miaeyc conference 2011 in dearborn, mi
TRANSCRIPT
“Don’t Worry. But Don’t Wait.”
Victoria Meeder, Marketing/Public Awareness Supervisor
Stefanie Rathburn, Training & Technical Assistance Specialist
1800EarlyOn.org
Facebook.com/earlyonmichigan
Find us on Facebook
Find us on TwitterTwitter.com/ChildFindMich
Learning Objectives
1. Learn about Michigan’s early intervention system, Early On
2. How to make a referral
3. Red flags of development
Clinton County RESAOffice of Innovative Projects
Early On® Training and 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 – 3
Project Find Child find for Special Education, birth – 26
619 Training and Technical AssistanceEarly Childhood Special Education Focus 3 to 5
What is Early On• A statewide system of early
intervention services mandated by federal legislation (Part C of IDEA);
• 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.
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…
Structure of Part C in MichiganUS Congress IDEA
Michigan InteragencyCoordinating Council
(MICC)
MI Dept. ofCommunity
Health
Dept. ofPublic Health
Local Service Areas/ Intermediate School Districts
(57)
Early On Coordinator
MI Dept. of
Human Services
CommunityMental Health
Local Interagency Coordinating Council
(LICC)
Major Grantees:Major Grantees:• Qualitative ComplianceInformation Project• Early On Training &Technical Assistance• EO Public Awareness• MI Alliance for Families/Parent Training &Information• Interagency InformationSystems• Inter-Tribal Council ofMichigan• MI Compliance Info System(funded by Part B)
US Dept. of EducationOffice of Special Education
Programs
Michigan State Board of Education
Michigan Department of Education
Office of Great Start
Early On Services Are:
• Strength(s) based
• Family Centered• Based on
parent/professional partnerships
• Based on interagency collaboration
Early On is a System of Services
Mental Health
Health Services
Children’s Special Health
Care
Hospital
Early Intervention Services
Child Care
Easter Seals
InsurancePhysician
Health Dept.
Social Services
Early Head Start
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 2010Eligibility is not determined by income
Established ConditionsEstablished 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
Developmental Delay in one of more of the following categories:
Physical (including hearing and vision)
Gross and Fine Motor Development
Communication Development
Cognitive Development
Social/Emotional Development
Adaptive (self-help)
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
Parent NotificationWhen first contact is made to parents, they need to know 3 things
1) What is Early On2) 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 or as needed)
•Every family receives at no charge
•Evaluation and assessment•Service coordination•Development of an IFSP
Developmental Evaluation•Two people (or more) from different professions or disciplinesConsists of 5 parts
1. Cognitive Development2. Physical Development,
including vision and hearing, gross and fine motor
3. Communication Development
4. Social or Emotional Development
5. Adaptive Development•Parent input should be considered in all areas
Health AppraisalObtain 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
Individual Family Service PlanThe 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
Review of the Plan of Service•Every Six-Month 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
Services Provided by Early On Assistive
Technology Services
Audiology Services
Family Training, Counseling & Home Visits
Nursing Services Nutrition Services Occupational
Therapy
Speech Therapy Physical Therapy Special
Instruction Social Work Psychological
Services Health Services Service
Coordination Transportation Vision Services
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.
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
(View handout for additional information about typical development and red flags for children birth to 48 months of age)
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
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
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
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
How to Make a Referral
• Call 1-800-Early-On • FAX: 517-668-0446• www.1800EarlyOn.org• Email (link on website) • Online Referral Process
• Contact your local county Early On directly
Join Us on Facebook
Facebook.com/EarlyOnMichigan
Follow Our Tweets
Twitter.com/ChildFindMich
Public Awareness Products
Thank You for Attending1-800-Early On (327-5966)
www.1800EarlyOn.org
1-800-252-0052www.ProjectFindMichigan.org