Transcript IDEA – Part C - Reach Out and Read of Greater New York

IDEA – Part C
Early Intervention
Early Intervention –
Part C of IDEA
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Congress established Early Intervention in 1986 in recognition of
"an urgent and substantial need" to:
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enhance the development of infants and toddlers with disabilities;
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reduce educational costs by minimizing the need for special
education through early intervention;
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minimize the likelihood of institutionalization, and maximize
independent living; and,
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enhance the capacity of families to meet their child's needs.
Lead Agency
• Federal – Office of Special Education
Programs (OSEP)
• NYS - Department of Health
• NYC - Department of Health and
Mental Hygiene
What is the NYC Early
Intervention Program?
• The Early Intervention Program works
with families to provide evaluation,
therapeutic and educational services to
infants and toddlers (from birth to three
years of age) with developmental delays or
disabilities.
• Locates, identifies, and monitors children
“at-risk” of developing delays
(Developmental Monitoring);
Referrals
• A referral should be made when:
 A child is at risk of disability or developmental
delay;
 A delay is suspected;
 The child has a diagnosed condition with a high
probability of resulting in developmental delay; or
 The parent requests that a referral is made.
The referral should be made via 311.
Developmental Monitoring –
At Risk Children
• Monitors and provides ongoing
developmental screenings for infants
and toddlers who appear to be
developmenting typically but are at
risk of developmental delays due to
medical, biological, and /or socialemotional factors
Examples of At-Risk
Criteria
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Gestational age<33 weeks
Birth weight <1501 grams (3.4 lbs)
No prenatal care
Prenatal exposure to substances
Venous lead level.19mcg/dl
Homelessness
Failed or missed hearing screening at birth
Growth deficiency/nutritional problems
10 or more days in the NICU
Parental developmental delay
Eligibility Criteria for EI
• A child may be eligible due to:
• A diagnosed medical condition with a
high probability of developmental
delay;
• Developmental Delay;
• Informed clinical opinion;
Eligibility Criteria (cont.)
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Has not attained expected milestones in
one or more of the following areas:
Cognition
Physical (including vision and hearing)
Communication
Social/Emotional
Adaptive
Developmental Delay:
Definition
As measured by qualified personnel:
 A twelve month delay in one functional
area;
 A 33% delay in one functional area or 25%
in two or more;
 2 SD below the mean in one functional
area, or 1.5 SD in two or more;
 Informed clinical opinion.
Conditions With a High
Probability of Developmental
Delay
• There is Automatic Eligibility if a child has a
diagnosis of:
• Autistic Spectrum Disorder
• Down Syndrome
• Very Low Birth weight (under 1000 gms)
• Visually impaired
• Hearing impaired
• Cleft palate
• Cerebral Palsy
• Or approximately 26 other medical conditions
Key Features of Early
Intervention
• Service Coordination
• Evaluation
• Individualized Family Service Plan
(IFSP) – must be written within 45
calendar days from referral
• Services in the “natural environment”
Early Intervention
Services
• NYC DOHMH contracts with
approximately 120 agencies to
provide one or more of the following:
Service Coordination
Evaluation
Services
Route Through Early
Intervention
• Referral to 311 or the DOHMH office in the
borough of residence via fax or phone call;
• Assignment of Initial Service Coordinator;
• Choice of Evaluation Site by parent;
• If eligible, IFSP meeting, and assignment of Ongoing Service Coordinator;
• 6 month review;
• Annual Review;
• Transition out of Early Intervention.
What is Service
Coordination?
Helping the parent navigate the early intervention system by:
• Assisting parent in locating an evaluation provider;
• Informing parents of their rights and responsibilities;
• Coordinating the performance of evaluations and
assessments;
• Facilitating and participating in the development, review,
and evaluation of the IFSP;
• Coordinating and monitoring the delivery of services;
• Informing families about advocacy services;
• Facilitating the development of a transition plan as needed.
The IFSP
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IFSP = Individual Family Service Plan:
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It is more than a plan; it is a contract linked to Functional
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Services are based upon child and family needs (related to
enhancing the family’s capacity to respond to their child’s
developmental needs) and not upon “wants”
Outcomes, reflecting family concerns, priorities and
resources (CPR)
– Teams make decisions, not individuals
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Includes Part C services as well as listing other services which are
above and beyond the Part C obligations
The IFSP (cont.)
• The IFSP contains a listing of services
(frequency, intensity, location, and
duration)
• The role of the Service Coordinator is to
constantly monitor delivery of services
with the team/family and to ensure the
IFSP is implemented as written
– Routine monitoring, review and annual
evaluations required
Critical IFSP Requirements
• Must be developed within 45 days of referral
• Contents:
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Statement of the child’s present levels of development
Family CPR (voluntary)
Outcomes
EI Services
• Frequency, Intensity, Location and Method
• Payment sources
Other Services ( that are not EI)
Dates and durations of services
Service Coordinator
Transition plan from Part C to other early childhood services
• Developed by Multidisciplinary Teams - no one person makes
the decisions! Families are an integral part of this team.
General Role of Service Providers
To the extent appropriate, service providers are responsible for:
(1) consulting with parents, other service providers, and
representatives of appropriate community agencies to ensure the
effective provision of services;
(2) training parents and others regarding the provisions of those
services; and
(3) participating in the multidisciplinary team’s assessment of a child
and the child’s family, and in the development of integrated goals
and outcomes for the Individualized Family Service Plan.
Services in EI
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Assistive Technology;
Audiology;
Family counseling, training and education;
Occupational therapy;
Physical Therapy;
Psychological services;
Social Work;
Special Instruction;
Speech-Language pathology;
Vision services;
Transportation services.
Natural Environment
• To the Maximum Extent
appropriate, early intervention
services are provided in the natural
environment
Natural Environment Is
More than a Physical
Setting
• It is the methods and approaches used to
provide early intervention services that:
 support the daily routine of the family and
child, Routines Based Intervention (RBI)
 incorporate activities into the natural flow
of activity and the routines of family life.
For further information:
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Bronx Regional Office- 718-410-4110
Brooklyn Regional Office- 718-722-3310
Manhattan Regional Office- 212-487-3920
Queens Regional Office- 718-271-1003
Staten Island Regional Office- 718-420-5350
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Ireti Bobb, MPA
Director of Early Intervention Services
212-219-5222
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Beverly Samuels, MS Ed, SAS
Director of Consumer Affairs
212 219-0392
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Or NYS Department of Health Website:
http://www.health.state.ny.us/community/infants_children/early_intervention/