Home VisitingHome Visiting

Newbies TrainingNewbies Training

Disciplinary RolesDisciplinary Roles

Service CoordinatorsService Coordinators IntakeIntake Service coordinationService coordination Facilitate IFSPFacilitate IFSP Connect family to community resources Connect family to community resources

(insurance, respite care, etc.)(insurance, respite care, etc.)

Disciplinary RolesDisciplinary Roles

Development Specialist/ProvidersDevelopment Specialist/Providers Ongoing family support and trainingOngoing family support and training Specialists in cognitive and social-Specialists in cognitive and social-

emotional developmentemotional development Generalists in communication, sensory, Generalists in communication, sensory,

adaptive, and motor developmentadaptive, and motor development

Disciplinary RolesDisciplinary Roles

SpecialistsSpecialists Oversee and provide services and Oversee and provide services and

interventions in their area of specialtyinterventions in their area of specialty Consult with providersConsult with providers Evaluate children and provide intervention Evaluate children and provide intervention

strategiesstrategies Not usually the primary providerNot usually the primary provider

Components of Home Components of Home VisitingVisiting

SStatustatus OObservationbservation AActivityctivity PPlanlan

StatusStatus

Follow-up from last visitFollow-up from last visit Child’s progressChild’s progress New things child is doingNew things child is doing ““Mom/dad reports…”Mom/dad reports…” Family concernsFamily concerns

ObservationObservation

Child’s performance during visitChild’s performance during visit ““Liz said ‘in’ and ‘more’ while we were Liz said ‘in’ and ‘more’ while we were

playing with the shape sorter.”playing with the shape sorter.” ““Bradley matched 3 of the 5 pictures.”Bradley matched 3 of the 5 pictures.” ““Lisa had just woken up from a nap and Lisa had just woken up from a nap and

was slow to warm up.”was slow to warm up.” Can put next stepsCan put next steps

““Jeff is now ready to match picture to picture.”Jeff is now ready to match picture to picture.”

ActivityActivity Description of what was done during the Description of what was done during the

visitvisit ““We practiced matching objects to We practiced matching objects to

pictures.”pictures.” ““Aaron signed ‘more’ with minimal Aaron signed ‘more’ with minimal

prompting to request puzzle pieces”prompting to request puzzle pieces” Discussed mom’s concerns about Nathan’s Discussed mom’s concerns about Nathan’s

sleep and provided strategies.sleep and provided strategies. Parent observed & parent practiced- check Parent observed & parent practiced- check

boxesboxes

PlanPlan

““To do” listTo do” list Be careful of the number of Be careful of the number of

suggestions givensuggestions given Help parent plan for further Help parent plan for further

implementation in daily routinesimplementation in daily routines

Model and CoachModel and Coach

Model the activityModel the activity Coach the parent on the activityCoach the parent on the activity Document how it was doneDocument how it was done

PIWI ModelPIWI Model

Establish a dyad between provider Establish a dyad between provider and child during the activity (model).and child during the activity (model).

Establish a triad between provider, Establish a triad between provider, child, and parent during the activity child, and parent during the activity (model, coach).(model, coach).

Fade assistance so there is a dyad Fade assistance so there is a dyad between the child and parent during between the child and parent during the activity (coach).the activity (coach).

PIWI ModelPIWI Model

What are good ways to establish a triad?What are good ways to establish a triad? ““Mom’s turn!”Mom’s turn!” ““Show dad how you can match?”Show dad how you can match?” ““Toss the ball to dad.”Toss the ball to dad.”

What are good ways to establish a parent-What are good ways to establish a parent-child dyad?child dyad? ““You two play the game.”You two play the game.” ““You guys can do the puzzle while I write the You guys can do the puzzle while I write the

report.”report.”

IndividualizeIndividualize

Make sure the activity is Make sure the activity is individualized to the needs of the individualized to the needs of the child and family.child and family.

It’s OK to do similar activities on It’s OK to do similar activities on multiple visits as long as they are multiple visits as long as they are individualized.individualized.

