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“Don’t Worry. But Don’t Wait.

Victoria Meeder,

Marketing/Public Awareness Supervisor

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Learning Objectives

2. 3.

Learn about Michigan’s early intervention system, Early On How to make a referral Red flags of development

Clinton County RESA Office of Innovative Projects
Early On® Training and Technical Assistance

Personnel development for Early On Early On Center for Higher Education Child find for Infants and Toddlers, birth – 3 Child find for Special Education, birth – 26


Early On Public Awareness

Project Find

619 Training and Technical Assistance
Early Childhood Special Education Focus 3 to 5

What is Early On

A statewide system of early intervention services mandated by federal legislation (Part C of IDEA);

Designed to help families find the social, health and educational services that will promote the development of their infants and toddlers with special needs;
Based on partnerships between families and service providers and on collaboration among community agencies, organizations and private practitioners; Emphasizes early identification and early services.

Purpose of Part C

enhance the development of infants and toddlers; •To reduce costs to our society; •To maximize the potential of individuals with disabilities; •To enhance the capacity of families…; •To enhance the capacity of states…

Structure of Part C in Michigan
US Congress IDEA
US Dept. of Education Office of Special Education Programs
Michigan State Board of Education MI Dept. of Community Health MI Dept. of Human Services Michigan Department of Education Office of Great Start Michigan Interagency Coordinating Council (MICC) Major Grantees:
Major Grantees: • Qualitative Compliance Information Project • Early On Training & Technical Assistance • EO Public Awareness • MI Alliance for Families/ Parent Training & Information • Interagency Information Systems • Inter-Tribal Council of Michigan • MI Compliance Info System (funded by Part B)

Dept. of Public Health

Community Mental Health

Local Service Areas/ Intermediate School Districts (57) Early On Coordinator

Local Interagency Coordinating Council (LICC)

Early On Services Are:

Strength(s) based Family Centered Based on parent/profession al partnerships Based on interagency collaboration

Early On is a System of Services
Health Services Physician


Social Services Children’s Special Health Care

Early Head Start Early Intervention Services Mental Health

Child Care

Health Dept.
Easter Seals

Eligibility for Early On Services

infant or toddler with an established condition(i.e., a physical or mental condition likely to lead to a delay) •Developmental Delay •Under 2 months of age - any delay •2 to 36 months of age 20% in one or more areas •Change in Eligibility Began July 2010 Eligibility is not determined by income

Established Conditions
Established Conditions: Children with established conditions are those from birth through age two who have a diagnosed physical or mental condition that has a high probability of resulting in a developmental delay. Categories of Established Conditions: • Congenital Anomalies • Chromosomal Anomalies • Infectious Conditions • Endocrine/Metabolic Disorders • Other Diseases • Hearing Deficiency • Other Fetal/Placental Anomalies • Exposures Affecting Fetus • Chronic Illness • Developmental Disorders • Mental Health Conditions

Developmental Delay in one of more of the following categories:

    

Physical (including hearing and vision) Gross and Fine Motor Development Communication Development Cognitive Development Social/Emotional Development Adaptive (self-help)

What is the Early On® timeline?

Parental Notification ◦ Within 10 days of referral Evaluation and Assessment ◦ Within 45 days Individualized Family Service Plan (IFSP) ◦ Within 60 days Transition ◦ Up to nine months before exit ◦ Minimum of 90 days before exit

Parent Notification
When first contact is made to parents, they need to know 3 things 1) What is Early On 2) Family rights (procedural safeguards) 3) A description of the consent that they must give in order for the child to be evaluated •Consent to evaluate form Authorization to share form (updated every six months or as needed) •Every family receives at no charge •Evaluation and assessment •Service coordination •Development of an IFSP

Developmental Evaluation

people (or more) from different professions or disciplines
Consists of 5 parts
1. 2.

3. 4. 5.


input should be considered in all areas

Cognitive Development Physical Development, including vision and hearing, gross and fine motor Communication Development Social or Emotional Development Adaptive Development

Health Appraisal
Obtain information about past and current health


doctor, nurse, or nurse practitioner

be conducted within:

months for a child 18 months or under •6 months for a child over 18 months

Individual Family Service Plan
The IFSP meeting will include:

of the evaluation •Concerns of the parents •Outcomes desired by the parents for their child •Outcomes in natural environments and daily routines •Supports needed by the family •Early intervention services identified to support the outcomes

Review of the Plan of Service

Six-Month or sooner a Review of the IFSP outcomes must be evaluated

least every 12 months a new IFSP is developed

to nine months before a child turns three years of age a transition planning meeting is held

Services Provided by Early On
 Assistive

Technology Services  Audiology Services  Family Training, Counseling & Home Visits  Nursing Services  Nutrition Services  Occupational Therapy

 Speech

Therapy  Physical Therapy  Special Instruction  Social Work  Psychological Services  Health Services  Service Coordination  Transportation  Vision Services

When to Make a Referral

If an established condition exists, it’s best practice to share information about Early On.

When a parent expresses concern.
When there is an identified red flag about a child’s development.

Red Flags at 6 Months

• •

(View handout for additional information about typical development and red flags for children birth to 48 months of age)

Infant not reaching for objects Not yet rolling over from stomach to back Does not make eye contact Does not laugh or squeal

Red Flags at Twelve Months

• • • • • •

Persistent mouthing of objects Excessive self-stimulation Cannot stand when supported Uses only one side of body Not transferring objects from one hand to the other Not looking for hidden objects Not using single words Does not use gestures, e.g., waving, pointing, or shaking head

Red Flags at 18 Months
• • • • • • •

Not walking independently Walks on tiptoes Excessive rocking Withdrawn Does not respond to simple requests Little or no social engagement Does not point or try to indicate wants

Red Flags at 24 Months
• • • • • •

Inability to walk up and down stairs Any regression of skills No two word phrases Persistent poor transitions Does not show affection Does not know and point to 5 body parts

Discussing Potential Referral
 

Discuss concern(s) with parent If they share concern(s), proceed with a referral.

If not – what to do?
   

Provide opportunities to observe similar age children Provide information about developmentally appropriate behaviors Keep log of identified concern(s) to share with parents Remind parent about the benefits of Early On, input from specific disciplines Provide an Early On brochure to parent

How to Make a Referral

Call 1-800-Early-On FAX: 517-668-0446

Email (link on website) Online Referral Process

Contact your local county Early On directly

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Thank You for Attending
1-800-Early On (327-5966) 1-800-252-0052