individualizedfamily serviceplan in earlyinterventiondefining ifspguidingprinciplessteps in...

Individualized Family Service Plan in Early Intervention

Defining IFSP

Guiding Principles

Steps in Early Steps to IFSP Development

IFSP Components and Development Process

INTRO TO THE INDIVIDUALIZED FAMILY SERVICES PLAN (IFSP) IN

EARLY INTERVENTION

1

Web-Based Training Module

Developed byMary Hockless, M.Ed.

Sarintha Buras Stricklin, Ph.D.Toni Ledet, Ph.D.


Defining IFSP

Guiding Principles



Collaborating PartnersCollaborating Partners

• DHH Office for Citizens with Developmental Disabilities

• The Arc Baton Rouge, Children’s Services• First Steps Referral and Consulting, LLC• Innovations in Education, LLC• State Interagency Coordinating Council• SICC Comprehensive System of Personnel

Development and Program Components Committees

Special Note: Materials from the SpecialQuest Multi-Media Library have been incorporated throughout this module, as part of Louisiana’s participation in the SpecialQuest Initiative. 2


Defining IFSP

Guiding Principles



Click view and then click notes page to review the supplemental information

noted on selective slides in this presentation.


Defining IFSP

Guiding Principles



Learning OutcomesAfter completing this web-based training participants will:

Describe the Individualized Family Service Plan Process in Early Intervention and the components of the IFSP

Recognize and value the role and perspectives families have in the IFSP process

Identify their role in the process, before, during, and after the plan has been developed.

Identify strategies that will support family centered IFSP development

Describe how family concerns, priorities, and resources are guiding factors in the development of IFSP outcomes

4


Defining IFSP

Guiding Principles



• Throughout this training module you will be asked to reflect on the information shared to consider how you might use it in your personal and professional lives.

• Opportunities for reflection support adult learning by helping participants internalize and generalize the content. You may want to have a journaling notebook to record your thoughts.

5


Defining IFSP

Guiding Principles



Post Exam

• Participants in this training session will complete a post exam.

• The results of the test will provide feedback on what you have learned from the module and will provide EarlySteps with data on the effectiveness of the instructional content in this training module.

• Note: E-learning will provide instructions for completing this exam.

6


Defining IFSP

Guiding Principles



What is an IFSP?Individualized Family Service Plan

A written plan or road map for early intervention supports and services to be provided to an eligible child and the child’s family in accordance with federal regulations – Part C of the Individuals with Disabilities Education Improvement Act (IDEA). For more information right click on the link below and click open hyperlink to access the site.

www.nectac.org/idea/303regs.asp

7


Defining IFSP

Guiding Principles



The IFSP…• A living document

– Matches the family’s values, beliefs, priorities, and routines– Flexible and relevant to the current needs of the child and family – Allows the changing needs of the child and family to be captured

through changes to the document

• Developed by a team including• The family (as the family defines itself which may be siblings and

extended family members)• Family service coordinators• Early intervention providers• Others involved with the child and family or individuals invited by

the family (e.g., child care and education providers, health and medical staff, other providers)

• Intake Coordinator (EarlySteps-Louisiana)

8


Defining IFSP

Guiding Principles



The IFSP document:

Far more important than the form itself are the interactions, collaborations, and partnerships between families and professionals that are necessary to develop and implement the IFSP.

McGonegal & Johnson (1991)

9


Defining IFSP

Guiding Principles



The IFSP is:• A promise to families• A way to build a trusting relationship • A vehicle for empowerment • A mechanism for interagency

collaboration between a family and the Early Intervention system

• A guide to program implementation and evaluation

Rosin (1996)

10


Defining IFSP

Guiding Principles



Individual Reflection

Reflect on this description of the IFSP as a “Promise”

Record in your journal one example of how you in your practice have fulfilled this promise

11


Defining IFSP

Guiding Principles



GUIDING PRINCIPLESGUIDING PRINCIPLES

12


Defining IFSP

Guiding Principles



GUIDING PRINCIPLES

All children are unique with individual strengths.

Children grow and develop in the context of relationships with their families and other caregivers.

