EI and Preschool Conferen EI and Preschool Conferen ce 2009 Pinto, Vick, Wan ce 2009 Pinto, Vick, Wan ous ous A Good Start Makes A A Good Start Makes A Difference for Families Difference for Families and and Service Coordinators! Service Coordinators! Voluntary Family Assessments Voluntary Family Assessments and IFSP Outcomes and IFSP Outcomes
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EI and Preschool Conference 2009 Pinto, Vick, Wanous A Good Start Makes A Difference for Families and Service Coordinators! Voluntary Family Assessments.
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EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
A Good Start Makes AA Good Start Makes ADifference for Families and Difference for Families and
Service Coordinators!Service Coordinators!
Voluntary Family Assessments Voluntary Family Assessments and IFSP Outcomesand IFSP Outcomes
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
WelcomeWelcome
We are Teri Pinto, Mary Beth Vick and Amy We are Teri Pinto, Mary Beth Vick and Amy Wanous…Wanous…
Who are you? Who are you?
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Service Coordinators were askedService Coordinators were asked
What is the most fundamental thing you What is the most fundamental thing you should know to do your job?should know to do your job?
What is the one thing you wished you had What is the one thing you wished you had known when you first started that no one told known when you first started that no one told you?you?
What is the hardest aspect of your job?What is the hardest aspect of your job? What is the easiest aspect of your job? What is the easiest aspect of your job?
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Who responded?Who responded?
25 service coordinators responded to the 25 service coordinators responded to the questionnairequestionnaire
Work experience ranged from 3 weeks to 18 Work experience ranged from 3 weeks to 18 yearsyears
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
What they saidWhat they said
What is the most fundamental thing you should What is the most fundamental thing you should know to do your job?know to do your job? Time management skillsTime management skills
PrioritizingPrioritizing OrganizingOrganizing
Good documentation skillsGood documentation skills Computer skillsComputer skills
Knowledge of medical concerns and reportsKnowledge of medical concerns and reports Working with other professionalsWorking with other professionals
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
All great things to know All great things to know
But what about….But what about….
Interpersonal skillsInterpersonal skills
Being a good listenerBeing a good listener
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
What they saidWhat they said
What is the one thing you wished you had What is the one thing you wished you had known when you first started that no one told known when you first started that no one told you?you? How much paperwork there would beHow much paperwork there would be How intense PAR can beHow intense PAR can be You can’t MAKE families follow-throughYou can’t MAKE families follow-through How hard it is to get services in some areas How hard it is to get services in some areas
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
All great things to knowAll great things to know
But what about…But what about… Understanding child development and family Understanding child development and family
dynamicsdynamics What “routines-based intervention” meansWhat “routines-based intervention” means The plan is driven by the family’s needsThe plan is driven by the family’s needs
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
What they saidWhat they said
What is the hardest aspect of your job?What is the hardest aspect of your job? PaperworkPaperwork GIFTSGIFTS Scheduling therapistsScheduling therapists TimelinesTimelines
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
What they saidWhat they said
What is the easiest aspect of your job?What is the easiest aspect of your job? Direct intervention with the familiesDirect intervention with the families Advocating for familiesAdvocating for families Home visitsHome visits Working with parents who “get it”Working with parents who “get it” When families buy into the philosophy that they When families buy into the philosophy that they
are their child’s teacher and they implement our are their child’s teacher and they implement our suggestionssuggestions
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
What do these things tell us?What do these things tell us?
You LOVE working with families - You LOVE working with families -
that’s what got you here in the first placethat’s what got you here in the first place
Paperwork, timelines, and GIFTS are all Paperwork, timelines, and GIFTS are all necessary evils, so you do them….so you can necessary evils, so you do them….so you can spend more time with familiesspend more time with families
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
So…what if we offered youSo…what if we offered you
A way to spend more time on the things you A way to spend more time on the things you LOVE about your job and find the EASIEST LOVE about your job and find the EASIEST
Working directly with familiesWorking directly with families Home visitsHome visits Helping parents “get it”Helping parents “get it” Getting families to “buy into” our philosophy Getting families to “buy into” our philosophy
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
ANDAND
Less time on the things you DISLIKE and find Less time on the things you DISLIKE and find the HARDEST to dothe HARDEST to do
PaperworkPaperwork GIFTSGIFTS TImelinesTImelines
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
What if…. What if….
… … we went in a new direction?we went in a new direction?
… … we really addressed the issues of life for each we really addressed the issues of life for each family and their child?family and their child?
… … we looked at the quality of the voluntary we looked at the quality of the voluntary family assessments and maximized what we family assessments and maximized what we got out of them?got out of them?
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Here is what we see nowHere is what we see now
““Georgie was born 3 months premature. He Georgie was born 3 months premature. He lives with his foster parents, twin sister and 6 lives with his foster parents, twin sister and 6 other siblings. He remained in the hospital 3 other siblings. He remained in the hospital 3 months after birth. He shows significant months after birth. He shows significant delays in fine motor, cognitive, and language delays in fine motor, cognitive, and language areas. He also shows slight delays in gross areas. He also shows slight delays in gross motor and social emotional areas. He is motor and social emotional areas. He is unable to stoop down to pick up toys…” unable to stoop down to pick up toys…”
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
More of the sameMore of the same
““Ms. Burris stated that Aaron wasn’t born Ms. Burris stated that Aaron wasn’t born premature. He has a younger brother which premature. He has a younger brother which they both attend the same day care. Ms. Burris they both attend the same day care. Ms. Burris stated that Aaron isn’t talking as he should…” stated that Aaron isn’t talking as he should…”
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
One more for good measureOne more for good measure
““Paul is a 32 month old little boy who is Paul is a 32 month old little boy who is currently in the custody of DHR. He was currently in the custody of DHR. He was picked up and taken into care due to lack of picked up and taken into care due to lack of parent supervision. He has little parent supervision. He has little communication skills, unable to say his name. communication skills, unable to say his name. He was referred by the pediatrician. The DHR He was referred by the pediatrician. The DHR social worker would like EI to assist her in social worker would like EI to assist her in making sure that Paul gets all the services he making sure that Paul gets all the services he needs.” needs.”
