ESA History

							
     USING THE
      ROUTINES
       BASED
     INTERVIEW
    TO IDENTIFY
       FAMILY
    OUTCOMES

       MARY PERKINS
    mperkins@esd113.k12.wa.us
WHY THE ROUTINES BASED
      INTERVIEW?
   Under Part C of IDEA, families are
    given the opportunities to discuss
    their concerns, priorities and
    resources.
   A family statement is a required part
    of the Individual Family Services
    Plan (IFSP) though the parents may
    decline to have a family statement
    on the IFSP.
WHY THE ROUTINES BASED
      INTERVIEW?

   Helps the family and
the program to determine
 needs and outcomes for
        the IFSP
 Guides the services we
 provide for the child and
          family
WHY THE ROUTINES BASED
      INTERVIEW?
   The Routines Based Interview
    provides a useful method and an
    opportunity for the family to voice its
    concerns about:
   Their child’s development;
   The family’s needs and priorities,
    and begin the process of identifying
    resources and supports the child
    and family may need;
   Information for the
    evaluation/assessment team to
    inform and target the the evaluation      Highlight an important
    and assessment process;                   thought or place a photo
                                              here.

   Identification of ‘natural
    environments’ where intervention
    might best take place.
About Natural Environments
Natural environments are not simply a
          location…they are the
               Everyday
               Routines
             Relationships
               Activities
                 People
                 Places
  in the lives of a child and a family
             (Edelman, 2002)
     WHY THE ROUTINES BASED
           INTERVIEW?

    “At the heart of a family
   centered approach is the
 recognition that only a family
    can determine for itself
   concerns, priorities, and
   resources and routines”


From …Kauffman, R.K., et al, in Guidelines and
Recommended practices for the Individualized
Family Service Plan
      WHY THE ROUTINES BASED
            INTERVIEW?
   Concerns: Areas that family
    members identify as needs, issues,
    or problems
   Priorities are a family’s agenda and
    choices
   Resources are the strengths,
    abilities, and supports that can be
    mobilized to meet family concerns,
    needs, outcomes.
   Routines are the natural, day to day,
    schedules and activities in which
    early intervention services may be
    embedded.
   WHY THE ROUTINES BASED
         INTERVIEW?

The goal of the interview and for looking at
                 CPRR is for:

      Service providers to understand what
       families want for themselves and their
       children, and;
      Families to identify what they need from
       providers to meet their needs and achieve
       their goals.
      For the family to develop and strengthen
       their ability to advocate for themselves.
    WHY THE ROUTINES BASED
          INTERVIEW?


   A family need or concern exists only if
    the family perceives that the need or
    concern exists.
   Families have a broad array of formal
    and informal options to choose from in
    determining their concerns, priorities,
    and resources.
     LOOKING AT ROUTINES
    Identifying typical routines:
   Allows the family and providers to
    determine the needs the family has
    around how the child functions
    within the family;
   Allows the family to establish IFSP
    outcomes that are relevant to the
    family:
   Allows the family and providers to
    determine the specific skills a child
    might need.
     LOOKING AT ROUTINES

   Assists in establishing the
    partnership between families and
    professionals;

   Identifies where ‘natural
    environments’ may be;

   Allows planning to generalize
    instruction or intervention;

   Creates opportunities within daily
    routines for children to practice and
    master new skills.
     LOOKING AT ROUTINES

   Utilizes multiple ways of providing
    services;
   Allows the family to feel confident,
    competent and responsible for
    intervention;
   Can allow us to determine the
    family’s concerns, priorities and
    resources.
HOW DOES THE INTERVIEW
       WORK?
   To be most effective, the interview
    should last no less than an hour;
   Make sure that family knows the
    purpose of the interview:
       To help your program and the family
        identify the things that are most
        important to them;
       To identify some of their child’s skills
        and how they best fit into family
        activities and routines;
       To help the team identify the times
        and places and skills that will be most
        important and functional for the family.
HOW DOES THE INTERVIEW
       WORK?

   Make certain that the family knows
    why you are taking notes;
   Start the interview at the beginning of
    the parent’s day…when do you get
    up/what do you do then/when does
    your child get up/how does he wake
    up/how do you know he’s awake?
   Ask follow-up questions to give more
    detail;
   Ask if how that routine goes is
    workable for the family.
HOW DOES THE INTERVIEW
       WORK?
   Ask questions that give you clues
    to the child’s development:
       How does he do things?
       How does she ask for things?
       What is the child doing while you
        are….?
       When your child is…..does he….or
        does he……?
   Wind up the interview by pointing
    out areas the family said were
    working and not working.
HOW DOES THE INTERVIEW
       WORK?
   Ask the family to prioritize the areas
    that are not necessarily working well
    for them;
   Ask the family to identify the most
    important thing (if you could pick
    one thing?) Then have them pick
    the second thing, etc.

        These items…the family
     priorities…form the basis for the
    outcomes that will be on the IFSP.
  BARRIERS TO USING THE
ROUTINES BASED INTERVIEW
   Time
   Interview skills
   Knowledge of development
   Family trust or other issues
Heading has
Room for Two Lines




                     Highlight an important
                     thought or place a photo
                     here.
    CREATING FUNCTIONAL
         OUTCOMES
   Outcomes for the IFSP guide
    services;
   Outcomes are based on the family’s
    statement and the Routines Based
    Interview;
   Outcomes focus on helping the child
    and family work together in ways
    that:
        Enhance the child’s development;
        Assist the family in including the child in
         typical family routines and activities.
    CREATING FUNCTIONAL
         OUTCOMES
   Outcome statements should be
    functional and relevant to the
    family’s needs;
   Specific enough to know when
    progress is being made;
   Jargon-free;
   Include:
      A description of the outcome;

      Criteria--how we’ll know the child
       has made progress;
      Timelines;

      How we’ll measure the progress
    CREATING FUNCTIONAL
         OUTCOMES
   Examples of outcomes:
       The family is concerned about their child’s
        eating and chewing:
       Darcy will participate in lunch and dinner
        times and in restaurants, by chewing her
        food and moving food from side to side
        with her tongue. We will know she can do
        this when she eats one cup of food in this
        manner, one time at lunch, one time at
        dinner, and one time in a restaurant in one
        week.
             RESOURCES

   http://www.siskin.org/

   http://www1.dshs.wa.gov/iteip/

   http://www.esd112.org/frc/

   http://www.hdi.uky.edu/NECTC/Hom
    e.aspx

   http://www.nectac.org/