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Early On101 Mcecc2009

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Early On101 Mcecc2009

  1. 1. “ Don’t Worry. But Don’t Wait.” Victoria Meeder , Marketing/Public Awareness Supervisor Stefanie Rathburn , Training and Technical Assistance Specialist Michigan Collaborative Early Childhood Conference Thursday, January 29 th , 2009 3:30 p.m. – 5:00 p.m.
  2. 2. Clinton County RESA Office of Innovative Projects <ul><ul><li>Early On ® Training and Technical Assistance </li></ul></ul><ul><ul><ul><li>Personnel development for Early On </li></ul></ul></ul><ul><ul><li>Pre-Service </li></ul></ul><ul><ul><ul><li>Early On Center for Higher Education </li></ul></ul></ul><ul><ul><li>Early On Public Awareness </li></ul></ul><ul><ul><ul><li>Child find for Infants and Toddlers, birth – 3 </li></ul></ul></ul><ul><ul><li>Project Find </li></ul></ul><ul><ul><ul><li>Child find for Special Education, birth – 26 </li></ul></ul></ul>
  3. 3. IDEA <ul><li>Individuals with Disabilities Education Act </li></ul><ul><li>Part C = birth to 3 years </li></ul><ul><li>Part B = 3 to 21 years </li></ul>
  4. 4. Purpose of Part C <ul><li>To enhance the development of infants and toddlers; </li></ul><ul><li>To reduce costs to our society; </li></ul><ul><li>To maximize the potential of individuals with disabilities; </li></ul><ul><li>To enhance the capacity of families…; </li></ul><ul><li>To enhance the capacity of states… </li></ul>
  5. 5. Structure of Part C in Michigan <ul><li>US Congress IDEA </li></ul>Michigan Interagency Coordinating Council (MICC) MI Dept. of Community Health MI Dept. of Human Services Dept of Public Health Community Mental Health Local Service Areas/ Intermediate School Districts (57) Early On Coordinator Local Interagency Coordinating Council (LICC) <ul><li>Major Grantees: </li></ul><ul><li>Qualitative Compliance Information Project </li></ul><ul><li>Early On Training & Technical Assistance </li></ul><ul><li>EO Public Awareness </li></ul><ul><li>MI Alliance for Families </li></ul><ul><li>MI Compliance Info System (funded by Part B) </li></ul>US Dept of Education Office of Special Education Programs Michigan State Board of Education Michigan Department of Education Office of Early Childhood Education & Family Services
  6. 6. What is Early On ® <ul><li>A statewide system of early intervention services mandated by federal legislation (Part C of IDEA) </li></ul><ul><li>Designed to help families find the social, health and educational services that will promote the development of their infants and toddlers with special needs </li></ul><ul><li>Based on partnerships between families and service providers and on collaboration among community agencies, organizations and private practitioners; </li></ul><ul><li>Emphasizes early identification and early services </li></ul>
  7. 7. Early On is a System of Services Mental Health Health Services Children’s Special Health Care Hospital Early Intervention Services Child Care Easter Seals Insurance Physician Health Dept. Social Services Early Head Start
  8. 8. Early On Services Are: <ul><li>Strength(s) based </li></ul><ul><li>Family Centered </li></ul><ul><li>Based on parent/professional </li></ul><ul><ul><li>partnerships </li></ul></ul><ul><li>Based on interagency collaboration </li></ul>
  9. 9. Eligibility for Early On Services <ul><li>Any infant or toddler with an established condition (i.e., a physical or mental condition likely to lead to a delay) </li></ul><ul><li>Any infant or toddler with a developmental delay </li></ul>
