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I nfa nt T o ddle r E a rly I nte rve ntio n Pro g ra m (I T E I P) Wa shing ton Sta te E a rly Inte rve ntion Se rvic e s, F or De a f a nd Ha rd o f He a ring Sympo sium Childre n, Birth to T hre e K a thy Blo dg e tt, I T E I


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SLIDE 1

I nfa nt T

  • ddle r E

a rly I nte rve ntio n Pro g ra m (I T E I P)

Wa shing ton Sta te E a rly Inte rve ntion Se rvic e s, F

  • r

Childre n, Birth to T hre e

De a f a nd Ha rd o f He a ring Sympo sium K a thy Blo dg e tt, I T E I P Pro g ra m Co nsulta nt No ve mb e r 13, 2009 No ve mb e r 13, 2009

1

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SLIDE 2

Purpo se o f E a rly I nte rve ntio n

“T

  • e na b le yo ung c hildre n to b e a c tive

a nd suc c e ssful pa rtic ipa nts during the a nd suc c e ssful pa rtic ipa nts during the e a rly c hildho o d ye a rs a nd in the future in a va rie ty o f se tting s – in the ir ho me s, with a va rie ty o f se tting s in the ir ho me s, with the ir fa milie s, in c hild c a re , in pre sc ho o l

  • r sc ho o l pro g ra ms, a nd in the

c o mmunity.” E a rly Childho o d Outc o me E a rly Childho o d Outc o me Ce nte r

2

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SLIDE 3

Wha t Do e s the Pro g ra m Re q uire ?

I

DE A, Pa rt C re q uire s tha t e a rly inte rve ntio n se rvic e s a re a va ila b le to a ll e lig ib le infa nts a nd to ddle rs a nd the ir fa milie s the ir fa milie s.

3

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SLIDE 4

I ndividua ls with Disa b ilitie s E duc a tio n Ac t (I DE A) PART C Wa shing to n Sta te Pro g ra m

DSHS (De pa rtme nt o f So c ia l a nd He a lth

S i ) i f d l f di f Se rvic e s) re c e ive s fe de ra l funding fro m I DE A, Pa rt C to a ssure a sta te wide syste m

  • f se rvic e s.

T

he I nfa nt T

  • ddle r E

a rly I nte rve ntio n Pro g ra m (I T E I P), within Ag ing a nd Di b ilit S i Ad i i t ti Di i i Disa b ility Se rvic e s Administra tio n, Divisio n

  • f De ve lo pme nta l Disa b ilitie s, a dministe rs

the I DE A, Pa rt C pro g ra m.

4

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SLIDE 5

I DE A Pa rt C WA Sta te (c o nt ) I DE A, Pa rt C – WA Sta te (c o nt.)

DSHS c o lla b o ra te s with Offic e o f Supe rin-

te nde nt o f Pub lic I nstruc tio n (OSPI ), De p’ t

  • f He a lth (DOH), De p’ t o f E

a rly L e a rning

  • f He a lth (DOH), De p t o f E

a rly L e a rning (DE L ), a nd De p’ t o f Se rvic e s fo r the Blind (DSB) to imple me nt a sta te wide syste m o f se rvic e s se rvic e s.

I

DE A, Pa rt C pro vide s funding to e nha nc e sta te se rvic e s a nd a c tivitie s a s re q uire d b y sta te se rvic e s a nd a c tivitie s a s re q uire d b y the la w. Pa rt C funding is pa yo r o f la st re so rt a nd c a nno t b e use d to suppla nt sta te o r lo c a l funds sta te o r lo c a l funds.

5

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SLIDE 6

Co ng re ssio na l I nte nt Co ng re ssio na l I nte nt

T

h th d l t f i f t

T

  • e nha nc e the de ve lo pme nt o f infa nts

& to ddle rs with disa b ilitie s a nd minimize the ir po te ntia l fo r de ve lo pme nta l de la y. the ir po te ntia l fo r de ve lo pme nta l de la y.

