requires family members and providers to collaborate Honors diversity of family systems Uses family strengths to create individual program plans and to help make decisions Provides family to family support Provides accessible service delivery systems Cultural and Linguistic Competence (Goode & Jones, 2006) Culture (defined by family) is the primary system of support Families make choices based on cultural influences Systems mandate cultural knowledge as part of policy/practice Involves naturally occurring, informal supports and networks Individualizes services to meet needs of families Involves determining family’s cultural identity and levels of acculturation and assimilation Practice driven by culturally preferred choices Agency staff reflects make-up of population Equal access and non-discriminatory practices Checklist for Assessing Adherence to Family- Centered Care (Wislon & Dunst, 2005) This checklist is a tool that is help for early intervention providers or systems to reflect on their interactions with a family. A rating system is used to reflect on a session or interaction with a family. http://fipp.org/static/media/uploads/casetools/casetools_vol1_no1.pdf How does Strong Start Support FCC? 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 7 Family Centered Cultural Competency Definition Family-professional partnership honoring strengths, cultures, traditions, and expertise of all Values and beliefs from diverse perspectives are honored and reflected in organizations and among individuals Key Principles Families & professionals work together Everyone respects the skills, expertise of others Trust is fundamental Communication and information sharing Decisions made collaboratively Parties willing to negotiate Family as the constant in child’s life Builds on family strengths Honors cultural diversity and family traditions Recognizes importance of community-based services Promotes individual and developmental approach Encourages family-to-family and peer support Supports youth as they transition to adulthood Policies, practices, and systems are family-friendly What it Looks Like - Organizations incorporate cultural knowledge into policy making, infrastructure and practices Equal access and non-discriminatory practices in service delivery Services are matched to the unique needs of individuals, children, families, organizations, and communities Family is defined by each culture & is the primary system of support and preferred intervention Family/consumers are the ultimate decision makers for services and supports for their children and/or themselves A defined set of values and principles, and demonstrate behaviors, attitudes, policies and structures that: Value diversity Conduct self- assessment Manage the dynamics of difference Acquire and institutionalize cultural knowledge Adapt to diversity and the cultural contexts of the communities they serve Linguistic Competency Capacity of organizations & individuals to communicate effectively & be easily understood by diverse audiences (limited English proficiency, low literacy, not literate, disabilities, deaf/hard of hearing) Services and supports delivered in preferred language and/or mode of delivery Written materials translated, adapted, and/or provided in alternative formats Interpretation and translation services comply with all relevant Federal, state, and local mandates governing language access - 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training Organization has policy, structures, practices, procedures, resources such as: Bilingual/bicultural or multilingual/multicultural staff Cross-cultural communication approaches Cultural brokers Foreign language interpretation/translation services including distance technologies Sign language interpretation services TTY and other assistive technology devices Computer assisted real time translation (CART) or viable real time transcriptions (VRT) Print materials in easy to read, low literacy, picture and symbol formats Materials in alternative formats Materials developed and tested for specific cultural, ethnic and linguistic groups 8 What is Family Assessment? A voluntary process used to identify and gather information related to the family concerns, Priorities and Resources for program planning Why do Family Assessment? Can help establish rapport with family Makes IFSP process & service provision more family-centered Helps provider to tailor intervention to child and family and develop outcomes Provides understanding of family system Helps family to identify their strengths Components of Family Assessment (CPR) Concerns: Areas that family members identify as needs, issues, or problems they want to address as part of the IFSP process Priorities: Family’s agenda and choices for how early intervention will be involved in family life. Resources: The strengths, abilities, formal and informal supports that can be mobilized to meet family concerns, needs or outcomes Tools Used to Gather Information during a Family Assessment Assessment, Evaluation, and Programming System Routines Based Interview, Ecomapping Benefits and Challenges to Family Assessment What are the Rights of Families under Strong Start? Evaluation Coordinated Plan -IFSP Consent Prior Notice Privacy Review Records Information that is understandable Advocate Disagree Complain How are Family Rights Protected under Strong Start? Dedicated Service Coordination Procedural Safeguards Mediation Due Process 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 9 Initial and Dedicated Service Coordination Activities carried out by a service coordinator to assist and enable a Part C eligible child and the child's family to receive the rights, procedural safeguards and services that are authorized to be provided under the Strong Start. Service coordination is an active, on-going process and is provided by sub-grantee agencies Coordinates all services across agencies, single point of contact for Strong Start for families, assists families to obtain services, facilitate timely delivery of services and anticipates needs/services Two types: o Initial Service Coordinator: Serves family from intake through initial IFSP o Dedicated Service Coordinator: Single point of contact serving families from initial IFSP through transition and trouble shoots service delivery with family More on service coordination in a minute…… family-centered care is ensured by giving and explaining family’s rights. Procedural Safeguards What are Procedural Safeguards? Procedural Safeguards are "rules of fairness" Why are the Procedural Safeguards important? Assure