  10. 10. Established Conditions <ul><li>Chromosomal anomaly/genetic disorders (e.g. Down syndrome) </li></ul><ul><li>Neurological disorders (e.g., cerebral palsy) </li></ul><ul><li>Congenital malformations (e.g., heart or cleft lip) </li></ul><ul><li>Inborn errors of metabolism </li></ul><ul><li>Sensory disorders </li></ul><ul><li>Atypical developmental disorders (e.g., autism) </li></ul><ul><li>Severe toxic exposure (e.g., alcohol or drug exposed) </li></ul><ul><li>Chronic illnesses (e.g., cystic fibrosis) </li></ul><ul><li>Severe infectious diseases </li></ul>
  11. 11. Developmental Delay in one of more of the following categories: <ul><li>Physical (including hearing and vision) </li></ul><ul><li>Gross and Fine Motor Development </li></ul><ul><li>Communication Development </li></ul><ul><li>Cognitive Development </li></ul><ul><li>Social/Emotional Development </li></ul><ul><li>Adaptive (self-help) </li></ul>
  12. 12. What is the Early On ® timeline? <ul><li>Referral </li></ul><ul><ul><li>Within 2 days of knowledge of concern </li></ul></ul><ul><li>Parental Notification </li></ul><ul><ul><li>Within 10 days of referral </li></ul></ul><ul><li>Evaluation and Assessment </li></ul><ul><ul><li>Within 45 days </li></ul></ul><ul><li>Individualized Family Service Plan (IFSP) </li></ul><ul><ul><li>Within 60 days </li></ul></ul><ul><li>Transition </li></ul><ul><ul><li>Up to nine months before exit </li></ul></ul><ul><ul><li>Minimum of 90 days before exit </li></ul></ul>
  13. 13. Parent Notification <ul><li>When first contact is made to parents, they need to know 3 things </li></ul><ul><ul><li>What is Early On </li></ul></ul><ul><ul><li>Family rights (procedural safeguards) </li></ul></ul><ul><ul><li>A description of the consent that they must give in order for the child to be evaluated </li></ul></ul><ul><ul><ul><li>Consent to evaluate form (usually only once) </li></ul></ul></ul><ul><ul><ul><li>Authorization to share form (updated every six months) </li></ul></ul></ul><ul><li>Every family receives at no charge </li></ul><ul><ul><li>Evaluation and assessment </li></ul></ul><ul><ul><li>Service coordination </li></ul></ul><ul><ul><li>Development of an IFSP </li></ul></ul>
  14. 14. Developmental Evaluation <ul><li>Two people (or more) from different professions or disciplines </li></ul><ul><ul><li>Consists of 5 parts </li></ul></ul><ul><ul><ul><li>Cognitive Development </li></ul></ul></ul><ul><ul><ul><li>Physical Development, including vision and hearing, gross and fine motor </li></ul></ul></ul><ul><ul><ul><li>Communication Development </li></ul></ul></ul><ul><ul><ul><li>Social or Emotional Development </li></ul></ul></ul><ul><ul><ul><li>Adaptive Development </li></ul></ul></ul><ul><li>Parent input should be considered in all areas </li></ul>
  15. 15. Health Appraisal <ul><li>Obtain information about past and current health </li></ul><ul><ul><li>Physical Examination </li></ul></ul><ul><ul><ul><li>By doctor, nurse, or nurse practitioner </li></ul></ul></ul><ul><li>Must be conducted within: </li></ul><ul><ul><li>3 months for a child 18 months or under </li></ul></ul><ul><ul><li>6 months for a child over 18 months </li></ul></ul>
  16. 16. Individual Family Service Plan <ul><li>The IFSP meeting will include: </li></ul><ul><ul><li>Results of the evaluation </li></ul></ul><ul><ul><li>Concerns of the parents </li></ul></ul><ul><ul><li>Outcomes desired by the parents for their child </li></ul></ul><ul><ul><li>Outcomes in natural environments and daily routines </li></ul></ul><ul><ul><li>Supports needed by the family </li></ul></ul><ul><ul><li>Early intervention services identified to support the outcomes </li></ul></ul>
  17. 17. Review of the Plan of Service <ul><li>Every Six-Month or sooner a Review of the IFSP outcomes must be evaluated </li></ul><ul><li>At least every 12 months a new IFSP is developed </li></ul><ul><li>Up to nine months before a child turns three years of age a transition planning meeting is held </li></ul>
