preparing the next generation of professionals to use ......child outcome summary (cos) process team...
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Preparing the Next Generation of
Professionals to Use Child Outcomes Data
to Improve Early Intervention and Preschool
Special Education
Lynne Kahn
Kathy Hebbeler
The Early Childhood Outcomes (ECO) Center
Early Childhood Outcomes Center
Presented at the OSEP Project Directors’ Conference
Washington, DC
July, 2013
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Early Childhood Outcomes Center
What We Will Cover
The three OSEP child outcomes, progress
categories & summary statements
Approaches to measuring child outcomes
Challenges to data quality
Implications for pre-service and in-service
preparation
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Ultimate Goal for EI and ECSE
“To enable young children to be active and
successful participants during the early
childhood years and in the future in a variety of
settings – in their homes with their families, in
child care, preschool or school programs, and in
the community.”
Based on the ECO stakeholder process when identifying 3 functional outcomes
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Entire document available at
http://projects.fpg.unc.edu/~eco/assets/pdfs/ECO_Outcomes_4-13-05.pdf
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Early Childhood Outcomes Center
Understanding
the Three Child
Outcomes
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Early Childhood Outcomes Center
Three Child Outcomes
• Children have positive social-emotional
skills (including social relationships)
• Children acquire and use knowledge and
skills (including early language/
communication [and early literacy])
• Children use appropriate behaviors to
meet their needs
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Child Outcomes Step by Step
• Available at:
http://projects.fpg.unc.edu/~eco/pages/videos.cfm
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Early Childhood Outcomes Center
Outcomes Are Functional
Functional outcomes:
• Refer to using skills to accomplish things that
are meaningful to the child in the context of
everyday life
• Refer to an integrated series of behaviors or
skills that allow the child to achieve the important
everyday goals
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Early Childhood Outcomes Center
Children Have Positive
Social Relationships
• Involves:
– Relating with adults
– Relating with other children
– For older children, following rules related to groups or interacting with others
• Includes areas like:
– Attachment/separation/autonomy
– Expressing emotions and feelings
– Learning social rules and expectations
– Social interactions and play 8
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Early Childhood Outcomes Center
Children Acquire and Use
Knowledge and Skills
• Involves:
– Thinking
– Reasoning
– Remembering
– Problem solving
– Using symbols and language
– Understanding physical and social worlds
• Includes:
– Early concepts—symbols, pictures, numbers, classification, spatial relationships
– Imitation
– Object permanence
– Expressive and receptive language and communication
– Early literacy
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Early Childhood Outcomes Center
Children Take Appropriate Action to
Meet Their Needs
• Involves:
– Taking care of basic needs
– Getting from place to place
– Using tools (e.g., fork, toothbrush, crayon)
– In older children, contributing to their own health and safety
• Includes:
– Integrating motor skills to complete tasks
– Self-help skills (e.g., dressing, feeding, grooming, toileting, household responsibility)
– Acting on the world to get what one wants
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Early Childhood Outcomes Center
Taking Action to Meet Needs
• Includes – Integrating various skills (gross motor, fine motor,
communication skills) to complete tasks
– Self help skills (feeding, dressing, toileting,
household task)
– Acting on the world to get what he or she wants
– Not JUST acting on the world: takes
APPROPRIATE action to meet needs
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Have the three outcomes made
their way into preparation
programs?
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Early Childhood Outcomes Center
OSEP Reporting Categories Percentage of children who:
a. Did not improve functioning
b. Improved functioning, but not sufficient to move nearer to functioning comparable to same-aged peers
c. Improved functioning to a level nearer to same-aged peers but did not reach it
d. Improved functioning to reach a level comparable to same-aged peers
e. Maintained functioning at a level comparable to same-aged peers
3 outcomes x 5 “measures” = 15 numbers 13
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Illustration of 5 Possible Paths
0
10
20
30
40
50
60
70
1 6 11 16 21 26 31 36 41 46 51 56
Age in Months
Sco
re
Maintained functioning comparable to age peers
Achieved functioning comparable to age peers
Moved nearer functioning comparable to age peers
Made progress; no change in trajectory
Did not make progress
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The Summary Statements
1. Of those children who entered the program below
age expectations in each outcome, the percent who
substantially increased their rate of growth by the
time they turned 3 [6] years of age or exited the
program.
2. The percent of children who were functioning within
age expectations in each outcome by the time they
turned 3 [6] years of age or exited the program.
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Approach Part C
(N=56)
Preschool
(N=59)
COS* 7 pt.
scale
42/56 (75%) 37/59 (63%)
One tool
statewide
8/56 (14%) 9/59 (15%)
Publishers’
online analysis
1/56 (2%) 6/59 (10%)
Other 5/56 (9%) 7/59 (12%)
State Approaches to Measuring Child Outcomes – 2011-12
Early Childhood Outcomes Center 16
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Quality of the
data continues to
be a concern
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Identifying the States with Highly
Questionable Data
Criteria for eliminating states:
• Not reporting data on enough children
• Odd patterns in the data
• Review of method reported suggested the
data were of questionable quality
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Number of States Varies Across
Years
08-09 09-10 10-11 11-12
Pt. C 19 29 39 33
Part B
Preschool 15 33 36 39
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Number of States that Met Criteria
for Inclusion in the National Analysis
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Part C: Greater than Expected Growth
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70 76 76
71 74
78
68 73 73
66 72 73
0
20
40
60
80
100
Social Relationships Knowledge and Skills Action to meet needs
2008-09 2009-10 2010-11 2011-12
%
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Part C: Exited Within Age Expectations
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61
54
61 62
54
60 61
55 59 60
52
59
0
20
40
60
80
100
Social Relationships Knowledge and Skills Action to meet needs
2008-09 2009-10 2010-11 2011-12
%
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Part B Preschool: Greater Than Expected
Growth
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83 83 82 83 82 82 81 81 81 81 81 80
0
20
40
60
80
100
Social Relationships Knowledge and Skills Action to meet needs
2008-09 2009-10 2010-11 2011-12
%
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Part B Preschool: Exited within Age
Expectations
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59
51
67
59
52
67
60
53
66
59
53
66
0
20
40
60
80
100
Social Relationships Knowledge and Skills Action to meet needs
2008-09 2009-10 2010-11 2011-12
%
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Challenges to Quality Data
• How well prepared are providers and
administrators
– To collect data?
– To report data?
– To use the data?
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Early Childhood Outcomes Center 25
Essential Knowledge for Completing the
Child Outcome Summary (COS) Process
Team members need to know:
• The child’s functioning across settings and
situations
• Age-expected child development
• Content of the 3 outcome areas
• How to use the rating scale
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What providers need to know…
All methods require practitioners to be able
to reliably administer assessments
• What tools do they know?
• Do they know how to administer the tool?
• Do they know how to interpret the
findings?
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Challenges to Using the Data
• How well prepared are providers and
administrators
– To discuss outcomes with families?
– To relate the child functioning information
• To IFSP and IEP planning?
• To ongoing planning?
• To program improvement?
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Integrating Outcomes into IFSP/IEP
Process
• Using the child and family outcomes as a
framework to guide practice as well as
outcomes measurement
– Framework for assessment, planning, service
delivery
• Resources on integrating outcomes
• Learning community
– Contact [email protected]
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Preparing the next generation for
data-informed decision-making
• Are your students able to use data in
their day to day practice?
• Implications for:
– Pre-service?
– Coordinated training and TA?
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Questions or
comments?
Early Childhood Outcomes Center 30
www.the-eco-center.org