Early Intervention Services in California: A Journey through Early Start with Three Children...
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Early Intervention Services in California: A Journey through Early Start with Three Children Developed by California Map to Inclusive Child Care WestEd Center for Child & Family Studies in collaboration with California Department of Developmental Services California Map to Inclusive Child Care is funded by the California Department of Education, Child Development Division, with a portion of the federal Child Care Development Fund Quality Improvement Allocation of California’s Early Start
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Transcript of Early Intervention Services in California: A Journey through Early Start with Three Children...
Early Intervention Services in California: A Journey through Early Start with
Three ChildrenDeveloped by
California Map to Inclusive Child CareWestEd Center for Child & Family Studies
in collaboration with California Department of Developmental Services
California Map to Inclusive Child Care is funded by the California Department of Education, Child Development Division, with a portion of the federal
Child Care Development Fund Quality Improvement Allocation
An Expanded Overview of
California’s Early Start
An Expanded Overview of
California’s Early Start
12/01/2007 2California Map to Inclusive Child Care
Conditions for Use of This Presentation
This PowerPointTM and accompanying notes were developed by the California Map to Inclusive Child Care Project for use in training and educational settings.
This document was reviewed and approved by the California Department of Education, Child Development Division, as well as the Special Education Division and Department of Developmental Services, when appropriate.
The information regarding the laws and regulations were accurate at the time of distribution.
Modification of the content is not permitted. Local information may be used as a supplement, but shall not be represented as part of the document.
Users are free to duplicate this material in its entirety, with appropriate credit, for educational purposes only.
12/01/2007 3California Map to Inclusive Child Care
Intent of This Overview
To assist early educators in understanding the Early Start early intervention system:
when a child in their care, birth to age three years of age, has an identified disability
when they have concerns that a child in their care, birth to age three years of age, might have a disability, developmental delay or be at risk for a developmental disability
12/01/2007 4California Map to Inclusive Child Care
California law since 1980
Lanterman Developmental Disability Act in 1982
California’s History of Serving Infants and Toddlers
12/01/2007 5California Map to Inclusive Child Care
Individuals with Disabilities Education Act (IDEA)
Federal legislation mandates special education for all eligible children
IDEA Part B: services for children with disabilities ages three through twenty-one
IDEA Part C: services for children birth to three years of age
12/01/2007 6California Map to Inclusive Child Care
Early Start is California’s
early intervention service system under Part C
of IDEA
Early Start = Part C
12/01/2007 7California Map to Inclusive Child Care
Early Start seeks to promote and enhance a coordinated, family-
focused service system for infants and toddlers from birth to age three years with a developmental delay, a
disability, or who are at risk of a developmental disability.
12/01/2007 8California Map to Inclusive Child Care
Early Start is Designed to:
Provide a system of referral and assessment that results in individualized services
supports infants and toddlers and their families within their community
Be family-focused by keeping families informed about services for their child
supporting families and including them as collaborative decision makers
12/01/2007 9California Map to Inclusive Child Care
Early Start Administration
The California Department of Developmental Services (DDS) is the lead agency for overall administration of Early Start.
DDS collaborates with the California Department of Education, Special Education Division, in the provision of services for some children.
12/01/2007 10California Map to Inclusive Child Care
Eligibility Criteria
A developmental delay in one or more of five areas
An established risk condition known to cause delay
At high risk for a developmental disability
12/01/2007 11California Map to Inclusive Child Care
Early Start Services
Are designed to meet needs of each infant or toddler and needs of the family
Are provided in “natural environments”
Are provided at no cost to families by qualified personnel
Include transition to appropriate services at three years of age
12/01/2007 12California Map to Inclusive Child Care
Natural Environment
Any setting where typically developing children of a similar chronological age are found
Includes home, neighborhood, child care, preschool, parks, birthday parties, informal gatherings of family and friends, etc.
A “Natural Environment” is more than a location. It is a way of approaching service.
