1. Linking Early Intervention Quality Practices With Child and Family Outcomes Technical Assistance for Local Early Intervention Systems Infant & Toddler Connection of Virginia 1

2. Technical Assistance Includes: Education about the process for measuring family outcomes Review of local system results Data analysis Identification of Improvement strategies Infant & Toddler Connection of Virginia 2

3. Education about the Process: Check Your Knowledge What are the Family Outcomes? How are the results for the Family Outcomes Indicator derived for the Annual Performance Report to OSEP? What do the results measure? Who can impact the family outcomes? What factors impact the family survey results? Infant & Toddler Connection of Virginia 3

4. Education about the Process NCSEAM Survey administered annually Survey includes two rating scales Impact on Families (22 items) Family Centered Services (25 items) Use of Part C standards (cut-scores) 4a – 539 4b – 556 4c - 516 Infant & Toddler Connection of Virginia 4

5. Relationship of Survey to Outcome Results Review of the survey itself to understand what parents are being asked Survey is mailed to all families Depending on response, a 2 nd mailing and phone call follow up may be done Infant & Toddler Connection of Virginia 5

6. Translating Survey Results to Outcome Results Detailed Analysis Report http://infantva.org/documents/sup- FamilySurvey-2011.pdf Summary Explanation http://infantva.org/documents/sup- FamilySurvey-2011-expl.pdf Infant & Toddler Connection of Virginia 6

7. Review of Local Results: Percent Meeting Standard Infant & Toddler Connection of Virginia 7

8. Comparing 2009 LS Results to Targets and State Results Infant & Toddler Connection of Virginia 8

9. Comparing 2010 LS Results to Targets and State Results Infant & Toddler Connection of Virginia 9

10. Local Results: Percent of Target Infant & Toddler Connection of Virginia 10

11. Data Analysis Included: Review of current results in comparison to prior years; in comparison to target and in comparison to state results Review of responses for each question on the Family Centered Practices Scale and the Impact on Families Scale Use of Local Contributing Factor Tool [RRCP/NECTAC/DAC (6-5-09)] – adapted for TA with local system (handout) Infant & Toddler Connection of Virginia 11

12. Factors Identified as Potentially Impacting Results Change in Local Lead Agency New local system leadership New service coordinators New direct service providers Increased child count 106 in 2009; 140 in 2010 Statewide system transformation Infant & Toddler Connection of Virginia 12

13. Improvement Strategies 2007 -2011 Assuring that all providers and service coordinators know what is on the survey Local analysis of results of both scales; focus in on family centered practices and key elements where responses were not as positive as expected Use terminology contained in survey Reminders to staff – based on survey questions Infant & Toddler Connection of Virginia 13

14. Improvement Planning Tool Introduced in 2011 Relationship of Quality practices to Child and Family Outcome Measurement Results (draft 2/4/11) Infant & Toddler Connection of Virginia 14

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16. Next Steps: Local Follow Up Plan Review of Tools Further analysis Staff discussion and self-reflection Improvement Planning and Implementation Infant & Toddler Connection of Virginia 16

17. Infant & Toddler Connection of Virginia 17 "... So then I thought, 'What the heck, let him have the darn ball of yarn.' Well,.. little did I know... " "... So then I thought, 'What the heck, let him have the darn ball of yarn.' Well,.. little did I know... " "... So then I thought, 'What the heck, let him have the darn ball of yarn.' Well,.. little did I know... "

18. Actions Taken by Locality Revision of Intake Form Staff discussion/work on effective communication with families Continuing work to improve IFSP outcome development Participation with child/family in activities/routines (store, swimming, etc) Infant & Toddler Connection of Virginia 18

19. 2011 Results: Percent Meeting Standard Infant & Toddler Connection of Virginia 19

20. 2009 – 2011 Results: Percent Meeting Targets Infant & Toddler Connection of Virginia 20

21. 2012 Technical Assistance Use with large local system: Introduction and review of the Quality Practices Tool with 55 Local System service providers, service coordinators and administrators Plan to use region wide for education of contracted providers and as a tool for self-assessment Infant & Toddler Connection of Virginia 21

22. Beth Tolley Technical Assistance Consultant Infant & Toddler Connection of Virginia beth.tolley@dbhds.virginia.gov 804-371-6595 www.infantva.org Infant & Toddler Connection of Virginia 22