COLLABORATIVE OUTCOMES PROCESS

TABLE OF CONTENTS

Step 1: Analyze Current Outcomes

Step 2: Interview Family

Step 3: Determine Priorities

Step 4: Gather Assessment Results

Step 5: Integrate Information

Step 6: Create Objective Measures

Step 7: Collaborate

Step 8: Review Progress

Resources

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Collaborative, Routines-Based Outcomes Process

STEP 1: Analyze Current Outcomes

WHAT:Take a look at existing One Plan outcomes to see if they fit the criteria of being collaborative and routines based.

HOW:1) If this is initial One Plan, move on to Step 2: Interview.

2) If you are updating an existing One Plan, start by reading through all current outcomes.

a) Determine: i. Themes: “many providers seem to be working on building independence across his day”

ii. Overlap: “visual fine motor skills are being worked on by Teacher of the Visually Impaired and the Occupational Therapist”

iii. Routines: Think about the routines that could be linked with each outcome: “working on visual fine motor skills could be imbedded into his feeding routine”

b) If routines, priorities and current skills are documented move on to Step 5: Integrate

Vermont I-Team Early Intervention Project, 4/24/17

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Collaborative, Routines-Based Outcomes Process

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STEP 2: Interview Family aboutDaily Routines, Activities and Supports

WHAT: Interview the family to gather information about their daily routines, activities and support systems.

HOW: Use a structured format for gathering this information.

Integral Information:

1) What is working and what is challenging in everyday routines and activities?

2) What is everyone else doing during routine?

3) What is the child doing during routine? a) Social-emotional skills b) Acquiring and using knowledge and skills c) Taking appropriate action to meet needs

Vermont I-Team Early Intervention Project 4/24/17

Step 2: Interview page 2

Possible Tools: - One Plan interview1 - for gathering family supports and routines - ECO Map1,2

- AEPS3 (Assessment, Evaluation and Programming System for Infants and Children) Family Report - RBI4 (Routines Based Interview) - SATIRE5 (Scale for Assessment of Teachers Impressions of Routines and Engagement) - Cara’s Kit for Toddlers6 (Creating Adaptations for Routines and Activities)

Vermont I-Team Early Intervention Project, 4/24/17

Collaborative, Routines-Based Outcomes Process

Step 3: Determine Family Priorities

WHAT: Help family prioritize their hopes and dreams

HOW: Perform a structured process for prioritization

Integral Information: 1) As family is interviewed, concerns should be starred on by note-taker.

2) Following the interview, review all identified concerns with the family - it may be helpful for them to review the notes.

3) Consider which identified concerns will be addressed by EI team. Family should be encouraged to add child and family concerns, but not all concerns may be relevant to EI.

4) List these concerns into order of priority. Understanding the family’s priorities will help to guide team members to allocate their time and attention.

Possible Tools: - Hopes and Dreams page of the One Plan8

- Priorities Page (“Things to work on”) of the RBI4

Vermont I-Team Early Intervention Project – 4/24/17

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Collaborative, Routines-Based Outcomes Process

Step 4: Gather Assessment Results

WHAT: Collect information about current level of function

HOW: Gather results from providers evaluation reports and/or current progress toward One Plan outcomes

Integral Information:

1) Information gathered through developmental and discipline specific evaluations

2) What is the impact of developmental skill level, needs and disability on the child’s learning and participation in everyday routines and activities?

3) What is the impact of the family needs and capacity?

4) Are evaluation reports being written in a collaborative way with input from multiple providers?

Vermont I-Team Early Intervention Project 4/24/17

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Collaborative, Routines-Based Outcomes Process

Step 5: Integrate Routines, Priorities and Assessment Results

WHAT: Organize information gathered about parent priorities, routines and assessment results.

HOW: Structured meeting with full team and family

1) Start with first parent priority: “Do more for himself”

2) Determine which routine this affects: Self-care

3) Identify current skill level related to this routine: Billy is fully dependent with dressing

4) Identify which providers (2 or more) will be working on this outcome.

