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Page 1: Linking Early Intervention Quality Practices With Child and Family Outcomes

Linking Early Intervention Quality Practices With Child and Family Outcomes

Technical Assistance for a Local Early Intervention System

Infant & Toddler Connection of Virginia 1

Page 2: Linking Early Intervention Quality Practices With Child and Family Outcomes

Measuring Family Outcomes

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 2

Page 3: Linking Early Intervention Quality Practices With Child and Family Outcomes

Local Results: Percent Meeting

Standard

Infant & Toddler Connection of Virginia 3

4A 4B 4C0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

2009 232010 39

Page 4: Linking Early Intervention Quality Practices With Child and Family Outcomes

Comparing 2009 LS Results to Targets and

State Results

Infant & Toddler Connection of Virginia 4

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

Page 5: Linking Early Intervention Quality Practices With Child and Family Outcomes

Comparing 2010 LS Results to Targets and

State Results

Infant & Toddler Connection of Virginia 5

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

Page 6: Linking Early Intervention Quality Practices With Child and Family Outcomes

Local Results:Percent of Target

Infant & Toddler Connection of Virginia 6

4A 4B 4C0%

20%

40%

60%

80%

100%

120%

20092010

Page 7: Linking Early Intervention Quality Practices With Child and Family Outcomes

TA Site Visit: Meeting Outcomes

Local staff will understand:relationship of the Survey to the Outcomeshow the survey results are converted to indicator results

Local Staff will develop hypotheses about slippageTools for analysis of results and improvement planning will be introducedNext steps will be determined

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Page 8: Linking Early Intervention Quality Practices With Child and Family Outcomes

TA AgendaCheck Your KnowledgeRelationship of Survey to Family Outcomes ResultsTranslating Survey ResultsComparison of 2009 and 2010 resultsAnalysis and improvement planning toolsNext stepsInfant & Toddler Connection of Virginia 8

Page 9: Linking Early Intervention Quality Practices With Child and Family Outcomes

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?

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Page 10: Linking Early Intervention Quality Practices With Child and Family Outcomes

Relationship of Survey to Outcome ResultsReview of the survey itself to understand what parents are being askedTwo scales

Impact on FamiliesFamily Centered practices

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Page 11: Linking Early Intervention Quality Practices With Child and Family Outcomes

Survey ProcessRole of Local System

Provide names/addressesInform families they will be receiving survey

Process for disseminating survey

Pre-survey notificationSurvey mailed to families

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Page 12: Linking Early Intervention Quality Practices With Child and Family Outcomes

Translating Survey Results to Outcome

Results

Detailed Analysis ReportAnalysis of the Virginia Family Survey Data Addressing Part C SPP/APR Indicator #4: Final Report – 2010

Summary Explanation 2010 Family Survey Explanation of Results

Infant & Toddler Connection of Virginia 12

Page 13: Linking Early Intervention Quality Practices With Child and Family Outcomes

Reviewing /UnderstandingLocal Results

Items at the bottom of each scale are more likely to be answered positivelyIdentification of areas needing improvementRelationship of practices to results

Infant & Toddler Connection of Virginia 13

Page 14: Linking Early Intervention Quality Practices With Child and Family Outcomes

Factors PotentiallyImpacting Results

Change in Local Lead AgencyNew local system leadershipNew service coordinatorsNew direct service providersIncreased child count

106 in 2009; 140 in 2010Statewide system transformation

Infant & Toddler Connection of Virginia 14

Page 15: Linking Early Intervention Quality Practices With Child and Family Outcomes

Analysis and Improvement Planning

Tools

Local Contributing Factor Tool (RRCP/NECTAC/DAC (6-5-09) – adapted for TA with local systemNECTAC/ECO Center: Relationship of Quality practices to Child and Family Outcome Measurement Results (draft 2/4/11)

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Page 16: Linking Early Intervention Quality Practices With Child and Family Outcomes

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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:

Page 17: Linking Early Intervention Quality Practices With Child and Family Outcomes

Next Steps: Local Follow Up Plan

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

Infant & Toddler Connection of Virginia 17

Page 18: Linking Early Intervention Quality Practices With Child and Family Outcomes

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)

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Page 19: Linking Early Intervention Quality Practices With Child and Family Outcomes

2011 Results: Percent Meeting

Standard

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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

Page 20: Linking Early Intervention Quality Practices With Child and Family Outcomes

2009 – 2011 Results:Percent Meeting

Targets

Infant & Toddler Connection of Virginia 20

4A 4B 4C0%

20%

40%

60%

80%

100%

120%

140%

200920102011

Page 21: Linking Early Intervention Quality Practices With Child and Family Outcomes

Beth TolleyTechnical Assistance ConsultantInfant & Toddler Connection of

[email protected]

804-371-6595

www.infantva.orgInfant & Toddler Connection of Virginia 21


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