12/01/2007 13California Map to Inclusive Child Care
A Natural Environment
a location where this child would go if he did not have a disability
where other children go who do not have disabilities
in a part of the community where children and families without disabilities spend time when they are not being treated or tested for illness or health issues
a location where people usually go because they have disabilities or medical issues
a location that was chosen because it had specialized equipment
a location that was chosen because it was convenient for specialists who work with the child
Is Is Not
12/01/2007 14California Map to Inclusive Child Care
Early Start Services can Include:
Assistive technology devices/services
Audiology services Family training,
counseling, home visits Some health services Medical services for
diagnosis and evaluation Nursing services Nutrition services Occupational therapy
Physical therapy Psychological services Service coordination Special instruction Social work services Transportation services Speech and language
services Vision services Respite care Others as needed
12/01/2007 15California Map to Inclusive Child Care
Family Involvement
Families are an integral part of evaluation and assessment
Families participate in Individualized Family Service Plan (IFSP) development
Early Start services support families and help them meet the special needs of their infants or toddlers
12/01/2007 16California Map to Inclusive Child Care
Early Start Family Resource Centers (FRCs)
55 FRCs in California receive funding to provide parent-to-parent support to families
FRCs are primarily staffed by parents who have children with special needs
Services are provided in a nonclinical, family-centered atmosphere
Child care providers can also access libraries at FRCs
12/01/2007 17California Map to Inclusive Child Care
Family Resource Centers
Support the emotional and informational needs of families
Provide referral information and outreach to underserved populations
Support child find activities and family/professional collaborative activities
Assist families with transition Provide support services and resources in many
languages Are culturally responsive to the needs of families
12/01/2007 18California Map to Inclusive Child Care
Parents’ Rights
Parents have rights and protections to ensure that early intervention services are provided to their children:
in a manner appropriate to their needs
in consideration of family concerns
in compliance with state and federal statutes
12/01/2007 19California Map to Inclusive Child Care
Mediation and Due Process
Parents have the right to mediation and due process hearings in Early Start if they have a disagreement with a regional center or LEA about:
identification
evaluation
assessment
placement of their child
provision of appropriate early intervention services
12/01/2007 20California Map to Inclusive Child Care
Early Start Looks Different in Each Community.
Why? History
Local decision-making
Locally available resources
12/01/2007 21California Map to Inclusive Child Care
Let’s Follow Three Children on Their Journeys
12/01/2007 22California Map to Inclusive Child Care
We’ll look at the following questions: Who suspected/identified delay, disability, or risk
factor? Who initiated the referral? Who participated in assessment and planning
process? What agencies are involved? What services are provided, where, and by whom? Who monitors the Individualized Family Service Plan
(IFSP)?
Journey Through Early Start
12/01/2007 23California Map to Inclusive Child Care
Micah was born 9 weeks early, at 31 weeks gestation to Shauna
He was small and needed a respirator for breathing for several weeks
Hospital staff talked with Jackson, Micah’s father, about Early Start before Micah left the hospital
Jackson asked hospital staff to call Early Start to start the referral process
Micah
12/01/2007 24California Map to Inclusive Child Care
An assessment was completed by a regional center team: a doctor, occupational therapist (OT), and physical therapist (PT)
A service coordinator from regional center held the IFSP meeting with the family and a local early intervention service provider
The team provided input in writing
Services were provided by a local early intervention agency
Micah
12/01/2007 25California Map to Inclusive Child Care
Micah received weekly visits at his home from an early intervention assistant supervised by a specialist at the early intervention agency
OT and PT were provided monthly
Micah’s child care provider could request a visit at any time
His regional center service coordinator monitored the IFSP
Micah
12/01/2007 26California Map to Inclusive Child Care
Identification & Referral
Who suspected or identified delay, disability, or risk factor? Hospital medical staff
Who initiated the referral? Hospital staff, after talking with Micah’s father
12/01/2007 27California Map to Inclusive Child Care
Assessment & Agencies
Who participated in assessment and planning process? Regional center team: doctor, occupational
therapist (OT), physical therapist (PT) and Micah’s parents
What agencies are involved? Regional center and an early intervention
agency that contracts with regional center
12/01/2007 28California Map to Inclusive Child Care
Services & Monitoring of Services
What services are provided, where, and by whom? Weekly home visits by early interventionist;
monthly home visits by OT and PT.