that: Early intervention services are provided in a voluntary and nondiscriminatory manner. Family members have access to the information they need to play an active role in decision-making about the delivery of early intervention services for their child. Family members' preferences regarding services are respected and considered in the planning of those services. What rights do procedural safeguards guarantee for families? To consent to assessment, evaluation and services; To receive notice of their rights; To receive notice of a change in services; To review and correct records; To require that private information be kept confidential; To have complaints resolved by an impartial decision-maker. What does informed consent mean? Families must receive information they need to make responsible decisions about services for their child. Information should be provided about the purpose of the service, the methods to be used, and any possible consequences of the service. Explanations and information should be provided to parents in their native language or in a format that they can understand. Early intervention services are "voluntary". Services or evaluations cannot be provided without the parent's informed consent. As a general rule, it is required under Strong Start that written consent be obtained from a parent whenever consent may be needed, even if consent can be implied by some action of the parent. 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 10 How do families find out about their rights? Written and oral notice of rights should be given to a family when: o The family is first told about Part C; o The initial evaluation and assessment are proposed; o Eligibility is determined; o A new or continuing IFSP is developed; o A change is proposed in placement or delivery of services identified on the child's IFSP. If the vendor changes the delivery of services due to a personnel shortage, payment or any other reason Strong Start must be notified in writing as well as the parents. See Families Have Rights http://osse.dc.gov/publication/families-have-rights-idea-part-c-procedural-safeguards What should families do when they have a complaint about services? Informal resolution Families should speak with the service provider or program director first about concerns to see whether the problems can be quickly and informally resolved. Families can also speak to their assigned dedicated service coordinator for assistance with the provider. If there are still concerns, families can speak with the Infants and Toddlers with Disabilities Office Early Intervention Specialist assigned to monitor their child’s case and If that fails, families can speak with the Supervisory Early Intervention Specialist at the Infants and Toddlers with Disabilities Office for assistance. Mediation Alternative to the formal hearing system and formal written complaints Parties resolve disputes involving any matter relating to identification; screening; evaluation; assessment; eligibility determination; the development, review and implementation of the IFSP; and the failure to respect parents procedural rights. A conversation facilitated by a neutral third person. The mediator will help families and service providers discuss their interests, concerns and hopes in a supportive and creative environment. Voluntary on the part of the parties and cannot be used to deny or delay a parent's right to a due process hearing or deny any other rights afforded by IDEA. The goal of the mediation is mutually satisfactory resolution. The parties decide whether the resolution will work for them. Conducted by a qualified, impartial mediator Due Process A procedure to go through if the family feels that the services their child is receiving are not appropriate. A legal hearing where the family and either the EI or the special ed. system are at odds. A due process hearing is usually held following other attempts at resolving disagreements. Prior to going through a due process hearing the family is encouraged to follow a chain: o Speak to service provider, including service coordinators, to resolve specific difficulty; o Request mediation from a third party; o Request a due process hearing to have an impartial hearing officer examine the facts and review the case. 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 11 What can providers do to help ensure that procedural safeguards are meaningful? Ongoing support to families Create a partnership with families. Find creative strategies to engage the families in every aspect of their child's early intervention experience. Provide written and verbal information detailing rights on a continuous basis. Parents' rights may need to be repeated often and woven into everyday conversations to show how a particular right applies to situation, rather than just stated in a broad overview. Parents are always encouraged to informally work out differences with providers or Strong Start about services. However, they may request a due process hearing at any time. How do parents request mediation, a hearing, file a formal complaint? To request mediation or a hearing, a parent can call the OSSE Student Hearing Office 202-698-3819; parents will also need to request the hearing in writing. A parent or a provider also has the right to file a formal system complaint. This should be done in writing with details about the circumstances surroundings the complaint Direct complaints to: OSSE Monitoring and Compliance Division of Special Education at (202) 727-6436 or osse.ideastatecomplaints@dc.gov at 810 First Street NE, 5th Floor, Washington, DC 20002. Who is the Mediator and What does She Do? She is: a neutral person who facilitates the resolution between parties. She: controls the process, the parties control the substance of the mediation; provides an environment that allows for productive, honest conversation; helps the parties develop their interests, explore issues, generate options, evaluate proposed solutions. When an agreement is reached in mediation, it is more likely that all parties share a mutual understanding of the agreement. Mediation can also be obtained through the OSSE Student Hearing Office http://osse.dc.gov/service/request-mediation Advantages of Mediation Mediation costs less financially and emotionally. Mediation is less formal than other dispute resolution structures. Parties in mediation are able to tell their stories. Mediation allows parties to create and maintain problem-solving relationships. Parties are more likely to uphold agreements that they help create. Mediation can be