Every infant, toddler, and family who comes into our early intervention (EI) system has a point of transition. In most cases, the family is preparing for the child’s next adventure beyond EI. The family has to learn about and adjust to the idea of a different support system. They may feel sad to be leaving what is familiar, but also excited (and a little nervous) about what’s to come because it means their child is growing and ready to move forward. They need to learn about where they are going while saying a fond goodbye to their EI family.

That is exactly how I feel right now.

I have a big transition ahead of me. I have accepted a faculty position as an assistant professor of early childhood special education at Old Dominion University so I will be leaving my VEIPD team at the end of July. I am super excited about my next big adventure and am doing my best to prepare for it, knowing that my support system will change and I have much to learn. I definitely feel sadness about leaving what is familiar – I’ve worked with the VEIPD team for 12 years and I love my colleagues. I’ve had amazing opportunities to develop this blog, create resources for EI practitioners doing the most important work of supporting families, facilitate training where I learned alongside participants, and connect with EI practitioners and leaders all over the country. Where I’m headed is built on the foundation of where I’ve been, much like how EI provides a foundation on which families transition. It is with much love and gratitude that I make this transition, even if it hurts my heart just a little (ok, maybe more than a little…).

This Is Not Goodbye…

I have decided to approach my transition without saying goodbye. Instead, this is a big “see you later!” because I may be leaving the VEIPD team (although I consider myself a lifetime member), but I’m not leaving what I love. I love early intervention. I love learning with others. I love sharing new knowledge, building resources, and helping others learn and grow. I am so fortunate to have been a part of this team and so excited to take what I’ve learned and share it with new colleagues and students who will be the future of the EI workforce. Great things are coming!

Again, with lots of love and gratitude, I wish all of you, our subscribers, the very best! Thanks for reading, commenting, and sharing your brilliance here on our blog!

See you later! 🙂

After July 22, 2022, I can be reached at Old Dominion University at dchildre@odu.edu.

Please reach out to Cori Hill (cfhill@vcu.edu) or Lisa Terry (lmterry@vcu.edu) if you have questions about the blog or any other resources from the VA Early Intervention Professional Development Center.

The post It’s Not Goodbye, It’s See You Later! appeared first on Early Intervention Strategies for Success.

Raise your hand if facilitating transition from early intervention (EI) has been challenging for you or your staff?

Rest assured, you are not alone! We, on the professional development team, consistently hear from service coordinators (especially newbies) and local EI system managers that transition is daunting. They tell us that they or their staff struggle with managing the timelines, filling out the IFSP transition pages, scheduling the meetings, and generally keeping all of the requirements in mind. EI practitioners want to make sure the process works well for families, and as you know, transition is federally monitored so it is very common to feel pressure to “do it right.” To help you help your staff, or help yourself, ensure smooth transitions, we’ve developed a new Transition from Early Intervention Learning Path.

What is a Learning Path?

Learning Paths are small collections of curated activities that focus on an EI topic. To learn about the topic, learners complete each activity on the path. Activities might include reading an article, completing an online module, watching a video, etc. Once the learner completes the learning path, he/she takes a final quiz to earn a certificate documenting the professional development hours earned.

We have several learning paths available now – two on Autism Spectrum Disorder and five on functional assessment. In this post, we’re going to focus on our newest learning path on transition and talk about how to use it with your staff, whether you are meeting in-person or virtually.

A Four-Step Plan for Staff Development

Here are four steps you can use or adapt when helping your staff brush up on their knowledge about transition from EI:

1. Open a discussion about transition during a staff meeting.

Before your staff start the learning path, pull them together for a virtual or in-person meeting about transition or add this to your staff meeting agenda. Use open-ended questions to facilitate a discussion that airs out the challenges and makes room for successes and strategies. Be open to hearing what your staff still need to know. Here are some examples of guiding questions:

• What’s going well this year with transition?
• What do you find challenging about transition? Why?
• What questions do you have about facilitating transition?
• What does a successful, smooth transition look like?
• What tools and strategies are you using now for successful transitions?

2. Guide your staff through the Transition Learning Path.

Introduce your staff to the transition learning path by taking them on a web tour during the meeting, or email them the link to the path with instructions for what to do. To familiarize yourself, take a moment now and visit the Transition Learning Path. Review the six activities, then come back here for more ideas for how to continue the learning process.

Here are some options for how to help your staff move through the path:

• Have staff do one activity before each staff meeting for the next 6-7 meetings
• Convene a special transition discussion group to do each activity together then discuss
• Give staff a deadline to complete the learning path then get together to discuss using specific guiding questions
• Identify staff partners to work through the path together by completing activities and coming together regularly to meet, then pull the whole group together to discuss and share insights.

Or, if you are an individual service coordinator or service provider, you can complete the path on your own. I recommend completing the activities across several sessions rather than trying to knock it all out in one afternoon. The path results in a certificate documenting four professional development hours (after completing a knowledge check) so you will get the most out of it by absorbing the content across time.

