Transcript Wisconsin Birth to 3 Early Intervention Program

SW 644: Issues in Developmental Disabilities
Wisconsin Birth to 3 Early
Intervention Program
Lecture Presenter: Darsell Johns, MSW
Department Of Health Services, Bureau Of Long term Support, Children’s Section
Birth To 3 Program
What is Early Intervention
Program focused on providing services to children and
families who have a suspected or current diagnosis of
developmental disability.
How are services focused:
Biological and Environmental Risks
Parent and Child Relationship
Individualized Planning contextualized in child and family’s
everyday lives
History
 Wisconsin has had early intervention programs
since 1970’s
 Birth to 3 became a Public Mandate in 1986
(IDEA, DHS 90)
 Statewide program implementation began in 1991
Programs in Wisconsin
 Department of Health Services (DHS) supervises and
monitors local Birth to 3 Programs
 County boards must designate a county agency or contract
with another public agency to administer their local Birth to
3 Program
72 Counties in WI
(DHS90.06 pg. 264 & 265)
Program Partners
 Wisconsin Department of Health Services (DHS)
Birth to 3 Program contracts with partners in early
childhood and healthcare arenas
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Great Lakes Inter-Tribal Council (GLITC)
Wisconsin Department of Public Instruction
Head Start
Child Care
Pediatricians
Maternal & Child Health
Program Facts
2010 Child Count
 217,722 Children Birth to 3 Years of age
6,131 Children on 10/1/2010 (one day count)
 2.82% is Birth to 3 population
 .90% under 1 year of age
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State and Federal Priority:
Early Identification of Children under 1 year of age
What Guides Birth to 3 in Wisconsin?
 Federal and State Law
 Individuals with Disability Education Act (IDEA)- Part C (2004)
 WI Administrative Code HS 90
 US Department of Education,
Office of Special Education Programs (OSEP)
Early Intervention
Family Service Provision In Birth to 3
Families participate voluntarily
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How do families learn about and connect to us?
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Program Eligibility based on % of delay:
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Program partners… Head Start, Pediatricians, Child Care, Self-referral
Eligibility determined through screening and assessment process
Diagnosis of Developmental Disability
Individualized Services: Contextualized
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Physical Therapy
Service Coordination
Occupational Therapy
Speech
Special Educator Services
How are Birth to 3 Services Funded?
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U.S. Department of Education
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State of Wisconsin Biennial Budget
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Local County Funds
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Maintenance of Effort, plus additional costs
Medicaid / Badgercare Plus
Private Insurance
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Parental Cost Share (HS 90.06 pg. 266)
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Others designated by each county/program.
(based on federal poverty guidelines, family size and income)
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E.g., private donations/fundraising
Accountability & Standards
 Government Performance & Results Act (1993)
 Program Assessment Rating Tool (2002)
 Head Start Act (1998)
 No child Left Behind Act (2001)
 Good Start, Grow Smart (2002)
Individuals with Disability Education Act (IDEA)- Part C (2004)
• 14 Federal Indicators
Accountability & Standards: Evidenced Based
Practice in Early Intervention?
 Practices for which Research Findings are
interpreted with clinical knowledge and expertise to
make decisions that provide the best services for
children and their families
 Practices that focus on the individual level of the
child and family
Focus on practices that can improve child and family
outcomes
OSEP Child Outcomes
How is Birth to 3 Impacting a child’s development?
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Positive social-emotional skills
Acquisition and use of knowledge and skills
Use of appropriate behaviors to meet needs
OSEP Family Outcomes
Do our Early intervention services help families…
Know their rights
• Effectively advocate for their child
• Help their children develop and learn
(Transition into their next educational setting)
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Decision making process that integrates the best
available research evidence along with family and
professional wisdom
Promotion Model Vs. Treatment Model
Focus on enhancement and optimization of competence and functioning
 Family Centered Practice
 Strength & Interest Based
 Systems Theory
 Natural Learning Environment
 Adult Learning Theory
 Ecological Theory
Wisconsin Department of Health Services
http://dhs.wisconsin.gov/bdds/birthto3/index.htm
See Transcript for Biographical Information