Children learn and develop in:

Everyday routinesEveryday activitiesEveryday places

13


Defining IFSP

Guiding Principles



GUIDING PRINCIPLES

The child and family has a right to:

Belong Be welcomedParticipate fully in activities within their

community

The life of the child and family is enhanced when they are successful in maintaining their everyday activities and relationships.

14


Defining IFSP

Guiding Principles



GUIDING PRINCIPLES:Family-Centered Supports & Services

Family-centered principles are a set of interconnected beliefs and attitudes that shape directions of program philosophy and behavior of personnel as they organize and deliver services to children and families.

Core to family-centered supports and services is sensitivity and respect for the culture and values of individual family members and each family's ecology, as family members define the people, activities, and beliefs important to them.

The purpose of early intervention is to achieve family outcomes as well as child outcomes utilizing these guiding principles of practice.

15


Defining IFSP

Guiding Principles



A Family Centered IFSP Process

Includes:

• Discussions with the family, observations of the child, formal eligibility determination, and on-going assessments

• Families talking about their daily routines and identifying ways they would like support

• Functional outcomes and strategies and activities that incorporate these outcomes throughout the child’s daily routine

• Service providers facilitating the development and implementation of the IFSP and ensuring services are delivered in manner supportive of the family’s values, priorities, and routines 16


Defining IFSP

Guiding Principles



• A team approach is necessary• The IFSP team is comprehensive• Families have the right to know all role options

and to choose their level of involvement on the team, including serving as team leaders if they so choose

• The IFSP team has final decision-making responsibility and the family gives consent for IFSP implementation (Practice Manual, Chapter 2)

• A family-centered IFSP process does not indicate a passive role for professionals

17

A Family Centered IFSP Process


Defining IFSP

Guiding Principles



Elements of Collaboration Needed by Professionals in the Family-Centered IFSP Process

• Mutual respect for skills and knowledge

• Honest and clear communication

• Understanding and empathy

• Mutually agreed upon goals

• Shared planning and decision making

• Open and 2-way sharing of information

• Accessibility and responsiveness

• Joint evaluation of progress

• Absence of labeling and blaming

• Respect for the desires and wishes of the family

• Assist with educating the family regarding Early Steps services and supports 18


Defining IFSP

Guiding Principles



Family Centered Practices Professional Checklist for IFSP Development & Implementation

• I really believe that parents are my equal and, in fact, are experts on their child.

• I show the same respect for the value of parents’ time as I do for my own time by educating myself about an individual child before appointments or group sessions.

• I speak plainly and avoid medical, psychological, or social work jargon.

• I make appointments and provide services at times and places that are convenient for the family.

• I share information with other professionals to insure both that services are not duplicated and that families do not expend unnecessary energy searching for providers and services.

• I display a genuine concern for the welfare of the child and the family.19


Defining IFSP

Guiding Principles




Reflect on the “Professional Checklist” statements

• First, record in your journal the areas you identified as your strengths

• Second, record the areas you identified as possible areas for professional growth and how you might address these

20


Defining IFSP

Guiding Principles



View Video “A Family Affair” Individual Reflection

As you view the video note in your journal

1. Guiding principles that you hear and observe during interactions with families

2. Hopes and dreams that you hear expressed by the family

3. Professional behavior observed during interactions with families

After watching the video reflect upon the guiding principles of IFSPs, and note in your journal a few of the principles that are part of your current practice.

21


Defining IFSP

Guiding Principles



A Family Affair Video


Defining IFSP

Guiding Principles



STEPS IN THE EARLY STEPS SYSTEM LEADING TO IFSP

DEVELOPMENT

23


Defining IFSP

Guiding Principles



24


Defining IFSP

Guiding Principles



PARENT MEDICAL PROVIDER

OTHER

REFERRAL

Intake Meeting-- Meeting #1 (within 10 days of referral )

What is Early Steps? Developmental Service Introduced –Practice Manual, Chapter 1

Parental Rights – Chapter 2

Notice of Action –Chapter 14/Forms

Referral Concerns –Chapter 3

Application for Services –Chapter 14/Forms

Evaluation and Eligibility Meeting-- Meeting #2

Health History -Chapter 14/Forms

ASQ Screening , if applicable proceed to Request for Evaluation

Provider Selection for Evaluation (www.eikids.com/la/matrix/)

