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STATE OF WASHINGTONDepartment of Social and Health Services

• Washington’s statewide Part C Program is called the Infant Toddler Early Intervention Program (ITEIP)Infant Toddler Early Intervention Program (ITEIP)

• Our website has our data; please check it out.• Our website is at http://www1.dshs.wa.gov/iteip or

Google ITEIP

Online Training StrategiesOnline Training Strategies (Approach WA is taking to measure child outcomes)

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Training needsWhat we haveWhat we plan to do

TRAINING NEEDSWho needs to be trained for initial, what we did to get ready for measuring child outcomes and what forms were selected

WHAT WE HAVE AND PLAN TO USETraining for outcomes measurement. 1. SICC, ITEIP, Stakeholders, Users (Family Resource Coordinators (SC), providers, ITEIP, Local Lead Agencies and Other State and Local Agencies) 2. Training technical support staff3. Describe the resources and supports utilized to train.

WHAT WE PLAN TO DO NEXT1. Use what was learned from the initial training efforts to improve training,2. What changes will we make as a result of the early feedback? 3. Next Steps for continuing to learn and improve the process (e.g. quality assurance)4. Tools used – Classroom, K-20, Web (Blackboard, PowerPoint), CDs, paper,

Online Training Strategies (Approach WA is taking to measure child outcomes)

Overview/TOC

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Coordination and directservices.Provide direct service support for

families of eligible children withblindness or vision impairments.Support and assist in servicedelivery options.

Coordination of relatedcommunity activities andtransition planning for familieswith their children.

Provide Care Coordination thru Children With Special

Health Care Needs

SICC Member

ITEIP DataManagement System

DOHDOH(Department of Health)

SICC Member

County HealthDepartment

Local HealthDistrict

Provide localfunding and direct

services.

OSPIOSPI(Office of Superintendent

of Public Instruction)SICC Member

School Districts

ESDs (Educational

Service Districts)

WorkFirst (TANF)

DASA

Helps identifyInfants with

Fetal AlcoholSyndrome (FAS)

and otherconditions. FAS

has beenincluded as an

ITEIP category ofeligibility.

Collaborate ontreatmentprograms.

DDD Regions

HRSA

Many servicesare provided toinfants and theirFamilies.

(Major Funder)

CA

Working toincrease referrallinkages in the

CA for thepurpose of

implementingIDEA.

(Drug and Alcohol)

DELDEL(Department ofEarly Learning)

SICC Member

FederalBIA, HS, EHS,

(Bureau of Indian Affairs,Head Start & Early Head Start)

DSBDSB(Services for the Blind)

SICC Member

DSHSDSHS

State Lead Agency

SICC Member

DDD

DDD is theprogrammatichome forITEIP:

ADSA/InformationTechnology

MH

Coordinates toassure that

mental healthservices are

accessible and

available to infants and toddlers and their families.

(Mental Health)

(Children's Admin.)

(TemporaryAssistance for Needy

Families)

ODHH

Coordinates anddevelops

specialized services for eligible infants and toddlers and their families.

(Deaf and Hard ofHearing)

Indian Policyand Support

Collaborates onefforts to

facilitate earlyintervention

services for Tribalinfants' toddlersand families.

Local Lead Agencies

TribesTribes Nonprofit

OthersAgencies and

SICCITEIP(Part C)

Economic Services

Provides economic,

employment and training, child support, medical, and

other services to help people in need achieve and maintain their highest level of self-sufficiency.

Infant Toddler Early Intervention Program (ITEIP) Structure

(WA Early Intervention Services)

DSHS has the primary responsibility for implementation of IDEA, Part C (ITEIP). ITEIP administers this federally fundedprogram, which serves children age birth to 3 with developmental delays and/or disabilities. The program is the payor of last resort and requires

coordination and collaboration with five state agencies, appropriate DSHS divisions and programs, families, local serviceproviders and agencies, interested Tribes, State Interagency Coordinating Council (SICC) members, and County Interagency Coordinating Councils (CICCs).

RDA

Providestechnical

assistance in thecollection and

interpretation ofdata used tounderstand

program deliveryissues and

develop servicedelivery options.

