Referral RequirementsReferral Requirements Primary referral sources must make a referral as soon as possible, but in not case more that 7 days after the child has been identified as needing further evaluation Even if the family does not give permission. It is a requirement of IDEA that a referral be made. The family ultimately gets to decide to turn down the referral, or not.
Primary Referral SourcesPrimary Referral Sources Hospitals Physicians Parents Childcare programs and early learning programs LEAs and schools Child care programs and early learning programs Public health facilities Other public health or social service agencies Other clinics and health care providers Public agencies and staff in child welfare system, including child protective service and foster care Homeless family shelters and Domestic violence shelters and agencies
When to Refer…When to Refer… Results of ASQ or ASQ-SE indicate a need Results of Hearing or Vision Screening Parent indicates concern Child is born with a known condition that causes developmental delays (Down Syndrome, Spina Bifida, Cleft lip or palate etc…) When in doubt… REFER!
ASQ and ASQ-SE Follow up/Referral Criteria Well above cut-off points: Provide follow-up activities and rescreen in 4- 6 months Close to Cutoffs: Use your professional judgment together with family indications and Refer to local tiny-k program if family indicates a concern, Provide follow-up activities Rescreen in 4-6 months or sooner
ASQ and ASQ-SE Follow up/Referral Criteria Below cut-off in one or more areas: Refer to local tiny-k program Parent Concern: Respond to all concerns Refer to local tiny-k program
What happens after a referral is made? The local tiny-k program has 45 days from the date of the referral to determine if the child is eligible and if appropriate, develop an Individualized Family Service Plan (IFSP) with the family. Family has the right to turn down involvement with the local tiny-k program.
What if the Child is Eligible?What if the Child is Eligible? An IFSP will be developed with the family Services will be provided within the guidelines of the Mission and Key Principles of Early Intervention in Natural Environments.
What if the child is not eligible for the tiny-k program Referrals to community programs should be made by the local tiny-k program Information should be given to the family to help address any identified concerns The local tiny-k program may suggest a re- evaluation in the future Others…?
How do I work with my local tiny-k program to ensure success? Two words….. On-going Communication!
Strategies to Increase CollaborationStrategies to Increase Collaboration Assure that PAT and Local tiny-k program staff know and understand each other’s systems Assure that PAT supervisors and direct service staff are invested in identifying children and increasing referral Develop an referral process from PAT to the local tiny-k program that ensures timeline requirements are met
Strategies to Increase CollaborationStrategies to Increase Collaboration Assure responsiveness to referral from BOTH systems Establish routine communication and cross referencing of service plans Formalize Collaborative relationships with a written MOU that details respective roles and responsibilities.
Words of Wisdom!Words of Wisdom! If something isn’t working the way you think it should, revisit the strategies for increasing collaboration. Meet with the local tiny-k program coordinator Be purposeful and proactive Don’t wait until there is a problem It has to be on-going
How do I contact the local tiny-k program? http://www.ksits.org/downlo ad/network_brochure.pdf