3. Continue the learning with a Transition Learning Byte.

Learning across time is always more effective than learning from a single event or resource. The nature of the learning paths encourages learning across time, but you can extend the conversation even further by using the Shooting the Transition Hoop Learning Byte. Learning Bytes are staff meeting activities on a variety of EI topics. The purpose of the transition learning byte is to guide learners as they review key things to remember about transition and reflect on how they can use this information in their daily work with children and families. This could be an activity you do after a group discussion about what was learned from the learning path as a way to debrief. Or, use this learning byte two weeks or a month later to refresh and revisit transition.

4. Revisit the Transition from Early Intervention Services to Part B Preschool Special Education Performance Checklist in 3 months.

Another idea to stretch the conversation and continue the learning would be to use the Transition Performance Checklist multiple times. It is included as an activity on the learning path, but you could have your staff complete it again three months down the road as a self-assessment, either during a group meeting, at supervision, or during peer observations.

Transition is an ongoing process that is so important to ensuring families leave EI with confidence. Whether your staff includes service coordinators, service providers, or both, all EI practitioners can benefit from an understanding of the process. If you want more information or resources about transition, be sure to visit the VA Early Intervention Professional Development Center site’s Transition topic page.

How could YOU use the new Transition Learning Path?

Share your ideas in the comments below!

Resource Highlight: Transition Tutorials

This 4-part series of video tutorials is part of the learning path but can be very useful to staff on their own. These tutorials explain how to complete the transition section of VA’s IFSP and additional requirements in the process:

• Transition:  A Series of Family Decisions 
• Transition: Developing the Plan and Documenting the Steps 
• Transition in Action: Scenarios
• Transition Conference Requirements 

Look for the tutorials on the VEIPD Transition topic page, under the eLearning tab!

The post Resource Alert! – Check Out the New Transition Learning Path appeared first on Early Intervention Strategies for Success.

The presence of an engaged service coordinator who understands the role and skillfully conducts the  many responsibilities of the position ensures a well-coordinated approach to EI service delivery. It is widely acknowledged in the EI field that families have the right to high-quality, individualized EI services; our field must commit to including service coordination in this acknowledgement by ensuring that the professionals who provide this service receive the attention, understanding, respect, and resources they need and deserve. (DEC and ITCA, 2020, p 10)

Wow. This quote is from the summary of the Service Coordination and Early Intervention – Division for Early Childhood (DEC) and IDEA Infant & Toddler Coordinators Association (ITCA) Joint Position Statement which was recently released in December 2020. It’s a powerful message for our field that’s intended to help us leave behind the unfortunate idea of service coordinators as simply paper pushers. It signals to leaders, administrators, and team members, including families, that service coordinators (SCs) are vitally important professionals who play key roles in the delivery of quality early intervention (EI). It’s about time. I’m proud to have been a part of the development of this statement and eager to spread the word.

A Joint Call to Action

The statement was written, reviewed, and finalized as a collaboration between DEC and ITCA. It represents the voice and beliefs of EI professionals from multiple disciplines who are members of DEC and Part C coordinators across the country. Together, these groups came to the conclusion that we needed a strong Call to Action in support of service coordinators and specific information about the knowledge, skills, beliefs, expertise, roles, and responsibilities of professionals who provide service coordination to encourage consistency across our field.

What Can You Do?

Let’s break down the four recommendations in the Call to Action and consider how to move the dial forward.

#1: States and local programs should review and align current competencies to the indicators in the Knowledge and Skills for Service Coordinators (KSSC) document.

In an appendix, the KSSC outlines six knowledge and skill areas that are essential for service coordinators, including: infant and toddler development, family-centered practices, leadership and teaming, coordination of services, transition, and professionalism. Take some time to read it and compare it to guidance or competencies your program uses when hiring and training SCs. If you don’t have program-level competencies, consider adopting these.

#2: Leaders who hire, supervise, and mentor service coordinators must have a thorough understanding of the expertise and needs of these professionals. This understanding is essential to ensure that compensation aligns with the level of responsibility expected of service coordinators. Service coordinators also should have appropriate administrative support, reflective supervision, and resources to successfully manage the workload, navigate changes in policies and procedures, and, most importantly, partner with families.  

This recommendation focuses on leadership and administrative support, which traditionally varies greatly across EI programs. If you are a leader, be honest with yourself and reflect on what you understand. Can you specifically explain what the SCs in your program do and what they need? If you find holes in your knowledge or how your program functions, make a plan to address them starting today. A few ideas:

• Ask your SCs what they need and how your program can meet this recommendation, then work together to set goals.
• Schedule regular meetings with service coordinators to touch base, identify needs, and collaborate toward goals.
• Provide specific info about policy changes and what they mean. Invite input and be flexible when you can.
• Check in regularly about workloads.
• Be available for regular planned and unplanned reflective supervision.

