Transcript Including parents in the discussion

Including Parents
In
Alaska Child Outcomes
Alaska Child Outcomes Development
Summer 2005 – General Supervision
Enhancement Grant (GSEG)
Infant & Toddler group formed as a subset of a
larger GSEG group
AK GSEG Infant & Toddler
Workgroup Goals
1. Develop Infant & Toddler Outcomes Standards, based
on ECO recommendations
2. Aligned with state 3 - 21outcome standards
3. Define child outcome measurements and targets
4. Provide recommendations for EI/ILP data
enhancement or development
Alaska Early Childhood Providers
Child Outcomes Pilot
Initiated Spring 2006
7 participating Agencies
Pilot parent inclusion:
Parent input is critical - Family members
see the child in situations that
professionals do not.
Pilot parent inclusion continued:
Need to ask family members about what the child
does at home and what family members know about
the child.
There is no expectation that parents will be able to
determine whether what they are seeing is age
appropriate.
Pilots parent inclusion continued:
Alaska offers parents the choice to participate in
outcome rating.
Professionals explain why the rating is being done and
what it means.
Outcomes in Action
Survey of 10 pilot providers completed August 2007
80% return rate (8 of 10)
EI/ILP agencies includes families in the discussion of child
outcome ratings
12.5%
yes
no
87.5%
How Do You Gather Information From Your Families to
Include in the Child Outcome Ratings?
Staff Gathers General
Information at Intake
37.5%
50%
Staff Explains the
Outcome Process and
Form
37.5%
Staff Discusses and
Rates the child
outcomes w ith the
family
How Do You Gather Information
to inform the Rating - Comments
• Observation, parent report, assessment
• Evaluation, parent interview, observation
• Review assessment, medical records, therapist
reports, parent report
• Assessment tools, parent observation, therapist
reports
• Meeting with child and family, evaluations and
observations
• Intake information, evaluation, discussion with
family while completing the outcome rating
When Do You Complete Your Initial Child Outcomes
Ratings?
12.5%
Before the Initial IFSP
Meeting
During the Initial IFSP
Meeting
50%
37.5%
After the Initial IFSP
Meeting
When Do You Complete Your Exit Child Outcome Ratings?
0%
37.5%
Before Transition Plan
Development
During Transition Planning
62.5%
After Transition Planning
What Are the Challenges
•
•
•
•
Difficult to complete, esp. with more involved children
Completing in a timely manner
Involving family with the outcomes rating form
First rating is overwhelming for family and difficult to
explain
• Difficult to teach staff to present in a family friendly way
without depending on the form
• Does not seem appropriate at intake, too much to do at
time of enrollment
• Difficult to complete when family is not ready at time of
enrollment or for children who receive less frequent
services
Challenges note:
• Many families in the Northern and Western
regions of Alaska continue to speak native
languages (Inupiaq and Yupik)
• Oral Traditions, yet less verbal than
English speakers
• 92 primary languages spoken in the
Anchorage School District
What is Working Well
• Nice teaching tool for parents
• Can show great growth at discharge
• Improves family outlook on child’s development
and future
• Nice summary of child’s functional skills,
compliments annual assessments
• Demonstrates accountability
• Substantiates need for increased funding
• Increases parent understanding of child
development
Alaska Early Intervention/Infant Learning
Program
Full Outcomes Implementation
18 regional Early Intervention Programs
initiated Outcomes ratings January 2007
Alaska
Child Outcomes Data
available
FFY06 APR