First Steps in Identification and Referral Wayla Murrow Technical Assistance and Outreach Coordinator Early Intervention Colorado Moniqua Herrington Training Coordinator Early Intervention Colorado ID: 574698
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Infants and Toddlers with Developmental Concerns: First Steps in Identification and Referral
Wayla Murrow, Technical Assistance and Outreach Coordinator, Early Intervention Colorado
Moniqua
Herrington, Training Coordinator, Early Intervention ColoradoSlide2
IntroductionsSlide3
ObjectiveParticipants will learn:
How to identify developmental concerns
How to talk with parents about these concerns
How to make a referral to Early Intervention ColoradoSlide4
CDC Learn the Signs.Act Early.
The Centers for Disease Control and Prevention (CDC)
Act Early
website is a rich resource for information on child development
Specific information for families, childcare providers and other early childhood educators
Many resources are available in multiple languages
www.cdc.gov/ncbddd/actearlySlide5
Five developmental periods
Basic structures of the brain form during the first few months in the prenatal period.
Infancy
(birth-age 2)
Early
childhood (ages 2-6)
Middle childhood (ages 6-10)
Early adolescence (ages 10-14)
Late adolescence (ages 14-18)Slide6
Child’s development is influenced by:Slide7
Developmental “Red Flags”Slide8
Two Months
Doesn’t respond to loud sounds
Doesn’t watch things as they move
Doesn’t smile at people
Doesn’t bring hands to mouth
Can’t hold head up when pushing up when on tummySlide9
Four Months
Doesn’t smile at people
Can’t hold head steady
Doesn’t watch things as they move
Doesn’t coo or make sounds
Doesn’t bring things to mouth
Doesn’t push down with legs when feet are placed on a hard surface
Has trouble moving one or both eyes in all directions
Some persisting reflexesSlide10
Six Months
Doesn’t try to get things that are in reach
Shows no affection for caregivers
Doesn’t respond to sounds around him
Has difficulty getting things to mouth
Doesn’t make vowel sounds (“ah”, “eh”, “oh”)
Doesn’t roll over in either direction
Doesn’t laugh or make squealing sounds
Seems very stiff, with tight muscles
Seems very floppy, like a rag dollSlide11
Nine Months
Doesn’t bear weight on legs with support
Doesn’t sit with help
Doesn’t babble (“mama”, “baba”, “dada”)
Doesn’t play any games involving back-and-forth play
Doesn’t respond to own name
Doesn’t seem to recognize familiar people
Doesn’t look where you point
Doesn’t transfer toys from one hand to the otherSlide12
One Year
Doesn’t crawl
Can’t stand when supported
Doesn’t search for things that she sees you hide
Doesn’t say single words like “mama” or “dada”
Doesn’t learn gestures like waving or shaking head
Doesn’t point to things
Loses skills he once hadSlide13
Eighteen Months
Doesn’t point to show things to others
Can’t walk
Doesn’t know what familiar things are for
Doesn’t copy others
Doesn’t gain new words
Doesn’t have at least 6 words
Doesn’t notice or mind when a caregiver leaves or returns
Loses skills he once hadSlide14
Two Years
Doesn’t use 2-word phrases (for example, “drink milk”)
Doesn’t know what to do with common things, like a brush, phone, fork, spoon
Doesn’t copy actions and words
Doesn’t follow simple instructions
Doesn’t walk steadily
Loses skills she once hadSlide15
Three Years
Falls down a lot or has trouble with stairs
Drools or has very unclear speech
Can’t work simple toys (such as peg boards, simple puzzles, turning handle)
Doesn’t speak in sentences
Doesn’t understand simple instructions
Doesn’t play pretend or make-believe
Doesn’t want to play with other children or with toys
Doesn’t make eye contact
Loses skills he once hadSlide16
Milestone MomentsSlide17
Watch Me: Celebrating Milestones and Sharing Concerns
https://
www.cdc.gov/ncbddd/watchmetraining/course.htmlSlide18
Making a Referral To Early InterventionThe Early Intervention Colorado (EI Colorado) program provides developmental supports and services to children birth through two years of age with developmental delays or disabilities.Slide19
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Birth through 2
Transition at age 3
Overview
of the
EI
ProcessSlide20
Flow of EI Funds and Requirements
Office of Special Education Programs, Federal Department of Education
Colorado Department of Human Services, Lead agency for the statewide interagency, coordinated system of EI services
Office of Early Childhood, Division of Community and Family Support
Early Intervention Programs, Community Centered Boards (CCB)Slide21
Let’s take a look at EI CO and Community Center Boards
Let’s take a look at
EI CO and Community Center Boards
http://www.eicolorado.org/
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Community Centered Boards
1.Blue Peaks Developmental Services 11. Imagine!