Evaluation Procedures Reviewed

Family Assessment –Chapter 14/Forms

Prepare for Evaluation and Eligibility Meeting

Discuss Transition

Parent Rights reviewed

Health and Screening Information collected

Evaluation results reviewed

Vision/Hearing status reviewed

Eligibility Determination Meeting Held –Chapter 14/Forms

Rights reviewed

Family Assessment

IFSP Planning Report –Chapter 14/Forms

Review Developmental Service –Chapter 6 Page 5Best Practice Guidelines discussed

Participants and FSC Selected(www.eikids.com/la/matrix/)

INTAKE COORDINATOR

IFSP Meeting –Meeting #3 (45 days from the date of referral )

Agenda and Parental Rights reviewed

Evaluation and medical Information reviewed – IFSP Chapter 14/Forms

Concerns and Priorities reviewed –IFSP Chapter 14/Forms

Current functioning reviewed and outcomes developed in conjunction with team input –IFSP Chapter 14/Forms

Transition reviewed, supports and services discussed and recommendations made-Chapter 14/Forms

Developmental Service – Chapter 6 Best Practice Guidelines discussed

Identification of provider based on family needs www.eikids.com/la/matrix/

25

Frequency, intensity and duration discussed- Chapter 14/Forms


Defining IFSP

Guiding Principles



THE IFSP COMPONENTS AND

DEVELOPMENT PROCESS

26


Defining IFSP

Guiding Principles



IFSP Components1. Description of the child’s abilities and strengths

2. Families priorities, resources, and concerns

3. Desired outcomes related to the child and family

4. Early Intervention services and supports to be provided

5. Services will be provided in the child’s natural environment

6. Projected dates for initiation of services & duration

7. Identifies the name of the Service Coordinator

8. Steps to support transition 27


Defining IFSP

Guiding Principles



IFSP Components

Child’s Present Levels**

Family’s** Resources,

Priorities and Concerns

Outcomes** to be achieved for

the child and family

Services –** frequency,

intensity and method of delivery

Natural Environments ** in which services

are provided

Anticipated duration **

Service providers**

Steps to Support Child’s

Transition**

28

**Click on the highlighted word and you will review the Louisiana IFSP components


Defining IFSP

Guiding Principles



Child’s StatusFederal Regulations: A statement of the infant’s or toddler’s present levels of physical, cognitive, communication, social and emotional, and adaptive development based on objective criteria.

Recommended practice: The IFSP should focus on the naturally occurring behaviors of the child in daily routines with familiar caregivers.


29


Defining IFSP

Guiding Principles



Child’s Status

Example: John holds his bottle with both hands during feeding times. John sits without support on the floor during play time.


30


Defining IFSP

Guiding Principles



FAMILY CONCERNS, PRIORITIES, RESOURCES

Federal Regulations: A statement of the family’s resources, priorities and concerns relating to enhancing the development of the family’s infant or toddler with a disability.

Recommended practice: Family priorities are the family’s choices for how early intervention supports and services are going to be helpful for their family to enhance their child’s growth and development.

31




Defining IFSP

Guiding Principles



FAMILY CONCERNS, PRIORITIES, RESOURCES

•Review daily routines and activities of the family.

•Ask the family “what concerns do you have about this activity within your daily routines.”

•Ask the family “what is the hardest part of this activity within the routine of your day.”

•Ask the family “what would you like to change about those concerns within the next 6 months to a year.”

•This can be accomplished through a voluntary family assessment or a routines based interview.

32




Defining IFSP

Guiding Principles



OUTCOMES and STRATEGIES

Federal Regulations: A statement of the measurable results or outcomes expected to be achieved for the infant or toddler and the family, including pre-literacy and language skills, as developmentally appropriate for the child, and the criteria procedures, and timelines used to determine the degree to which progress toward achieving the results or outcomes is being made and whether modifications or revisions of the results or outcomes or services are necessary.

Recommended practice: The IFSP team agrees on functional outcomes and the strategies needed to achieve them.

Developing outcomes is an IFSP team process.