helpful as an alternative to due process and in more informal disputes and misunderstandings when parties need some assistance communicating effectively with one another. To request mediation or more information about mediation, contact Strong Start Identification, Referral & Eligibility Public Awareness Preparation and dissemination of information and materials http://osse.dc.gov/service/strong-startcampaign Focus on the early identification of eligible children o Strong Start o Child Find System 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 12 o Central Directory Public Awareness Activities o Outreach o Communicates and collaborates with other agencies o Public relations: Radio, television and print messages (Metro stops) o Pamphlets and posters for service provider offices o Toll-free telephone service o Part C grantees Some or all EI Materials are in several languages: English, Spanish, Vietnamese, Chinese, Amharic o Strong Start Road Map o Infant and Toddler Developmental Chart o Strong Start Fact Sheet o Central Directory of Services for Parents of Infants and Toddlers with Developmental Delay o Families Have Rights o Screening and Referral information and forms o DC Early Intervention Program Frequently Asked Questions (FAQs) o Part B and Part C Materials o Child Find Phone Line: 202-727-3665 o DC Child Find Brochure o DC Child Find Reference Guide Child Find Comprehensive system of policies & procedures to ensure that all children identified who may be eligible for Part C are referred to Strong Start and evaluated to determine eligibility. Child Find Phone Line- 202-727-3665 Child Find Contractors: Provide information, out-reach, identification, screening and training Public Agency Collaboration o Healthy Start o Community Health Administration o Metabolic Screenings o New Born Hearing Screening o Child and Family Services Administration Outreach Hospitals Public agencies Child care providers Neighborhood associations Physicians Health care professional associations Health fairs Referral 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 13 Eligibility Under Part C of IDEA an infant/toddler is eligible to receive early intervention services if he or she has: 1) delays in cognitive, physical, communication, social or emotional, or adaptive development; 2) a physical or mental condition that has a high probability of resulting in developmental delay; 3) at a state’s discretion, being at risk for having substantial developmental delays if early intervention services are not provided. In DC, Strong Start has determined that: a child must have a 25% delay in two or more areas of development or a 50% delay in one or more areas of development or have a condition that has a high probability of resulting in delay or disability or an evaluating clinician must have given their Informed Clinical Opinion that the child is at high risk of developing a disability Determining Eligibility Developmental Delay Multidisciplinary evaluation with two or more disciplines Eligibility criteria. The child can meet eligibility through the o percent delay criteria: 50 % delay in one or more areas of development (physical, cognitive, adaptive, social-emotional, language) o informed clinical opinion (atypical development, tonal abnormalities, etc.) o conditions with a high probability of delay (chromosomal abnormality, metabolic disorder, sensory impairment, etc.). Diagnosed Conditions: diagnosed or documented physical or mental conditions known to result in developmental delay or atypical development including genetic conditions, sensory impairments, motor impairments, neurologic conditions, sociocommunicative conditions (autism spectrum disorders, reactive attachment disorders, Rett syndrome), medically related conditions (cleft palate, lead intoxication, very low birth weight and limited prematurity conditions), and acquired trauma related conditions (TBI). http://gucchdgeorgetown.net/ucedd/documents/ELIGIBILITY%20DIAGNOSES.pdf Eligibility Evaluation Gather Information o Developmental and medical history o Family assessment information o Present levels of development Use standardized developmental evaluation tools/tests Based on all the information gathered, eligibility is determined IF eligible, the evaluation team conducts an assessment of child’s strengths & needs o Information used for program planning o Team uses the Assessment, Evaluation Programming System (AEPS) Assessment versus an Evaluation According to IDEA, Part C an evaluation is a multidisciplinary process completed to determine eligibility for EI services According to IDEA, Part C, an assessment is an on-going process of information collection to determine strengths and needs of the child across domains. 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 14 The assessment process helps the service provider to determine appropriate methodologies needed to address the outcomes on the IFSP. The assessment process is used to determine what the barriers are to accomplishing the outcome to create treatment plans addressing those needs. Evaluation= determine eligibility Assessment= determine function, strengths, and needs Role of the Service Coordinator Initial Service Coordinators (ISC) Serve as single point of contact to help families through initial phases of early intervention; Coordinate with OSSE, Strong Start administration, evaluation providers and family; Make home visit and conduct the family assessment following referral and intake; Coordinate eligibility evaluation and if child eligible, AEPS assessment of strengths and needs; Assist parents of eligible children to gain access to the early intervention services and other services identified in the Individualized Family Service Plan (IFSP);Provide the family assessment and coordinate information for the initial IFSP process; Ensure family’s rights Dedicated Service Coordinators Coordinate all services across agency lines; Serve as single point of contact to help children obtain the services they need; Assist parents of eligible children to gain access to the early intervention services and other services identified in the Individualized Family Service Plan (IFSP); Coordinate the provision of early intervention services and other services (such as medical services for other than diagnostic and evaluation purposes) that the child needs; Facilitate the timely delivery of available services; and Continuously seek the appropriate services and situations necessary to benefit the development of each child being served for the duration of the child's eligibility. Individualized