Statewide Statewide Coordinated Coordinated InterventionIntervention

Carol Busch, M.S.Carol Busch, M.S.

Kansas School for the DeafKansas School for the Deaf

Olathe, KansasOlathe, Kansas

Kim M. Sykes, M.A., CCC-AKim M. Sykes, M.A., CCC-A

Sound Beginnings, Newborn Hearing Sound Beginnings, Newborn Hearing Screening Screening

Topeka, KansasTopeka, Kansas

Faculty Disclosure Faculty Disclosure InformationInformation

In the past 12 months, we have not had a In the past 12 months, we have not had a significant financial interest or other significant financial interest or other relationship with the manufacturer(s) of the relationship with the manufacturer(s) of the product(s) or provider(s) of the service(s) product(s) or provider(s) of the service(s) that will be discussed in our presentation.that will be discussed in our presentation.

This presentation will not include discussion This presentation will not include discussion of pharmaceuticals or devices that have not of pharmaceuticals or devices that have not been approved by the FDA nor discussing been approved by the FDA nor discussing unapproved or “off-label” uses of unapproved or “off-label” uses of pharmaceuticals or devices. pharmaceuticals or devices.

Statewide Coordinated Statewide Coordinated InterventionIntervention

Kansas Parent-Infant Kansas Parent-Infant ConsultationConsultation

KAN PIC: Early Intervention KAN PIC: Early Intervention Planning CommitteePlanning Committee

Objectives Objectives

Families receive specialized, Families receive specialized, comprehensive, unbiased information comprehensive, unbiased information and support.and support.

Service providers receive technical Service providers receive technical assistance in the form of support, assistance in the form of support, training, and resources.training, and resources.

Coordinated statewide systemCoordinated statewide system

Who We Are Who We Are

Planning Committee:Planning Committee: State Level State Level

Higher EducationHigher Education

Service ProvidersService Providers

State School for the DeafState School for the Deaf

Mission StatementMission Statement

To ensure that families of To ensure that families of infants and toddlers with a infants and toddlers with a hearing loss receive hearing loss receive comprehensive, unbiased comprehensive, unbiased information and support information and support through consultation within through consultation within the local the local tiny-k networks. tiny-k networks.

Starting PointStarting Point

CHIP Model CHIP Model

Reach Consensus Reach Consensus

Make AdaptationsMake Adaptations

Replicating ModelReplicating Model

Public agency to hire coordinatorPublic agency to hire coordinator Number of infants/toddlers determinedNumber of infants/toddlers determined Funding Funding Key individuals identifiedKey individuals identified Ongoing inservice trainingOngoing inservice training Philosophical beliefsPhilosophical beliefs Assessment to measure program goalsAssessment to measure program goals

Organization Organization

Monthly Monthly MeetingsMeetings

Group E-MailGroup E-Mail PowerPointsPowerPoints AgendaAgenda SummarySummary Folder Folder

Conference RoomConference Room Snacks Snacks Computer/Computer/

ProjectorProjector Off and Back on Off and Back on

TopicTopic Opportunity to Opportunity to

Reach Consensus Reach Consensus

Ongoing EffortsOngoing Efforts

Acronym Acronym Mission StatementMission Statement Regional ModelRegional Model

Pilot RegionPilot Region Consultation Model Consultation Model Single Point of Single Point of

EntryEntry Network Directors Network Directors

MeetingMeeting

Family Service Family Service CoordinationCoordination

Training Training Data CollectionData Collection

Child Child Information Information

Family Family OutcomesOutcomes

Child Outcomes Child Outcomes

Ongoing EffortsOngoing Efforts

Other StatesOther States Hands & VoicesHands & Voices Joint Parent Joint Parent

WeekendWeekend Standards & Standards &

Position Position Statements from Statements from National and National and Federal Federal OrganizationsOrganizations

Communication Communication and Language and Language AssessmentsAssessments

Surveyed Networks Surveyed Networks Adapted from Adapted from

NCHAM and NCHAM and Marion Downs Marion Downs National Center for National Center for Infant HearingInfant Hearing

Survey Question Survey Question

List the names of specific tests (HELP, MacArthur, List the names of specific tests (HELP, MacArthur, Rossetti, Battelle, AEPS, CSBS, SKI*HI, INSITE, IT-MAIS) Rossetti, Battelle, AEPS, CSBS, SKI*HI, INSITE, IT-MAIS) you use for: you use for:

Development of the IFSP:Development of the IFSP:CommunicationCommunication    Cognition Social-emotionalCognition Social-emotional

Monitoring Progress: Monitoring Progress: CommunicationCommunication    Cognition Social-emotionalCognition Social-emotional