(Research and Data

Analysis)

County Human ServicesChild Development Svcs.

Provide early intervention services including Family Resources Coordinators (FRCs)

facilitate identification of eligible infants, assist with eligibility determinations, participate in the

development and implementation of the individual Family Service Plans, and coordinate

services delivery activities and funding.

ADSA

Children

With Special

Health Care Needs (CHSCN)

(Logo courtesy of the Department of Social and Health ServicesInfant Toddler Early Intervention Program funded by the

Individuals with Disabilities Education Act.)

ITEIP Web site -- http://www1.dshs.wa.gov/iteip/

(Health & Recovery Services

Administration)

(Aging & Disability Services Administration

(Division of Developmental Disabilities)

(Department of Social and Health Services)

ITEIP

(Provides DDDstate-fundedservices andSupports).

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What we have done to get ready to measure child outcomes

• WA Infant and Toddler Early Intervention Program (ITEIP) partnered with WESTAT Inc. on their General Supervision Enhancement Grant (GSEG) with TA from SRI and NECTAC.

• The grant assists the state to develop and implement the Part C outcomes indicators

including methods to collect and analyze ITEIP state child outcome measures for infants and toddlers, birth to three, and their families.

• This Child & Family Outcome Measurement Project has four phases:(1) obtain stakeholder input on the child and family outcomes; (Completed)(2) send the recommendations to a broader group of stakeholders; (Completed)(3) pilot collection of child and family outcome data; and (Completed)(4) a) plan, implement statewide via hard copy COSF (Implemented July 1, 2007) and program and update the ITEIP Data Management System to collect and document the child outcome measures. (In process)

• We are currently in phase 4 of the project and are on schedule for out data system implementation date of October 1, 2007.

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Phase 1

• ITEIP management and the SICC members had to become familiar with OSEP requirements for the measurement of child and family outcomes.

• State staff had to become very familiar with OSEP requirements for the measurement of child and family outcomes.

• A stakeholder group had to be selected and trained.

– Training provided –

• SICC and ITEIP staff received TA from Westat, SRI and NECTAC and attended meetings sponsored by OSEP, Westat, SRI and NECTAC addressing child and family outcome measurement requirements.

• DSHS and ITEIP Kick-off using Webinar (over 400 participants), and Stakeholder workgroup face to face training sessions with TA support from Westat, SRI and NECTAC.

• Statewide face to face training for all field staff (Local Lead Agency, Service Coordinators and Providers) using support from ITEIP, Westat, SRI and NECTAC and web training courses.

Our needs to get ready to measure child outcomes

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Phase 2

• Local lead agencies, Service Coordinators and providers were introduced and trained on child and family outcomes measurement requirements and how the state planned to address the requirements.

– Training provided –

• Statewide face to face training for all field staff using support from ITEIP, Westat, SRI and NECTAC and web training courses on the WA COSF and the use of all existing information sources for summaries on the COSF.

• Training provided at conferences and user group meetings (such as the Infant and Early Childhood Conference and other statewide conferences and meetings)

Our needs to get ready to measure child outcomes

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Phase 3

• Stakeholder workgroup and ITEIP decided that 5 pilot sites would be selected to use the National Early Childhood Outcome Center (ECO) Childhood Outcomes Center Summary Form (COSF).

– Training provided –

• Face to face training for all pilot site staff using support from ITEIP, Westat, SRI, NECTAC, and ITEIP web training courses.

• Pilot sites had conference calls with ITEIP, Westat and ECO center staff to discuss issues and successes.

Our needs to get ready to measure child outcomes

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Phase 4

• On July 1, 2007, Washington started recording child outcome summary information, using a paper COSF for each child entering ITEIP. Parents and families will be involved in child and family outcome measurement and skill summary discussions and collection.

– Examples of types of training provided –

• Statewide face to face training (with break-out sessions) supported by ITEIP, Westat, SRI and NECTAC for all field staff and web training courses (updated frequently).

• On line training: Service Coordinator training provided via a one day introduction using Blackboard’s Academic Suite followed by 2 day face to face training.

• All web based training is available to parents and family members and they are coached by service coordinators and ITEIP staff.