T

  • re duc e the e duc a tio na l c o st to o ur

so c ie ty b y minimizing the ne e d fo r so c ie ty b y minimizing the ne e d fo r spe c ia l e duc a tio n a nd re la te d se rvic e s a fte r infa nts & to ddle rs with disa b ilitie s h h l re a c h sc ho o l a g e .

T

  • ma ximize the po te ntia l fo r individua ls

with disa b ilitie s to live inde pe nde ntly.

6

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SLIDE 7

E l I t ti L l C t t E a rly I nte rve ntio n L

  • c a l Co ntra c ts:

E

a c h g e o g ra phic se rvic e a re a ha s a c o ntra c t fo r funding to imple me nt e a rly inte rve ntio n se rvic e s. inte rve ntio n se rvic e s.

I

mple me nta tio n va rie s in e a c h se rvic e a re a a nd is b a se d o n lo c a l e a rly inte rve ntio n y se rvic e pla ns a nd inte ra g e nc y a g re e me nts.

7

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SLIDE 8

Ma in F unding So urc e s fo r E a rly Ma in F unding So urc e s fo r E a rly I nte rve ntio n Se rvic e s

Me dic a id/ Priva te I

nsura nc e

Sc ho o l Distric t Sta te Spe c ia l E

  • d. F

unding

Co unty Huma n Se rvic e s Child Co unty Huma n Se rvic e s, Child

De ve lo pme nt Se rvic e s F unding

I

T E I P Pa rt C (e nha nc e me nt pa o r o f la st

I

T E I P, Pa rt C (e nha nc e me nt, pa yo r o f la st

re so rt)

8

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SLIDE 9

Pa rt C E a rly I nte rve ntio n Se rvic e s Pa rt C E a rly I nte rve ntio n Se rvic e s

Audio lo g y Audio lo g y Spe c ia lize d I

nstruc tio n

Spe e c h T

he ra py

Ph

i l T h

Physic a l T

he ra py

Oc c upa tio na l T

he ra py

Othe r Pa rt C se rvic e s b a se d o n

individua l c hild/ fa mily ne e ds individua l c hild/ fa mily ne e ds

9

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SLIDE 10

Pro fe ssio na ls who Wo rk with Childre n with He a ring L

  • ss I

nc lude :

Audio lo g ists Aura l Re ha b ilita tio n Spe c ia lists Aura l Re ha b ilita tio n Spe c ia lists E

a rly I nte rve ntio n Spe c ia lists

E

a r/ No se / T hro a t Do c to rs

Spe e c h L

a ng ua g e Pa tho lo g ists

Spe e c h L

a ng ua g e Pa tho lo g ists

Othe rs a s ne e de d (e .g ., o c c upa tio na l

th i t ) the ra pists)

10

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SLIDE 11

Se rvic e s fo r Childre n with He a ring L

  • ss a re Pro vide d b y:

Birth to thre e pro g ra ms Birth to thre e pro g ra ms Priva te pro vide rs (e .g ., PI

P@ HSDC, L iste n a nd T a lk F a mily Co nve rsa tio ns @ CHMC a nd T a lk, F a mily Co nve rsa tio ns @ CHMC, Spe e c h a nd He a ring Clinic in Ya kima )

A fe w sc ho o l distric ts ha ve spe c ia lty A fe w sc ho o l distric ts ha ve spe c ia lty

pro g ra ms (e .g ., T a c o ma S.D.)

WA Sta te Ce nte r fo r Childho o d De a fne ss & WA Sta te Ce nte r fo r Childho o d De a fne ss &

He a ring L

  • ss (CDHL

) suppo rts E I se rvic e s in Va nc o uve r & No . Ce ntra l E SD - We na tc he e We na tc he e

11

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SLIDE 12

Se rvic e s fo r Childre n with He a ring g L

  • ss Ma y I

nc lude :

I di id

l h i ith f ili ith

I

ndividua l ho me se ssio ns with fa milie s with a fo c us o n: a dult-c hild c o mmunic a tio n, he a ring a id fitting a nd a djustme nt, e a rly he a ring a id fitting a nd a djustme nt, e a rly a udito ry de ve lo pme nt, e a rly visua l a nd spo ke n c o mmunic a tio n, info rma tio n