#3: States and programs must consider multiple factors when determining workload size to ensure that service coordinators can manage the roles and responsibilities outlined in this joint position statement. The factors to consider include (1) the number of families served per service coordinator, (2) the varying levels of need experienced by families, (3) the model of service coordination implemented in the state/program, (4) the need for administrative support and supervision, and (5) the level of responsibility, educational background, and any specific expertise required of service coordinators in a given state or program.

This recommendation strongly encourages programs to use a multi-factorial view when determining workloads for service coordinators, rather than simply relying on “caseload” numbers which often fail to reflect the complexity and individualized nature of the work. If you are a leader, take a hard look at how your program operates, check in with your staff, and make adjustments to make the work more manageable. If you are a service coordinator, examine your workload and talk with your supervisor about what is going well and where you need support. Bring your creative ideas to the meeting and work together to tackle this recommendation. You might not be able to change the number of referrals coming in, but there are often smaller changes that can be made to improve the situation.

#4. Additional research is needed to identify recommended practices specific to service coordination, which could be guided by the KSSC document. Research also needs to address how these practices would be implemented with families and how service coordinators would be trained to use these practices during preservice and inservice training.

This might sound like a recommendation for academics, but academics need EI programs to work with to conduct research. Reach out to your local university to initiate conversations about research and service coordination. Encourage faculty to share the position statement with their students. Building partnerships with faculty not only benefits the students you may share during field placements, but could also have a positive impact on the field if you work together to learn more about best practices.  

I encourage you to take the time to read the full position statement and share it (or the Executive Summary) with at least two other people. Share it with your staff or with colleagues, other SCs, contractor agencies, leadership, families, and higher education faculty. Start thinking about how you can use it in your program or state.

Let’s answer the call for action by dedicating some intentional time and energy to our service coordinators. They deserve it.

How can you use the position statement in your program? Who will you share it with?

The post Call to Action! Service Coordination and Early Intervention – DEC/ITCA Position Statement appeared first on Early Intervention Strategies for Success.

Many of you have been providing early intervention services via virtual visits for nine months now. That’s a long time….I probably don’t need to tell you that because you are living it. It’s been a long time since you sat in a family’s living room, since you held a baby, since you blew bubbles with a toddler, since you guided a parent’s hands as she helped her baby learn to stand, or since you got one of those amazing toddler hugs. Many of you have become grounded in tele-intervention and, while you undoubtedly miss in-person visits, you have embraced this incredibly unique opportunity to grow as professionals.

What Are You Thankful For?

Take a deep breath, look out of a window, and pause. Think about the past nine months and ask yourself: “What has this experience of providing tele-intervention given me? What am I thankful for?” Somedays, you might answer that this experience has given you a headache from staring at the computer screen all day long. Other days, you might find yourself joyfully celebrating progress you got to see by “joining” a family during an activity you might never have been able to observe before.

While I am not seeing families via tele-intervention, here are a few things I’m thankful for when I reflect on our field’s experience this year:

#1: I’m thankful for the new door we’ve opened.

Being launched into tele-intervention as the only way of reaching families has likely changed our field forever and in a positive way. Many states are advocating for the flexibility to continue to offer tele-intervention as an option to families. Being able to offer tele-intervention to families who prefer it for privacy, flexibility, distance, or other personal family reasons… having the option available to support families of some of our most medically-fragile children…offering virtual visits in areas with provider shortages – all of these could really be game changers. I’m grateful for the door that’s opened so we might be able to continue to leverage technology to further individualize EI services and reach more families.

#2: I’m thankful for the coaching practices that were already in place to help us *really* support caregivers.

I’ve heard over and over that practitioners who were already using coaching practices found the shift to tele-intervention more natural – still challenging and still with a healthy learning curve, but overall, a more natural fit. I’m grateful that we have been practicing coaching and routines-based, family-centered intervention here in VA for years now. Sure, what this looks runs the gamut, but the adoption of this practice made it easier for practitioners to support caregiver and child learning from the other side of a webcam. No one said it was easy to make the shift to virtual visits, but having some great practices in your back pocket seems to have helped.

#3: I’m thankful for you.

Yes, that might sound cliche but hear me out. I’m thankful for EI practitioners and leaders like you who embraced virtual visits when you had no other choice. You put new policies in place, built new systems of support and payment, adopted new technology, and walked families through how to login with kindness and patience. I’m thankful that you pushed through the awkward transition of figuring out where to place the camera and how to manage audio, how to observe and manage silence during visits, and how to teach a parent without being able to model like you’re used to. I’m grateful for the EI teams who experimented and figured out how to use technology to conduct eligibility determinations and assessments, who shared their screens so families could understand their rights and see the IFSP as they joined team members to write it. For all of you who continue to dedicate your time, energy, and bandwidth to children and families receiving early intervention, I see you and I am proud to be part of a field with you in it.

Now it’s your turn. What are you thankful for?

Share your thoughts by leaving a comment below.

For more information about tele-intervention, visit these resources:

COVID-19 and EI Tele-Intervention Updates (VEIPD)

Provider and Educator Use of Technology (ECTA Center)

The post Tele-Intervention Has Made Me Thankful For… appeared first on Early Intervention Strategies for Success.