Who monitors the individualized Family Service Plan (IFSP)? Regional center service coordinator
12/01/2007 29California Map to Inclusive Child Care
Services Provided for Micah:
Assistive technology devices/services
Audiology services Family training,
counseling, home visits Some health services Medical services for
diagnosis and evaluation Nursing services Nutrition services Occupational therapy
Physical therapy Psychological services Service coordination Special instruction Social work services Transportation services Speech and language
services Vision services Respite care Others as needed
12/01/2007 30California Map to Inclusive Child Care
Born full term to Lynn, a teen mom
Zack and his mom live with her parents
By six months, grandparents began to wonder about Zack’s vision
Mom and grandmother discussed concerns with pediatrician
Pediatrician checked, took a “wait and see” approach
Zack
12/01/2007 31California Map to Inclusive Child Care
Grandmother contacted local Family Resource Center (FRC)
Grandmother attended several play days at FRC with Zack
FRC staff supported concerns about Zack’s vision
After several months, Mom requested a referral to a pediatric ophthalmologist
He confirmed Zack’s vision problem and provided referral information to the LEA for Early Start services
Zack
12/01/2007 32California Map to Inclusive Child Care
The LEA was represented by the county office of education infant program
By sixteen months, Zack was assessed by the LEA assessment team, which included a vision specialist
An IFSP was developed by the family and LEA representatives to identify needs and services, with input from the ophthalmologist
Zack
12/01/2007 33California Map to Inclusive Child Care
Weekly home visits are provided by a LEA vision specialist through the county office infant program
Zack is beginning to use specialized equipment to assist him in using his limited vision
This equipment is also called assistive technology devices under IFSP services
Zack
12/01/2007 34California Map to Inclusive Child Care
Identification
Who suspected or identified delay, disability, or risk factor?
Micah: Hospital medical staff
Zack: Grandparents suspected Zack’s vision problem; Family Resource Center staff supported their concern
12/01/2007 35California Map to Inclusive Child Care
Referral
Who initiated the referral?
Micah: Hospital staff, after talking with Micah’s father
Zack: Ophthalmologist provided referral information for Early Start to Zack’s mom and grandmother
12/01/2007 36California Map to Inclusive Child Care
Assessment
Who participated in assessment & planning process?
Micah: Regional center team: doctor, occupational therapist (OT), physical therapist (PT) and Micah’s parents
Zack: Local Education Area (LEA) assessment team and Zack’s mom and grandparents
12/01/2007 37California Map to Inclusive Child Care
Agencies
What agencies are involved?
Micah: Regional center and an early intervention agency that contracts with regional center
Zack: Ophthalmologist, county schools office infant program (the representative of the LEA for Early Start in this county)
12/01/2007 38California Map to Inclusive Child Care
Services
What services are provided, where, and by whom? Micah: Weekly home visits by early
interventionist, monthly home visits by OT and PT
Zack: Weekly visits by the LEA/county schools office infant program vision specialist at home with grandmother and mom
12/01/2007 39California Map to Inclusive Child Care
Monitoring of Services
Who monitors the Individualized Family Service Plan?
Micah: Regional center service coordinator
Zack: County schools office/LEA vision specialist
12/01/2007 40California Map to Inclusive Child Care
Services Provided for Zack:
Assistive technology devices/services
Audiology services Family training,
counseling, home visits Some health services Medical services for
diagnosis & evaluation Nursing services Nutrition services Occupational therapy
Physical therapy Psychological services Service coordination Special instruction Social work services Transportation services Speech and language
services Vision services Respite care Others as needed
12/01/2007 41California Map to Inclusive Child Care
Ana
Ana was a newborn foster child, whose mother has a developmental disability
Her foster parents had some questions about her development. A friend shared that due to her mother’s disability, Ana was eligible for Early Start services as an “at risk infant” (high risk of developmental delay)
12/01/2007 42California Map to Inclusive Child Care
Her foster mother contacted regional center and said, “Someone told me you could help. What do I need to do?”
