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Family Centered Family Centered Practice in Practice in Communicating Communicating Assessment Results Assessment Results Laurie Ford & Suretha Swart Laurie Ford & Suretha Swart University of British Columbia Innovative Assessment Practices Supporting Families and Communities May 24, 2007

Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

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Page 1: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Family Centered Practice in Family Centered Practice in Communicating Communicating

Assessment ResultsAssessment Results

Laurie Ford & Suretha SwartLaurie Ford & Suretha SwartUniversity of British Columbia

Innovative Assessment Practices

Supporting Families and Communities

May 24, 2007

Page 2: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Goal for TodayGoal for Today

We want to discuss ways to put the assessment process in contextcontext

Primary contexts for the young child are their familyfamily and culturalcultural contexts

We hope you walk away with ideas for how to better address the families and cultural needs of the students you assess

Page 3: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

AssessmentAssessment

A generic term that refers to process of gathering information for the purpose of making decisions

The purpose of the assessment must be clear to all involved because it will determine the questions that we ask, the instruments and procedures that we use

Page 4: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Assessment MethodsAssessment Methods

Direct observation of children Informal and structured interviews

with children Informal and structured interviews

with teachers Rating scales or questionnaires

Page 5: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

On FamiliesOn Families

“Families, like the faces and fingerprints of the people who comprise them, are all different. Opinions, values, beliefs, goals, resources, languages, style of interaction and modes of communication vary from family to family just as they vary among individuals within each family” p. 72

Mclean, Bailey, Wolery, 2004

Page 6: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

The Role of the Family in the The Role of the Family in the Assessment ProcessAssessment Process

TraditionalTraditional

Participate in an interview and

complete rating scales

A More Contemporary ViewA More Contemporary View

Families work as “collaborators” with professionals in the assessment process

What does this mean in your setting?

Page 7: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

The Role of the Family in the The Role of the Family in the Assessment ProcessAssessment Process

A More Contemporary ViewA More Contemporary View

Work to involved families throughout the entire assessment process

(from the first decision to the last)

Page 8: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Strategies for Building Strategies for Building Collaborative RelationshipsCollaborative Relationships

Pre-assessment Planning• CPRs (Concerns, Priorities, Resources)• Family Needs Survey• Ask families what they want/need• Share your professional wants and needs

Page 9: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Strategies for Building Strategies for Building Collaborative RelationshipsCollaborative Relationships

Active Participation by Family and Caregivers During Assessment

Mutual Sharing of Assessment Results• Families who are more involved in the

process along the way are more likely to respond actively to the assessment results

Page 10: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Questions for Validating the Questions for Validating the Assessment ProcessAssessment Process

Ask Families Prior to the Ask Families Prior to the AssessmentAssessment• What kind of information would

be useful to you?• What kind of activities would

bring out the best in your child?• What have you others tried that

has been useful with your child?• What kind of activities reflect

what your child does at home?• When & where would be the

best time and place to gather information about your child?

Ask Families During Ask Families During the Assessmentthe Assessment• Are we getting a

representative sample of what your child can do?

• Was that the correct interpretation of what your child said (or did)?

• Are there better ways we should be playing or working with your child?

Page 11: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Questions for Validating the Questions for Validating the Assessment ProcessAssessment Process

Questions to Ask the Family After the Questions to Ask the Family After the AssessmentAssessment• Did we address your primary concerns?• How do you fell about the overall process and

results?• Were the behaviors displayed by your child

typical to your child?• What other skills and behaviors is your child able

to do that we were not able to see here today?• What could we have done differently?

Page 12: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Conducting a Family Conducting a Family Responsive AssessmentResponsive Assessment

Issue: Support Communication and Issue: Support Communication and UnderstandingUnderstanding• Requires flexibility and attention to the

responses of the child and their caregiver• Explain to the family what you are doing,

how you are doing it, and why it is important

Page 13: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Conducting a Family Conducting a Family Responsive AssessmentResponsive Assessment

Issue: Create a Secure and Non-Issue: Create a Secure and Non-threatening Environmentthreatening Environment• For both the child AND the family• When possible conduct assessments in

surroundings family to the child and family• If not in the home, make the setting as

comfortable as possible• Communicate messages of respect, equality,

support, and expertise (both family and professional bring expertise)

• When possible, provide some preliminary information on results to the families

Page 14: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Conducting a Family Conducting a Family Responsive AssessmentResponsive Assessment

Issue: Share Information Clearly and in a Issue: Share Information Clearly and in a Caring MannerCaring Manner• Present information in the language a family uses• Monitor use of technical terms• Present information like you would to a friend

who is bright but knows nothing about child development, assessment or disability

• Emphasize strengths….no parent wants to hear only what is not going well, problems, etc

• Allow time for the family to process information….allow for silence

Page 15: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Conducting a Family Conducting a Family Responsive AssessmentResponsive Assessment

Issue: Determining What Families Want in Issue: Determining What Families Want in the Decision Making Processthe Decision Making Process• Listen to what the family has to say (and not say)• Be aware of who the family wants involved in the

assessment decisions• Remember that when families do not do what

professionals expect, it may be that the professional does not have appropriate expectations

Page 16: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Taking a Culturally Taking a Culturally Responsive Approach to Responsive Approach to the Assessment of Young the Assessment of Young

ChildrenChildren

Page 17: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

What is cross-cultural What is cross-cultural competence?competence?

