Teaming and Team Meetings

Objectives

• To understand the characteristics of team based early intervention

• To understand who is on the early intervention team

• To understand the role of the team members • To understand team meetings

Team-Based Early Intervention

What it looks like: What it doesn’t look like:

Characteristics of Team Based Early Intervention

4

Component Multidisciplinary Team-Based Early Intervention

Team Interaction Team members recognize the importance of contribution from several disciplines.

Team members engage in learning and coaching to develop broad expertise to improve a child’s participation across family’s activity settings.

Communication Typically informal; members may not think they are part of a team.

Team members meet regularly to participate in coaching interactions including reflection and feedback.

Adapted from Pletcher, Lynda. FIT Program: The Transdisciplinary Team Approach. (2012).

Characteristics of Team Based Early Intervention

Adapted from Pletcher, Lynda. FIT Program: The Transdisciplinary Team Approach. (2012). 5

Component Multidisciplinary Team-Based Early intervention

IFSP Development Members develop separate plans for intervention within their own disciplines.

Team Members and family develop plan together based on functional assessments and outcomes to support participation. The family is valued as an active member with decision-making role.

IFSP Implementation Implemented separately by disciplines and separate visits by disciplines.

Team Lead works most frequently with the family. Team members coach the Team Lead to implement the plan across activity settings and may coach family on joint visits.

Coaching

• Building the capacity of care providers to promote child learning and development in family, community, and early childhood settings

• Occurs between team members to expand a practioner’s ability to reflect upon and learn from their practices

Fundamental Characteristics of Teaming Practices

• Use a defined team • Select a Team Lead as the team liaison to the

family • Provide team support for the Team Lead

Adapted From: Shelden, M.L.. & Rush, D.D. (2013). The Early Intervention Teaming Handbook. Baltimore, MD: Paul H. Brookes Publishing Co.

AzEIP Core Team

DSI

SLP

PT

OT

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Service Coordinator

Early Intervention Team

SC

Other IDEA, Part C Services – Assistive technology– Audiology– Family training, counseling, and home visits– Health services necessary to enable the child to benefit from another

early intervention service– Medical services only for diagnostic or other evaluation purposes– Nursing– Nutrition– Transportation and related costs necessary for child and family to

receive early intervention services– Vision services– Sign language and cued language

Equal Representation

Team Lead

• Who is a Team Lead?• How is a Team Lead identified?• What is the role of a Team

Lead?

A Team Lead is. . .

PT OT SLP DSI

Psychologist Social Worker ASDB Vision

SpecialistASDB Hearing

Specialist

A Team Lead Is Chosen • At the IFSP meeting by the IFSP team, which

includes the parents• Looking at the long – term needs• Using a process according to four factors

1. Parent/family 2. Child 3. Environmental 4. Practitioner

Shelden, M.L.. & Rush, D.D. (2013). The Early Intervention Teaming Handbook. Baltimore, MD: Paul H. Brookes Publishing Co.

The Role of a Team Lead is to. . .

• Act as a liaison to the family and team • Interact with the family most often • Promote child participation within routines

and activities• Receive team support• Have scheduling that is flexible, activity based

and includes bursts of service

Dual Role

Not just DSI/SC

DDD Service Coordinators

• Service Coordinator on the team • Provide dedicated service coordination only• DDD/ALTCS • Targeted Case Management (AHCCCS eligible)• Access Non-Contracted Services • Participate in Team Meetings

ASDB Hearing and Vision Specialists(formerly Outreach Coordinator or Certified Parent Advisor)

ASDB Hearing and Vision Specialists are generally certified Teachers of the Deaf or Teachers of the Visually Impaired, qualified to provide:•Service Coordination•Special Instruction•Vision Services: Functional Vision Assessment, Orientation and Mobility•Sign Language and Cued Language

Implementation of Teams

1. All team members must be available as Team Lead

2. Attendance at team meetings 3. Team Lead selection process4. Joint Visits 5. Infrequent change of Team LeadShelden, M.L.. & Rush, D.D. (2013). The Early Intervention Teaming Handbook. Baltimore, MD: Paul H. Brookes Publishing Co.

Team Meetings

Who should attend?

Do we talk about every family EVERY week?

What if I can’t be there?

How is ASDB involved?

How is DDD involved?

How are parents

involved?

What if I need to talk about a child/family

NOW?

What if I work with multiple AzEIP teams?

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Team Meeting

Opportunity for team members to:• Collaborate• Coach one another• Share information/Updates• Brainstorm

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Team Meetings

• Weekly • Includes the following individuals: –Core Team Members –DDD and ASDB service coordinators–Non-core team members, as

appropriate

Role of the Facilitator• Pre-publish the agenda • Ensure all items are addressed • Start and stop the meeting on time • Maintain timeframes for each item • Ensure coaching interactions reflect – AzEIP Mission and Key principles – Evidence-based practice – Child and family outcomes – Family priorities and concerns

• Document discussions

Family ParticipationThe family is invited to participate in

Team Meetings regarding their family• In person • By Phone • Team Lead reports back to family

Agenda

• Pre-IFSP activities• Primary Coaching Opportunities• Quarterly Updates• Scheduling

Sample Agenda

Quarterly Meetings

Intended to ensure that each family and each IFSP Team has the access and opportunity to involve the other core team disciplines in strategizing and problem-solving on behalf of the family.

Documentation of Quarterly Meetings

Coaching in Team Meetings

• Purposeful • Prepared • Documented

Things to Consider

• Employment vs Sub-Contracting • Ensuring use of evidence-based practices by

all team members • Training expectations of core team• Importance of working with ASDB and DDD• Time and location of team meetings• Building culture and trust within teams

Resources • www.coachinginearlychildhood.org

• http://ectacenter.org/

• www.azdes.gov/azeip

• www.nau.edu/sbs/ihd/programs/asdtp

Shelden, M.L.. & Rush, D.D. (2013). The Early Intervention Teaming Handbook. Baltimore, MD: Paul H. Brookes Publishing Co.