33




Defining IFSP

Guiding Principles



OUTCOMES and STRATEGIES

Summary of recommended practices in outcomes development – service delivery values:

– Individualized– Comprehensive– Normalized/Normalizing– Community-based– Interdisciplinary– Collaborative– Family-centered Relationship supportive– Culturally Competent– Prioritized

34




Defining IFSP

Guiding Principles



Family Priorities = Functional Outcomes

A family centered functional outcome is a statement of the changes the family wants to see for their child or for themselves.The outcome should be functionally statedUse in order to or so that statements when neededSomething is done in order for something else to occur or to be obtained

Dunst & Trivette (1988)

Example:George will participate in bathroom potty routines by indicating when his diaper is wet and we will know he can do this when he gestures, signs or vocalizes when his diaper is wet, 3 times per day for … so that he can stop wearing diapers.

Understanding a family’s routines leads to the development of more functional outcomes.They specify what the child or family will doContextual need has been identifiedIt is important to the primary caregivers

35


Defining IFSP

Guiding Principles



Functional Outcomes

• Reflect family priorities for their child and family

• Are observable and measurable

• Are consistent with the values of the child’s family

• Developed through team process, with all team members contributing

• Reflect child’s unique abilities and needs, as these are demonstrated across daily interactions and activities

• Are routines-based, grounded in the daily routines of the child and family

36


Defining IFSP

Guiding Principles



Functional OutcomesRead script below


Defining IFSP

Guiding Principles



Outcome-Writing Strategy Steps The McWilliams’ Outcome Writing Steps:

1. Identify family priority from Routine Based Interview.

(Family's assessment of Concerns, Priorities and Resources)

2. Find out which routines this affects

3. Write (child) will participate in (routine).

4. By ing (behavior or skill).

5. Add criteria and conditions for success.

6. Add additional criteria for maintenance, generalization.

39


Defining IFSP

Guiding Principles



Sample Outcome

George will participate in morning and evening routines by swallowing his medications without spitting or gagging. We will know he can do this when he swallows his medications in this manner, 2 medications in the morning and 2 medications at night, over 1 week of time.

40


Defining IFSP

Guiding Principles



Sample Outcome

Katy will be given information on early intervention providers in 3 communities in south Louisiana within 1 month in order to make decisions about potential home locations for her and George.

41


Defining IFSP

Guiding Principles



Indicators of High-Quality IFSP Outcomes

• Functionality

• Generality

• Instructional context

• Measurability

• Hierarchical relation between long-range goal and short-term objective

42


Defining IFSP

Guiding Principles



Checklist for Assessing Outcomes

• Does the outcome address a family priority or concern?

• Does the outcome reflect the needs identified by the assessments?

• Does the outcome reflect the concerns of the team?

• Does the outcome impact family routines?

• Does the outcome target skills that are practical and functional?

• Does the outcome target skills that minimize dependence, enable participation, and enable access?

• Is the outcome observable and measurable?

43


Defining IFSP

Guiding Principles



Developing Strategies

• A strategy is a plan developed by the team that identifies how the outcome will be achieved by selecting:

– new activities– needed resources (human and other)– modifying and/or changing the routine– modifying and/or changing the environment

44


Defining IFSP

Guiding Principles



SERVICES TO MEET OUTCOMES

45



• Federal Regulations: A statement of the specific early intervention services based on peer reviewed research, to the extent practicable, necessary to meet the unique needs of the infant or toddler and the family, including the frequency, intensity ad method of service delivery.

• Recommended practice: The IFSP team should decide on services based on outcomes-not diagnosis.


Defining IFSP

Guiding Principles



SERVICES TO MEET OUTCOMES

• The IFSP team determines who will provide supports and services

• Intervention services identified by the team are:– listed on the service page of the IFSP document– include location, duration and frequency– some supports and services may be listed as

“other services”

• If the team plans to provide transdisciplinary services, the primary service provider should be identified during the IFSP meeting

46




Defining IFSP

Guiding Principles



Federal Regulations: A statement of the natural environments in which services will appropriately be provided, including a justification of the extent, if any, to which the services will not be provided in a natural environment.

