Early Intervention Services (Birth to 3)

Question 1

Step/process for IEP eligibility

Answer 1

1) referral based on concern
2) Parental consent
3) Evaluation with the team (have 60 calendar days)
4) IEP evaluation meeting (going over the info with the team) this is going to determine eligibility and where team selects 1 of 13 educational disabilities
5) Begin the IEP planning/meeting, develop the goals to work on and have a way to take/collect the data, also the PLAAFP
6) Implement- get to begin IEP
7) Review and monitor the goals every 9 weeks (throughout the whole school year) then have annual IEP meeting
8) annual IEP meetings
9) 3 years for re-evaluation

Question 2

Reimbursement for pediatric services

Answer 2

NICU- Medicaid, universal healthcare, Commercial Insurance

Pediatric Outpatient- Medicaid, Universal healthcare, Commercial insurance

Birth-3- Medicaid, federal funds, IDEA part C

Preschool, K-12 grades- Medicaid, Federal funds, IDEA part B section 504- Rehab Act ADA

Question 3

IDEA Part B

Answer 3

-defines school programs for eligible students between 3-21 years of age. This is mandate (programs and services that are mandated by law)

Question 4

IDEA part C

Answer 4

• defines early interventions services for children 0-3
• this is an entitlement program (one’s right to something, parent has the right to refuse)) in some states, services to children up to age 5 years who have developmental delay or at risk for developmental delay.

Question 5

Purpose of EI services

Answer 5

Meet the developmental needs of an infant or toddler in one or more of the following areas

• Physical development (movement)
• Cognitive developmental (learning)
• Communication (interaction)
• Social or emotional development (behavior)
• Adaptive skills (using existing skills)
• referred to as domains
• sensory falls into behaviors domain

*we can serve kids that are just delayed in development (feeding is huge, can prevent from hitting developmental milestones)

Question 6

Mission of IDEA part C

Answer 6

EI builds upon and provides supports and resources to assist family members and caregivers to enhance children’s learning and development through everyday learning opportunities (role of the family is to promote family engagement)

• environment is an important factor
• embedding interventions within family’s routines

*Build a family’s capacity to accommodate child and promote the child’s development in their natural environment

Question 7

IDEA part C cont

Answer 7

• OT considered a primary service and can provide separately or along with any other EI service for infants, toddlers, and their family.
• focuses on meeting developmental needs of the child and needs of the family
• must be dynamic and individualized
• In order for infant or toddler to receive services they must meet eligibility as determined by state of residency (each state looks different)

Question 8

Related services

Answer 8

We are supporting their education and functional experience (functional goals or academic goals) It is not just us working on skills

Question 9

IDEA part C cont

Answer 9

Eligibility- Noncategorical (not specific dx to qualify)

Interdisciplinary and transdisciplinary approach

Question 10

Interdisciplinary approach

Answer 10

we all have common goals and are working on the same thing (OT, PT, SLP, Nursing)- shared goals, the child has enough complexity that they need us all working on the same things for success.

Question 11

Transdisciplinary approach

Answer 11

have a lead person, primary service provider (PSP), we don’t want to have 3-4 people bombarding the childs parents, we want 1 person working with everyone else involved (OT, PT, SLP) but the 1 person is the contact for the family. Keeps it to only 1 person entering the home and interacting with the family instead of all 3 disciplines coming in and out.

Question 12

IDEA part C- state requirements

Answer 12

-each state must identify policies to locate and refer children who may have disability to that states EI program

Typically 2 methods for identifying and referring child to EI

• referral- by educator, parent, physician
• Child find program- continuous search for and evaluation process to fund children in need.

Question 13

IDEA part C cont

Answer 13

• Infant/toddler and family goals are reflected in IFSP (individualized family service plan)
• service coordination

PSP model- provider is EI team liaison to family, collaborate with all team members for service delivery to implement the plan.

Question 14

Primary Service provider model- PSP

Answer 14

-One professional provides the weekly support to family, backed up by a team of professionals who provide services to child/family through joint home visits with the PSP

Intensity of joint home visits depends on:

• child and family needs
• PSP needs

*this is a transdisciplinary teaming approach

Question 15

Key principles of Family centered care

Answer 15

Family is constant (services fluctuate)

facilitating parent/professional collaboration is on all levels of health care

Honor diversity and individual values

recognize strengths

encourage family to family support and networking

Question 16

3 options for eligibility for 0-3 services

Answer 16

Diagnosed with medical condition or physical condition associated with developmental delay

Delay in one or more domain areas

Children at risk due to environmental or biological risk factors (low birth weight, failure to thrive, teen mothers alcohol/drug, poverty)

Question 17

assessments should be authentic

Answer 17

• occur in child’s natural environment
• schedule within child’s daily routine
• analyze factors from the environment
• analyze activity and materials
• should be strength oriented

Question 18

EI evaluation and intervention planning

Answer 18

Consist of a series of steps to gather information about the infant/toddler and family to identify needs and develop IFSP goals

1) Diagnostic and programming assessments
2) Routine based interviews with family
3) team development and writing of the IFSP plan and family/child outcomes, goals

Question 19

What is the IFSP

Answer 19

IFSP is a map of family services and informs all working with family

IFSP must be written within 45 days after the referral

Service coordinator- assists the family in accessing information and resources and coordinates implementation of IFSP

IFSP is not a treatment plan, but a planning process and a document identifying child and family outcomes

Question 20

IFSP must include

Answer 20

• statement of infants present level of development in all domains
• statement of family strength and needs
• statement of the major outcomes expected
• projected dates for beginning services and anticipated duration of service, reviewed every 6 months by family and service providers
• Name of case manager/service coordinator

Question 21

IFSP procedures for transition to preschool services

Answer 21

6 months prior to the child’s 3rd birthday, transition process begins by contacting the local LEA/school district

• Records and assessment information follow the child to the LEA to determine eligibility under Part B (3- 21years) and continued need for services (so there is no gap in services)
• 6 months before they turn three the team meets to see if the child still needs services or if they met all their goals and are no longer in need of services.