Possible Tools: - One Plan Meeting Agenda9

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Vermont I-Team Early Intervention Project – 4/24/17

Step 6: Create Collaborative Outcomes and Objective Measures

WHAT: Using integrated information from step 5, develop the One Plan outcomes.

HOW: Create outcomes during a structured meeting with team and family

1) Write collaborative outcome: “We want…. so that….”We want Billy to increase his participation in dressing so that he can be more independent in self-care routines.

2) Write objective measures: “How will we know we are successful”? Add 2-4 objective measures for each outcome. (Note: each objective measure will likely be discipline specific)

a) Billy will remove his pants with moderate assistance by grasping waistband with two hands, 1x/day, 3-4 days per week

b) Billy will indicate choice between 2 different articles of clothing when given options, 1x/day

c) Billy will be engaged during communication during the dressing routine by quieting to listen, looking at the face of the communicator, and/or watching signs for each clothing item during choice time.

Vermont I-Team Early Intervention Project – 4/24/17 STEP 6: Create page 2

Outcome Checklist:

-- Is the outcome routines-based? -- Is the outcome based on a family priority? -- Is the outcome based on a functional activity? -- Is there more than one provider involved in the “we want, so that” outcome?

-- Are the “how will we be successful” outcomes based on SMART goal writing techniques?

Collaborative, Routines-Based Outcomes Process

Step 7: Collaborate

WHAT: Make a plan for team collaboration

HOW: Develop team collaboration activities:

Options for collaboration:

- Schedule co-visits between providers

- Provide family with notebook to keep track of visit notes and schedule

- Provide family with brief, written descriptions of collaborativestrategies

- Schedule regular team and/or provider meetings

Tools: - Collaborative Meeting Agenda9

- Family Routines Plan9

- Childcare Routines Plan9

Vermont I-Team Early Intervention Project – 4/24/17

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Collaborative, Routines-Based Outcomes Process

STEP 8: Plan Review

WHAT: Review outcomes on an ongoing basis

HOW: Plan Review from One Plan

1) What is reason for Review?- Periodic review- Annual review- Change in Services/Update/Referral – review of progress can

happen at any time

2) Identify sources of information

3) Update current status:- Family routines- Family priorities- Changes in family living situation- Medical updates

4) Update current skill levels:- Review results of most recent screening/evaluation/

Observations- Review “How will we know we are successful” to see if child

has met any of the objectives- Determine if there are any new areas of concern

Vermont I-Team Early Intervention Project – 4/24/17

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Step 8: Plan Review page 2

5) Integrate findings from previous sections:- Update “we want, so that” and “how will we know we are

successful” sections of plan.- Use Outcomes Checklist from STEP to be sure these are

collaborative, routines-based and SMART

6) Identify the areas in need of continued or additional services.

7) Complete new/revised Family Outcomes pages, Service grid and Family consent for change in services.

Tools: - One Plan Guidelines1

Vermont I-Team Early Intervention Project – 4/24/17

Collaborative, Routines-Based Outcomes Process

RESOURCES: 1 Information on Eco Maps, One Plan Tool Box and One Plan guidelines: CIS Partners

2 Information on Eco Maps: Eco Maps

3 The APES family report, to learn about daily routines at home: APES Family Interview

4 Routines Based Interview (RBI) – to learn about daily routine of family at home:RBI article RBI protocol

5 SATIRE (Scale for Assessment of Teachers Impressions of Routines and Engagement) – to learn daily routine at childcare programSATIRE

6 Cara’s Kit – to learn daily routine of childcare program Cara’s Kit

7 Larimer County Age Anchoring ToolOutcome 1: Positive Social Emotional SkillsOutcome 2: Acquiring and Using Knowledge and Skills Outcome 3: Taking Appropriate Action to Meet Needs

8 Hopes and Dreams page of One PlanHopes and Dreams

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9 One Plan Meeting Agenda Collaborative Meeting Agenda Family Routines Plan Childcare Routines Plan Collaborative Outcomes Process ChecklistI-Team EI Project Resources

Vermont I-Team Early Intervention Project – 4/24/17