1. Reaching Team Consensus How Do You Rate? Infant & Toddler Connection of Virginia

2. Informed Decisions Conditions: 1.Operational definitions of the observed attributes 2.Structured rating format to record informed opinion 3.Gather data from multiple sources 4.Establish consensus- decision making process 5.Provide training to facilitate reliable ratings Research on clinical judgment shows that professionals can reach reliable conclusions under certain conditions The process meets all of these conditions.

3. Essential Elements for an Effective Child Indicators Summary Process Understanding of Indicators and Summary Statements Assessment Working as a team Functional development Age-expected child development Involving families

4. Review of the Three Child Indicators

5. Outcomes Jeopardy Pointing to the cabinet for cereal Reading the letter “S” on the Stop sign Washes hands before lunch Biting Plays by himself in the classroom Plays with rhyming words Building a castle from blocks with a friend Problems sleeping Sharing a cookie at lunchtime 5 $100 $200 $100 $300 $200 $300 $200 $100 $300 Indicators Jeopardy

6. How Did You Rate? Child Indicators

7. http://www.cde.state.co.us/media/ResultsMatter/RMSeries/ChildOutcomesStepByStep.asp

8. Need more information about the three Child Indicators?

9. Comparison to Age Expected Function Understanding the 7 Point Scale

11. All of the skills we would expect Many age expected skills with some skills of a younger child Very early skills that we would expect of a much younger child Some age-appropriate functioning but very little Many important skills that are nec. for development of more adv. skills Age expected skills– some concerns Occasional use of some AE skills with more skills of a younger child Beginning to show some early skills nec. for development of more adv. skills All of the skills we would expect $300 Rating Scale Jeopardy $200 $100 $300 $200 $100 $300 $100

12. How Did You Rate? Seven Point Scale

13. Need more information about the points on the rating scale?

14. How Do You Rate? Other Essential Knowledge Needed

15. Increasing Interrater Reliability Essential Elements Needed Team Activity

16. Informed Decisions Conditions: 1.Operational definitions of the observed attributes 2.Structured rating format to record informed opinion 3.Gather data from multiple sources 4.Establish consensus- decision making process 5.Provide training to facilitate reliable ratings Research on clinical judgment shows that professionals can reach reliable conclusions under certain conditions The process meets all of these conditions.

17. Team Practice

18. Essential Elements for an Effective Child Indicators Summary Process Understanding of Indicators and Summary Statements Assessment Working as a team Functional development Age-expected child development Involving families

19. Questions?

20. THANK YOU! Contact Information Beth Tolley beth.tolley@dbhds.virginia.gov Phone: 804-371-6595 Anne Brager Anne.brager@dbhds.virginia.gov Phone: 434-338-7747