Linking Early Intervention Quality Practices With Child and Family Outcomes

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 outcomesReview of local system resultsData analysisIdentification of Improvement strategies

Infant & Toddler Connection of Virginia 2

Education about the Process:

Check Your KnowledgeWhat 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 annuallySurvey includes two rating scales

Impact on Families (22 items)Family Centered Services (25 items)

Use of Part C standards (cut-scores)4a – 5394b – 5564c - 516Infant & Toddler Connection of Virginia 4

Relationship of Survey to Outcome Results

Review of the survey itself to understand what parents are being askedSurvey is mailed to all familiesDepending on response, a 2nd mailing and phone call follow up may be done

Infant & Toddler Connection of Virginia 5

Translating Survey Results to Outcome

Results

Detailed Analysis Reporthttp://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

Infant & Toddler Connection of Virginia 7

4A 4B 4C0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

2009 232010 39

Comparing 2009 LS Results to Targets and

State Results

Infant & Toddler Connection of Virginia 8

4A 4B 4C0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

2009 Targets2009 LS Actual2009 State Actual

Comparing 2010 LS Results to Targets and

State Results

Infant & Toddler Connection of Virginia 9

4A 4B 4C0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

2010 Targets2010 LS Actual2010 State Actual

Local Results:Percent of Target

Infant & Toddler Connection of Virginia 10

4A 4B 4C0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

20092010

Data Analysis Included:

Review of current results in comparison to prior years; in comparison to target and in comparison to state resultsReview of responses for each question on the Family Centered Practices Scale and the Impact on Families ScaleUse 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 ResultsChange in Local Lead AgencyNew local system leadershipNew service coordinatorsNew direct service providersIncreased child count

106 in 2009; 140 in 2010

Statewide system transformation

Infant & Toddler Connection of Virginia 12

Improvement Strategies2007 -2011

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

Infant & Toddler Connection of Virginia 13

Improvement Planning Tool Introduced in

2011

Relationship of Quality practices to Child and

Family OutcomeMeasurement Results

(draft 2/4/11)

Infant & Toddler Connection of Virginia 14

Infant & Toddler Connection of Virginia 15

Effective Practices

Family Outcomes Child Outcomes

Know rights

Commun-icate

Child’s Needs

Help Child Develop &

Learn

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:

Next Steps: Local Follow Up Plan

Review of ToolsFurther analysisStaff discussion and self-reflection Improvement Planning and Implementation

Infant & Toddler Connection of Virginia 16

Infant & Toddler Connection of Virginia 17

" ... So then I thought, 'What the heck, let him have the darn ball of yarn.' Well, . . little did I know ... "

" ... So then I thought, 'What the heck, let him have the darn ball of yarn.' Well, . . little did I know ... "

" ... So then I thought, 'What the heck, let him have the darn ball of yarn.' Well, . . little did I know ... "

Actions Taken by Locality

Revision of Intake FormStaff discussion/work on effective communication with familiesContinuing work to improve IFSP outcome developmentParticipation with child/family in activities/routines (store, swimming, etc)

Infant & Toddler Connection of Virginia 18

2011 Results: Percent Meeting

Standard

Infant & Toddler Connection of Virginia 19

4A 4B 4C0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

2011 Targets2011 LS Actual2011 State Actual

2009 – 2011 Results:Percent Meeting

Targets

Infant & Toddler Connection of Virginia 20

4A 4B 4C0%

20%

40%

60%

80%

100%

120%

200920102011

2012Technical 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 TolleyTechnical Assistance ConsultantInfant & Toddler Connection of

[email protected]

804-371-6595

www.infantva.orgInfant & Toddler Connection of Virginia 22