We are all in this together. Early interventionists are exploring and learning new telehealth options. For many, this may mean learning new technology platforms, navigating limited wifi access, and simultaneously focusing on providing exceptional service delivery through telehealth. Teleflections©, a new resource, provide reflections from early interventionists who share their own experiences including their successes and challenges. Each week new videos are posted.

There are a variety of ways to access the Teleflections© series. Follow us on:

• Facebook
• Instagram
• Twitter
• YouTube (Teleflections© Playlist)

During this time of uncertainty, it helps to normalize our experiences and laugh (maybe sometimes cry) about them together. You can also check out the COVID-19 and EI Tele-Intervention Updates page for the latest resources.

Let’s take a look at some of the recent Teleflections©.

In Teleflections© 2, Julie Vaughn (SLP) was honestly states, “I won’t lie. It’s not my thing. It’s just not my thing, but I am making the best of it. I have learned a lot this week about computers and technology.” Coming out soon, Julie shares a new video with her successful update on how she has grown over the past two weeks. This is something new and we have to give ourselves time and patience as we all learn together.

In Teleflections© 4, Missy Rose (PT) shares her experiences as a physical therapist who relies on her hands to gain information about a child. Make sure you do not miss her fancy doll she uses to support families learning different positioning techniques. Many of us are nervous about not being in the home, but we are all learning we can still coach families to support their child’s development in naturally occurring routines and activities. We have even heard so many successes about coaching families and seeing a larger variety of routines as we navigate this together.

In Teleflections© 5, Stacie Jackson (LSM and SC) shares her experience waking up at 3:45 the morning of her first intake. It is safe to say many of us have experienced restlessness or disrupted sleep. After all, we’re all experiencing similar responses together.

The latest Teleflections© 6, Dana Carroll (OT) shares her experience from a mother who was really nervous at first. Dana describes the mother as being “over the moon” by the end of the session. Many families may be worried about how they will continue to support their child’s development during this time and it is a great way to remind them that we are all in this together.

Check out Teleflection©s by following our social media. We would love to hear about your experiences.

What has been your biggest success (or challenge)?

Share your experiences in the chat below!

The post Introducing Teleflections©: We Are All in This Together appeared first on Early Intervention Strategies for Success.

Let’s get right to the point. You are not trying to engage an infant or toddler on video for 45-60 minutes during your virtual visit. Re-read that last sentence and let it sink in. Take a deep breath in and breathe out any expectation you may have had about playing with the baby you see on video. When we step back and let our anxiety about tele-intervention settle, it’s easier to realize that there is very little chance of a 2-year old interacting with you on video for more than a moment or two – and that’s okay. You can still do early intervention without that interaction when you focus on engaging the parent (or other caregiver) who will then engage the child. If you think about coaching and the Mission of EI, that’s where your focus should be anyway. You’ve probably already been doing this and if not, you can do it now.  

Okay, you might be asking yourself: If I’m not interacting with the child, what do I do instead?

Let’s answer that question.

What Do You Do?

Now, more than ever, early interventionists are using their coaching skills to engage parents during virtual visits conducted using video conferencing technologies. Interventionists have been thrust into the world of tele-intervention (you might know it as telepractice or telehealth) with often little preparation or experience. The whole world has shifted and it feels like EI practice has shifted along with it (and they have).

Here’s what hasn’t changed, though: You are still a coach to the parent/caregiver. Your primary mission is to support caregivers so they learn ways to interact with their children during everyday routines and activities to encourage development. Whether you are sitting in their home or yours, you are still a coach. You did not coach the child before tele-intervention; you coached the parent. You probably did spend time playing with and engaging the child, practicing stretches, prompting for sounds, and challenging the child’s problem-solving or social skills. You probably modeled the use of strategies in these activities for the parent. Now, you have to figure out how to let go of your need to directly interact with the child and embrace the golden opportunity you have to support the parent’s learning.

Here are 10 strategies for focusing on parent/caregiver learning during tele-intervention. You can do this!

10 Strategies for Engaging Parents during Tele-Intervention

Before the Visit:

1. Prepare with the parent – Touch base by phone before the virtual visit to discuss technology needs and answer questions. Plan for how to connect, what device the parent will use, and how it will be positioned so the parent can see you and you can observe the parent-child interaction. Plan for how the parent will access the link you will send to the virtual meeting platform. Consider different types of devices and how access might look different (a quick google search for instructions can be helpful if needed).

2. Prepare yourself – Before the virtual visit, collect your thoughts. Remember that you don’t need toys because you are not trying to engage the child. You may need a prop, such as a doll or teddy bear to model movements for the parent, but you can put your bubbles away.

3. Preparing for what to do – Chat with the parent about ideas for what to do during the visit. Be prepared to follow the parent’s lead and let her know she can take you with her in whatever she and her child do during the visit. You can also plan for activities, like if you are going to work together on the child’s feeding or encourage play skills with siblings who are also home. Just like any visit, though, preparing can go right out the window if another opportunity arises or the family needs the visit to go in a different direction. Prepare when you can, but go with the flow when you need to.

