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UMass Amherst COMM-DIS 416 - Individualized Family Service Plan (IFSP)

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COMMDIS416 1st Edition Lecture 11Outline of Last LectureI. Individualized Education Plan (IEP)II. Case 1: L.I.III. Case 2: M.S.IV. Summary Outline of Current Lecture I. Individualized Family Service Plan (IFSP)II. Early Intervention (EI)III. Multidisciplinary EI TeamIV. Eligibility for EIV. Areas of Development VI. “At-risk” Factors VII. Eligibility for EI Continued VIII. Possible EI Services/Programs IX. Case Example X. Termination of EIXI. Who Pays for EI?XII. Early Intervention Steps XIII. Key Differences Between IFSP and IEPCurrent LectureI. Individualized Family Service Plan (IFSP)-Special Education and Related Services o Focuses on th educational needs of a children 3-21 years old o Written plan: IEP-Early Intervention (EI) Services:o Broader in scope-focuses on helping child achieve developmental milestones o For children from infancy through age 2:11 (3 yrs)o Written plan: IFSP II. Early Intervention (EI)- EI programs for children birth to 2:11 years and their families to support the child’s development.- “EI helps children acquire the skills they will need to continue to grow into happy and healthy members of the community.”o - Massachusetts Department of Public Health- Family-centered service. - EI services can be provided anywhere in the community – home, child care setting, Early Head Start, preschool, or other community setting.o Services must be provided in the child’s “natural setting”.III. Multidisciplinary EI Team- Depending on the child’s needs, an EI team may include a developmental specialist, physical therapist, speech-language pathologist, psychologist, occupational therapist, social worker, nurse and other specialty service providers.- All professional staff members who will be providing direct EI services to children and families are certified as Early Intervention Specialists by the Massachusetts Department of Public Health.- Parents are an important member of the teamo Take part in all decisionso Permission is required at every step of the processo Have the right to have their views heard and considered if they disagree with othersIV. Eligibility for EI- Children are eligible for EI if they are (i) under 3 years and (ii) have a disability, developmental delay, or are considered “at risk.”- A disability means the child has a diagnosed physical or mental condition that often leads to problems in development (down syndrome, autism, cerebral palsy, vision or hearing impairment).- A developmental delay means that a child is behind in at least one of the five areas of development (slide 7).- At risk for developmental delay or disorder due to four or more risk factors being present (slide 8). - Clinical judgment (slide 9)V. 5 Areas of Development - Physical – growth, gross, and fine motor abilities- Cognition – learning and thinking- Communication – using and understanding words- Social-emotional -emotional regulation, social communication - Adaptive-self-help skills such as feeding VI. “At-risk” Factors - Child Characteristics:o Birth weight less than 2 pounds 10 ½ ounceso Gestational age less than 32 weekso NICU admission more than 5 dayso Total hospital stay more than 25 days in 6 monthso Weight for age, or weight for height, below 5th percentileo Chronic feeding difficultieso Insecure attachment/interactional difficultieso Blood lead levels measured at 15 mcg/dlo Suspected Central Nervous System abnormalityo Multiple trauma or losses- Family Characteristics: o Maternal age at child's birth less than 17 or maternal history of 3 or more births before age 20o Maternal education less than or equal to 10 yearso Parental chronic illness or disability affecting care-giving abilityo Family lacking social supportso Inadequate food, clothing or shelter,including homelessnesso Open or confirmed protective service investigation, including child in foster careo Substance abuse in the homeo Violence in the homeVII. Eligibility for EI Continued- A child found to be eligible based on the category of "clinical judgment" can receive services up to 6 months. For services to continue after this period, eligibility must be determined based on diagnosis of disability, developmental delay or risk factors. VIII. Possible EI Services/Programs - Assistive technology- Nursing services- Nutrition services- Occupational therapy- Physical therapy- Psychological services- Social work services- Speech language pathology- Audiology - Vision services- Health services- Transportation- Parental support groups- Family training/counselingIX. Case Example- Maria, 30 months - Concerns: Developmental delays secondary to Down Syndrome - Priorities: Improve communication skills, ability to use utensils, and toileting skills o Communication: Team Member: SLP, once weekly, home  Goal: Maria will combine words with signs for 5 different needs across 3 different people and 2 settings Evaluation: Observationo Use Utensils: Team Member: Parents, service-coordinator Goal: Maria will use adaptive utensils to self-feed with minimal support during mealtime Evaluation: Observationo Toileting: Team Member: Parents, service-coordinator  Goal: Maria will push down/pull up undergarments with minimal assistance  Evaluation: Observation X. Termination of EI- Eligibility for program EI services ends:o When the child turns 3 o The child no longer meets the disability/developmental delay criteria o Parents withdraw consent for services o Child has moved out of the program’s areao Parents choose to receive services from another RI program in the area XI. Who Pays for EI?- Families do NOT have to pay for Early Intervention services - Most health insurances pay for some or all of the cost of services if you give consent to have your insurance billed o Payments for EI are NOT applied to the “annual caps”- The Massachusetts Department of Public Health pays for ANY costs NOT covered by insurance, including co-payments and deductiblesXII. Early Intervention Steps 1. Referral:- Anyone who has concerns about a child’s development can make a referral for Early Intervention services: a parent, relative, teacher, doctor, friend, or someone else who knows the child. - To initiate a referral, call 1-800-905-8437 or visit http://massfamilyties.org/ei/eicity.php to obtain a listing of certified Early Intervention programs serving your city or town.- All cities and towns


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