T

  • ddle r pla y g ro ups a nd pa re nt suppo rt

g ro ups

F

a mily sig n la ng ua g e c la sse s (in ho me a nd in g ro up se tting s)

12

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SLIDE 13

Wha t a b o ut c hildre n no t se rve d Wha t a b o ut c hildre n no t se rve d b y the se pro g ra ms? I T E I P Sta te wide Re so urc e s I T E I P Sta te wide Re so urc e s

I

T E I P c o ntra c ts with Wa shing to n Se nso ry

I

T E I P c o ntra c ts with Wa shing to n Se nso ry Disa b ilitie s Se rvic e s (WSDS) to suppo rt the lo c a l e a rly inte rve ntio n syste m in a ddre ssing ne e ds o f b irth to thre e ye a r o lds with he a ring ne e ds o f b irth-to -thre e ye a r o lds with he a ring lo ss (a nd visio n impa irme nt).

WSDS pro vide s sta te wide tra ining a nd WSDS pro vide s sta te wide tra ining a nd

c o nsulta tio n to I T E I P syste m/ pro vide rs, with a c tivitie s va rying with funding a va ila b le .

13

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SLIDE 14

WSDS O i B 3 A ti iti WSDS Ong o ing B-3 Ac tivitie s:

Sta te wide tra ining o f e a rly inte rve ntio n

pe rso nne l; c o nfe re nc e pre se nta tio ns

L

e nding lib ra ry/ re so urc e s fo r fa milie s

On site te c hnic a l a ssista nc e (T

A) a nd

On-site te c hnic a l a ssista nc e (T

A) a nd c o nsulta tio n to b irth-to -thre e pro g ra ms o n individua l ne e ds o f c hildre n/ fa milie s individua l ne e ds o f c hildre n/ fa milie s

T

A re g a rding ne e ds o f c hildre n who a re de a f/ ha rd o f he a ring de a f/ ha rd o f he a ring

14

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SLIDE 15

i j ( ) WSDS B-3 Spe c ia l Pro je c ts (DHH):

With funding fro m DOH (2004 2009): With funding fro m DOH (2004 – 2009):

Suppo rt fo r ta rg e te d c o untie s to impro ve

E HDDI t E HDDI syste ms

T

a rg e te d c o unty tra ining s o n e a rly g y g y inte rve ntio n ne e ds o f DHH infa nts/ to ddle rs

Sta te wide tra ining o f 50+ e a rly inte rve ntio n Sta te wide tra ining o f 50+ e a rly inte rve ntio n

pro vide rs o n SKI-HI Cur

r ic ulum

F ll

hi f SK I HI d t

F

  • llo w-up c o a c hing o f SK

I

  • HI

g ra dua te s

15

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SLIDE 16

f i i Go a l o f SK I

  • HI

T ra ining :

T

  • inc re a se lo c a l c a pa c ity to suppo rt

fa milie s o f infa nts/ to ddle rs with he a ring lo ss, g thro ug h:

Spe c ia lize d tra ining o f e a rly inte rve ntio n Spe c ia lize d tra ining o f e a rly inte rve ntio n

pro vide rs, te a c he rs o f the de a f/ ha rd o f he a ring , & o the r pe rso nne l, pa ire d with g p p

Ong o ing c o a c hing a nd suppo rt a s SK

I

  • HI

g ra dua te s a pply skills a nd kno wle dg e g ra dua te s a pply skills a nd kno wle dg e

16

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SLIDE 17

WSDS B-3 Spe c ia l Pro je c ts (c o nt.):

With funding fro m I T E I P a nd ODHH (2008):

T

ra ining o f sta ff o f re g io na l de a f/ ha rd o f

T

ra ining o f sta ff o f re g io na l de a f/ ha rd o f he a ring se rvic e c e nte rs o n Pa rt C a nd e a rly inte rve ntio n ne e ds o f infa nts/ to ddle rs with he a ring lo ss a nd the ir fa milie s