Our needs to get ready to measure child outcomes

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Phase 4 continued• The state’s data management system (ITEIP Data Management System) will be

updated to collect, record, and generate aggregate reports for child outcome data. Until the system is reprogrammed and ready, electronic or paper summary forms will be required. We will have a three month ”Use and Tune” part of the data management system where we will modify the system as needed by ITEIP and user input.

– Training provided –

• statewide face to face training (with break-out sessions); and

• web training courses (PowerPoint) which is also maintained on the ITEIP website.

• Hands on data system training provided at conferences and user group meetings (such as the Infant and Early Childhood Conference and other statewide conferences and meetings)

• Continual on call ITEIP telephone and email support for questions from the field.

Our needs to get ready to measure child outcomes

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Next Steps for continuing to learn and improve the process

Describe the resources and supports utilized to train.1. Face to face – classroom or seminar type training offered through a

person at the site or training provided through the K-20. This is done on a scheduled, ad-hoc, or as part of a meeting or conference basis.

2. The K-20 Education Network – Washington State’s priority to make world-class education equally accessible and affordable to all. Launched in 1996 with funds from the Washington State Legislature, our technology pipeline provides a single, cost-effective solution to meeting the diverse video and data needs of the state’s entire educational community, in communities large and small, urban and rural, across the state. There are 496 direct K-20 connection sites in the state of Washington.

3. Training documents - (See following slide with forms and training tools for complete list)

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Describe the resources and supports utilized to train –continuedThe following forms and training tools were developed and customized by and for Washington State:

What we have done to get ready to measure child outcomes

Statewide Training PowerPoint Presentation

Child Outcome Summary Form Overview of the COSF Definitions of Child Outcome

Measurement Summaries Instructions for Completing the COSF Guidance on Recording Samples-

Examples WA Decision Tree With Prompts Documenting the Basis for Outcome

Summary COSF discussion prompts Tips - COSF Conversation with Families Outcomes Measures Brochure Talking Points for Parent-Family

Conversations

WA State - Age-Expected Immediate Foundational

Resource List Developed for WA State ITEIP

Assessment Tools List Possible Conversation Prompts for

Groups with Difficulty How Data from COSF can be used for

OSEP Report WA State Parameters Timelines for Reporting Child Outcome

Data to OSEP Child Outcomes-COSF Process - F.A.Q. ITEIP Parent-Family Outcomes Survey

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Next Steps for continuing to learn and improve the process

Describe the resources and supports utilized to train -continued4. Web based training is provided on the ITEIP Web site available to all

and is currently on PowerPoint. Currently there are courses for how to use the ITEIP Data Management System and how to enter the COSF into the ITEIP Data Management System. We are also using the product Academic Suite by Blackboard for Service Coordinator training.

5. There are training CDs available on all aspects of using both the online and offline ITEIP Data Management System.

6. Web conferencing – A Webinar is a seminar which is conducted over the Web. In contrast to a Webcast, which is transmission of information in one direction only, a webinar is designed to be interactive between the presenter and audience,. A webinar is ‘live’ in the sense that information is conveyed according to an agenda, with a starting and ending time.

7. We use email of slides, handouts, presentations, and agendas; followed by phone conferencing a lot in WA for training and committee workgroup topics.

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Next Steps for continuing to learn and improve the process

WE PLAN TO DO NEXT

1. The initial training methodologies confirmed that we needed a multi- faceted training approach and that we need to explore more ways to provide training across the state.

2. Continuing gathering feedback from Local Lead Agencies, users and providers and applying what is learned from their input.

3. Continue updating the ITEIP Data Management System with help and built in training, making it easier to use.

4. Continue to learn and improve all processes (e.g. quality assurance).

5. Learn more about training technologies and incorporate new methods into state TA activities.

6. Improve methodologies used for training to include – Face to Face, workshops, to include regional and federal Technical Assistance (TA) and improve dissemination of training courses, improve coaching and improve quality of training provided.

7. Improve tools used – K-20 education network, other training distribution networks, more use of Webinar, more Web based training using Blackboard, PowerPoint and other products, move CD training to DVDs, and look at what other states are doing and collaborate where possible.