“The ability …to respond optimally to all children, understanding both the richness and the limitations of the sociocultural contexts in which children and families as well as the service providers themselves, may be operating” (Barrera & Kramer, 1997, p. 217).

“A set of behaviors, attitudes, and policies, that enable a system, agency, and/or individual to function effectively with culturally diverse clients and communities” (Rorie, Paine, and Barger, 1996, p. 93).

Page 18: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

What is cross-cultural What is cross-cultural competence?competence?

“ The ability to think, feel, and act in ways that acknowledge, respect, and build upon ethnic, sociocultural, and linguistic diversity” (Lynch & Hanson, 1993, p. 50).

“The ability to conduct one’s professional work in a way that is congruent with the behavior and expectations that members of a distinctive culture recognize as appropriate among themselves” (Green, 1982, p. 52).

Page 19: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

The Challenge…The Challenge…

Young children are strongly affected by contextual factors

Cultural background can affect how children approaches developmental tasks

Values, beliefs, styles of interaction, coping strategies, and interests vary from family to family but also within families

Page 20: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

The Challenge…The Challenge…

Requirements to follow consistent procedures that conform to agency policy, ethical guidelines from professional organizations, while providing individualized service that is sensitive to the diversity of families being served

Service systems are in some places mandated to develop methods to ensure family strengths and needs are assessed in culturally appropriate ways (Banks, 2001)

Changes in family constellation, demographics and overall diversity have outpaced changes in assessment procedures

Page 21: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Linguistic DiversityLinguistic Diversity

By the year 2020, more than 50% of all school-aged children in the US will come from diverse backgrounds

<14% of service providers in US public schools are from culturally/and or linguistically diverse backgrounds (Matuzny et al., 2007)

Page 22: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Linguistic DiversityLinguistic Diversity

Numbers of ESL students in Vancouver Elementary schools point to the need for culturally responsive practices when conducting assessments “in our own backyard”:• Carnarvon Community School (Vancouver’s

Westside): 17% of students are acquiring English as a second language.

• Mount Pleasant Community School (Vancouver’s Eastside): 29 different language groups in one school, with the majority of students identified as ESL

What does diversity look like in your workplace?

Page 23: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Family and DiversityFamily and Diversity

Family perspectives on assessment will be influenced by language but also by many other variables (education, religion, ethnicity, race, culture, values, beliefs, opportunity, socio-economic status). “The mere possession of the capacity to

communicate in an individual’s native language does not ensure appropriate non-discriminatory assessment of the individual. Traditional assessment practices and their inherent biases can be replicated in any number of languages” (Flanagan, McGrew, & Ortiz, 2000, p.291).

Page 24: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Family Identity & DiversityFamily Identity & Diversity

Two very important questions are raised by Lynch and Hanson (2004):

What is the degree to which the family identify with a given cultural perspective or practice?

How do life circumstances and historical events affect the degree of identification?Examples: child starting school, divorce, death, relocation, changes in employment or financial status,

Other…

Page 25: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

SESSES

Socioeconomic status includes income, the level of the family member’s education and the social status implied by the occupation of its wage earners.

Poverty affects the development of English proficiency (Hakuta, Butler, & Witt, 2000).

Furthermore, poverty, independent of English proficiency level, affects learning (Gonzales, 2002)

Page 26: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Development of Development of Cross-Cultural CompetenceCross-Cultural Competence Heightened self-awareness

• Exploration of own heritage Place of origin, time of immigration, reasons for

immigration, languages spoken Learning about own roots=first step to learning how

beliefs, customs, behaviors are shaped by culture

Gaining cultural specific information (through direct and indirect methods)

• Reading, arts, cultural festivals, travel• Professional contacts (home-school liason workers)• Initial Interviews

Page 27: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Development of Development of Cross-Cultural CompetenceCross-Cultural CompetenceApplying and practicing the methods and

information acquired through self-examination and information gathering

Some authors (see Harry, Kalyanpur, & Day, 1999) highlighted the importance of finding a strategy that incorporates the therapists’ perspective with the family’s perspective

