Early Intervention Flashcards
who is early intervention for?
children birth-3 years
- medical condition affecting growth and development
- developmentally delayed
- family and child risk factors for developing a delay
EI overview
family driven focusing on education
services provided in “natural environments”
state wide program
- 11 centers in RI
- designated service areas by city/town
- department of human services (DHS)
who does the EI interdisciplinary team consist of?
SLP PT OT educator service coordinator nurse social work nutrition psychologist parent support from RIPIN
what is the referral process?
Anyone can refer!
-health care providers, families, day care (must include family’s permission)
what info is required for a referral?
name of child DOB address phone number name of parent/guardian name and # of person making referral reason for referral primary language spoken
triage:
intake coordinator reviews and triages referrals for eligibility
intake scheduled
what are examples of eligibility?
CP down syndrome ASD spina bifida cleft palate developmental delay
what are examples of ineligibility?
isolated club foot
idiopathic toe walker
refer to other community programs
can return for EI re-eval before 3rd bday if indicated
when 3, can be evaluated by Child Outreach w/in child’s community
evaluation and assessment:
2 examiners
parent report, observation and standardized testing
5 domains of development
what are the 5 romans of development?
1- motor (fine and gross) 2- Language (receptive & expressive) 3- Cognition 4- Social/emotional 5- Adaptive skills (feeding, dressing, toiling)
common evaluation tests:
Mullen Scales of early learning
Developmental profile of EI
Vineland II
AEPS. Discipline specific evaluations (PLS, PDMS 2)
who qualifies for eligibility?
single established condition (SEC)
multiple established condition (MEC)
developmental delays
- 2 SDs in 1 area
- 1.5 SDs in 2 or more areas
Informed clinical option
-eligible for 1 year
once eligible:
IFSP developed
family outcomes and interventions defined
PCP informed
Child outcome summary form
coordination with community programs
6 month progress review
re-assess in 1 year for eligibility
referrals at 34.5 months will be referred to the local special education preschool program
child outcome:
what 3 areas need to be reported to OSEP
states are required to report to the federal government (Office of Special Ed Programs (OSEP) about 3 different areas
- social/emotional skills
- acquisitions and use of knowledge and skills
- use of appropriate behaviors to meet needs
child assessed initially and at d/c
child compared to same aged peers
info is used to determine if EI services are having a positive impact
what are some community programs/supports?
RIPIN- RI parent info network
first connections
rehab centers (Hasbro)
feeding teams, EI and GI
RI school for the deaf
RI vision services
Groden Center
WIC
Brown center for the study of children at risk
Providence center
Headstart/early headstart
Libraries
music together
Gymboree
Providence children’s museums
natural environments:
variety of settings where child live, learn and play
home and community settings were ALL typical children participate
everyday routines, activity settings and learning opportunities include:
HOME, playground, lib, child care, stores, bathroom, kitchen, backyard, car rides, etc
what is the importance of natural environments?
it is the law (part C of IDEA)
provides opportunities for daily practice
empowers and supports family member as primary influence
strengths and develops lifelong natural supports
enhances autonomy
family support approach:
what are common misconceptions?
common misconceptions: more skilled services and higher frequency= better outcomes
home visits provide active learning opportunities by demonstrating, teaching, suggesting, coaching, recommending and modeling routine activities
child’s learning process is ongoing, occurring between visits
interdisciplinary approach:
staff works to integrate expertise of team members
provides family more efficient intervention/supports
involves continuous give and take between team members, especially with parents
each discipline trains other disciplines to incorporate their interventions into support for families
each discipline is trained to screen for concerns in other areas of development
who is the service coordinator?
primary contact b/w family and EI team
coordinates care with MS’s and specialists
provides parent support and ed
makes referrals w/in EI
provides info and links families with community resources
manages transition to public school special ed
transition:
develop plan for child’s d/c at age 3
- process begins at 24 months
- transition can include referral to CEDARR, preschool, special ed program, head start
referral made to school department is a multistep process
- initial meeting at home
- referral meeting, eval and eligibility meeting
- IEP development meeting
what is CEDARR family centers?
Comprehensive Evaluation Diagnosis Assessment Referral Re-eval
medicaid eligible children
direct services:
- homebased therapeutic services (HBTS)
- personal assistance support systems (PASS)
- kidsconnect
- respite
insurance
department of human services (DHS), administrator for EI programs in RI
2004: Legislature passed mandate requiring private insurance companies to cover EI services up to $5000 per child per calendar year
- no charges, copays or deductibles
- no impact on annual or lifetime benefit under family health insurance plan
- DHS pays for services NOT covered by an insurance company or after $5000 benefit is exhausted
- some privateer out of state insurance companies not covered by mandate
- some limits to clinical therapy services outside of EI as a result of mandate