Regional center scheduled an intake visit at Ana’s home and determined that Ana was eligible for services due to her own developmental disability
Further assessment was completed by a developmental psychologist at a hospital and during a home visit by an early interventionist
Ana
12/01/2007 43California Map to Inclusive Child Care
An early interventionist makes weekly visits to Ana’s family child care home and consults with the OT and PT
Ana’s foster parents take her to OT and PT appointments at the local Children’s Hospital clinic every other week
Since Ana is now 2½, her early interventionist is talking to her foster family about transition to preschool
Ana
12/01/2007 44California Map to Inclusive Child Care
Identification
Who suspected delay, disability, or risk factor?
Micah: Hospital medical staff
Zack: Grandparents suspected Zack’s vision problem; Family Resource Center staff supported their concern
Ana: Ana’s foster mother
12/01/2007 45California Map to Inclusive Child Care
Referral
Who initiated the referral to Early Start?
Micah: Hospital staff, after talking with Micah’s father
Zack: Ophthalmologist provided referral information for Early Start to Zack’s mom and grandmother
Ana: Her foster mother contacted regional center to find out what to do
12/01/2007 46California Map to Inclusive Child Care
Assessment
Who participated in assessment & planning process?
Micah: Regional center team: doctor, occupational therapist, physical therapist and Micah’s parents
Zack: Local Education Area (LEA) assessment team and Zack’s mom and grandparents
Ana: Regional center intake team, county office early intervention team, developmental psychologist, foster parents, and Ana’s social worker
12/01/2007 47California Map to Inclusive Child Care
Agencies
What agencies are involved?
Micah: Regional center and an early intervention agency that contracts with regional center
Zack: Ophthalmologist, County Schools Infant Program
Ana: Regional center, county’s infant program, Children’s Hospital, county foster care program
12/01/2007 48California Map to Inclusive Child Care
Services
What services are provided, where, and by whom?
Micah: Weekly home visits by early interventionist; monthly home visits by OT and PT.
Zack: Weekly home visits by vision specialist
Ana: Home visits and OT/PT consultation by infant program, OT/PT services at medical clinic, and transition services through regional center and school district
12/01/2007 49California Map to Inclusive Child Care
Monitoring of Services
Who monitors the Individualized Family Service Plan?
Micah: Regional center service coordinator
Zack: County schools vision specialist
Ana: Regional center service coordinator
12/01/2007 50California Map to Inclusive Child Care
Services Provided for Ana:
Assistive technology devices/services
Audiology services Family training,
counseling, home visits Some health services Medical services for
diagnosis & evaluation Nursing services Nutrition services Occupational therapy
Physical therapy Psychological services Service coordination Special instruction Social work services Transportation services Speech and language
services Vision services Respite care Others as needed
12/01/2007 51California Map to Inclusive Child Care
Because Early Start (Part C) applies only to a child under three years of age, the law requires the family to be informed about the transition that will occur when the child turns three years of age
Transition services are intended to support and prepare parents and their child to exit Early Start at three years of age
Transition at Three Years of Age
12/01/2007 52California Map to Inclusive Child Care
Transition Options
Special education preschool under Part B
and/or
Ongoing regional center services
and/or
Community options Child care Private preschool or Head Start Remaining at home with the family Other unique options in a community
12/01/2007 53California Map to Inclusive Child Care
Transitions
For more information, see the PowerPoint™ presentation in this series entitled
“Transition in Early Childhood at Age Three for Children with Special Needs”
12/01/2007 54California Map to Inclusive Child Care
For More Information Websites
Map to Inclusive Child Care: www.CAInclusiveChildCare/Map
Early Start: www.dds.ca.gov/EarlyStart/ Other: http://idea.ed.gov, http://www.ideapartnership.org/
Early Childhood Special Education Handbooks available through CDE Press, the California Department of Education’s publisher: www.cde.ca.gov/re/pn/rc/ap/pubcat.aspx
Early Start Resources distributes Early Start products at no cost and maintains an extensive early intervention library: www.wested.org/cd/cpei
