Marco was recently referred to early intervention (EI) due to suspected global delays. His family is living in a homeless shelter and only has one more week left before they must leave. His father is trying hard to find employment but is challenged by his lack of childcare. He is the sole caregiver for three …
Writing an Interim IFSP
Explaining WHY We Ask So Many Questions
Imagine you are the parent who’s child is newly referred to early intervention (EI). Someone calls you and asks to come by your home. “Why,” you wonder, “do they want to come here?” Then, when the service coordinator arrives for the intake, she asks you personal questions about your child’s medical history and your family …
The Parents are Arguing…What Do You Do?
Both of Isabel’s parents are present for the visit, which offers you a golden opportunity to talk with them. When you ask how things are going with Isabel’s signing, her mother replies, “Well, she’d be learning if her father didn’t just do everything for her. Isabel doesn’t even have to sign at all.” These two sentences set …
Abby’s Mother Asks Again: “Is it my fault?”
Abby has significant motor delays. Her mother asks you some version of this question during every visit: “Is it my fault that Abby isn’t walking yet?” or “What did I do to cause this?” The question itself makes you uncomfortable, because you can’t really answer it well and because you feel like you’ve tried to answer …
Wait…Isn’t that Outcome TOO Specific?
Have you been sitting in an IFSP meeting and heard another team member say “Wait…isn’t that outcome too specific?” or “If we put one specific routine in there, does that mean that’s the only way we work on this outcome?”
If these questions sound familiar, then read on (or watch the video blog on this topic) because by the …
Mommy is Asleep and the Children are Alone…What Do You Do?
You arrive at the family’s home and knock on the door. After several minutes, the door slowly opens and you look down to see a preschooler’s face. You ask her, “Is your mommy here?”
She answers, “She’s asleep.” You ask, “Is there another grown-up here with you?” and she shakes her head “no.” You look past …
What Makes Your Child Laugh?
If someone had asked me this question when my son was a toddler, it would have instantly made me smile. Just thinking about his belly laugh, the way his eyes twinkled, made me feel good inside and conjured up fun times. I could have listed many things because we laughed a lot. Whenever we played with …
“Can You Stay a Few Extra Minutes?”…What Do You Do?
With 3 minutes left to the visit, Mikaela’s mother, Delia, asks “Can you stay a few extra minutes today?” She says she really needs your advice. Yesterday, the child care center director called because Mikaela bit another child. They threatened to expel Mikaela and Delia isn’t sure what to do. You pause because you know that your next …
Liam’s Mom Asks You to Stop by the Grocery Store…What Do You Do?
This really happened to me: Before heading out the door, I received a call from a mother whom I’d be seeing in about an hour. She asked if I could stop by the grocery store to pick up milk and diapers. She had no transportation and lived deep in the woods in a very rural …
Twins & Siblings: Supporting Families of Multiples
A set of new referrals comes across your desk: two children in the same family. Twins! Wow, you think…twice the paperwork, twice the visits, twice the fun. The funny thing is that you probably wouldn’t have balked if you’d just gotten two referrals about children from different families. Why is it that multiples in the same …