  18. 18. Services Provided by Early On <ul><li>Assistive Technology Services </li></ul><ul><li>Audiology Services </li></ul><ul><li>Family Training, Counseling & Home Visits </li></ul><ul><li>Nursing Services </li></ul><ul><li>Nutrition Services </li></ul><ul><li>Occupational Therapy </li></ul><ul><li>Speech Therapy </li></ul><ul><li>Physical Therapy </li></ul><ul><li>Special Instruction </li></ul><ul><li>Social Work </li></ul><ul><li>Psychological Services </li></ul><ul><li>Health Services </li></ul><ul><li>Service Coordination </li></ul><ul><li>Transportation </li></ul><ul><li>Vision Services </li></ul>
  19. 19. When to Make a Referral <ul><li>If an established condition exists, it’s best practice to share information about Early On . </li></ul><ul><li>When a parent expresses concern. </li></ul><ul><li>When there is an identified red flag about a child’s development. </li></ul>
  20. 20. Red Flags at 6 Months <ul><ul><ul><li>Infant not reaching for objects </li></ul></ul></ul><ul><ul><ul><li>Not yet rolling over from stomach to back </li></ul></ul></ul><ul><ul><ul><li>Does not make eye contact </li></ul></ul></ul><ul><ul><ul><li>Does not laugh or squeal </li></ul></ul></ul><ul><ul><ul><li>(see handout for additional information about typical development and red flags for children birth to 48 months of age) </li></ul></ul></ul>
  21. 21. Red Flags at Twelve Months <ul><ul><ul><li>Persistent mouthing of objects </li></ul></ul></ul><ul><ul><ul><li>Excessive self-stimulation </li></ul></ul></ul><ul><ul><ul><li>Cannot stand when supported </li></ul></ul></ul><ul><ul><ul><li>Uses only one side of body </li></ul></ul></ul><ul><ul><ul><li>Not transferring objects from one hand to the other </li></ul></ul></ul><ul><ul><ul><li>Not looking for hidden objects </li></ul></ul></ul><ul><ul><ul><li>Not using single words </li></ul></ul></ul><ul><ul><ul><li>Does not use gestures, e.g., waving, pointing, or shaking head </li></ul></ul></ul>
  22. 22. Red Flags at 18 Months <ul><ul><ul><li>Not walking independently </li></ul></ul></ul><ul><ul><ul><li>Walks on tiptoes </li></ul></ul></ul><ul><ul><ul><li>Excessive rocking </li></ul></ul></ul><ul><ul><ul><li>Withdrawn </li></ul></ul></ul><ul><ul><ul><li>Does not respond to simple requests </li></ul></ul></ul><ul><ul><ul><li>Little or no social engagement </li></ul></ul></ul><ul><ul><ul><li>Does not point or try to indicate wants </li></ul></ul></ul>
  23. 23. Red Flags at 24 Months <ul><ul><ul><li>Inability to walk up and down stairs </li></ul></ul></ul><ul><ul><ul><li>Any regression of skills </li></ul></ul></ul><ul><ul><ul><li>No two word phrases </li></ul></ul></ul><ul><ul><ul><li>Persistent poor transitions </li></ul></ul></ul><ul><ul><ul><li>Does not show affection </li></ul></ul></ul><ul><ul><ul><li>Does not know and point to 5 body parts </li></ul></ul></ul>
  24. 24. Discussing Potential Referral <ul><li>Discuss concern(s) with parent </li></ul><ul><li>If they share concern(s), proceed with a referral. </li></ul><ul><li>If not – what to do? </li></ul><ul><li>Provide opportunities to observe similar age children </li></ul><ul><li>Provide information about developmentally appropriate behaviors </li></ul><ul><li>Keep log of identified concern(s) to share with parents </li></ul><ul><li>Remind parent about the benefits of Early On , input from specific disciplines </li></ul><ul><li>Provide an Early On brochure to parent </li></ul>
  25. 25. How to Make a Referral <ul><li>Call 1-800-Early-On (327-5966) </li></ul><ul><li>FAX: 517-668-0446 </li></ul><ul><li> </li></ul><ul><ul><li>Email (link on website) </li></ul></ul><ul><ul><li>Online Referral Process </li></ul></ul><ul><li>Contact your local county Early On directly </li></ul>
  26. 26.
