Top Mistakes Robin Wcwilliam
Top Mistakes Robin Wcwilliam
Top Mistakes Robin Wcwilliam
Contact
[email protected]
Write for copy of PowerPoint
www.siskinresearch.org
Center mission: Improving the quality of life for children and families The Siskin Center for Child and Family Research improves the quality of life for children of all abilities by conducting high-quality and important applied research, discovering effective and innovative methods of intervention with children and families, and discovering significant information about their development and functioning. Strategies Conduct research within the Institute, in the community, and internationally Present and disseminate locally, across the United States, and overseas Conduct Routines-Based Certification Institutes Establish international partnerships Participate in statewide advocacy and initiatives in Tennessee Strengthen university collaborations Participate in citywide or countywide early-childhood initiatives Use the Siskin Centers for Early Learning as applied-research settings Establish local services based on supporting research
Areas of focus Challenging behaviors Classroom interventions Early intervention in natural environments Engagement Feedback to teachers Home visiting IFSP quality Integrated classroom services Measurement of EISR in routines Parenting support Quality of life Routines-Based Interview Teaching practices Video self-modeling
Doing all the talking at intake visits Asking families about daily routines at every meeting leading up to the IFSP Basing goals just on what parents say they want Ignoring the participation purpose of child-level goals and skimping on measurability of goals Matching services to deficits Working directly with the child on home visits Modeling/demonstrating blindly Using the same home visiting approach for all families Focusing exclusively on the childs well-being and quality of life Working just with children in classrooms
Intake
Mistakes
1.
2.
Asking families about daily routines at every meeting leading up to the IFSP
Tedious!
Solution
Ecomap
[email protected]
Krista has little time for friends, but doesnt know what to do with her afternoons (the worst time of day)
Ss aunt & uncle Ss sisters Work: Alcoa Golf weekly Dr. Trainer (physiatrist) SLP (Liz) weekly at home OT (Michelle) 2x/wk at clinic
Ss parents
Neighbors
Assessment
Mistake
3.
Solution
Routines-Based Interview
Structure
Within Each Routine 1. What does everyone else do? 2. What does this child do? Home Routines a) Engagement Waking up b) Independence Classroom Routines Changing diaper/bathroom c) Social relationships Arrival Going to kitchen Circle Breakfast 3. How satisfactory is this routine?
Free play Parent getting dressed Snack Going out Small toys In shops Centers Lunch Outside Going to park Music Other family members Story coming home Lunch 3. Dinner preparation How well is this routine Nap Dinner working for the child Centers Bath (goodness of fit) Departure TV Bedtime
Outcome Writing
Mistakes
3.
4.
Solution
7 steps of functional outcome writing
[email protected]
2. 3. 4. 5.
6.
7.
Read the short-hand version of the outcome from a familycentered, functional needs assessment (e.g., RBI) Find out what routines this affects Write Child will participate in [the routine(s) in question] Write by _____ing, addressing the specific behaviors Add a criterion for demonstration the child has acquired the skill Add another criterion for generalization, maintenance, or fluency, if appropriate Over what amount of time?
Service Decisions
Mistake
5.
Solutions
Incremental service decision making Integrated services Primary service provider
[email protected]
2.
3.
4.
Start with a primary provider (primary service provider, generalist home visitor or consultant to child care) Remember the child is getting intervention from regular caregivers (parents, teachers) Only add services needed to address outcomes the primary provider and the regular caregivers need help with Example: Child is delayed in talking, but primary provider and parent know how to teach him to talk, there is no need to add an ongoing service When you do add a service, you plan for the intensity needed to ensure the regular caregivders and the primary provider have information necessary Its not about working directly with the child
Integrated Services
Focused support to families Teamwork ensured by having one professional through whom team members work
Regular home visitor Classroom teacher Classroom consultant
Home Visits
Mistakes
6.
7.
Modeling/demonstrating blindly
This is the model-and-pray approach
8.
9.
Solutions
Support-based home visits 3-tiered, response-to-support approach
[email protected]
Parent training
Intensity
Routinesbased suggestions
How have things been going? Do you have anything new you want to ask me about? Outcomes in priority order Is there a time of day thats not going well for you? How is [family member] doing? Have you had any appointments in the past week? Any coming up? Do you have enough or too much to do with [your child]?
Need help?
Not implementing
No
Forgot
Try matrix
Refine skill
Tweak impl.
Emotional, material, & informational support Maximal amount of intervention for the child
Home-Based Programs
Do Use accessible materials Engage in kitchen talk Find out what families want to be shown Talk about everyday routines Dont Take a toy bag Work just with the child Model unnecessarily Imply that lessons are important
Classroom Visits
Mistake
10.
Solutions
Individualized within routines Group activities
[email protected]
Transdisciplinary Services