During the Visit:

4. Take time to check in – Just like any other visit, touch base on how the family is doing and check in on child progress. This check in time may take longer now and that’s okay. Remember that everyone is adjusting to the new normal so approach this relationship-building time with ease.

5. Use your voice to join in (instead of your body) – Join the activity you planned or search for opportunities based on what you see. Observe that feeding session, watch the siblings play, and use your coaching skills to share your observations, ask reflective questions, and provide verbal guidance on how to use intervention strategies. You have to use your voice to join in so be gentle with your suggestions and always ask the caregiver what she thinks, how it feels, etc.

6. Be descriptive and specific – When you provide guidance, share observations, or give feedback, be specific and describe what you see and what you suggest. Following verbal directions might be harder to process for the parent who is used to watching you, so take it slow and check in frequently.

7. Be flexible – If the visit is a little shorten than usual, that’s okay. Be sure to document why. If what you planned with the parent falls flat, try something else. If you end up discussing development more than observing it, especially on your first visit, that’s okay. Use the “show me…” prompt to move from discussion to observation and support; it’s a great tool on an in-person visit and it’s your best tool now.

8. Keep your focus on the parent, who facilitates learning for the child – This is key. This is also best practice in EI whether you are face-to-face or on video. What you can help the parent practice during the visit with the child is more likely to continue between visits. Use your coaching skills to keep the focus on parent learning, which extends learning to the child.

9. Write down the joint plan – Plan with the parent as you always do, but create a written version of the joint plan at the end or after the visit. Email or text the plan to the parent as a reminder and follow-up on that plan at the start of your next visit.

During and Between Visits:

This last strategy might be the most valuable right now:

10. Cultivate patience for the parent and yourself – Providing intervention this way might feel wobbly nowand that’s okay. Both you and the parent are in the midst of significant change, and not just for the EI visit. Being patient with the family will help them feel comfortable with this new way of interacting with you. Being patient with yourself means giving yourself permission to feel nervous and stumble, laugh about it, learn, pat yourself on the back, and try again next week.

Consider this: Your relationship to early intervention and with the parent has changed because of the pandemic and tele-intervention, but maybe that change is for the better. This way of supporting parents (and children) might make you a better coach. Give it time, approach intervention with openness, and take a deep breath. We will all be okay.

What strategies are you using before or using your tele-intervention visits to engage parents?

What’s working well? What’s challenging you?

Share your tips and experiences in the chat below and let’s support each other. 🙂

For information, videos, webinars, and online training related to tele-intervention, visit these sites:

COVID-19 and EI Tele-Intervention Updates – VA EI Professional Development Center

Coronavirus Disease (COVID-19) – ECTA Center

For technology tips and links to video reflections about tele-intervention, check out these posts:

7 Technology Tips for Tele-Intervention

Introducing Teleflections©: We’re All In This Together

The post 10 Strategies for Engaging Parents (not Children?) during Tele-Intervention appeared first on Early Intervention Strategies for Success.

As we all scramble to adjust to a new way of living and working amidst the COVID-19 pandemic, telecommuting or teleworking has become the “new normal” for many. Not to be confused with the buzzing topic for early interventionists of tele-intervention or tele-health (that’s a topic for another blog, perhaps), Merriam-Webster simply defines telecommuting as,” to work at home by the use of an electronic linkup with a central office.”

Schools, agencies and businesses are struggling to support educators, students, and employees to adapt to an entirely new way of distance working. As a professional telecommuter for the past 18 years, I am paying close attention to concerns voiced by colleagues via emails, social media posts, and conference calls.  As I have listened and observed, this blog sort of began to “write itself” in my head and I decided to put “fingers to keyboard” to provide some perspective and tips.

When I was offered the opportunity to telecommute, it was a scary consideration. Naturally an extrovert, I wondered how I would cope with far fewer personal interactions. I also had to combat (for myself and others) telecommuting misperceptions. Oh, the questions and comments I’ve received or heard:

Question 1: “Do you roll out of bed and work in your jammies?”

Answer: Nope

Definitely not a morning person, I decided almost immediately that I could not afford to ease into my day differently than when I went into the office. When my alarm goes off at a set daily time, I shower, dress, and yes, I also “do my hair” every morning. While I don’t wear the kind of clothes I would wear for an in-person meeting, I’m always dressed in appropriate clothes if my video camera is ever on, which it frequently is! My girls used to laugh at this and asked why I went to the trouble when I wasn’t seeing people. Why? Because I’m a professional.

Question 2: “Do you watch TV or Netflix?”

Answer: Never

It actually never crossed my mind to have the TV on during the day. I wouldn’t watch TV if I was in the office so why would I ever do that while at work, even from home. Overtime I created a home office space that is really my designated work area. I go to my “office” just as I would go to my agency office. There is no TV anywhere close. Why? Because I’m a professional.