Co unty pla nning me e ting s fo r DHH re g io na l Co unty pla nning me e ting s fo r DHH re g io na l

se rvic e c e nte r sta ff a nd e a rly inte rve ntio n pro vide rs

17

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SLIDE 18

I T E I P/ DOH E ffo rts

I

T E I P a nd DOH ha ve a n da ta sha ring t i l t t h hild i a g re e me nt in pla c e to ma tc h c hildre n in the E HDDI da ta b a se to c hildre n in the I T E I P da ta b a se I T E I P da ta b a se

Wo rking to de te rmine ho w ma ny

hild id tifi d ith h i l c hildre n ide ntifie d with he a ring lo ss a re re fe rre d to the e a rly inte rve ntio n syste m

18

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SLIDE 19

T

  • Ma ke Re fe rra ls I

nto E a rly T

  • Ma ke Re fe rra ls I

nto E a rly I nte rve ntio n Syste m:

Ca ll the F

a mily He a lth Ho tline a t 1- 800-

322- 2588 fo r the na me o f the L

e a d F a mily

322 2588 fo r the na me o f the L

e a d F a mily Re so urc e s Co o rdina to r in yo ur a re a .

Or visit the I

T E I P we b site a t

Or, visit the I

T E I P we b site a t http:/ / www.dshs.wa .g o v/ ite ip/ a nd c lic k

  • n “Co nta c ts, Sta ff a nd Pro vide rs” to find

th f th L d F il R the na me o f the L e a d F a mily Re so urc e s Co o rdina to r in yo ur a re a .

19

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SLIDE 20

Supple me nta l I nfo rma tio n

1 E lig ib ility Crite ria fo r I nfa nts a nd T

  • ddle rs
  • 1. E

lig ib ility Crite ria fo r I nfa nts a nd T

  • ddle rs

with He a ring L

  • ss

2 I nfo rma tio n a b o ut E a rly I nte rve ntio n

  • 2. I

nfo rma tio n a b o ut E a rly I nte rve ntio n

  • 3. Wha t is a n I

F SP?

20

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SLIDE 21

E li ib ilit E lig ib ility

A c hild is e lig ib le if he o r she de mo nstra te s

a de la y o f 1.5 sta nda rd de via tio n o r 25% o f c hro no lo g ic a l a g e de la y in o ne o r mo re c hro no lo g ic a l a g e de la y in o ne o r mo re de ve lo pme nta l a re a s (Physic a l (inc luding

visio n, he ar

ing, fine o r gro ss mo to r

), Co g nitive Co mmunic a tio n So c ia l o r Co g nitive , Co mmunic a tio n, So c ia l o r E mo tio na l, a nd Ada ptive ); OR

Ha s a dia g no se d physic a l c o nditio n (e g Ha s a dia g no se d physic a l c o nditio n (e .g .,

he a ring loss) o r me nta l c o nditio n tha t ha s

a hig h pro b a b ility o f re sulting in a de ve lo pme nta l de la y de ve lo pme nta l de la y.

21

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SLIDE 22

De finitio n o f “De la y” He a ring De finitio n o f De la y - He a ring

He aring lo ss that adve rse ly affe c ts a He aring lo ss that adve rse ly affe c ts a c hild’s de ve lo pme nt:

  • il t

l i l l d/

Unila te ra l se nso rine ura l lo ss a nd/ o r

pe rma ne nt c o nduc tive lo ss o f 45 dB o r g re a te r g re a te r.

Bila te ra l se nso rine ura l lo ss a nd/ o r

pe rma ne nt c o nduc tive lo ss, whic h inc lude s:

22

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SLIDE 23

De finitio n o f “De la y” He a ring (c o nt ) De finitio n o f De la y – He a ring (c o nt.)

He a ring lo ss o f 20 dB o r g re a te r, a t b e tte r

g g e a r a ve ra g e o f fre q ue nc ie s 500, 1,000, a nd 2,000 Hz.