  27. 27.
  28. 28. 1997 Amendments to IDEA - Regs <ul><li>Sec. 303.320 Public awareness program. Each system must include a public awareness program that focuses on the early identification of children who are eligible … and includes the preparation and dissemination by the lead agency to all primary referral sources, especially hospitals and physicians, of materials for parents on the availability of early intervention services. </li></ul>
  29. 29. <ul><li>The public awareness program must provide for informing the public about– </li></ul><ul><li>(a) The State's early intervention program; </li></ul><ul><li>(b) The child find system, including– </li></ul><ul><li>(1) The purpose and scope of the system; </li></ul><ul><li>(2) How to make referrals; and </li></ul><ul><li>(3) How to gain access to a comprehensive, multidisciplinary evaluation and other early intervention services; and </li></ul><ul><li>(c) The central directory. </li></ul>Public Awareness Federal Guidelines
  30. 30. Special Education Child Find (300.111) <ul><li>All children with disabilities residing in the State, …regardless of the severity of their disability and who are in need of special education and relates services, are identified, located, and evaluated. </li></ul><ul><li>Mandated: </li></ul><ul><ul><li>Homeless children </li></ul></ul><ul><ul><li>Migrant children </li></ul></ul><ul><ul><li>Children advancing from grade to grade with a suspected disability </li></ul></ul><ul><ul><li>Native Americans </li></ul></ul><ul><ul><li>(Federal Register/Vol. 71, No. 156/Monday, August 14, 2006/Rules and Regulations) </li></ul></ul><ul><li>Priority Audiences: </li></ul><ul><ul><li>Non-English Speaking Communities (Spanish & Arabic) </li></ul></ul><ul><ul><li>Parents of younger youth (Pre-K – 6 th grade) </li></ul></ul><ul><ul><li>High school drop outs </li></ul></ul>
  31. 31. Public Awareness Grantee <ul><ul><li>Strategies for outreach to identify and locate infants & toddlers, children, and youth (0-26) who may be eligible for Part C and Part B Services </li></ul></ul><ul><ul><li>Media: Television, Radio, Transit, Outdoor, and Print </li></ul></ul><ul><ul><li>Statewide display boards </li></ul></ul><ul><ul><li>Offer a viable Web presence </li></ul></ul><ul><ul><li>Disseminate public awareness materials </li></ul></ul>
  32. 32. Media – Statewide Television Early On ® Michigan - Public Service Announcement “ Sitting Still ” October 2005 – March 2006 (Aired 78,535) Versions Available in English, Spanish, and African-American Dialect
  33. 33. Early On Michigan Billboards <ul><li>Worked with the Outdoor Association of Michigan </li></ul><ul><li>Board space donated. Only paid for installation </li></ul>
  34. 34. Billboard Campaign – Sept 07 <ul><li>Wayne </li></ul><ul><li>Oakland </li></ul><ul><li>Macomb </li></ul><ul><li>Clinton </li></ul><ul><li>Eaton </li></ul><ul><li>Kent </li></ul><ul><li>St. Clair </li></ul><ul><li>Livingston </li></ul><ul><li>Genesee </li></ul><ul><li>Washtenaw </li></ul>
  35. 35. Transit/Bus Campaign – Sept . 07 <ul><li>Wayne, Kent, Genesee </li></ul>
  36. 36. Statewide Radio Campaign – Oct. 07 <ul><li>Public Service Announcements were played on 293 commercial radio stations and 28 public radio stations. </li></ul>
  37. 37. Generating Awareness – Transit <ul><li>October 2007 </li></ul><ul><li>Kalamazoo :  </li></ul><ul><li>8 buses </li></ul><ul><li>Genesee :  </li></ul><ul><li>20 buses </li></ul><ul><li>Macomb :  </li></ul><ul><li>40 buses </li></ul><ul><li>Washtenaw : </li></ul><ul><li>25 buses </li></ul>
  38. 38. Transit Advertisements <ul><li>Wayne, Genesee, Kent- Sept. 2007 </li></ul>