Completing the Home Visit Completing the Home Visit ReportReport

SOAPSOAP Filing – make copy for shadow file Filing – make copy for shadow file

(optional) and place in file box(optional) and place in file box DocumentDocument

No-showsNo-shows Cancellations (enter into BTOTS)Cancellations (enter into BTOTS) Scheduling (enter into BTOTS)Scheduling (enter into BTOTS) Telephone calls (enter into BTOTS)Telephone calls (enter into BTOTS)

Documenting Documenting Communication with a Communication with a

Family in BTOTSFamily in BTOTS Appointment KeptAppointment Kept Provider CanceledProvider Canceled

We are obligated to offer the family a make-up visitWe are obligated to offer the family a make-up visit We should avoid entering this!We should avoid entering this!

Non-Billable Family CanceledNon-Billable Family Canceled If family calls well enough in advance to cancel appointmentIf family calls well enough in advance to cancel appointment Good practice to offer a make-up visit, but we are not obligatedGood practice to offer a make-up visit, but we are not obligated

Billable Family CanceledBillable Family Canceled If a family cancels last minute (use your best judgment)If a family cancels last minute (use your best judgment)

No Show- FamilyNo Show- Family You show up for the visit and family is not homeYou show up for the visit and family is not home

Successful ContactSuccessful Contact Attempted ContactAttempted Contact

Toy ProtocolToy Protocol

$30 toy allowance each fiscal year $30 toy allowance each fiscal year (if $$ available)(if $$ available)

Clean toys between usesClean toys between uses Disinfectant sprayDisinfectant spray Lysol wipesLysol wipes

Check out and return toys clean ASAPCheck out and return toys clean ASAP Checking out toys to parentsChecking out toys to parents

Learning Box closetLearning Box closet Document on home visit reportDocument on home visit report

Toys for home visitsToys for home visits Closet by Team A officeCloset by Team A office Not to loan to parentsNot to loan to parents

Toy BagToy Bag

ProsPros Motivating to childMotivating to child Toys/activities to teach skillToys/activities to teach skill Anything else?Anything else?

ConsCons Child and family dependant on toy bagChild and family dependant on toy bag Not individualizedNot individualized Family thinks only your toys can be usedFamily thinks only your toys can be used

How can we prevent that?How can we prevent that? Anything else?Anything else?

Change in ServicesChange in Services

Top 10 ListTop 10 List Bring through child study firstBring through child study first Must be a justificationMust be a justification Write goals with parentsWrite goals with parents Transfer goals to IFSPTransfer goals to IFSP

Examples of a Change to Examples of a Change to ServiceService

Changing how often you visit the familyChanging how often you visit the family Increasing or decreasing visitsIncreasing or decreasing visits Dropping your visits from the IFSPDropping your visits from the IFSP

Inviting a child to playgroupInviting a child to playgroup Specialist evaluationSpecialist evaluation

REMEMBER: All changes must be brought to REMEMBER: All changes must be brought to the team before talking about them with the the team before talking about them with the familyfamily

SpecialistsSpecialists

When should a specialist be brought When should a specialist be brought in for an evaluation?in for an evaluation? Handout on policyHandout on policy

Good practice to consult with Good practice to consult with specialists if you are unsure whether specialists if you are unsure whether an eval is neededan eval is needed

Home Visit HelpsHome Visit Helps

Home Visit Helps binderHome Visit Helps binder ““HELP At Home” handoutsHELP At Home” handouts ““AHEAD” handoutsAHEAD” handouts Home visit bagsHome visit bags Handouts shelf/file cabinetHandouts shelf/file cabinet

What to Expect What to Expect From a Home VisitFrom a Home Visit

““What to Expect…” handoutWhat to Expect…” handout Helpful to give to parents on first visit, Helpful to give to parents on first visit,

after IFSP is completedafter IFSP is completed Not required (level 4)Not required (level 4) Available on the network: Available on the network:

everyone/earlyintervention/staffstuff/homevisitexpectationseveryone/earlyintervention/staffstuff/homevisitexpectations

Shadow FilesShadow Files

Kept at your desk with copies of info Kept at your desk with copies of info about the childabout the child Copy of IFSPCopy of IFSP Copy of recent home visit notesCopy of recent home visit notes

Can be helpful, not requiredCan be helpful, not required