Question 3: “Aren’t you tempted to eat all the time?”

Answer: No

While my kitchen is very close to my home office, I quickly decided that I would adhere to a typical work meal schedule. I eat breakfast before I go to my office. Most days I take a lunch break and go to my kitchen or sit on my porch for a change of scenario. Just like in an office job, I do spend probably far too many days eating lunch at my desk. I’ve never really been tempted to add a lot more snacking or eat more. Why? Because I’m a professional.

Question 4: “I would be on social media all day. Are you?”

Answer: Again, nope

We are all using probably far more social media to stay connected during these uncertain times. I am, too. One thing I caution is to be very careful what you are posting during your typical office hours. People are watching. Your supervisor may be watching as well. It may be a good time to think about what you are posting during business hours. Are the posts job related? If not, might be a good idea to hold off posting until after work hours. I am NOT discouraging posts that uplift your colleagues. I just have seen some posts about what folks are “binge watching” while I know their agency has required telecommuting. This kind of post, unfortunately, supports telecommunicating misperceptions and diminishes the effectiveness of distance working.

So basic questions answered, I want to take a moment to think about the great things regarding telecommuting. I am fortunate to have a job, one that is allowing or promoting my telecommunication. I have great “officemates” with my two dogs. I am able to practice social distancing. I have great technology to connect with colleagues via web-conferencing tools and phone calls. I am contributing to the well-being of friends, colleagues, and larger communities.

Has your agency modified your working situation or required telecommuting? What has been difficult? What is going well?

The post Perspectives from a Professional Telecommuter appeared first on Early Intervention Strategies for Success.

You’ve got 30 minutes until your next visit. Sure, you could pull over in a parking lot and scroll through your email or social media, or maybe return that text that will take you about 10 seconds to type…OR you could listen to the new podcast, EI on the Fly: A Podcast about All Things Early Intervention!

I’m pretty excited about this new project. Podcasting has been a fun new world for me, both to learn about and listen to. Last year, Emily Webb, with the Massachusetts Early Intervention Training Center, emailed me to ask if I’d be interested in collaborating on a podcast. We both work in EI professional development, both have been EI practitioners, and, as it turns out, have both experienced EI from the parent perspective. It sounded like a new adventure so, of course, I said yes!

Our First Series: Functional Assessment

Over the past year, Emily and I have recorded the Functional Assessment series, which will include eight episodes. Episodes will be released monthly on Podbean, but are also available on iTunes and Google Podcasts. Here’s a sneak peak at what’s coming:

Episode 1 – What is Functional Assessment and Why Does It Matter? (Run time: 32:37)
Episode 2 – Intentional Observation (Run time 30:44)
Episode 3 – Asking Meaningful Questions
Episode 4 – Active Listening
Episode 5 – Implicit Bias
Episode 6 – Functional Assessment and the Initial IFSP
Episode 7 – Ongoing Functional Assessment
Episode 8 – What Functional Assessment Means to Supervisors, Practitioners, and Families

We’ve released the first two episodes so far. Episode 1 provides an introduction to functional assessment (FA). We define FA and introduce important concepts (PDF, New Window) such as conducting observation, asking meaningful questions, using active listening, and learning about how children interact and learn during daily activities. We talk about what ongoing FA should look like, compare it to traditional assessment, consider examples, and think about how to integrate it into your work with families.

In Episode 2, we dive into the first component of functional assessment: observation. We define observation in the context of early intervention and consider how it helps us “watch to listen and learn.” We discuss observation during the initial evaluation/assessment and service delivery, emphasizing how observation helps us gather functional information about children, how they interact with family members, and what interests and motivations them – all without inferring meaning or judgement. We’ll also review tips for helping families understand the importance of observation.

The Car’s Great but How Else Can You Use the Podcast?

Here are a few more ideas:

For individual practitioners: Rather than blocking another time slot to get something else done, pair the podcast with another activity. Catch an episode while driving to work, preparing breakfast or dinner, or maybe even while taking a walk or cleaning your house (fun!). It’s easily accessible through apps on your phone, and can be downloaded to listen to later.

For System Managers and Directors of EI programs: Plan for a group discussion during your next staff meeting. Email out the episode link before the meeting with an open-ended discussion question as food for thought. Blast the link out by email to the service coordinators and service providers in your system. It’s another free resource that we hope programs will find easy to use!

I’ll be writing posts about the individual episodes in the coming months to give you additional ideas on how to dig into the topics yourself or with your staff. We hope you’ll subscribe and stay tuned for future episodes.

Teaser: Emily tells some great stories about her experiences as a mom receiving EI that really put FA in context – you won’t want to miss them!

PS: A huge and special thanks to Jeanne (VA) and Laura (MA) who are the technical specialists behind-the-scenes helping us with producing and posting the episodes!

The post EI on the Fly Podcast: Ready to Learn about Functional Assessment in Your Car? appeared first on Early Intervention Strategies for Success.