Family Service Plan Purpose Document the coordinated plan developed to promote the infant/toddler’s development in the context of the family’s identified concerns and priorities The plan documents how the team will promote participation of the child in his/her family’s routines and daily life incorporating the resources identified by the family The plan documents how the team will assist the family in making decisions for their own child to foster positive development In the context of the family’s identified needs, priorities and concerns Individualized Family Service Plan (IFSP) Most important document in early intervention Drives the shape and content of service provision The common thread for all other documentation 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 15 The Individualized Family Service Plan (IFSP) is both a process and a document intended to assist families and professionals in a community in their combined efforts to meet the developmental needs of a young child with special needs from birth to age three. Benefits to the Family The IFSP assures families: a predictable process for discussing & documenting the child's and family's changing needs; family-centered services: the child's needs & the needs of the whole family are considered; a focus on outcomes deemed most important to the family; a "living" document that changes and grows as the needs of the child and family change; a written plan of who will do what, when and where for a 6- to12-month period of time; both family and professional input to the development and implementation of plans; access to available educational, medical, & social services in a community to help the family & their child; the expertise of professionals from many disciplines including: physical, occupational and speech therapy, social work, nursing, nutrition, audiology, psychology, child development and education, and coordination of those special services across agencies and professionals in a manner useful to the family. Benefits to the Providers The IFSP allows providers from different agencies and different professions to: engage family members as colleagues in a team effort to help the child develop; access family expertise and knowledge about the child's preferences and needs; share their expertise with the family and with each other ; reduce redundancy of information and service, and prioritize efforts; discuss shared interests for the child and family; and understand the context of the family in which the child is living and growing. Process Referral Evaluation Eligibility determination Invitation to IFSP Pre-work o Family’s rights o Evaluation results IFSP meeting Service Provision Follow-up Time lines Initial IFSP- 45 days from Strong Start referral Review every 6 months Renewal every year IFSP Pre-Work Written invitation is sent at least 5 days ahead Has the ICS and/or evaluation team explained to the family: Their rights? The evaluation information? The results of the evaluation? The purpose of the IFSP meeting? Is the family prepared to help determine outcomes? Family and team collaborate to determine outcomes Who needs to be invited to the meeting? Parents and their invitees (family, advocate, other support) DSC (if initial IFSP meeting) Medicaid representative (if appropriate/relevant) Evaluation providers and/or service providers IFSP vs. IEP For children with disabilities ages 3 to 21 years in DC, the public schools are required to establish an Individualized Education Program (IEP) to outline the plan for implementing special education and related services. 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 16 For children under the age of 3 years with disabilities, an Individualized Family Service Plan (IFSP) must be developed to outline the intent of multiple agencies and service providers to assist the parents in meeting the needs of their family and child. A Service Coordinator is responsible for development and coordination of the IFSP services. The IFSP and the IEP have some similarities but also some important differences. 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 17 Components of the IFSP and IEP IFSP (Ages under 3) Statement of the child’s levels of development across all developmental domains. Statement of the family’s and child’s strengths and needs, resources and priority concerns. Statement of major outcomes expected in the next 612 months for the child and family with functional criteria to measure the progress of each outcome. Statement of services necessary to meet the needs of the child and family, including services from education, health and social service agencies as well as informal networks and resources. The projected dates for initiation and duration of each service across agencies, and the frequency, intensity, location and structure of each service. A statement justifying the use of settings other than “natural environments”. A listing of persons responsible for implementation of individual services as well as parties (persons or agencies) responsible for payment of services. Name of the Services Coordinator. Steps to be taken to support smooth transition of needed services to preschool-age programs and systems for ages 2-6. Participation in the IFSP development meeting must include at least: The child’s parents Other individuals as requested by parent Family/child advocate at parent request Service Coordinator One member of the evaluation team Ensure that content of IFSP reflects parental concerns, is developed in conjunction with parents, builds on and utilizes family strengths and resources and addresses family needs as well as child needs. IEP (Ages 3-21) Statement of the student’s present level of development or educational performance. Statement of the student’s needs. Statement of annual goals describing anticipated student behavior and a statement of measurable benchmarks or short-term objectives with appropriate criteria and evaluation of achievement of goals and objectives. Statement of specific special education and related school services to be provided to the student by school-supported personnel. The projected date for initiation, frequency and anticipated duration of school services. A statement justifying the use of settings other than the regular classroom with non-disabled children. A list of individuals responsible for implementing the IEP services. Steps to be taken to support a smooth transition from school based services to the community beginning at age 14. Participation in the IEP meeting must include at least: The student’s parents One member of the MDT The student (when appropriate) A representative of school district qualified to provide or supervise the services outlined The student’s teacher Non-Public School representative (when applicable) Others at the invitation of parent or district Ensure that the student’s parents are members of any group that makes decisions about the student’s educational placement of their child. 