Transcript Child Find & Eligibility

Child Find
&
Eligibility
Kansas Infant Toddler Services – KDHE
Kansas Inservice Training System
(Sarah, Kelly, Peggy)
Webinar Instructions
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presenters when you ask a question.
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Today’s Agenda
 Child Find
 Primary Referral Sources
 Guidelines for Established Risk or “Auto Eligible”
 Evaluation and Assessment Process
 Social-Emotional Eligibility
 Informed Clinical Opinion
 Re-determining Eligibility
Participant Outcomes
 Participants will better understand the
responsibilities of child find and referral
activities required by Kansas Infant
Toddler Services.
 Participants will better understand the
guidelines for “Established Risk” or “Auto
Eligibility” required by Kansas Infant
Toddler Services.
 Participants will better understand the
evaluation and assessment process with
regard to social-emotional eligibility,
informed clinical opinion, and the redetermination of eligibility.
Child Find
 Child Find is a 12 month responsibility
 Primary referral sources to refer a child to the part C
program “as soon as possible but in no case more than
seven days” after identification. Basically, all or your
early childhood partners are primary referral sources
 Referral sources you might not think about: Domestic
violence shelters and agencies
 Critical to work with foster care!
Referral of Specific AtRisk Infants and Toddlers
 Child is subject of substantiated case of child abuse or
neglect
 Child is identified as directly affected by illegal
substance abuse or withdrawal symptoms resulting
from prenatal drug exposure
 Diagnosis of fetal alcohol syndrome and effects
Required Scope of
Child Find
 Indian infants and toddlers with disabilities residing
on reservation
 Infants and toddlers with disabilities who are homeless
in foster care, and wards of State
 Definition of homeless
Primary Referral Sources
 Hospitals – including prenatal and postnatal care
facilities
 Physicians
 Parents – including parents of infants and toddlers
 Child Care programs/Early Learning Programs
(EHS, PAT)
 LEAs and schools
Primary Referral Sources
(continued)
 Public Health facilities (Local Health
Departments)
 Other clinics and health care providers (Sound
Beginnings)
 Public agencies and staff in the child welfare
system – including child protective services and
foster care
 Homeless family shelters
 Domestic violence shelters and agencies.
Child Find
Responsibilities
 To find every eligible child. This responsibility extends
to your local ICC and community primary referral
sources
 Screening for child find is NOT subject to Prior
Written Notice (PWN), Consents, etc.
Guidelines for Established
Risk or “Auto Eligible”
 Neonatal Conditions and Associated Complications. These are
children diagnosed with one or more of the following neonatal
conditions known to have developmental implications:
a. Gestational age less than 27 weeks or birth
weight less than 1,000 grams;
b. Neonatal encephalopathy with neurological
abnormality persisting at discharge from the
neonatal intensive care unit;
c. Moderate to severe ventricular enlargement at
discharge from the neonatal intensive care
unit or a ventriculoperitoneal shunt;
Guidelines for Established
Risk or “Auto Eligible”
d. Neonatal seizures, stroke, meningitis, encephalitis, porencephaly,
or holoprosencephaly;
e. Bronchopulmonary dysplasia requiring supplemental oxygen at
discharge from the neonatal intensive care unit;
f. Intrauterine growth retardation;
g. Necrotizing enterocolitis requiring surgery;
h. Abnormal neurological exam at discharge;
i. Intraventricular hemorrhage III ;
j. Periventricular leukomalacia.

A combination of risk factors that, taken together,
makes developmental delay highly probable
(including but not limited to a combination of these
factors: prematurity < 30 233ks, very low birth
weight < 1500 grams, small or large for gestational
age, length of hospital stay in newborn period >45
days, family history of hearing impairment, apnea,
prolonged ventilation, low Apgar scores)
Additional Reminders
 Failure to thrive
 Prenatal exposure
Evaluation and
Assessment Process
 What are the requirements of evaluation?
 How many people need to be involved in evaluation?
 How could you use information in the records to
establish evaluation?
 What are the requirements of assessment?
 How many people need to be involved in assessment?
Multidisciplinary Evaluation
The involvement of two or more separate
disciplines or professions and with respect to:
 Evaluation of the child…and assessments of
the child and family ...
 May include one individual who is
qualified in more than one discipline or
profession;
Bo Knows Football
and Baseball
 You CAN and MUST qualify children even if delays are
primarily in the social-emotional area. Not just a good
idea.. It is the law.. And our responsibility
 Eligibility criteria state the delay must be in one or more of
the following areas: cognitive, physical, communication,
social or emotional or self-help/adaptive.
 Auto eligible = Childhood depression, Reactive attachment
disorder, attachment disorder
Facts About Young Children
with Challenging Behavior
 What are the COSTS of failing to
address these challenging
behaviors?
 Children who grow into
adolescence with challenging
behaviors are likely to drop out of
school, be arrested, abuse drugs
and alcohol, have marginalized
adult lives, and die young.
Facts About Young Children
with Challenging Behavior
 There is evidence to show
that young children with
challenging behavior are more
likely to experience: early and
persistent peer rejection,
mostly punitive contacts with
teachers , family interaction
patterns that are unpleasant
for all participant , school
failure; and; high risk of fatal
accidents, substance abuse,
divorce, unemployment,
psychiatric illness, and early
death.
Positive Outcomes

Positive peer relationships including
understanding of friendship, cooperation,
and sharing

Increased self-control, self-monitoring, and
self-correction and improved socialemotional health

Academic success

Reduced risk for teen pregnancy, juvenile
delinquency, and special education

Decreased risk of withdrawal, aggression,
non-compliance, and disruption

Treatment impact on fears, phobias,
depression, anxiety, hyperactivity, conduct,
and obsessive-compulsive disorders
Informed Clinical Opinion
 Use with every child as part of eligibility evaluation
 When used as the sole reason for eligibility
Use of Informed
Clinical Opinion

Anytime you use a curriculum based assessment alone to
determine eligibility, you would check “informed clinical
opinion” as the basis for eligibility on the IFSP. These
assessments are not designed to determine a percentage of
developmental delay. The authors, however have often adapted
the assessment tools to correlate with scores developmental delay
(the AEPS does this). This allows you to make an estimate of the
amount of developmental delay the child has, but not a specific %
delay.
Use of Informed
Clinical Opinion

Kansas Infant Toddler Services allows and highly recommends you use
curriculum-based assessments in your eligibility determination rather
than a standardized evaluation tool, like the Bailey Scales of Infant
Development, or the Battelle Developmental Inventory. This is because
curriculum-based assessments are designed to assess functional skills in
everyday contexts and give a more complete picture about how children
are actually using what they have got. They can also be used for
program planning and on-going assessment. Plus, as you know, they are
required for COSF ratings. Utilizing a curriculum-based assessment
alone reduces time requirements and unnecessary use of multiple tools.

The additional information after you check the box gives evidence to
how you determined eligibility and a clear picture of the process.
" Eligibility determined through use of H.E.L.P, interview, observation,
and record review".
Re-Determining Eligibility?
 No need to determine eligibility every
year. Eligibility information remains
constant.
 Auto eligible
 Developmental Delay
 Clinical Judgment
 If child is not longer eligible = IFSP
review
Questions?
After Completion of this
Webinar please….
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Goodbye and
Thank You!