Okay, when you read that title, maybe you were curious, wondering if you were going to learn about three new discoveries that will make your job easier. Or, maybe you did a quick eyeroll, thinking “Here we go, the next big ‘thing’ that I need to do.” Either way, I’m glad you’re here. While I’m not sure that these three interventions will make your job easier, I do think they can make your work more effective. No, these interventions aren’t new or the next big “thing,” but they are based on the evidence we have about what early interventionists do that has a positive impact on child and family outcomes – meaning child development is enhanced, children learn and participate in everyday activities, families understand how to help their children, and quality of life is improved. One of the key aspects of these three interventions is YOU – how you interact with families and what you do to support parent-child interaction. You are a key, so read on and learn what you can do on your next visit to have that positive impact.

Here we go. Interventions that:

1. Emphasize caregivers’ awareness and interpretation of their own actions,
2. Help caregivers identify and use everyday learning opportunities to enhance child development, and
3. Support caregivers’ responsiveness to their children

have been found to be most effective in positively impacting child outcomes (Dunst & Trivette, 2009; Mahoney, 2009; Swanson, Raab, & Dunst, 2011). That’s big stuff. In this post, I’ll tackle what the first intervention looks like in practice. I’ll discuss the other two interventions in Parts 2 and 3.

Emphasize Caregivers’ Awareness and Interpretation of their own Actions

When you implement this intervention, you go deeper than just modeling or teaching caregivers intervention strategies. You approach intervention from the perspective of expanding how the caregiver thinks about her (or his) capabilities, her impact on her child’s development, and the positive effects of her everyday interactions with her child. Some caregivers come to EI already embracing their influence as the parent, but many are in the vulnerable position of being a new parent or a parent of a child with strengths and needs that are different from what they expected or previously experienced with other children. Early intervention can be a new window through which to see a child’s potentialities, and we can open that window with how we approach the support we provide.

I truly believe that it’s not enough to tell families that “you are the expert on your child.” Those can be empty words if we don’t back them up with support that builds on what caregivers already know and do. We need to convey, through practice and intentional interactions, that the parent is just the right person to help her child grow and learn, she is enough, and what she does really matters. She may not have entered the program knowing how to stretch her child, how to prompt her child to increase vocabulary, how to teach her child to sign, or how to regulate herself so that her child learns to manage his emotions – and that’s all okay. We are there to teach, guide, and help the caregiver become aware of, embrace, and learn to interpret the link between her actions and her child’s behaviors, interactions, and learning. That’s a deeper level of engaging families, a level at the core of who a parent is. Full disclosure – I don’t think this is easy (often it’s not), but I completely believe that if we walk in the door of every visit with the perspective that we are there to look for opportunities to build the caregiver’s awareness of her own actions and help her learn to interpret that impact, what we do and how we do it changes – for the better.

What Does This LOOK LIKE in Practice?

Here are some strategies I’ve learned from EI practitioners in recent conference sessions where we talked about this intervention:

Use open-ended questions to help the caregiver reflect and think about what she (or he) is doing and why. Ex: What did you notice…? What did you see Jack do when you…? Why do you think that happened? 
What did you do differently that time? What could you do differently next time to help Jack learn to…?

Look for moments to build awareness and interpretation. Keep your eyes and ears open for opportunities to point out those moments when the caregiver interacts with the child in ways that enhances development. Adult learners typically want to know if they are doing something “right” so reinforcing positive interactions helps caregivers know they are on the right track.

Provide specific feedback that points out what the caregiver did, what the child did, and the relationship between the two actions. Help the caregiver make the connection, then ask what she thinks about it. Ex: When you waited before helping Emma stand up, she reached up for the pack ‘n play bar to try to stand herself up. What did you think about that?

Use video recordings to build awareness and interpretation. Record the caregiver using a strategy with her child using her cell phone. Then, watch the video together and process it using reflection and feedback. Share what you notice and ask the caregiver about her observations and feelings. Problem-solve if the strategy or interaction can be tweaked to help the caregiver get closer to her goal for the child. You can also encourage the caregiver to record short videos between visits to watch together during the next visit. These videos can become joint plans and records of progress too, so their value (and the learning opportunity) expands beyond the reflection point that happens during your visit.

Now it’s your turn:

What strategies have you used to build caregivers’ awareness and ability to interpret their own actions? What did this look like on your last visit?

Share your ideas and examples in the comments below!

In Part 2, I’ll dig into the second intervention to explore how to help caregivers identify and use every day learning opportunities…and what to do when this is hard. In the meantime, pay attention to how you build awareness on your next visit. Use this series to help you celebrate when it goes well and problem-solve when you need help. Let’s learn together!

References:

Dunst, C. J., & Trivette, C. M. (2009). Using research evidence to inform and evaluate early childhood intervention practices. Topics in Early Childhood Special Education, 29(1), 40-52.

Mahoney, G. (2009). Relationship-focused intervention (RFI): Enhancing the role of parents in children’s developmental intervention. International Journal of Early Childhood Special Education, 1(1), 79-94.

