Early Intervention Birth to Three

service delivery model

family guided routines based intervention (FGRBI)

Family Guided Routines Based Intervention (FGRBI)

an evidence based early intervention practice that utilizes adult learning principles to engage caregivers in coaching to support the learning needs of their child within their meaningful family routines

funding for EI

funded by a combination of federal and state allocations (IDEA, annual state budget, medicaid), NO direct cost to families

standardized assessments for evaluating

developmental assessment of young children (DAYC), Batelle Developmental Inventory (BDI), Peabody, Sensory Profile

clinical opinion during evaluation process

observation of skills within routines, review of developmental history, clinical reasoning

What does IFSP stand for?

Individualized Family Service Plan

What is the purpose of an IFSP?

To outline a plan for a child who qualifies for early intervention services.

How long is an IFSP in place?

For 1 year unless the child is discharged beforehand.

When should a re-evaluation occur for an IFSP?

Prior to the expiration of the IFSP.

What is evaluated during the re-evaluation of an IFSP?

Whether a child continues to qualify for early intervention services.

when does the IFSP expire?

once the child turns 3 years old

when does transition planning for the 3-5 year EI program begin?

6-9 months before the child turns 3

when would an IEP be developed?

if a child qualifies based on developmental evaluations

Documentaiton process

1. session note

2. progress monitoring review

3. annual update form

4. transition planning form

5. child outcome data

session note

completed for each held and canceled session

progress monitoring review

minimum requirement of 6 months

annual update form

compeleted ahead of annual re-evaluation

transition planning form

completed to support transition planning ahead of 3rd birthday

child outcome data

one team member completes upon entry and exit of program, ounce developmental profile

potential diagnoses

prematurity, developmental delay, failure to thrive, cleft palate, dysphagia, torticollis, autism (or showing red flags for), down syndrome, cerebral palsy, other genetic conditions

IFSP Team Members

service coordination (SC), PT, SLP, Special Instructor (SI) - developmental therapist, nutritionist, hearing specialist, vision specialist

potential targets for EI

feeding, fine motor, gross motor, sensory processing

feeding targets

bottle feeding, breast feeding, drinking from different cups, transition to table foods, oral aversion, oral motor skills, self-feeding

gross motor targets

tummy time, supported sitting, sitting upright, transitions, head control

fine motor targets

pinch patterns, pointing, using both hands together and equally, tool use, developmental play skills

sensory processing targets

self regulation, tolerating different sensory experiences and environments, impact on behavior, touching different textures, self-care

IFSP Outcomes

developed by the family with support of their service coordinator and IFSP team members, based in functional routines with a measurable target

example of a IFSP Outcome

Johnny will safely chew and swallow meats at dinner with his family each day for 3 weeks

example of IFSP outcome

Isla will use a spoon and fork to feed herself at family meals 3x/day for one week indepenently

intervention strategies

each IFSP outcome will have outlines intervention strategies that were recommended as starting points by the evaluating team, treating providers can recommend updates to the intervention strategies outlined in the IFSP outcome, clinical reasoning