copyright 2018 kencrest services...family guided routines-based intervention are flexible,...


AGENDA

1. Why is a routines-based approach being used in Pennsylvania?

2. What is routines-based Intervention (RBI)?

3. How do we implement RBI?


OBJECTIVES

Participants will learn:

The importance of a routines-based approach

Tools to use to identify family routines

How to build intervention into family activities and routines


PENNSYVLANIA APPROACH TO THE DELIVERY OF EI SERVICES

“ Early intervention supports and services are embedded within learning opportunities that exist in the child’s typical routines, within the home and community activities, and/or

early education programs”

- Office of Child Development and Early Learning


Routines Based Video

Please click the link below to view the video on YouTube and,

return to the slide show after viewing

https://www.youtube.com/edit?o=U&video_id=-ZUqdIOaO9Y

https://www.youtube.com/edit?o=U&video_id=-ZUqdIOaO9Yhttps://www.youtube.com/edit?o=U&video_id=-ZUqdIOaO9Yhttps://www.youtube.com/edit?o=U&video_id=-ZUqdIOaO9Yhttps://www.youtube.com/edit?o=U&video_id=-ZUqdIOaO9Y


PENNSYVLANIA APPROACH TO THE DELIVERY OF EI SERVICES

“ Early intervention personnel work collaboratively with the family and each

other to provide coordinated, flexible early intervention supports and services”

- Office of Child Development and Early Learning


WHAT IS ROUTINES-BASED INTERVENTION?

“Routines are an important context for teaching and learning because they offer a familiar framework to build

skills for the child. RBI is a systematic approach that is individualized to accommodate the child’s skills and

preferences within daily routines.”

- Julianne Wood


THE PLAN

….is a promise to children and families - a promise that their strengths will be recognized and built on, that their needs will be met in a way that is respectful of

their beliefs and values, and that their hopes and aspirations will be encouraged and enabled.


What are successes and challenges related to implementing a routines-

based approach? Record responses on answer sheet

Routines-based Intervention


Family guided routines-based intervention are flexible, adaptable, and change with child and family.

Family preference guides the intervention and is the foundation.

Our role is to help the child learn and gain independence in typical activities that occur within family life.


Routines may include child-initiated play activity, daily care routines, community activity, or early

education activity.


Ask the family how things are going now and brainstorm ways that intervention can be embedded into their daily

routines and be practiced throughout the day.


Routines vary with the age of the child, the interests of the family, and the changing availability of community and family

resources.


What are typical routines for children?

Meals and Snacks

Bathing and Washing Up

Dressing and Undressing

Diapering/Toileting/Hygiene

Car Travel

Story Time

Games and Songs

Outdoor Play

Medical Needs

TEACHING AND LEARNING OPPORTUNITIES INCLUDE:


Lecture

5% Reading

10%

Audio / Visual

20%

Demonstration

30%

Group Discussion

50%

Practice by Doing

_75%

Teach Others/Direct Application Immediate

90%

LADDER OF LEARNING


ADVANTAGES OF EMBEDDING EARLY

INTERVENTION IN ACTIVITIES AND ROUTINES

It is the framework for intervention.

Facilitates generalization of skills.

Assures multiple opportunities to practice functional skills.

Maximizes caregiver involvement.


ADVANTAGES OF EMBEDDING EARLY

INTERVENTION IN ACTIVITIES AND ROUTINES

Reinforces and builds on what caregivers are already doing.

Emphasizes the development of functional and meaningful skills.

Minimizes motivational problems.

Facilitates ongoing assessment and evaluation of progress.


WHAT ARE IMPORTANT CONSIDERATIONS IN RBI?

Encourage families to share the routines and activities that are part of family life.

Help families to do existing routines more easily.

Work to increase the child’s participation in the activities.

Embed strategies in routines and activities so that a child’s opportunities to reach IFSP outcomes are increased.


SOME SUGGESTIONS FOR COMMON ROUTINES

Picking up toys Car travel

Getting the Mail Grocery Shopping Setting the table

Singing/Dancing with TV Picking siblings up at school

Eating Meals Going to bed

Moving Around the house

Walking up/down stairs Bus Travel

Going to visit family/friends Going to Church

Doctor’s Appointment Playground

Getting Dressed Bathing/Hair Washing

Socializing with other children Feeding Pets


A Day in the Life: Annie

Please click the link below to view the video on

YouTube and, return to the slide show after viewing:

https://www.youtube.com/watch?v=3CyktkpKpc8

https://www.youtube.com/watch?v=3CyktkpKpc8https://www.youtube.com/watch?v=3CyktkpKpc8https://www.youtube.com/watch?v=3CyktkpKpc8


CHOOSING THE ROUTINE

Identify preferred times/events in the schedule

Build on child’s interests

Look for successful teaching strategies already used

Promote positive interactions

Make sure the routine is functional

Be flexible and adaptable


CONVERSATION STARTERS

Tell me about your day………

What activities does your child enjoy?

