Chapter 23: Early Intervention

Question 1

What is early intervention?

Answer 1

Program to maintain or enhance the child’s development in natural environments
Service is for the whole family

Question 2

What age receives EI?

Answer 2

Birth to 3 years
Established risk or developmental delay or are considered to be environmentally or biologically at risk

Question 3

When are EI services most effective?

Answer 3

When the family is involved

Question 4

Why is EI important?

Answer 4

Neuroplasticity
Helps build better habits early on
Implemented after infant is in the NICU

Question 5

Education of the Handicapped Act (1986)

Answer 5

Encouraged states to put together and coordinate family centered care

Question 6

Individuals with Disabilities Education Act (IDEA) (1990) Part C

Answer 6

Governs EI services
Outlines what states need to do to provide services

Question 7

What is created for the child in EI?

Answer 7

IFSP- involves child and family

Question 8

P.L 108-446 IDEA Improvement Act 2004

Answer 8

Part B school program
Part C early intervention

Question 9

What must be reported by the state for children with IFSPs?

Answer 9

Improvement in:
Positive social-emotional skills
Acquisition/use of knowledge and skills
Use of appropriate behaviors
Families knowledge of rights
Families ability to communicate child’s needs
Family’s ability to help their child learn and develop

Question 10

Payment for OT services

Answer 10

State, federal, travel, and face to face

Question 11

Best practice themes in EI

Answer 11

Collaborate/partner with families
Working in the child’s natural environment
Respect families
Partner with professionals

Question 12

Transdisciplinary model

Answer 12

One service provider is primary and the other team members consult

Question 13

Multi-disciplinary model

Answer 13

Multiple team members provide services to the child
OT, PT, SLP

Question 14

Coaching

Answer 14

Form of consultation that allows team members to reinforce intervention strategies designed by other team members

Components: initiation, observation, action, reflection, evaluation, continuation, resolution, consultation process

Question 15

OT services

Answer 15

Services provided in the natural environment
- Learning opportunities
- Increased participation
- ADLs, rest and sleep, play, and social participation
- Consider family routines and habits
Using what the family has builds rapport
Try to increase participation with child and parents

Question 16

Early intervention evaluation

Answer 16

Cognition, communication, motor, socio-emotional, play

Question 17

Writing an IFSP

Answer 17

Eligibility determination
Developing the document
Writing goals and objectives
Transition planning
Payment for services

Question 18

Transition planning

Answer 18

Transitioning from EI to preschool (IEP)
Consider stress on parents, the environment, and expectations

Question 19

Criterion referenced assessment

Answer 19

Learning what a child can and cannot do

Question 20

Norm-referenced

Answer 20

Compare client to normative sample

Question 21

Focus of the IFSP

Answer 21

Focus on functional skills for the child and family’s life
Reflects real-life contextualized settings
Outcome is discipline-free, emphasizes the positive
Coordinated by a service coordinator → works to set up meeting, 45 day referral, helps set up IFSP

Question 22

Areas of intervention

Answer 22

Play, motor performance, sensory processing, self-care, adaptive equipment and positioning, social interaction, eating and sleeping

Question 23

What are some ways to facilitate play?

Answer 23

Using things they already have interest in
Engaging child
Using music

Question 24

What are benefits to therapeutic play?

Answer 24

Self regulation
Increase in motivation
Play is how they learn
Play can be easily adapted to a situation or child’s level
Addresses almost any goals