2.Colorado
Bluesky
Enterprises 12. Inspiration Field
3.Community Connections 13.Mountain Valley Developmental
Services
4. Community Options 14. North Metro Community Services
5. Developmental Disabilities 15. Rocky Mountain Human Services
Resource Center
6. Developmental Pathways 16.Southeastern Developmental Services7. Eastern Colorado Services 17.Southern Colorado Developmental Disabilities Services8. Envision 18. Starpoint 9.Foothills Gateway 19. Strive10. Horizons Specialized Services 20. The Resource ExchangeSlide24
Refer to Early Intervention:
A child under the age of three who is:
Suspected of having a developmental delay or a disability, or
Identified as having a condition that will likely result in a significant delay in development, or
A victim of a substantiated case of child abuse or neglectSlide25
Before You Make the Referral or Support the Family in Making the Referral:
How do you express your concerns about a child in your care to their parent or caregiver? Slide26
Talking with Parents About Developmental ConcernsSlide27
Talking with Parents About Developmental Concerns
Choose a time and place where you can talk alone
Share your thoughts in person
Make sure that you have enough time to talk
Schedule a time to sit down without distractions
Be prepared for strong emotions
Parents often sense there may be a problem but are afraid to talk about it
Be caring, supportive and respectful
Showing warmth and respect will build trust
Begin by saying something positive about the child
Point out several things that are strengths of the childSlide28
Talking with Parents About Developmental Concerns
Ask parents if they have any concerns or questions about how their child is developing
Respectfully ask the parent to share their observations
Choose your words carefully – give the facts, not judgment
Give specific examples of what you have observed
Share your own observations and concerns
Share information on typical development so parents can refer to it
Avoid using labels or technical terms
Keep it simple – you are not trying to present yourself as an expertSlide29
Talking with Parents About Developmental Concerns
Keep your eye on the goal - Encouraging a referral
Stress the importance of checking things out right away
Gently remind parents that getting support early can make a big difference
Be ready to offer information and resources
Be prepared to guide the parent through the next steps
Continue your support
Be understanding, listen and continue to offer help
Trust yourself
You are in a unique position to notice when a child is experiencing problemsSlide30
Talking with Parents About Developmental Concerns
Things to avoid when talking with parents:
Dismissing a parent’s concerns
Comparing one child to another. Each child is unique
Using labels or technical jargon
Scaring a parent: keep it positiveSlide31
Activity: Try it out!
Find a partner
Reference the tip sheets for talking with parents about developmental concerns
One partner acts as the provider, the other as the parent
Thinking of a child that you know of for whom there is a possible developmental concern, practice discussing this with the parent
Switch! Slide32
Public Awareness Materials from Early Intervention Colorado
www.eicolorado.orgSlide33
Harper Hope: A Parent’s View of the Power of Early Intervention
http://www.draccess.org/Slide34
Contact Information
Wayla Murrow, EI Colorado
Wayla.Murrow@state.co.us
Moniqua
Herrington, EI Colorado
Moniqua.Herrington@unco.edu
Visit:
http://www.eicolorado.org/
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Thank you for all you do to support children and families!