Hig h fre q ue nc y lo ss g re a te r tha n 25 dB

a t two o r mo re c o nse c utive fre q ue nc ie s f th f i

  • r a ve ra g e o f thre e fre q ue nc ie s

b e twe e n 2,000 a nd 6,000 Hz, in the b e tte r e a r e a r.

L

  • w fre q ue nc y he a ring lo ss g re a te r tha n

30 dB a t 250 a nd 500 Hz, in the b e tte r 30 dB a t 250 a nd 500 Hz, in the b e tte r e a r.(o r)

23

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SLIDE 24

De finitio n o f “De la y” He a ring (c o nt ) De finitio n o f De la y – He a ring (c o nt.)

T

hre sho lds g re a te r tha n 25 dB o n Audito ry Bra inste m Re spo nse thre sho ld te sting in the b e tte r e a r. (o r)

A six-mo nth histo ry o f fluc tua ting

c o nduc tive he a ring lo ss o r c hro nic iddl ff i / i f ti f th middle e a r e ffusio n/ infe c tio n o f thre e mo nths, unre so lve d pa st initia l e va lua tio n e va lua tio n.

24

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SLIDE 25

E a rly I nte rve ntio n Se rvic e s E a rly I nte rve ntio n Se rvic e s

E

a rly inte rve ntio n se rvic e s inc lude F a mily

E

a rly inte rve ntio n se rvic e s inc lude F a mily Re so urc e s Co o rdina tio n b y a F a mily Re so urc e s Co o rdina to r (F RC).

F

a mily Re so urc e s Co o rdina to rs (F RCs) a ssist fa milie s who ha ve c hildre n, a g e s b irth-to - thre e with disa b ilitie s thro ug h: thre e , with disa b ilitie s thro ug h:

Sc re e ning , e va lua tio n a nd a sse ssme nt; De ve lo pme nt o f a n I

F SP;

De ve lo pme nt o f a n I

F SP;

I

mple me nta tio n o f e a rly inte rve ntio n se rvic e s; &

T

ra nsitio n o ut o f e a rly inte rve ntio n a t a g e thre e .

25

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SLIDE 26

Multi Ag e nc y Co o rdina tio n a nd F unding is Multi-Ag e nc y Co o rdina tio n a nd F unding is E sse ntia l to Se rvic e De live ry No sing le a g e nc y is o b lig a te d to pro vide

e ve ry se rvic e o n the I F SP.

I

F SP se rvic e s a re c o o rdina te d a mo ng a va rie ty o f c o mmunity a g e nc ie s with Pa rt C f di th ‘ f l t t’ C funding a s the ‘ pa yo r o f la st re so rt’ .

I

F SP T e a m ma y a c c e ss a numb e r o f i l di M di id i t re so urc e s, inc luding Me dic a id, priva te insura nc e , T ri-We st, SCHI P, Co unty De ve lo pme nta l Disa b ilitie s, sc ho o l De ve lo pme nta l Disa b ilitie s, sc ho o l distric ts.

26

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SLIDE 27

T he I F SP T he I F SP

T

he individua lize d fa mily se rvic e pla n

T

he individua lize d fa mily se rvic e pla n (I F SP) is the he a rt a nd g lo b a l pla n o f Pa rt C se rvic e s.

F

  • c us is o n the c hild’ s de ve lo pme nt

within the c o nte xt o f the fa mily’ s c o nc e rns, prio ritie s, a nd re so urc e s. c o nc e rns, prio ritie s, a nd re so urc e s.

I

nc lude s o utc o me s fo r the c hild a nd fa mily (to e nha nc e the de ve lo pme nta l y ( p ne e ds o f the ir c hild).

27

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SLIDE 28

F

  • r a dditio na l info rma tio n:

Infa nt T

  • ddle r E

a rly Inte rve ntion Prog ra m

(360) 725 3500 (360) 725-3500 www.dshs.wa .g o v/ ite ip

Wa shing ton Se nsory Disa bilitie s Se rvic e s

(800) 572 7000 (800) 572-7000 www.wsdso nline .o rg

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