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Slide 1 :

Early Intervention Early Childhood Special Education From Referral to Services Presented by: Lori Kellogg, Coordinator EI/ECSE, Northwest Regional Education Service District

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EI/ECSE Discussion Points Program description Program goals Referral Process Flowchart Eligibility criteria Professionals involved How services are provided Where services are provided Community collaboration

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Program Description EI- Early Intervention Provides services to children birth through age 2 with developmental delays, or at risk ECSE – Early Childhood Special Education Provides services to children ages 3 to 5 with developmental delays

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Program Description Statutorily mandated by federal and state Provided at no cost for eligible students

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Early Intervention Goals Provide parent training and coaching Assist in skill development Facilitate within routines and activities of everyday life

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Early Childhood Special Ed Goals Continuation of EI goals Promote educational skill development Least restrictive environment

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Referrals Anyone can make a referral Call local county contact per the Do You Have Concerns brochure.

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Referral/Eligibility Flowchart

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EI Referral Sources (birth through age 2) Parents, physicians, hospitals, clinics, Public Health, New Parent Network, anyone with a concern about a child’s development

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EI Referral Sources CAPTA – Child Abuse Prevention and Treatment Act Requires developmental screening for every child, birth to age 3 with substantiated case of abuse or neglect Federal requirement as of 2003

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EI Referral Sources EHDI - Early Hearing Detection and Intervention Mandates newborn hearing screening for infants born in hospitals with more than 200 births per year Enrollment in EI programs if hearing loss is substantiated

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EI Screening Process – No medical diagnosis Screening typically at home visit If developing typically per screening – no evaluation If delays suspected, an evaluation appointment is scheduled

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EI Evaluation Process – Medical diagnosis for a condition with established risk of developmental delay Referral information indicates a significant medical condition Medical records are requested to substantiate diagnosis CBA – curriculum based assessment completed It is not necessary to demonstrate delays

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EI Evaluation Standardized assessment is utilized for determining skill level in each of the following domains: Cognitive Adaptive (self-help) Gross motor Fine motor Social Communication

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EI Eligibility (birth to 2) OR Based on a physician’s statement of physical or mental condition likely to result in developmental delays. Some of these conditions may be extreme prematurity of birth, genetic syndromes, significant vision, hearing, or motor impairments. Significant delay in one or more developmental area (1.5 standard deviations (SD) or more below the mean in two or more developmental areas, or 2.0 SD below the mean in one area)

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EI Eligibility If evaluation demonstrates significant delays Meeting will be scheduled Eligibility IFSP developed based on child’s needs and family’s priorities and concerns If evaluation demonstrates typical development Non-eligibility completed

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EI Eligibility Categories Hearing Impairment Vision Impairment Deaf Blindness Orthopedic Impairment Autism Spectrum Disorder Physical or Mental Condition Likely to Result in Developmental Delay Developmental Delay

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EI Services Parent coaching model Based on individual child’s needs and family priorities Provided in natural environments Home Daycare Places where typically developing children may be with parents/caregivers

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EI Process Timeline EI referral to services 45 calendar days

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ECSE Referral (3 to 5 years of age) Re-evaluation - EI to ECSE Parents, preschools, daycares, physicians, Head Start, Public Health, others

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ECSE Evaluation Conducted in areas of suspected delay Must provide adequate information to consider eligibility and, if eligible, develop IFSP

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ECSE Eligibility Significant delay in one or more developmental areas (1.5 standard deviations or more below the mean) Adverse impact on student’s educational performance

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ECSE Eligibility Categories Communication Disorder Emotional Disturbance Hearing Impairment Deaf Blindness Vision Impairment Orthopedic Impairment Autism Spectrum Disorder Other Health Impairment Traumatic Brain Injured Mental Retardation Specific Learning Disability Developmental Delay

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ECSE Service Provided in least restrictive environment Based on child’s individual needs Determined by the IFSP team

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EI/ECSE Children in Oregon

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EI/ECSE Distribution of Disabilities in Oregon

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Professionals Involved Early Childhood Education Specialists (teacher) Speech/Language Pathologists Occupational Therapists Physical Therapists School Psychologists Autism Specialists Deaf/Hard of Hearing Specialist Vision Specialist Nurses Interpreters

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How Services are Provided Home visits Parent trainings Parent/Toddler classes Community consultation Speech/Language classes 1:1 instruction Self-contained preschools Integrated Preschool

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Community Collaboration Head Start New Parent Network Public Health Developmental Disabilities Mental Health Community preschools DHS-Child Welfare Local Universities

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Referral Process Review Anyone can make a referral Call local county contact per the Do You Have Concerns brochure. Observation and developmental screening If delays are suspected, evaluation is completed EI – In all developmental areas ECSE – In areas of suspected delay Eligibility Individual Family Service Plan (IFSP) IFSP defines goals and services

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