dearborn october 28 2011 dont worry but dont wait
TRANSCRIPT
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Dont Worry.But Dont Wait.
Victoria Meeder,Marketing/Public Awareness Supervisor
1800EarlyOn.org
Facebook.com/earlyonmichiganFind us on Facebook
Find us on Facebook
Twitter.com/ChildFindMich
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Learning Objectives
1. Learn aboutMichigans early
intervention
system, Early On
2. How to make areferral
3. Red flags ofdevelopment
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What is Early On
A statewide system of early
intervention servicesmandated by federallegislation (Part C of IDEA);
Designed to help families findthe social, health andeducational services that willpromote the development oftheir infants and toddlers withspecial needs;
Based on partnershipsbetween families and serviceproviders and oncollaboration amongcommunity agencies,organizations and private
practitioners;
Emphasizes early identificationand early services.
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Purpose of Part C
To enhance thedevelopment ofinfants and toddlers;To reduce costs to oursociety;To maximize thepotential of individualswith disabilities;To enhance thecapacity of families;To enhance the
capacity of states
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Structure of Part C in Michigan
US Congress IDEA
Michigan InteragencyCoordinating Council
(MICC)
MI Dept. ofCommunity
Health
Dept. ofPublicHealth
Local Service Areas/Intermediate School Districts
(57)
Early OnCoordinator
MI Dept.of
HumanServices
CommunityMental Health
Local InteragencyCoordinating Council
(LICC)
Major Grantees:Major Grantees: Qualitative ComplianceInformation Project Early OnTraining &Technical Assistance EO Public Awareness MI Alliance for Families/Parent Training &Information Interagency Information
Systems Inter-Tribal Council ofMichigan MI Compliance Info System(funded by Part B)
US Dept. of EducationOffice of Special Education
Programs
Michigan State Board ofEducation
Michigan Department ofEducation
Office of Great Start
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Early On Services Are:
Strength(s) based
Family Centered
Based on
parent/professional partnerships
Based oninteragency
collaboration
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Early On is a System of Services
Mental Health
Health Services
Childrens
Special HealthCare
Hospital
Early InterventionServices
Child Care
Easter Seals
InsurancePhysician
Health Dept.
Social Services
Early Head Start
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Eligibility forEarly OnServicesAny infant or toddler withan establishedcondition(i.e., a physical ormental condition likely tolead to a delay)
Developmental DelayUnder 2 months of age- any delay
2 to 36 months of age -20% in one or moreareas
Change in EligibilityBegan July 2010
Eligibility is notdetermined by income
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EstablishedConditionsEstablished Conditions: Children withestablished conditions are those from birththrough age two who have a diagnosedphysical or mental condition that has ahigh probability of resulting in adevelopmental 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
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Developmental Delayin one of more of the
following categories:
Physical (includinghearing and vision)
Gross and Fine Motor
Development
CommunicationDevelopment
CognitiveDevelopment
Social/EmotionalDevelopment
Adaptive (self-help)
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What is the EarlyOntimeline? Parental Notification
Within 10 days ofreferral
Evaluation andAssessment
Within 45 days Individualized Family
Service Plan (IFSP) Within 60 days
Transition Up to nine months
before exit Minimum of 90 days
before exit
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Parent Notification
When first contact is made toparents, they need to know 3things1) What is Early On2) Family rights
(proceduralsafeguards)
3) A description of theconsent that they must
give in order for thechild to be evaluatedConsent to evaluateform Authorization toshare form (updatedevery six months or asneeded)
Every family receives at nocharge
Evaluation andassessmentService coordinationDevelopment of an IFSP
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DevelopmentalEvaluation
Two people (or more) fromdifferent professions ordisciplinesConsists of 5 parts
1. CognitiveDevelopment
2. Physical Development,including vision andhearing, gross and finemotor
3. CommunicationDevelopment
4. Social or EmotionalDevelopment
5. Adaptive Development
Parent input should beconsidered in all areas
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Health Appraisal
Obtain information aboutpast and current health
Physical Examination
By doctor, nurse, or
nurse practitioner
Must be conductedwithin:
3 months for a child 18months or under
6 months for a childover 18 months
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Individual FamilyService PlanThe IFSP meeting will include:
Results of the evaluation
Concerns of the parents
Outcomes desired bythe parents for their child
Outcomes in naturalenvironments anddaily routines
Supports needed by thefamily
Early interventionservices identified tosupport the outcomes
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Review of the Planof ServiceEvery Six-Month orsooner a Review of theIFSP outcomes must beevaluated
At least every 12 monthsa new IFSP is developed
Up to nine monthsbefore a child turns three
years of age a transitionplanning meeting is held
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Services Provided by Early On
AssistiveTechnologyServices
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
ServiceCoordination Transportation Vision Services
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When to Make aReferral
If an establishedcondition exists, itsbest practice to shareinformation about
Early On.
When a parentexpresses concern.
When there is anidentified red flagabout a childsdevelopment.
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Red Flags at 6
Months
Infant notreaching forobjects
Not yet rolling overfrom stomach toback
Does not makeeye contact
Does not laugh orsqueal
(View handout for
additional informationabout typical developmentand red flags for childrenbirth to 48 months of age)
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Red Flags at TwelveMonths
Persistent mouthing ofobjects
Excessive self-stimulation
Cannot stand whensupported
Uses only one side of body Not transferring objects from
one hand to the other
Not looking for hiddenobjects
Not using single words
Does not use gestures, e.g.,waving, pointing, or shakinghead
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Red Flags at 18Months
Not walkingindependently
Walks on tiptoes
Excessive rocking
Withdrawn
Does not respond tosimple requests
Little or no socialengagement
Does not point or try toindicate wants
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Red Flags at 24Months
Inability to walk upand down stairs
Any regression of skills
No two word phrases
Persistent poortransitions
Does not showaffection
Does not know andpoint to 5 body parts
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DiscussingPotential 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 agechildren Provide information
about developmentallyappropriate behaviors
Keep log of identifiedconcern(s) to share withparents
Remind parent about
the benefits of Early On,input from specificdisciplines
Provide an Early Onbrochure to parent
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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 localcounty Early On directly
http://www.1800earlyon.org/http://www.1800earlyon.org/ -
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www.1800EarlyOn.org
http://www.1800earlyon.org/http://www.1800earlyon.org/ -
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www.ProjectFindMichigan.org
http://www.projectfindmichigan.org/http://www.projectfindmichigan.org/ -
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Join Us on Facebook
Facebook.com/EarlyOnMichigan
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Follow Our Tweets
Twitter.com/ChildFindMich
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Public Awareness Products
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Thank You for Attending
1-800-Early On (327-5966)
www.1800EarlyOn.org
1-800-252-0052
www.ProjectFindMichigan.org
http://www.1800earlyon.org/http://www.projectfindmichigan.org/http://www.projectfindmichigan.org/http://www.1800earlyon.org/