A USER’S GUIDE TO EARLY INTERVENTION SERVICES

1. A USER’S GUIDE TO EARLY INTERVENTION SERVICES Seminar II Simple Ways to Ensure Children Get Needed Early Intervention Services

2. Audiology Care Coordination Family Counseling Health Services Medical Diagnostic Services Nursing Services Nutrition Services Occupational Therapy Physical Therapy Psychological Support Services Social Work Speech/Language Special Instruction Technological Aides Transportation Vision services Early InterventionService Options

3. Well qualified staffexample: speech pathologist • Minimal qualifications include: • License from Hawai`i Board of Speech Pathology and Audiology to practice as a Speech Pathologist • Masters Degree from accredited college/university in speech pathology • License issued by State Dept of Commerce & Consumer Affairs to practice as a Speech Pathologist • One year of supervised experience providing speech pathology services. • Willing to work some evenings and Saturdays • Hawai`i Drivers License

4. An EI Care Coordinator: • With family, establishes provider team • Facilitates the IFSP (Individual Family Support Plan) • Maintains team communication • Links family to other services & supports • Helps with transition at age three

5. Monitoring child development

6. Parent Support • Emotional • Fiscal • Parent-to-Parent

7. Transportation provided

8. Conveniently located services • At home • In a preschool or child care setting • At Cameron Center • At PHN offices • At other locations such as a library or park

9. Why is EARLY intervention likely to be effective? • Early brain development impacts later emotional, behavioral and cognitive outcomes • Parent education and training • “Windows” of opportunity to affect development

10. Quality research demonstrates effectiveness • Low birth-weight / Premature birth • Vision problems • Hearing problems • Speech/language problems • Cerebral Palsy • Autism • Down Syndrome

11. Transition at age three

12. Concerned about a child’s development? Research with parents shows there are BETTER WAYS TO BREAK BAD NEWS.

13. GOALS OF INITIAL CONVERSATION • Parents clearly understand your concern • Communicate that parents are the primary decision-makers for their child • Reassure them that you will listen and consult with them • Prepare them for the next steps

14. Invite both parents or a family member Choose a private place Schedule enough time Review child’s record Take a moment to calm yourself PREPARE calm

15. Check your body language and position Keep language clear and simple Speak slowly and repeat Listen to parents Reflect their emotions Start with observable behavior/symptoms Check that parents understand you Describe concrete next steps Communication tips

16. Let’s try it…..

17. Communication between EI providers and PCP

18. Information needed at referral

19. With parent consent, you will get a copy of every evaluation report

20. You can have input to and a copy of the Individual Family Support Plan (IFSP) • Child & family strengths & needs • Goals • Planned services & timeline • Evaluation of progress towards goals & service effectiveness

21. EI services support • Child Development • Parent participation, family care coordination & emotional support • AND --- REFERRAL IS EASY!