Recommended practice: Services and supports are integrated within routines and activities within the natural environment (such as the home, child care center, grandparent’s home, community playground).

47


are providedNatural Environments

47


Defining IFSP

Guiding Principles



ANTICIPATED DURATION

Federal Regulation: The projected dates for initiation of services and the anticipated length, duration and frequency of the services.

Recommended practice: The IFSP team determines these timelines based on IFSP outcomes

48



Defining IFSP

Guiding Principles



ANTICIPATED DURATION

49


Suggested strategies for team members to consider:

• consistency of performance

• use skills across time

• with different materials

• in different settings

• with different individuals


Defining IFSP

Guiding Principles



Family Service Coordinator

Federal Regulation: The identification of the service coordinator from the profession most immediately relevant to the infant’s or toddler’s or family’s needs who will be responsible for the implementation of the plan and coordination with other agencies and persons, including transition services.

Recommended practice: Family priorities and family IFSP outcomes should drive services and supports that the service coordinator coordinates and implements.

50

Service providers**


Defining IFSP

Guiding Principles




Reflect on the responsibilities of the Support Coordinator described in the Practice Manual, Chapter 9.

Respond to these questions:

1. Is a service coordinator a major player on the team? Why?

2. How can I as a provider communicate with the family service coordinator to assure continuous teaming?

3. How can I as the family service coordinator share on-going activities with other members on the IFSP team?

• Second, record the areas you identified as possible areas for professional growth and how you might address these 51


Defining IFSP

Guiding Principles



TRANSITION

Federal Regulation: The steps to be taken to support the transition of the toddler with a disability to preschool or other appropriate services. Steps and services should also include Office for Citizens with Developmental Disabilities (OCDD) which includes but not limited to Wavier Registry, Flexible Family Fund and Family Support.

Recommended practice: Planning in advance (from entry into the program) minimizes the stress caused by changes the child and family will experience.

52


Transition**


Defining IFSP

Guiding Principles



Good Transition Planning• Prevents interruptions in services

• Provides families with an opportunity to participate as equal partners in the transition process

• Facilitates the adjustment of the child and family to the new program

• Eliminates the duplication of “evaluation” and planning meetings

• Assures that interested families and eligible children receive appropriate services including services provided by Office for

Citizens with Developmental Disabilities.53


Transition**


Defining IFSP

Guiding Principles



Transition Planning

• Takes time

• Communication

• Patience

• Sensitivity


Transition**

54


Defining IFSP

Guiding Principles



IFSP Components









are provided


Service providers**


Transition**

55


Defining IFSP

Guiding Principles



After viewing the video note in your journal

1. What action steps did the parent begin with?a. Elizabethb. Laurac. Matthewd. Christophere. Ryan and Jackf. Nelson

2. What would you do before the IFSP meeting?

a. With whom do you need to collaborate?

b. What information do you need?

c. Who can provide that information?

56

View Video “Getting Services” Individual Reflection


Defining IFSP

Guiding Principles



“Getting Services” Video(double click below)


Defining IFSP

Guiding Principles



Closing Thoughts

The information shared in this training module was designed to introduce providers to a family-centered IFSP process and the components of the IFSP, their role in the process, and the importance of a family assessment in identifying concerns, priorities, and resources as guiding factors in the development of the IFSP outcomes

58


Defining IFSP

Guiding Principles



Next Steps

Every provider of every service in EarlySteps should familiarize themselves with the IFSP process and participate in all IFSP team meetings. Chapter 6 of the practice manual have details of the IFSP process.

59


Defining IFSP

Guiding Principles



References and Resources

“References and Resources” for this training module can be found below in the notes section.

60


Defining IFSP

Guiding Principles



Thank You for Participating in the EarlySteps Web-based Training Module: Intro to the “Individualized Family Service Plan” in Early Intervention!

Funding for training provided by the LA Department of Health and Hospitals, Office for Citizens with Developmental Disabilities, EarlySteps

61

individualizedfamily serviceplan in earlyinterventiondefining ifspguidingprinciplessteps in...

Documents

ifsp process

webbased training module

development of ifsp

training session

family concerns

early intervention

llc innovations

childrens services