Linking Early Intervention Quality Practices With Child and Family Outcomes Technical Assistance for Local Early Intervention Systems

Infant & Toddler Connection of Virginia 1

Technical Assistance Includes:

Education about the process for measuring family outcomes Review of local system results Data analysis Identification of Improvement strategies Infant & Toddler Connection of Virginia 2

Education about the Process: Check Your Knowledge

What are the Family Outcomes?

How are the results for the Family Outcomes Indicator derived for the Annual Performance Report to OSEP?

What do the results measure? Who can impact the family outcomes?

What factors impact the family survey results?

Infant & Toddler Connection of Virginia 3

Education about the Process

NCSEAM Survey administered annually Survey includes two rating scales Impact on Families (22 items) Family Centered Services (25 items) Use of Part C standards (cut-scores) 4a – 539 4b – 556 4c - 516 Infant & Toddler Connection of Virginia 4

Relationship of Survey to Outcome Results

Review of the survey itself to understand what parents are being asked Survey is mailed to all families Depending on response, a 2 nd mailing and phone call follow up may be done Infant & Toddler Connection of Virginia 5

Translating Survey Results to Outcome Results

Detailed Analysis Report http://infantva.org/documents/sup FamilySurvey-2011.pdf

Summary Explanation http://infantva.org/documents/sup FamilySurvey-2011-expl.pdf

Infant & Toddler Connection of Virginia 6

Review of Local Results: Percent Meeting Standard

80,0% 70,0% 60,0% 50,0% 40,0% 30,0% 20,0% 10,0% 0,0% 4A 4B 4C Infant & Toddler Connection of Virginia 2009 23 2010 39 7

Comparing 2009 LS Results to Targets and State Results

90,0% 80,0% 70,0% 60,0% 50,0% 40,0% 30,0% 20,0% 10,0% 0,0% 2009 Targets 2009 LS Actual 2009 State Actual 4A 4B 4C Infant & Toddler Connection of Virginia 8

Comparing 2010 LS Results to Targets and State Results

90,0% 80,0% 70,0% 60,0% 50,0% 40,0% 30,0% 20,0% 10,0% 0,0% 4A Infant & Toddler Connection of Virginia 4B 4C 2010 Targets 2010 LS Actual 2010 State Actual 9

Local Results: Percent of Target

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 4A Infant & Toddler Connection of Virginia 4B 4C 2009 2010 10

Data Analysis Included:

Review of current results in comparison to prior years; in comparison to target and in comparison to state results Review of responses for each question on the Family Centered Practices Scale and the Impact on Families Scale Use of Local Contributing Factor Tool [RRCP/NECTAC/DAC (6-5-09)] – adapted for TA with local system (handout) Infant & Toddler Connection of Virginia 11

Factors Identified as Potentially Impacting Results

Change in Local Lead Agency New local system leadership New service coordinators New direct service providers Increased child count 106 in 2009; 140 in 2010 Statewide system transformation Infant & Toddler Connection of Virginia 12

Improvement Strategies 2007 -2011

Assuring that all providers and service coordinators know what is on the survey Local analysis of results of both scales; focus in on family centered practices and key elements where responses were not as positive as expected Use terminology contained in survey Reminders to staff – based on survey questions 13

Improvement Planning Tool Introduced in 2011

Relationship of Quality practices to Child and Family Outcome Measurement Results (draft 2/4/11) Infant & Toddler Connection of Virginia 14

Effective Practices Know rights Family Outcomes Commun icate Child’s Needs Help Child Develop & Learn Child Outcomes Relate to Others Use Know ledge & Skills Meet Needs 1.

Gather information from the family regarding: their interests; important people and places in their lives; their concerns, priorities, and resources; and what’s working/what’s challenging in participating in everyday routines and activities. (NOTE: Gathering information from the family occurs overtime and prior information is reviewed and revisited with the family throughout the IFSP process).

    Discuss how information gathered from the family is used in planning the assessment and in developing IFSP outcomes, strategies and services. Use open-ended questions that encourage the family to share their thoughts and concerns; ask strength- and interest-based questions. Discover family preferences for sharing and receiving information as well as the family’s teaching and learning strategies they prefer to use with their child. Begin gathering functional information about the child’s participation in everyday activity settings within routines and across settings using the 3 global outcomes. Reflections and Comments:               

2.

Throughout the IFSP process and ongoing intervention, provide written prior notice at all appropriate times, obtain parent consent for evaluation/assessment and IFSP services, and ensure procedural safeguards are fully explained.     At intake, explain how EI has rules and procedures that providers must follow. At intake, review with the family procedural safeguards provided in the program materials and inform them you will review them at different points throughout the process. At intake, explain confidentiality. Make sure that the family knows they should only share information they are comfortable sharing. When explaining procedural safeguards, ask the family if they have any questions and if information is clear and understandable. Ask, “Do you have any questions about why we need to do it this way?” Reflections and Comments: Infant & Toddler Connection of Virginia     15

Next Steps: Local Follow Up Plan

Review of Tools Further analysis Staff discussion and self-reflection Improvement Planning and Implementation Infant & Toddler Connection of Virginia 16

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Actions Taken by Locality

Revision of Intake Form Staff discussion/work on effective communication with families Continuing work to improve IFSP outcome development Participation with child/family in activities/routines (store, swimming, etc) Infant & Toddler Connection of Virginia 18

100,0% 90,0% 80,0% 70,0% 60,0% 50,0% 40,0% 30,0% 20,0% 10,0% 0,0%

2011 Results: Percent Meeting Standard

2011 Targets 2011 LS Actual 2011 State Actual 4A 4B 4C Infant & Toddler Connection of Virginia 19

2009 – 2011 Results: Percent Meeting Targets

120% 100% 80% 60% 40% 20% 0% 4A Infant & Toddler Connection of Virginia 4B 4C 2009 2010 2011 20

2012 Technical Assistance

Use with large local system: Introduction and review of the Quality Practices Tool with 55 Local System service providers, service coordinators and administrators Plan to use region wide for education of contracted providers and as a tool for self-assessment Infant & Toddler Connection of Virginia 21

Beth Tolley Technical Assistance Consultant Infant & Toddler Connection of Virginia [email protected]

804-371-6595 Infant & Toddler Connection of Virginia www.infantva.org

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