Swanson, J., Raab, M., & Dunst, C. J. (2011). Strengthening family capacity to provide young children everyday natural learning opportunities. Journal of Early Childhood Research, 9(1), 66-80.

The post 3 Interventions Every Early Interventionist Needs to Know – Part 1 appeared first on Early Intervention Strategies for Success.

You may have seen that awesome clip in the news recently of the father having an animated conversation with his 18-month old son. (If not, click the link and it will make your day!) Not only is it completely adorable, but it’s also a perfect example of a concept called “conversational turn-taking.”

Turn-taking is one of those early, essential skills that develops in the context of caregiving relationships. We early interventionists are always watching to see if a child can engage with another person in turn-taking. We know that turn-taking is important for early cognitive, communication, and social-emotional development and that it starts with imitation. Imitation and (eventually) turn-taking happen naturally in the context of silly games, making animal sounds while looking at books, playing with toys, eating a meal, learning how to get dressed, watching TV together, etc. When it happens in the context of early conversation between a very young child and a caregiver, turn-taking can a critical building block for communication.

How critical? Let’s find out.

Source: Gilkerson, J. Richards, J. A., Warren, S. F., Oller, D. K., Russo, R., & Vohr, B. (2018). Language experience in the second year of life and language outcomes in late childhood. Pediatrics, 142(4). Retrieved from https://pediatrics.aappublications.org/content/pediatrics/142/4/e20174276.full.pdf (PDF, New Window)

Research: What Do We Know?

In this study, Gilkerson and her colleagues examined the relationship between conversational turn-taking in 146 infants and toddlers and parents and the children’s later IQ, receptive, and expressive communication. In Phase I of the study, data was initially collected when these children were mostly between the ages of 2- to 36-months of age using a recording system that captured communication in the infant’s or toddler’s environment. This system then automatically counted conversational turns (between the parent and child), adult word count (both overheard and words directed to the child), and child vocabulary. Children were evaluated to determine their expressive and receptive language abilities, and parents completed an inventory to estimate the child’s vocabulary size. In Phase II, families in the first phase were invited to have their children (ages 9-13 years old) participate in follow-up cognitive and language assessments.

Data from Phases I and II were statistically analyzed to look for correlations. The strongest relationship was found between conversational turn-taking and adult word count occurring when children were between 18-24 months old; both were predictive of child outcomes 10 years later. However, when controlling for socio-economic status, the relationship between adult word count and child outcomes was much weaker.

Here’s the big take-away: Overall, conversational turn-taking that occurred with toddlers between 18-24 months of age and their parents showed the strongest relationship to later child outcomes, specifically related to IQ, vocabulary, and language skills at ages 9-13 years old. These findings suggest that how parents engage their 18-24 month old toddlers in turn-taking may be related to the child’s cognitive and communication development 10 years down the road. Wow.

Practice: How Can You Use What You Know

So what does this really mean? The quality of how a caregiver talks with (not to) a toddler in the 18-24 month age range may have a significant impact on that child’s later IQ, his ability to comprehend language, and his overall expressive and receptive language skills. This is probably not that surprising for us in EI, but when you think about it, this impact is amazing. Not only is the amount of words a child hears important, but the opportunities for the child to engage, back-and-forth, with an adult in a conversational manner are essential, especially while toddlers are developing their early abilities to talk.

Here are a few strategies to help you use what you now know:

Build parent responsiveness

Help parents recognize communication cues from infants and older toddlers who are still learning to talk. Point out the child’s attempts to communicate, whether by eye gaze, gesture, body movement, or sound. Model for parents how to respond and provide positive, specific feedback when the parent responds to the child’s communication (e.g., “Wow, when Taylor said “ka” you knew exactly what she wanted! When you said “cup” back to her, you gave her a great example of how the word sounds!”)

Build turn-taking skills with actions and sounds

Encourage parents to always pair sounds/words with actions when playing turn-taking games with their children. Rolling a ball back and forth or blowing soap bubbles could be paired with fun sounds or repetitive words like “ready, set, go!” or “your turn!” and “my turn!”

Encourage parents to have conversations with their infants and toddlers – often!

Model how this sounds and praise it when you see it happening between the parent and child. Assure them that even if they feel silly talking to a child who can’t “talk” yet, they are teaching their child about how words sound, what words mean, and how to use sounds and words to communicate with others. Conversational turn-taking also teaches the child what may be the most important lesson of all – that the child is valued and loved. Use video examples like the fantastic clip mentioned above to see these conversations in action!

My biggest take away from this article (and that amazing dad) is that it’s not always about the number of words a young child hears. What may be even more important is the quality of the interaction. Conversations matter – even and maybe especially with toddlers!

What are your favorite strategies to encourage conversational turn-taking between parents and their babies?

Share your ideas in the chat below!

The post EI Research to Practice Brief #7 – Conversational Turn-Taking between 18-24 Months Really Matters appeared first on Early Intervention Strategies for Success.