Teaming and Team Meetings Objectives To understand the

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:

Component Multidisciplinary Team-Based Early Intervention Team Interaction Team 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. Communication Typically informal; members may not think they are part of a team. Team members meet regularly to participate in coaching interactions including reflection and feedback. Characteristics of Team Based Early Intervention Adapted from Pletcher, Lynda. FIT Program: The Transdisciplinary Team Approach. (2012). 6

Component Multidisciplinary Team-Based Early intervention IFSP Development Members 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 Implementation Implemented separately by Team Lead works most disciplines and separate visits frequently with the family. by disciplines. Team members coach the Team Lead to implement the plan across activity settings and may coach family on joint visits. Characteristics of Team Based Early Intervention Adapted from Pletcher, Lynda. FIT Program: The Transdisciplinary Team Approach. (2012). 7

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

Reflection Joint Planning Practice/Action Feedback Observation

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.

Az. EIP Core Team DSI SLP Service Coordinator OT PT Clipart by Picsburg - http: //free. clipartof. com/

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

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. 2. 3. 4. Parent/family Child Environmental Practitioner Parent/Family Child Environmental Practitioner Shelden, M. L. . & Rush, D. D. (2013). The Early Intervention Teaming Handbook. Baltimore, MD: Paul H. Brookes Publishing Co.

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 Also providing PT SLP DSI ASDB Hearing or Vision Specialist 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? What if I can’t be there? Do we talk about every family EVERY week? How is ASDB involved? What if I work with multiple Az. EIP teams? How is DDD involved? Microsoft Office Clip Art How are parents involved? What if I need to talk about a child/family NOW?

Team Meeting Opportunity for team members to: • Collaborate • Coach one another • Share information/Updates • Brainstorm Microsoft Free Clip. Art 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 – Az. EIP 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 • www. coachinginearlychildhood. org • http: //ectacenter. org/ • www. azdes. gov/azeip • www. nau. edu/sbs/ihd/programs/asdtp Shelden, M. L. . & Rush, D. D. (2013). The Early Intervention Teaming Handbook. Baltimore, MD: Paul H. Brookes Publishing Co.