Dearborn October 28 2011 Dont Worry but Dont Wait

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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

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