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 18 Types of IFSP’s Elements of an IFSP Document Front page (demographic info, participants) Child’s developmental status Family Information: Statement of the family’s resources, priorities, concerns with their permission Determination of child and family outcomes o Remember Assistive Technology! o Determination of the strategies and providers Services needed to meet the outcomes and the natural environment Determination of any other “ non-entitled” service linkages Development of transition plan for children 2 years, 6 months of age or older Outcomes What is expected to be achieved for the child and family based on family priorities, concerns and resources Understandable Functional Activity Evan’s Story Natural environment http://www.cde.state.co.us/resultsmatter/RMVideoSeries_JustBeingKids.htm Measurable Click on Evan’s story Think about the IFSP outcomes, strategies Include assistive technology and services for the next segments * Outcomes are not services Determination of Measurable Outcomes (Randall & McEwen, 2000) How will everyone know? Criteria: who will do what how well, under what conditions? By when? High Quality Outcomes (Rush & Sheldon, 2009) Include o Family priorities o What the child will do o Words that are understandable State o The function or participation expected o The routine of the day o The measurement used to determine if the outcome is met Strategies and Activities What can the family do now to get started on the outcome (be specific!) Put the activities in the context of their routines and day Early Intervention Services 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 19 Services required to meet all of the outcomes delivered by qualified personnel at an intensity and frequency to meet the outcomes. The assistive technology needed to meet the outcome is considered here. What services are needed to meet the outcomes? What intensity and frequency is needed to meet the outcomes? Who is best from the team to meet the needs? Not determined by diagnosis or developmental area, but expertise in the area of need What about assistive technology? What are the Early Intervention Services According to IDEA, Part C? EI services are more than physical therapy, occupational therapy or speech-language pathology. They are determined by answering one question: “What services are needed to meet the outcomes documented on the IFSP?” Family education and counseling, home visits, and parent support groups Special instruction Speech pathology and audiology Occupational therapy Physical therapy Psychological services Nursing services Nutrition services Social work services Vision services Assistive technology devices and services Service coordination o Required for all children eligible for EI Service Linkages Does the family need linkages to non-entitled health, social or other services to function and meeting the outcomes? IDEA, Part C requires we provide information and a plan to link a family to these services. Notes: 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 20 Intervention in Natural Environments What are natural environments? Where children without disabilities learn and grow: locations, routines and learning opportunities Examples of a natural environment for a child birth through two years of age Why are we required to provide services in the natural environment? Reinforces family-centered care Interactions and activities within familiar places are natural loci for learning to occur thus generalization of skills more likely to occur Enhances relationships between therapists and families Provides modeling and support to caregivers Mandated by Part C of IDEA Video: Just Being Kids Activity Watch the following videos at http://www.cde.state.co.us/resultsmatter/RMVideoSeries_JustBeingKids.ht m Jannella What are some of the most important elements of this successful intervention? What did you like about this intervention? Blake Do you think this was “real therapy”? If not, what modification could you make to these activities more therapeutic? Evan What are some challenges and benefits of collaborating with other professionals in your role as a consultant? Goal of providing services within a natural environment Enhance the child’s environmental control, participation and interaction Routine, planned, child-initiated Embedded in natural learning opportunities Logical and part of the family’s and caregivers’ routine Generative Recommended by respected professionals Empirical Asset and interest-based Promotes participation Builds competence of caregivers Develops relationships Is a resource and support Is Contextual 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 21 Routine, planned, child-initiated Services in natural environments are provided by: Identify schedule of day, including routines Select preferred routines Build upon natural strategies of providers Use easily available materials Provide suggestions to vary, expand activity Implement plan with team Monitor-progress-revise-adjust-gather feedback Embedded into natural learning opportunities Generative Logical and part of the family’s and caregiver’s routine Questions & answers to help focus on naturally occurring learning opportunities: 1. 2. 3. 4. 5. 6. 7. 