Sattler (1988) advocates for seeing the strength in the coping mechanisms of other groups (for example, reliance on extended family

networks)

Page 28: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

DimensionsDimensions(Barrera, 2000)

Communicative linguistic dimensionPotential differences in language used, communication

stylesVerbal and non-verbal means of communicating

Sensory cognitive dimensionPotential for differences in priorities (e.g. goals for

children in social abilities vs. cognitive abilities)Strategies for acquiring new information (e.g., verbal vs.

non-verbal)Personal-social dimension

Families and service providers may differ in their degree of acculturation to one another’s culture and to the professional service culture

Page 29: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Culturally Responsive Practice Culturally Responsive Practice Informs All Stages of the AssessmentInforms All Stages of the Assessment

Culture and language are inherent aspects of individuals being assessed It should be acknowledged throughout the assessment process • Planning the assessment• Gathering information• Interpretation• Sharing of data with families

Page 30: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

PlanningPlanning

Address family concerns, priorities, resources and needsInterventions should be tailored to family’s

needsCollaborative relationships are keyAddress hesitancy and ambivalence

Past discriminationOverrepresentation of minority students in

special education have been well documented (Mercer, 1973; Reschley, 1988).

Provide sufficient information

Page 31: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Gathering InformationGathering Information

Hanson, Lynch, and Wayman (1990) summarized steps as follows:clarification of interventionists valuescollection and analysis of ethnographic

information related to the community in which the family resides

determination of the degree to which the family operates transculturally

examination of the family’s orientation to specific child-rearing issues

Page 32: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Guidelines for Data GatheringGuidelines for Data Gathering

Questions about family structure and child rearing practices:• Primary caregivers• Child rearing practices

(sleeping,breastfeeding, parameters of acceptable child behavior)

• Family structure• Parameters of acceptable behavior

Page 33: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Guidelines for Data GatheringGuidelines for Data Gathering

Family Perceptions and Attitudes• Cultural/religious factors that would shape

family perceptions of disability? What is the family’s approach to medical

needs (holistic, western ?)

Page 34: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Guidelines for Data GatheringGuidelines for Data Gathering

Significant assessment decisions involve two or more professionals• Programs rely on systematic observational assessments,

using culturally and linguistically appropriate tools as the primary source of guidance to inform instruction

• Assessments are based on multiple methods and measures

• Assessments are ongoing-special attention is given to repeated assessments of language development over time

• Assessments are age appropriate

(NAEYC, 2005)

Page 35: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Guidelines for Data GatheringGuidelines for Data Gathering

Language and Communication Styles• To what degree is the professional proficient in

the family’s native language? • To what degree is the family proficient in

English?• The use of an interpreter

                                                                                                                          

Page 36: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Using InterpretersUsing Interpreters

With which culture is interpreter primarily affiliated ? Is the family member comfortable with the interpreter? Address all words and remarks to the family, not the interpreter Speaking more slowly but not more loudly Avoid verbally or non-verbally offensive language Limit information communicated to a few sentences before

translation

                                                                                                                       

Page 37: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Interpretation of Assessment Interpretation of Assessment ResultsResults

Adapt your interpretation of results to the individual (i.e. to acknowledge any cultural and linguistic differences) • Professionals should seek information and insight

from family members in selecting, conducting, and interpreting assessments (NAEYC, 2005).

• Programs should refrain from using family members to conduct formal assessments, interpret during formal assessments, or draw assessment conclusions.

Page 38: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Sharing of Results with FamiliesSharing of Results with Families

Professionals involved in assessment regularly inform and update families on their child’s assessment results in a way that is easily understood and meaningful

(NAEYC, 2005)

Page 39: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Case ExampleCase Example

Kai is a 4 year old who moved to your region a year ago with his “family” from India.

His older siblings are in elementary school and are doing exceptionally well.

Kai’s parents have noticed that Kai is not as far along in his learning at this age as his siblings were.

Page 40: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Case ExampleCase Example

Some preliminary information from the Public Health Nurse when the family moved to British Columbia indicates that there were some early concerns with Kai’s development before they moved to Canada.

Some initial assessment is needed to help: 1) determine his eligibility for services; and 2) develop an appropriate intervention program to help him transition to school.

Page 41: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

What Do You Do?What Do You Do?

What should we do to start the assessment process?• How do we meet the needs of the family

and consider their cultural context? What do we need to remember as

we conduct the assessment? What do we need to consider as we

communicate the assessment results?

Page 42: Family Centered Practice in Communicating Assessment Results Laurie Ford & Suretha Swart Family Centered Practice in Communicating Assessment Results Laurie

Thank-You!Thank-You!For more information or references

contact Laurie Ford at: [email protected]