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1800EarlyOn.org
Victoria Meeder,
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Learning Objectives
1.
2. 3.
Learn about Michigans early intervention system, Early On How to make a referral Red flags of development
Personnel development for Early On Early On Center for Higher Education Child find for Infants and Toddlers, birth 3 Child find for Special Education, birth 26
Pre-Service
Project Find
What is Early On
A statewide system of early intervention services mandated by federal legislation (Part C of IDEA);
Designed to help families find the social, health and educational services that will promote the development of their infants and toddlers with special needs;
Based on partnerships between families and service providers and on collaboration among community agencies, organizations and private practitioners; Emphasizes early identification and early services.
Purpose of Part C
To
enhance the development of infants and toddlers; To reduce costs to our society; To maximize the potential of individuals with disabilities; To enhance the capacity of families; To enhance the capacity of states
Strength(s) based Family Centered Based on parent/profession al partnerships Based on interagency collaboration
Insurance
Hospital
Child Care
Health Dept.
Easter Seals
infant or toddler with an established condition(i.e., a physical or mental condition likely to lead to a delay) Developmental Delay Under 2 months of age - any delay 2 to 36 months of age 20% in one or more areas Change in Eligibility Began July 2010 Eligibility is not determined by income
Established Conditions
Established Conditions: Children with established conditions are those from birth through age two who have a diagnosed physical or mental condition that has a high probability of resulting in a developmental 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
Physical (including hearing and vision) Gross and Fine Motor Development Communication Development Cognitive Development Social/Emotional Development Adaptive (self-help)
Parental Notification Within 10 days of referral Evaluation and Assessment Within 45 days Individualized Family Service Plan (IFSP) Within 60 days Transition Up to nine months before exit Minimum of 90 days before exit
Parent Notification
When first contact is made to parents, they need to know 3 things 1) What is Early On 2) Family rights (procedural safeguards) 3) A description of the consent that they must give in order for the child to be evaluated Consent to evaluate form Authorization to share form (updated every six months or as needed) Every family receives at no charge Evaluation and assessment Service coordination Development of an IFSP
Developmental Evaluation
Two
3. 4. 5.
Parent
Cognitive Development Physical Development, including vision and hearing, gross and fine motor Communication Development Social or Emotional Development Adaptive Development
Health Appraisal
Obtain information about past and current health
Physical
By
Examination
be conducted within:
3
months for a child 18 months or under 6 months for a child over 18 months
of the evaluation Concerns of the parents Outcomes desired by the parents for their child Outcomes in natural environments and daily routines Supports needed by the family Early intervention services identified to support the outcomes
to nine months before a child turns three years of age a transition planning meeting is held
Technology Services 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 Service Coordination Transportation Vision Services
If an established condition exists, its best practice to share information about Early On.
(View handout for additional information about typical development and red flags for children birth to 48 months of age)
Infant not reaching for objects Not yet rolling over from stomach to back Does not make eye contact Does not laugh or squeal
Persistent mouthing of objects Excessive self-stimulation Cannot stand when supported Uses only one side of body Not transferring objects from one hand to the other Not looking for hidden objects Not using single words Does not use gestures, e.g., waving, pointing, or shaking head
Not walking independently Walks on tiptoes Excessive rocking Withdrawn Does not respond to simple requests Little or no social engagement Does not point or try to indicate wants
Inability to walk up and down stairs Any regression of skills No two word phrases Persistent poor transitions Does not show affection Does not know and point to 5 body parts
Discuss concern(s) with parent If they share concern(s), proceed with a referral.
Provide opportunities to observe similar age children Provide information about developmentally appropriate behaviors Keep log of identified concern(s) to share with parents Remind parent about the benefits of Early On, input from specific disciplines Provide an Early On brochure to parent
www.1800EarlyOn.org
www.ProjectFindMichigan.org
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