Transcript Treasure Coast Early Steps Primary Service Provider

Treasure Coast Early Steps Primary
Service Provider Approach to Early
Intervention in Natural Environments
Provider Onboarding Series 1
By: Brenda Amos-Moss
and
Donna DeSanto
In this section you will learn about Primary
Service Provider Approach to Early
Intervention
• You will learn what Early Intervention is and IDEA.
• Definition of Primary Service Provider/Secondary Provider
• Who is part of the PSP Team
• Difference between PSP Team and IFSP Team
• Natural Environment
• Routine based intervention
• Evidenced based Early Intervention
What is Early Intervention?
• Early Intervention services are authorized through the
Individuals with Disabilities Education Act (IDEA)-Part C
(34 CFR 303.167 c (1).
• Services for children birth to 36 months with an established
medical condition or significant developmental delay and
their families.
• Developmental Delay meets or exceeds 2.0 standard
deviations below the mean in one or more developmental
domains or meets or exceeds 1.5 standard deviations below
the mean in two or more developmental domains.
What is the Primary Service Provider
approach to Service Delivery?
• The Primary Service Provider Team identifies one member
to serve as the “Primary Provider” who, during ongoing
visits, provides education and coaching strategies to help the
family/caregiver develop the skills needed to support their
child’s development.
What does Primary Service Provider approach
to service delivery mean?
The team selects a primary service provider (PSP) based on the outcome(s)
developed by the team.
The PSP provides coaching, strategies and support to the family as
authorized on the IFSP.
The PSP is able to consult with the other team members at bi-weekly team
meetings as needed to obtain additional strategies to take back to the
family.
An additional team member can also participate in a joint home visit. This
is known as a consultation to help build on the strategies that the PSP has
already provided to the family.
Who participates as
the
part of
Primary
Service Provider Team?
• Parent
• Service Coordinator
• Infant Toddler
Developmental Specialist
• Speech Therapist
• Physical Therapist
• Occupational Therapist
Does Primary mean one service?
• Primary in this approach means the principal member of
the IFSP team to implement strategies to address the
outcomes on the IFSP.
• They are the lead member of the team providing coaching
and support to the family.
• Other team members are actively involved with the PSP,
with the frequency and intensity of the interaction
dependent on the needs/concerns of the child and family.
• The team determines the outcome.
Does Primary mean one service?
• The outcome determines who in addition to the Family and
Service Coordinator make up the team.
• If the team determines (based on concerns and outcomes
developed) that they need more than one discipline to work
with the family, there will still be a PSP identified for the
child and family.
• The additional discipline working with the family would be
the secondary provider.
Secondary Provider
•
When the team determines during an IFSP team meeting, that additional
support is needed to meet the outcome(s) the team may consider the
addition of a second provider (secondary).
•
The team will determine the intensity, frequency and duration of the
secondary provider’s authorization.
•
The team may consider having the primary step back while the secondary
provider increases their support and coaching for a specified period of time.
•
The IFSP team determines who the PSP is and if any additional supports
and services are needed.
•
If the team decides that a requested support or service is not appropriate at
this time the SC provides the family with written prior notice immediately
which informs the family of the teams decision and why the decision was
reached.
Individual Family Support Plan (IFSP)
Team Meetings
• Family can request an IFSP team meeting at any time they
have a new concern about their child’s development or
progress.
• Program requires an IFSP team meeting every six months,
also known as Periodic Review.
• IFSP team meets annually to develop a new IFSP utilizing
parent report, current interventionist report and additional
testing as needed.
How do we determine frequency, intensity
duration for services?
•
Family and team develop functional outcome(s) based on results of
evaluation, parental concerns and needs of family as well as family
routine.
•
Once outcome(s) are developed the team determines who on the team
can best help support the family to meet this outcome.
•
Frequency is determined by how many times the PSP many need to
meet with the family to provide support and coaching opportunities
based on families ability to implement the strategies and the learning
that occurs between visits.
There are also PSP Team Meetings:
• Team meetings promote active participation of many
professionals to receive coaching, support and to build on the
experience of each other.
• The primary provider has the opportunity to learn new skills
from other professionals and how to implement new ideas
and skills during the home visit.
• Provides more occasions for sharing information, new ideas,
feedback and self reflection.
• Can help the Primary solve a current challenge.
Treasure Coast Early Steps has developed 14
Teams to meet the needs of our 5 Counties.
Palm Beach County Teams
Jupiter/Palm Beach
Gardens
Loxahatchee/Royal
Palm Beach
Lantana/North Boynton
West Palm
Beach/Riviera Beach
Wellington/Greenacres
Beach
Central/South Boynton
Beach
West Boca/Delray
Lake Worth/Greenacres
East Boca/Delray
Belle Glade
North Area Teams
Martin County
St. Lucie County
Indian River
Okeechobee
County
County
Where does the IFSP TEAM provide Coaching
and Support to Families and Caregivers?
The Natural Environment
• Where does Natural
Environment Coaching occur?
• Natural environment, means
everyday routines, activities
and places that the child and
their family experience.
• Home and community settings
in which children without
disabilities participate.
Why Natural Environments?
•
Maximizes each child’s everyday natural learning
opportunities.
•
Provides supports and services where children live,
learn and play.
•
Enhances each child’s learning, development and
participation in family and community life.
•
Services are imbedded into the daily functional
activities of the child and family.
What is routines based
intervention?
• Routines based intervention involves outcomes
relevant to routines of child and family.
• If the targeted skill can increase independence or
social relationships, it is routines based.
• Routine goes beyond location.
What do we know about evidenced
based Early Intervention?
•
Infants and toddlers learn best through everyday experiences and
interactions with familiar people in familiar contexts.
•
All families, with the necessary supports and resources, can enhance
their child’s learning and development.
•
The early intervention process from initial contact through
transition, must be dynamic and individualized to reflect the child’s
and family member’s preferences, learning styles and cultural beliefs.
You have now completed Series 1 and are
ready to move on to Series 2 titled:
IFSP and Functional Outcome and Goal Development
Series 2
Now We Begin