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Part C RDA: What’s the Plan?Sue Bainter & Cindy Hankey, RBEI Statewide CoordinatorsKristi Chessmore, Melissa Foote, & Marcia Henline, PRT 27Karen Verraneault, PRT 10Melissa Jantz & Margaret Jensen, PRT 29Kristy Feden, Kodi Lewis, Sheila Brodersen & Gina Long, PRT 23
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Nebraska’s Part C SiMR
Federal Child Outcome 3B
Acquisition and Use of Knowledge and Skills
(includes Early Communication)
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We chose this SiMR because…
• Child Outcome Data shows Low Performance
• IFSP Monitoring shows a need for:
• VS.
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THEN
Nebraska’s Hypothesis
IF THEN
• EI programs will implement routines-based early intervention with all infants/toddlers eligible for early intervention, and their families
• The number and percentage of infants and toddlers who report progress in the acquisition and use of knowledge and skills will increase.
• The State provides support and resources to local EI programs to implement authentic, evidence-based child and family assessments and quality home visits
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Our 3 Improvement Strategies are:
RBI
Functional IFSP
Outcomes
Quality Home Visits
A Routines-based Approach to Early Intervention
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Why these three?
Meets Rule 52 regulations for child and family assessments;
Structured to help families identify their priorities
Already being used in 10 EI Programs in Nebraska
The RBI because…….
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Functional Outcomes because…
Product of the RBIRelates to specific parts of the family’s
day Provides a structure to help families
express own needs
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Routines-Based Home Visits because…
Functional IFSP outcomes guide quality home visits
Builds the family’s capacity to support their child’s learning
Based on the evidence about how young children learn
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How is all this happening?
Nebraska’s Part C Statewide Implementation
Plan
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Where are we at as a state?
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Pilots: Year 1
22
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Pilots: Year 2
19
21
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Local PRTs: PRT 10
• Providing facilitated Nebraska Team Self Assessment
• Compiling action steps• Pursuing approval for internal RBI trainer/coaches
for their local region
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Local PRTs: PRT 29
• Hosting own RBI Boot Camp
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Stakeholders: PRT 23
• Making sure entire region is trained• Problem-solving RBI implementation – successes
& challenges• Piloting IFSP Outcome Quality Checklist
15
14 16 3710
11
13
26
2320
18
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Sustaining Progress: Beyond RBI Implementation
PR23: Current StatusPR23/PLSD Early Intervention Competencies:• Embedded evidence-based practices outlined in the
team self-assessment• RBI consistent step in our evaluation process• RBI leads to development of functional outcomes• Primary Service Provider Model/Coaching strategies
used to improve child and family outcomes
Maintenance of Training: Early Intervention Team • Nebraska RBI Recommended Training Practices• Currently have 1 person finishing the process—8
others approved
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From Data Analysis to Area of Focus
What does some of the PR23 data tell us?
According to the 2012-2013 Family Survey 90.91% of families who responded have indicated they were given information about modifications of routines, activities, and the physical setting that would help their child.
In 2013-2014, 94.9% of families who responded report EI services have helped them or their family make changes in family routines that will benefit their child with special needs.
In 2012-2013, 95.45% of families who responded indicated early intervention services have helped families evaluate how much progress their child was making. That number grew to 97.4% in 2013-2014.
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Post-Data AnalysisStrategies to Sustain Progress
Focus for Improvement: Family Engagement Outcome: 100% completion of RBI for all families
eligible for Early InterventionIFSP Quality Outcomes Checklist
Goal: Early Intervention team will apply the Quality Outcomes Checklist Criteria to at least 2 IFSP’s by
December 2014 (Baseline)RBI Implementation Checklist
Goal: Early Interventionist will demonstrate at least 85% of observed skills on the RBI implementation
checklist by May 2015RBI Second Interviewer Checklist
Not introduced: Target implementation during the 2015-2016 School Year
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How can you get started in your region?
Arrange for PRT–wide Team Self-Assessment by Contacting:
m
The facilitated self assessment is a required prerequisite for RBI and functional IFSP
Training.
Cindy [email protected]
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What can you do to get ready for RBI training?
EDN TA Guide:http://edn.ne.gov/cms/technical-assistance-guidebook
EDN Services Coordination Manual:http://www.sos.ne.gov/rules-and-regs/regsearch/Rules/Health_and_Human_Services_System/Title-480/Chapter-03.pdf
NECTAC Key Principles:http://ectacenter.org/~pdfs/topics/families/Finalmissionandprinciples3_11_08.pdf
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Thank You