  39. 39. New Outreach Efforts – May 08 <ul><li>Child Find Birth – 1 </li></ul><ul><li>( Metro Parent Magazine </li></ul><ul><li> </li></ul><ul><li>Circulation of 30,000 </li></ul><ul><li>Distribution: Oakland, Macomb, Wayne, Livingston, Washtenaw </li></ul><ul><li>36% in schools, preschools, daycares, libraries, YMCA’s, medical, dental, tutoring programs, retail – children’s clothing venues, shoes, toys, supermarkets, bookstores </li></ul><ul><li>Demographics : 91% Female </li></ul><ul><li>51% have children 6 and younger </li></ul><ul><li>BONUS: We will receive a free listing in the Metro Baby’s Pregnancy Resource Guide – Fall 2008 Edition; both online and print </li></ul><ul><li>Fall Metro Baby 11/12 </li></ul>
  40. 40. Grand Rapids Family Advertisement <ul><li>Child Find Birth – 1 </li></ul><ul><li>Baby Issue - Launches first week in June </li></ul><ul><li>Highlights of Issue: Physicians: Profiles, Father’s Day and Baby Gift Guide </li></ul><ul><li>Circulation of 55,200 </li></ul><ul><li>Distribution: West MI (Kent County) </li></ul><ul><li>Grocery stores, retail stores, libraries, public , private and charter schools, preschools, child care centers, hospitals, doctor’s offices, and After-school/enrichment organizations </li></ul><ul><li>Demographics : 92% Female </li></ul><ul><li>50% have children 4 and younger </li></ul>
  41. 41. Traveling Display Boards
  42. 42. Impact Public Awareness
  43. 43. Public Awareness Products
  44. 44. Central Directory 2007 <ul><li>To download a copy, visit </li></ul><ul><li>Highlights of the Directory include: </li></ul><ul><li>Contact information for the </li></ul><ul><li>Office of Early Childhood Education </li></ul><ul><li>and Family Services </li></ul><ul><li>MDCH and MDE </li></ul><ul><li>IDEA Mandated Activities </li></ul><ul><li>Early On Coordinators </li></ul><ul><li>Intermediate School Districts </li></ul><ul><li>Institutions of Higher Education </li></ul><ul><li>Neonatal Intensive Care Units </li></ul>
  45. 45. Public Awareness Products
  46. 46. Thank You for Attending <ul><li>1-800-Early On (327-5966) </li></ul><ul><li> </li></ul><ul><li>1-800-252-0052 </li></ul><ul><li> </li></ul><ul><li>1-866-334-KIDS </li></ul><ul><li> </li></ul>

Notas del editor

  • Part C of IDEA was passed by the US Congress. The Federal Department of Education the Office of Special Education programs (OSEP) was given the responsibility for its implementation. In Michigan the Depart of Education of appointed the Lead Agency. Each State was permitted to name the State Agency that would take on the responsibility of implementation. Some have Health Dept. others Social Services, etc. The State Interagency Coordinating Council- SICC – is an advisory body to the Department of Education and is appointed by the Governor. Each State Agency has an Early On Coordinator in that Agency. The Early On Coordinator from Education is the official Part C Coordinator for the state. At the local level, since education is the lead agency, the responsibility for implementation falls to the local ISDs. Each local ISD has an Early On Coordinator responsible for the implementation of Part C – Early On in that particular service area. Every local ISD has a Local Interagency Coordinating Council LICC – that is advisory to the Early On Coordinator and the ISD. Major Grantees provide other services required by IDEA Part C: i.e., 1) data collection, 2) Evaluation, 3) Training &amp; Technical Assistance, 4) Public Awareness and child find, 5) information for parents.
  • With this slide, show that Early On is not a service itself, but a system that links services together for a family. The blue on this slide is Early On.