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
What do you think?What do you think? Yes, you have been writing these for years!Yes, you have been writing these for years!
Just don’t know another way?Just don’t know another way? It is easy and the information is already there? It is easy and the information is already there?
Yes, we have been accepting them as Voluntary Yes, we have been accepting them as Voluntary Family Assessments and giving you credit during the Family Assessments and giving you credit during the PAR review.PAR review.
No, that will NOT continue! No, that will NOT continue! We are revising the PAR so that it better assesses the We are revising the PAR so that it better assesses the
QUALITY of your work, not just the quantity.QUALITY of your work, not just the quantity.
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
So, what do you do?So, what do you do? Learn some interviewing skillsLearn some interviewing skills
Ask some open ended questionsAsk some open ended questions Learn to stop, look and listenLearn to stop, look and listen
Adopt a new way of conducting a voluntary Adopt a new way of conducting a voluntary family assessment and writing outcomesfamily assessment and writing outcomes You can teach an old dog new tricksYou can teach an old dog new tricks Let the FRAMES work for youLet the FRAMES work for you Rate your outcomes for functionalityRate your outcomes for functionality
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Reasons for the VFAReasons for the VFA
Getting to know the familyGetting to know the family Develop a bond with the familyDevelop a bond with the family Provides a short cut to much informationProvides a short cut to much information
Assessing family needsAssessing family needs If you could change anything, what would it be?If you could change anything, what would it be? When you lie awake at night, what worries you?When you lie awake at night, what worries you?
Setting prioritiesSetting priorities
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
What is FRAMES?What is FRAMES?
The Frames Tool Process is invaluable tool for getting The Frames Tool Process is invaluable tool for getting to know the child /family and is an excellent tool for to know the child /family and is an excellent tool for conducting the Voluntary Family Assessment. conducting the Voluntary Family Assessment.
The Frames Tool provides a rich profile and history The Frames Tool provides a rich profile and history that helps provider become familiar with the child / that helps provider become familiar with the child / family and is the foundation from which the IFSP family and is the foundation from which the IFSP may be developed. may be developed.
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
The FRAMES ProcessThe FRAMES Process
The 12 basic topic areas for open ended The 12 basic topic areas for open ended questions…questions… HistoryHistory Eco MapEco Map Functional CommunicationFunctional Communication Child’s WorldChild’s World Child and Family RoutinesChild and Family Routines
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
The FRAMES ProcessThe FRAMES Process
HealthHealth ChoicesChoices Appropriate Behaviors and Behaviors of ConcernAppropriate Behaviors and Behaviors of Concern Fears and ConcernsFears and Concerns Child/Teacher/Family StressorsChild/Teacher/Family Stressors Stress Related StrategiesStress Related Strategies Future Plans/Changes in Next 12 monthsFuture Plans/Changes in Next 12 months
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
History
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Eco Map
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Indicate confusion or Indicate confusion or unhappinessunhappiness
Protest or reject a Protest or reject a situation or activitysituation or activity
Functional Communication V= Consistent * =Sometimes
Communicative Function
Mode
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Home
Work
School
Community
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Weekday Weekend
Child and Family Routines
Saturday Sunday
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Health
+ -
Medication name: Prescribed by: Reason: Possible side effects:
None
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
ChoicesFamily/TeacherChild
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Appropriate Behaviors & Behaviors of ConcernAppropriate Behaviors & Behaviors of Concern
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
NameName I am concerned about…I am concerned about… Low to HighLow to High
1 2 3 4 51 2 3 4 5
Fears and Concerns-List name in first column, concerns in middle column, then rank level of concern in third column.
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Child/ Teacher/ Family Stressors
List name in first column, stressors in middle column, then rank level of stress in third column.
NameName I feel stressed when…I feel stressed when… Low to HighLow to High
1 2 3 4 5 1 2 3 4 5
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Stress Related Strategies
What Works What Does Not Work
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
HomeWork
School Community
Future Plans/Changes in Next 12 months?
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Now what?Now what?
Now that we have the FRAME work, how do we Now that we have the FRAME work, how do we develop better functional outcomes and develop better functional outcomes and
ultimately provide better services?ultimately provide better services?
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
What outcomes can YOU come up What outcomes can YOU come up with for the IFSP? with for the IFSP?
(your turn to work)(your turn to work)
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Family Defined OutcomesFamily Defined Outcomes
Family Defined Goals To Enhance Child’s Family Defined Goals To Enhance Child’s Development, Page F of the IFSP formatDevelopment, Page F of the IFSP format
(handout) (handout)
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
But are they functional?But are they functional?
Scale of Early Intervention Goal FunctionalityScale of Early Intervention Goal Functionality Developed by Robin McWilliamsDeveloped by Robin McWilliams Goals focusing on Goals focusing on
Engagement and participation needsEngagement and participation needs Independence needsIndependence needs Social relationship needsSocial relationship needs
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
EXCELLENT!EXCELLENT!
Now how hard was that?Now how hard was that?
EI and Preschool Conference 2009 PEI and Preschool Conference 2009 Pinto, Vick, Wanousinto, Vick, Wanous
Willing to give it a try?Willing to give it a try?
We pledge to…We pledge to… Provide more training on VFA at Journey IProvide more training on VFA at Journey I Give you the tools to useGive you the tools to use