What activities are difficult?

Who are important people?

Are there opportunities for your child to interact with other children?


TOOLS FOR GATHERING INFORMATION

These tools help us to…

Find out what routines/activities exist

Determine family or teacher priority activities/routines

Determine child/family interest

Find out what is going well and what is not

Suggest new activities


1. Identify materials and toys already available. Plan ahead to incorporate those materials into next visit.

2. Join caregiver and child in activities occurring throughout the household/center when you arrive.

3. Plan activities for next visit before you leave.

10 STEP PROGRAM TO DECREASE TOY BAG DEPENDENCE


4. Plan a special activity with caregiver (park, walk, gardening, cooking)

5. Organize a play date with other children and care providers

6. Ask the family to get preferred objects/toys from another area of the house. Follow child’s lead and move into other area.

10 STEP PROGRAM TO DEVREASE TOY BAG DEPENDENCE


7. Fading: decrease the size of the bag.

8. Leave the toy bag by the door. Join in the child’s activities.

9. Hybrid-forgetfulness, walk in empty handed-What’s wrong? Put materials common in house in toy bag. Ask, isn’t this like yours?



10. Demonstrate use of a toy that includes opportunities to practice a skill such as putting objects in small spaces. Then look around the house for toys or other materials that could provide additional practice for the same skill.



Discuss family expectations during those routines: what is going well and what is not? Help with difficult

times - any family activity/routine can be an opportunity for learning. Be an observer in these routines so you can build upon the strategies the

caregiver already


CASE EXAMPLE

Janet is the mother of a 16 month old child with developmental delays related to pre-maturity. She

believes that the interventionists in her home are the experts and should spend their hour long visits with her son Nicholas. Janet leaves the room when the

interventionists arrive and uses this time to clean and make personal phone calls. How can the

interventionists encourage Janet to become more involved in their visits?


Handouts

Resources from Florida State University

Family Guided Routines Based

Intervention Project

Who Practices Speech More?

Getting to Know Your Child

http://www.kencrest.org/kencrestacademy/images/product_files/128.pdfhttp://www.kencrest.org/kencrestacademy/images/product_files/128.pdfhttps://www.google.com/url?q=http://tactics.fsu.edu/pdf/HandoutPDFs/TaCTICSHandouts/NaturalEnvironments/math_blank.doc&sa=U&ved=0ahUKEwiGkPvvtMvZAhWBrVkKHfQ7AGEQFggEMAA&client=internal-uds-cse&cx=009541716445926277697:h11gti2evg8&usg=AOvVaw1NX3TP7-vxEX6KyNblv-1Ohttps://www.google.com/url?q=http://fgrbi.fsu.edu/handouts/approach1/GTKYC.doc&sa=U&ved=0ahUKEwi23caKtsvZAhXQ0FMKHS_JA0cQFggEMAA&client=internal-uds-cse&cx=009541716445926277697:h11gti2evg8&usg=AOvVaw1Qghx9TPXspVnqVkjCgfve


Completion Instructions

• Complete the Quiz below

(please be sure to add your name and date)

• Print the Certificate of Completion, add your name, signature and date, and return to your supervisor along with the quiz results.

Thank you for completing this online module!

Routine-Based Intervention Quiz

Name: Date:

1. What are some successes and challenges related to implementing a routines-based approach?

2. List 3-4 advantages of embedding early intervention into activities and routines.

3. List 2-3 ways to decrease toy bag dependencies.

4. List some common routines that we can embed in early intervention.

5. Review the case example and explain how you could encourage Janet (mother) to become more involved in home visits.

Supervisor Signature Date

2017/2018

`

This is to certify that has completed Name

1 Hour(s) of Routines-Based Intervention (no breaks) (name of training)

on at KenCrest Online Training Module (Date) (Location)

Created by: Kate Gara

Trainee Signature:

Supervisor Signature

iQ

17/18

Routines-based Intervention (PDF).pdfRBI Completion Docs.pdf

copyright 2018 kencrest services...family guided routines-based intervention are flexible,...

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