8. Transition What is Transition and What are Transition Services A process used to assist children and families exiting Part C, Early Intervention system to Part B/DCPS or other appropriate programs or services Identified formal step-by-step process Encourages family participation Keeps families informed of options and logistics Requires participation of every early intervention agency Transition services are provided when children leave Strong Start Relocating Obtaining Part B services Accessing other programs and/or services (including child care) Minimum Components Involvement of family Notify appropriate LEA of children in Part C system Convene transition conference with Part B representation in at least 90 days prior to 3rd birthday to: o review program options, needs o establish a transition plan: steps to be taken to assure a smooth transition Included on IFSP Preschool services under Part B or other appropriate services Why provide transition services? Assures that the children continue to receive appropriate services and supports 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 22 Provides information to families assisting them to make wise decisions Provides continuity of services and supports as children enter DCPS or other appropriate programs Helps Strong Start and DCPS remain accountable Mandated by IDEA Where are children transitioned? Places & Services Places o Community Childcare o Head Start o Public School (DCPS) o Public Charter Schools o Independent Charter o Private School Services o Related Services o Special Education o Transportation o Assistive Technology DC OSSE Early Childhood Transition Guidelines are available at http://osse.dc.gov/publication/early-childhood-transition-guidelines Timelines (Nutshell Version) Age 2 yr remind and inform families Age 2 yr 3 mo list sent to Part B (LEA notification) Pre-work for planning o Parental consent o Gather information and inform family 2 yr 6 mo conference invitations 2 yr 7 mo conference takes place, plan made 2 yr 8 mo Part B assessment/eligibility and check progress 2 yr 11 mo IEP meeting if needed 3 yr Transitioned occurs on or before except for children eligible for special education whose families elect to stay on an IFSP up to the age of 4. DSC Role in Transition Explains Family Rights to family Adheres to timelines Conducts pre-meeting work o Family Rights o Has family sign appropriate consents and other forms o Gathers pertinent family/child information such as assessments, progress reports, observations) o Informs LEA o Sets meeting and sends invitations Facilitates meeting Follow up and implement plan 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 23 Summary Part III Part 3 highlighted the major components of contemporary EI practice. Family centered care provided in the natural environment was stressed as the foundation for early intervention practice. Contemporary services are evidence based and require team collaboration, integration of services and the belief that al children can and will learn if services are designed to promote participation in daily life. Summary of Key Points PL 99-457, the Amendments to the Education of the Handicapped Act (EHA), was signed into law in 1986. These Amendments reauthorized the EHA and included a national agenda to increase and improve services for young children with special needs, birth to 6 years of age, and their families. In 1990, the law was renamed the Individuals with Disabilities Education Act, or IDEA. IDEA was subsequently updated in 1991, 1997, and 2005. Two major portions of IDEA are particularly critical to the expansion and improvement of services to infants, toddlers, and preschoolers: Part C, the Infant and Toddlers with Disabilities Program, and Part B, Section 619, the Program for Preschoolers with Disabilities. Infant and Toddlers with Disabilities Program IDEA is the law most people refer to when they speak of early intervention for infants and toddlers with disabilities. IDEA, Part C provides funds to states, jurisdictions, and the District of Columbia to develop, implement, and maintain a system of comprehensive, coordinated, multidisciplinary, interagency programs for all eligible children with disabilities, birth through 2 years of age. IDEA charged the governor of each state or jurisdiction (mayor of the District of Columbia) to appoint a lead agency within the state/district to plan and oversee the operation of the comprehensive system. Additionally, an Interagency Coordinating Council (ICC) is appointed by each governor/mayor to advise and assist the state’s lead agency. Each ICC has an appointed chairperson and is composed of various agency, service provider, university, family, and consumer representatives. According to IDEA, the funds provided through the U.S. Department of Education are not intended to pay for all early intervention services for eligible infants and toddlers. Rather, grant funds are provided to states to develop collaborative systems of services and to oversee the implementation of those services. In essence, IDEA challenges states to work collaboratively to design and expand a familycentered, responsive, culturally competent, and high-quality service system in the child’s natural environment. Child identification, evaluation for eligibility, ongoing assessment, service coordination, IFSP development, and procedural safeguards are provided at no cost to families. Other services may be financed in a variety of ways, including sliding fees, third-party payment, or local, state, and federal funds. Eligibility Children are eligible for services who (a) have certain conditions which have a high probability of resulting in developmental delay (such as Down syndrome, cerebral palsy, spina bifida), or (b) meet the state’s definition of developmental delay. States also may elect to serve children at risk for developmental delay as defined by the state/district. 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 24 Family Centered IDEA emphasizes and protects the family’s roll in their child’s program. The evaluation team and the family together decide what combination of services will best meet the family’s needs based on the family’s resources, concerns, and priorities. These services and resources are listed on an Individualized Family Service Plan (IFSP). The IFSP identifies the supports and services necessary to enhance the family’s capacity to meet the developmental needs of their infant or toddler. The child’s parents or guardians are members of the team. Within 45 days of the initial referral to Strong Start the evaluation and assessment process must be completed and an IFSP meeting held. Ongoing assessment procedures monitor the child’s development and the family’s changing needs. Procedural safeguards protect each family’s rights within the service system, including confidentiality, consent, access to records, and complaint resolution. Natural Environment Natural environments are defined in the Federal regulations as settings that are natural or normal for the child’s age peers who have no disabilities The regulations further state that early intervention services must be provided in natural environment (e.g. the home, childcare centers, or other community settings) to the maximum extent appropriate to the needs of the child. The report language, which accompanies the legislation, provides additional clarification on the term natural environment. When group settings are utilized, the infant or toddler with a disability should be placed in groups with age peers without disabilities, such as plan groups, day care centers, or whatever typical group setting exists for infants and toddlers without disabilities. The IFSP process requires that the natural environment be discussed and a determination made based upon the individual needs of the child and family. The natural environment for a specific child is determined by the IFSP team, which includes the parent. This must be recorded on the IFSP form (34 CFR 303.344 (d)(ii)). Minimum Components of a Statewide, Comprehensive System of Early Intervention 1. Definition of developmental delay. 