Dearborn October 28 2011 Dont Worry but Dont Wait

8/3/2019 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

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/

Dearborn October 28 2011 Dont Worry but Dont Wait

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