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Setting the StageSetting the StageCarl Dunst, Robin McWilliam,Mary Beth

Bruder, Julianne Woods, Pip Campbell, Dathan Rush, M’lissa Sheldon,

Jack Neisworth, Stephen Bagnato, Barbara Hanft, Lee Ann Jung, DEC Recommended

Practices

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The Primary Provider or The Primary Provider or Transdisciplinary ApproachTransdisciplinary Approach

The primary provider or transdisciplinary approach for implementing IFSP supports and services is based on maximum communication and collaboration among families, other caregivers and the primary service provider along with consultation from specialists.

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Primary Provider or Primary Provider or Transdisciplinary Transdisciplinary

PrinciplesPrinciples

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Families and Interventionist:Families and Interventionist:

Share a holistic view of the child in the context of the family and community.

Support the capacity of the family to enhance their child’s development.

Align around an integrated approach to achieving IFSP outcomes.

Cross and re-cross disciplinary boundaries to achieve service integration in family routines and activities.

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Children and LearningChildren and Learning

Children learn throughout the day It’s the family that influences the child and

interventionists can influence the family All the intervention for the child occurs

between visits It’s maximal intervention the child needs,

not maximal services

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Intervention Versus ServiceIntervention Versus Service

Intervention: What the child receives Service: What the parents receive

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Transdisciplinary Transdisciplinary Practices for Primary Practices for Primary Provider ApproachProvider Approach

Teaming

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TeamingTeaming

Members have a broad knowledge base/understanding of typical and atypical child development including language, social, motor, self help and cognitive skills.

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Teaming Teaming

Members are competent and secure in their professional practice and blend their perspectives and skills to focus on integrated, meaningful outcomes for the child’s participation in daily life

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Teaming Teaming

Interventionists practice role release and role expansion. Regularly scheduled team meetings and consultations provide opportunities for exchange of information and training for the whole team. All members support the primary service provider.

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Transdisciplinary Transdisciplinary PracticesPractices

Primary Provider ApproachPrimary Provider Approach

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Primary ProviderPrimary Provider

A primary provider is selected based on the unique characteristics of the child and family. That person might change based on the changing needs of the child and priorities of the family.

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Primary Provider Primary Provider

The primary provider works in a continuing and close relationship with the family and child within their daily routines and activities.

They use the support-based model: Emotional support Material support Informational support

The strongest predictor of the outcomes of early intervention is the relationship the family has with their primary service provider.

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Primary Provider BenifitsPrimary Provider Benifits

The family receives strong support from one person, do not have to get to know multiple peopleThe family hosts only one visit, not multiple visits, on their home visiting schedule The supports and services for child and family are coordinated, not fragmentedThe service providers, especially therapists, can serve more families more flexibly

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Transdisciplinary Transdisciplinary PracticesPractices

Intervention (child)Intervention (child)Services (adult)Services (adult)

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Intervention Intervention

Parents and other caregivers use the natural advantages of their daily caregiving roles to support the child’s development through maximizing the power of frequently occurring everyday routines and activities. Very young children learn through repeated interactions with people and material in their environments over time, not through “massed trials”.

17McWilliam

Do the MathDo the Math

An early interventionist is only “there” a tiny bit of the week: Two 30 minute

sessions = 60 minutes a week.

The family, and other care givers, are always there: 10 minutes of

intervention during 10 waking hours = 100 minutes a day or 700 minutes a week.

Dunst, Ferrier

Do the Math AgainDo the Math Again

Twice a week hourly therapy provided in the absence of parent participation equals about 2% of the total waking hours of a one-year old.

Each routine (e.g. putting a child asleep for a nap) that infants experience regularly accounts for more than 2,000 episodes of everyday learning opportunities by the time a child is one year old.

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ServicesServices

Interventionists offer parents additional skills and information to support the parent’s abilities to enhance their child’s development which in turn enhances parent confidence and competence.

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ServicesServices

By sharing their knowledge and expertise, team members support families in making informed decisions and actively enhancing their child’s development.

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ServicesServices

The primary provider works within everyday routines with the child and family by offering information, modeling, teaching skills, and participating in on-going assessment.

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ServicesServices

The primary provider focuses on supporting the child and family’s daily routines and activities that are continued across time and contexts (remember: do the math).

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Summary: Keys to SuccessSummary: Keys to Success

Knowledge of how young children develop and learn

Shared purpose, families “own” goals Effective communication Disciplinary expertise Openness to role release and role

expansion Collaborative problem-solving