2. Timetable for ensuring appropriate services to all in need. 3. Timely and comprehensive multidisciplinary evaluation of needs of children and families. 4. Individualized family service plan and service coordination services including transition. 5. Comprehensive child find and referral system. 6. Public awareness program. 7. Central directory of services, resources, and research and demonstration projects. 8. Comprehensive system of personnel development. 9. Single line of authority in a lead agency designated or established by the Mayor to carry out: a. General administration and supervision b. Identification and coordination of all services are provided pending resolution of any disputes. c. Assignment of financial responsibility to the provider pending resolution of any disputes. d. Entry into formal interagency agreements 10. Policy pertaining to contracting or making arrangements with local service providers. 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 25 11. 12. 13. 14. Procedure for securing timely reimbursement of funds. Procedural safeguards. Policies and procedures for personnel standards. System for compiling data on the early intervention program. Visit us on Twitter (GUUCEDD) and the DC CSPD Portal @ http://learningei.org/cspd.html 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 26 HELPFUL REFERENCES &RESOURCES LIST Eligibility The Early Childhood Technical Assistance Center (ECTA Center) Part C Eligibility http://ectacenter.org/topics/earlyid/partcelig.asp Best Practice in Natural Environments North Carolina Early Intervention Services Growing Up Naturally: Early Intervention in Natural Environments http://www.ncei.org/ei/pdf/GrowingUpNaturally.pdf The Early Childhood Technical Assistance Center (ECTA Center) Natural Environments http://ectacenter.org/topics/natenv/natenv.asp Workgroup on Principles and Practices in Natural Environments (2008) Seven Key Principles: Looks Like/Doesn’t Look Like. Chapel Hill, NC: Frank Porter Graham Institute, University of North Carolina. http://www.nectac.org/~pdfs/topics/families/Principles_LooksLike_DoesntLookLike3_11_08.pdf Family Centered Care National Center for Family-Centered Care. (1989). Family-centered care for children with special health care needs. Bethesda, MD: Association for the Care of Children's Health. The Early Childhood Technical Assistance Center (2010). Family-Centered Principles and Practice Chapel Hill, NC: Frank Porter Graham Institute, University of North Carolina. http://ectacenter.org/topics/families/famctrprin.asp Cultural and Linguistic Competence National Center for Cultural Competence (NCCC). (n.d.). Conceptual frameworks/models, guiding voices, and principles. http://nccc.georgetown.edu/foundations/frameworks.html Goode, T. (2009). Promoting cultural and linguistic competency: Self-assessment checklist for personnel providing services and supports in early intervention and early childhood settings. Unpublished manuscript. Evaluation and Assessment Current Standards for the Assessment Process of Children with Special Needs http://www.education.com/reference/article/standards-assessment-children-disabilities/ The Early Childhood Technical Assistance Center, Recommended Practices for Assessment in Early Childhood Setting http://www.nectac.org/topics/earlyid/RecPractices/recpractices_home.asp Part C Eligibility and Data Based Assessment Decisions http://www.kskits.org/ta/Packets/PartCEligibilityPDF/BestPrac2009.pdf 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 27 Screening, Evaluation, and Assessment in Part C and Part B http://ectacenter.org/topics/earlyid/screeneval.asp Eligibility Resources State rules, regulations and policy links http://ectacenter.org/partc/statepolicies.asp State eligibility definitions http://www.nectac.org/~pdfs/pubs/nnotes21.pdf Family Assessment Tools Family Outcomes Survey http://www.fpg.unc.edu/~eco/pages/tools.cfm Mc William, R.A., Casey, A.M., & Sims, J. (2009). The Routines-based interview: A method for gathering information and assessing needs. Infants & Young Children, 22, 224-233. http://www.siskin.org/www/docs/112.190/ Screening Tools for Infants and Toddlers The Early Childhood Technical Assistance Center: Screening, Evaluation and Assessment http://ectacenter.org/topics/earlyid/screeneval.asp Screening for Social and Emotional Concerns, Technical Assistance Center on Social and Emotional Intervention http://www.challengingbehavior.org/do/resources/documents/roadmap_1.pdf American Academy of Pediatrics Policy and Algorithm for Developmental Surveillance and Screening http://pediatrics.aappublications.org/content/118/1/405.full and http://www.medicalhomeinfo.org/how/clinical_care/developmental_screening/implementing/ Center for Disease Control and Prevention, Facts About Developmental Screening Tools http://www.cdc.gov/ncbddd/childdevelopment/screening.html Early Intervention Web Sites Collaborative Early Intervention National Training e-Resource http://center.uncg.edu/ Council for Exceptional Children (CEC) http://www.cec.sped.org/ Culturally and Linguistically Appropriate Services (CLAS) http://www.clas.uiuc.edu/ The Early Intervention Research Institute http://www.eiri.usu.edu/ Family-guided Approaches to Colloaborative Early Intervention Training and Services (FACETS) http://facets.lsi.ku.edu/ IDEA Partnership http://www.ideapartnership.org/ National Child Care Information and Technical Assistance Center http://occ-archive.org/ The Early Childhood Technical Assistance Center http://ectacenter.org/ 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 28 NICHD Cochrane Neonatal Home Page http://www.nichd.nih.gov/cochrane/Pages/default.aspx Puckett Institute: Early Childhood Research Institute http://www.puckett.org/centers.php Therapists as Collaborative Team Members for Infants/Toddlers Community Services (TaCTICS) http://tactics.fsu.edu/ US Department of Health and Human Services/The Administration for Children and Families