Who is Providing ServicesWho is Providing Services

81% Returned of 36 Networks 81% Returned of 36 Networks

69% Speech-Language Pathologists 69% Speech-Language Pathologists 10% Teachers of the Deaf10% Teachers of the Deaf 24% Early Childhood Special 24% Early Childhood Special

EducatorsEducators

Descriptive Data Descriptive Data

Numbers-Age & How ManyNumbers-Age & How Many Type & Degree of LossType & Degree of Loss Frequency of ServicesFrequency of Services

Communication Communication OptionsOptions

90% 90% Total CommunicationTotal Communication 50% 50% Signed English SystemsSigned English Systems 48%48% Auditory Oral Auditory Oral 38% 38% Auditory Verbal Auditory Verbal 29%29% American Sign Language American Sign Language 17% 17% Cued SpeechCued Speech 19% 19% Conceptually Accurate Signed Conceptually Accurate Signed

EnglishEnglish 12% 12% Bilingual ApproachBilingual Approach

Professional Development Professional Development NeededNeeded

Evaluation/AssessmentEvaluation/Assessment 60% Assessment tools appropriate for 0-36 60% Assessment tools appropriate for 0-36

month old children with hearing loss. month old children with hearing loss. Specialized terminology used in assessments Specialized terminology used in assessments of of children who are deaf/hard of hearing.children who are deaf/hard of hearing.

CommunicationCommunication 64% Strategies to facilitate cognitive and 64% Strategies to facilitate cognitive and

communicative development in children who communicative development in children who are deaf/hard of hearing (e.g., visual saliency) are deaf/hard of hearing (e.g., visual saliency) consistent with program philosophy.consistent with program philosophy.

Professional Development Professional Development NeededNeeded

Audition/SpeechAudition/Speech 62% Techniques of stimulation and 62% Techniques of stimulation and

utilization of residual hearing in children who utilization of residual hearing in children who are deaf/hard of hearing., Effects of room are deaf/hard of hearing., Effects of room acoustics (noise, reverberation, and distance) acoustics (noise, reverberation, and distance) on speech recognition and environmental on speech recognition and environmental modifications to enhance the listening modifications to enhance the listening environmentenvironment

AdditionalAdditional 64% Designing a home environment that 64% Designing a home environment that

maximizes opportunities for visually maximizes opportunities for visually orientated and/or auditory learning in orientated and/or auditory learning in children who are D/HHchildren who are D/HH

ChallengesChallenges

FundingFunding tiny-ktiny-k Department of Health and Department of Health and

EnvironmentEnvironment KSD Department of EducationKSD Department of Education Qualified Personnel Qualified Personnel

Key ComponentsKey Components

Identified Identified ProfessionalsProfessionals

Starting PointStarting Point Commitment Commitment Mission StatementMission Statement OrganizationOrganization Planning Planning Time Time Consensus Building Consensus Building

Current Status of Current Status of ServicesServices

What You Want to What You Want to KnowKnow

How to Get How to Get Additional Additional InformationInformation

Early Intervention Early Intervention Standards/GuidelineStandards/Guidelines Related to Hearing s Related to Hearing LossLoss

Reference ListReference List

For more information, see the For more information, see the following: following:

CHIP: CHIP: http://http://www.csdb.org/chip/ch_main.htmlwww.csdb.org/chip/ch_main.html Mission statements: Mission statements: http://www.refresher.com/!recipe.html http://www.refresher.com/!recipe.html Surveys Surveys http://http://www.colorado.edu/slhs/mdncwww.colorado.edu/slhs/mdnc// , , http://http://

www.infanthearing.orgwww.infanthearing.org// Outcomes: Outcomes: http://http://www.fpg.unc.edu/~eco/index.cfmwww.fpg.unc.edu/~eco/index.cfm Standards/Position Statements: Standards/Position Statements:

http://www.cec.sped.org/ps/perf_based_stds/deaf_03-12-http://www.cec.sped.org/ps/perf_based_stds/deaf_03-12-01.html01.html , , http://deafed.net/activities/cec-ced1.htm , http://deafed.net/activities/cec-ced1.htm , http://aappolicy.aappublications.org/cgi/content/full/pediatrics;1http://aappolicy.aappublications.org/cgi/content/full/pediatrics;106/4/798 , 06/4/798 , http://www.cdc.gov/ncbddd/ehdi/documents/jcihyr2000.pdfhttp://www.cdc.gov/ncbddd/ehdi/documents/jcihyr2000.pdf , , http://www.ndepnow.org/ http://www.ndepnow.org/

Thank You!Thank You!

Carol Busch, M.S.Carol Busch, M.S.

cbusch@ksd.state.ks.uscbusch@ksd.state.ks.us

Kim M. Sykes, M.A., CCC-AKim M. Sykes, M.A., CCC-A

ksykes@kdhe.state.ks.usksykes@kdhe.state.ks.us