Teaming and Team Meetings

Objectives To understand the characteristics of team based early intervention To understand who is on the early intervention team To understand the role of the team members To understand team meetings

Team-Based Early Intervention  What it looks like:  What it doesn’t look like:

Characteristics of Team Based Early Intervention 6 ComponentMultidisciplinaryTeam-Based Early Intervention Team InteractionTeam members recognize the importance of contribution from several disciplines. Team members engage in learning and coaching to develop broad expertise to improve a child’s participation across family’s activity settings. CommunicationTypically informal; members may not think they are part of a team. Team members meet regularly to participate in coaching interactions including reflection and feedback. Adapted from Pletcher, Lynda. FIT Program: The Transdisciplinary Team Approach. (2012).

Characteristics of Team Based Early Intervention Adapted from Pletcher, Lynda. FIT Program: The Transdisciplinary Team Approach. (2012). 7 ComponentMultidisciplinaryTeam-Based Early intervention IFSP DevelopmentMembers develop separate plans for intervention within their own disciplines. Team Members and family develop plan together based on functional assessments and outcomes to support participation. The family is valued as an active member with decision-making role. IFSP ImplementationImplemented separately by disciplines and separate visits by disciplines. Team Lead works most frequently with the family. Team members coach the Team Lead to implement the plan across activity settings and may coach family on joint visits.

Coaching Building the capacity of care providers to promote child learning and development in family, community, and early childhood settings Occurs between team members to expand a practioner’s ability to reflect upon and learn from their practices

ReflectionFeedbackObservationPractice/ActionJoint Planning

Fundamental Characteristics of Teaming Practices Use a defined team Select a Team Lead as the team liaison to the family Provide team support for the Team Lead Adapted From: Shelden, M.L.. & Rush, D.D. (2013). The Early Intervention Teaming Handbook. Baltimore, MD: Paul H. Brookes Publishing Co.

AzEIP Core Team DSI SLP PT OT Clipart by Picsburg - Service Coordinator

Early Intervention Team ASDB Vision Specialist Social Worker Psychologist ASDB Hearing Specialist SC

Other IDEA, Part C Services – Assistive technology – Audiology – Family training, counseling, and home visits – Health services necessary to enable the child to benefit from another early intervention service – Medical services only for diagnostic or other evaluation purposes – Nursing – Nutrition – Transportation and related costs necessary for child and family to receive early intervention services – Vision services – Sign language and cued language

Equal Representation

Team Lead Who is a Team Lead? How is a Team Lead identified? What is the role of a Team Lead?

A Team Lead is...  PT  OT  SLP  DSI  Psychologist  Social Worker  ASDB Vision Specialist  ASDB Hearing Specialist

A Team Lead Is Chosen At the IFSP meeting by the IFSP team, which includes the parents Looking at the long – term needs Using a process according to four factors 1.Parent/family 2.Child 3.Environmental 4.Practitioner Shelden, M.L.. & Rush, D.D. (2013). The Early Intervention Teaming Handbook. Baltimore, MD: Paul H. Brookes Publishing Co. Parent/Family Child Environmental Practitioner

The Role of a Team Lead is to... Act as a liaison to the family and team Interact with the family most often Promote child participation within routines and activities Receive team support Have scheduling that is flexible, activity based and includes bursts of service

Dual Role Team Lead OT PT SLP DSI ASDB Hearing or Vision Specialist Also providing Service Coordination Not just DSI/SC

DDD Service Coordinators Service Coordinator on the team Provide dedicated service coordination only DDD/ALTCS Targeted Case Management (AHCCCS eligible) Access Non-Contracted Services Participate in Team Meetings

ASDB Hearing and Vision Specialists (formerly Outreach Coordinator or Certified Parent Advisor) ASDB Hearing and Vision Specialists are generally certified Teachers of the Deaf or Teachers of the Visually Impaired, qualified to provide: Service Coordination Special Instruction Vision Services: Functional Vision Assessment, Orientation and Mobility Sign Language and Cued Language

Implementation of Teams 1.All team members must be available as Team Lead 2.Attendance at team meetings 3.Team Lead selection process 4.Joint Visits 5.Infrequent change of Team Lead Shelden, M.L.. & Rush, D.D. (2013). The Early Intervention Teaming Handbook. Baltimore, MD: Paul H. Brookes Publishing Co.

Team Meetings Who should attend? Do we talk about every family EVERY week? What if I can’t be there? How is ASDB involved? How is DDD involved? How are parents involved? What if I need to talk about a child/family NOW? What if I work with multiple AzEIP teams? Microsoft Office Clip Art

Team Meeting Opportunity for team members to: Collaborate Coach one another Share information/Updates Brainstorm Microsoft Free ClipArt Images

Team Meetings Weekly Includes the following individuals: – Core Team Members – DDD and ASDB service coordinators – Non-core team members, as appropriate

Role of the Facilitator Pre-publish the agenda Ensure all items are addressed Start and stop the meeting on time Maintain timeframes for each item Ensure coaching interactions reflect – AzEIP Mission and Key principles – Evidence-based practice – Child and family outcomes – Family priorities and concerns Document discussions

Family Participation The family is invited to participate in Team Meetings regarding their family In person By Phone Team Lead reports back to family

Agenda Pre-IFSP activities Primary Coaching Opportunities Quarterly Updates Scheduling

Sample Agenda

Quarterly Meetings Intended to ensure that each family and each IFSP Team has the access and opportunity to involve the other core team disciplines in strategizing and problem-solving on behalf of the family.

Documentation of Quarterly Meetings

Coaching in Team Meetings Purposeful Prepared Documented

Things to Consider Employment vs Sub-Contracting Ensuring use of evidence-based practices by all team members Training expectations of core team Importance of working with ASDB and DDD Time and location of team meetings Building culture and trust within teams

Resources Shelden, M.L.. & Rush, D.D. (2013). The Early Intervention Teaming Handbook. Baltimore, MD: Paul H. Brookes Publishing Co.