http://www.acf.hhs.gov/ Routines Based Interview Information http://www.siskin.org/www/docs/112.190 Zero to Three http://www.zerotothree.org/ Primary Service Provider Model (PSP) Using Primary Service Providers & Coaching in Early Intervention Programs. Definition and Characteristics of Primary Coach Approach to Teaming: Moving beyond Multidisciplinary Practices. http://www2.ku.edu/~kskits/ta/Packets/UsingPrimaryService/Definition.pdf Using Primary Service Providers & Coaching in Early Intervention Programs. Implementing a Primary Service Provider/Coaching Model. http://www2.ku.edu/~kskits/ta/Packets/UsingPrimaryService/Implementing.pdf Coaching Coaching in Early Childhood: Frequently Asked Questions http://www.coachinginearlychildhood.org/nlefaq.php Rush & Shelden (2005). Evidence-Based Definition of Coaching Practices, CASEinPoint, Vol. 1, No 6. http://www.fippcase.org/caseinpoint/caseinpoint_vol1_no6.pdf Rush & Shelden (2006). Validity of the Coaching Practices Rating Scale, CASEinPoint, Vol. 2, No 3. http://www.fippcase.org/caseinpoint/caseinpoint_vol2_no3.pdf Rush & Shelden (2008) Common Misperceptions about Coaching in Early Intervention, CASEinPoint, Vol. 4, No 1. http://www.fippcase.org/caseinpoint/caseinpoint_vol4_no1.pdf Shelden & Rush (2007). Characteristics of a Primary Coach Approach to Teaming in Early Childhood Programs, CASEinPoint, Vol. 3, No 1. http://www.fippcase.org/caseinpoint/caseinpoint_vol2_no3.pdf Legal Requirements for IFSPs and IEPs Building the Legacy: IDEA 2004 Individualized Education Program http://idea.ed.gov/explore/view/p/%2Croot%2Cdynamic%2CTopicalArea%2C1%2C . 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 29 Family Support and Participation ECTA Center: Assuring the Families’ Role on the Early Intervention Team http://www.nectac.org/~pdfs/pubs/assuring.pdf Family Voices http://www.familyvoices.org/ Family's Rights and Procedural Safeguards under IDEA http://www.teachingei.org/toolkit/factsheets/Family_Rights.pdf National Dissemination Center For Children with Disabilities: Parent Groups http://nichcy.org/families-community/help/parentgroups Turnbull, Summers, Turnbull, Brotherson, Winton et al (2007). Family supports and services in early intervention: A bold vision. Journal of Early Intervention 29, 187-206. http://www.aucd.org/docs/FamilySupports.pdf Transitions The Early Childhood Technical Assistance Center: Educational Transitions from Part C to Part B. http://www.nectac.org/~pdfs/topics/transition/TRANSITION_REGS%20BY%20STEPS_05-1608_FINAL.pdf Additional Resources A Guide to the Individual Education Program (Archived) http://www2.ed.gov/parents/needs/speced/iepguide/index.html Index of OSEP Policy Documents on the Education of Infants, Toddlers, Children and Youth with Disabilities http://www2.ed.gov/policy/speced/guid/idea/index.html Kansas Inservice Training System: Family Participation in the IFSP/IEP Process, The IFSP/IEP Meeting http://www.kskits.org/ta/Packets/EnhancingFamilyPartPDF/Meeting.pdf Planning and Prevention Strategies Reduce Problems at IEP Meetings http://www.bridges4kids.org/articles/2005/10-05/Greenbaum9-05.html#top Parent Checklist http://www.decsped.org/uploads/docs/about_dec/recommended_practices_tools/Parent%20Checklist.pdf Responsiveness to Family Cultures, Values, and Languages http://www.decsped.org/uploads/docs/about_dec/position_concept_papers/PositionPaper_Resp_FamCul.pdf Early Intervention in Natural Environments http://naturalenvironments.blogspot.com/ Aligning IEP's With State Standards and Accountability Systems http://www.k8accesscenter.org/training_resources/aligningieps.asp 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 30 Supporting Parents During The IEP/IFSP Process http://eclkc.ohs.acf.hhs.gov/hslc/ecdh/Disabilities/Working%20with%20Families/Parenting/disabl_caf_ 00005_093005.html State Specific Information http://nichcy.org/state-organization-search-by-state Consensus Building in IEP/IFSP Meetings http://www.specialed.us/pl-07/pl07-ps.html 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 31 Child’s Name _________________________DOB___________ISD# _________ HELP ME GROW, Early Intervention of Washington County SERVICE COORDINATION CHECKLIST (Date Completed) ASSESSMENT OF FAMILY NEEDS _____________ Give and explain intake folder to family at first home visit _____________ Assure family assessment is completed to identify the family concerns, priorities and resources (CPR) _____________ Make referrals for immediate family needs to: ________________________________ ________________________________ ________________________________ ________________________________ _____________ Assure documentation of family concerns, priorities and resources (CPR) on Assessment Summary Report (ASR) and/or IFSP _____________ Help family identify and choose outcome(s) to include on IFSP based on family CPR _____________ Assure family outcomes are included on IFSP _____________ Inform family of rights with all agencies involved _____________ Inform family of availability of advocacy services _____________ Give and explain HELP ME GROW binder to family CONNECTION/ADVOCACY _____________ Complete Interagency Release of Information _____________ Send for medical records, share with team members, as authorized by family _____________ Assist family to make referrals to state and community resources: _________________________________________________________________ _____________ Assist family to connect to informal resources: _________________________________________________________________ _____________ Coordinate & connect with child’s other service providers: (Therapy, PHN, DD) _________________________________________________________________ Provide family with contact list of Interagency Team Members MONITORING IFSP _____________ Assure evaluation/assessment and IFSP are completed within 45-days _____________ Assure all interagency team members are invited to the IFSP meeting, per family request _____________ Meet with family to reassess family CPR: ______________6 month review date _____________ Annual review date _____________ Update Interagency Release of Information (annually) TRANSITION _____________ Assure transition goal is included on IFSP 90 days prior to 3rd BD _____________ Notify team of transition meeting due dates between: _____________ 2 year 3 month date _____________ 90 day prior to 3rd birthday date _____________ Assure transition meeting is set up with interagency team members: _____________ Transition meeting date 3/16/2016 Strong Start Comprehensive System of Personnel Development-Foundation Training 32