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Tuesday, July 12, 2022

Developmental Milestones: What are they and why they matter


Skills such as taking a first step, smiling for the first time, and waving “bye-bye” are examples of developmental milestones.  Children reach milestones in how they play, learn, speak, behave and move.  Every child is unique and may reach developmental milestones earlier or later than their peers.

The Center for Disease Control and Prevention (CDC) provides information to parents and caregivers on how to look for developmental milestones and what to do if you are worried about your child’s development or think there’s a problem.

Please view the YouTube video for more information:


Please see the link below for the CDC’s Developmental Milestones:

https://www.cdc.gov/ncbddd/actearly/milestones/index.html

 

All Hands Health Network helps families link to resources in the Chicago area. This site has a specific interest in connecting families from Belmont-Cragin and Austin (60639 and 60651) with social service organizations, food pantries, housing providers and governmental agencies and departments. You can browse by category using the website and entering your zip code. All Hands Health Network can also provide support by telephone, (312) 971-3044.

Please see link below for more information:

https://allhandshealthnetwork.luriechildrens.org/en/

News and Policy

Extended Services The Illinois Early Intervention Program offers parents of eligible children, under the Early Intervention/ Extended Service (EI/ES) option, the choice to continue to be eligible for Early Intervention (EI) beyond their child’s third birthday until the start of the school year following their third birthday, when all of the following criteria are met. 

The child must: 

• have been determined eligible for early intervention with services identified and consented to on the Individualized Family Service Plan (IFSP), and 

• have their third birthday between May 1 and August 31 and 

• have been found eligible for early childhood special education services (ECSE) under IDEA and Section 14-8.02 of Public Act 102-0209 (Section 11h) and created an Individualized Education Program (IEP).

Please refer to the link below for more information:

https://providerconnections.org/wp-content/uploads/2022/06/EI-ES-Services-Parent-Notice-06-2022.pdf

Family Fee Information:

At present, family fees are waived. Families will still be asked to provide a copy of the most recent federal income tax return, two consecutive pay stubs from each wage earner in the home, or a current Medicaid/All Kids card.

Automatic Eligibility: Children with medical conditions which are not listed may be determined eligible for EI services by a qualified family physician, pediatrician or pediatric subspecialist (pediatric neurologist, geneticist, pediatric orthopedic surgeon, pediatrician with special interest in disabilities) who provides written verification that the child’s medical condition is associated with a high probability of developmental delay as listed in eligibility criteria.

Frequently Asked Questions

How is my child determined eligible for Early Intervention? A child must be under 36 months AND

-have a physician’s diagnosis of a physical or mental condition that causes a developmental delay

-or have an identifiable developmental delay of 30% or more

-or be at risk of substantial delay because of certain risk factors.

Eligibility for ongoing services is determined through an initial evaluation that takes place with the family, evaluation team, and service coordinator.

https://eiclearinghouse.org/getting-started/eligibility/ 





















How long will my child be in the program? Early Intervention is a voluntary program. Families can opt out of services at any time. A child can receive therapies, if they continue to be medically or developmentally eligible, until the day before their third birthday. Children may also meet their developmental goals and continued therapies are no longer needed. 

Can we rejoin the program if we decide to take a break? Families have the right to stop services at any time and can initiate a new referral any time before a child’s third birthday.

Can I be involved in my child’s therapies? Of course! Parents and caregivers are strongly encouraged to be active participants in a child’s therapy sessions. Early Intervention recognizes that you are the experts on your child. We value your input! Through participation in therapy sessions, you will gain strategies and techniques through play. These strategies are designed to easily carry over into your daily life and routines with your child. And with practice comes progress!

https://eiclearinghouse.org/wp-content/uploads/2015/10/famrole.pdf

Where does therapy take place? Early Intervention is currently offering virtual and in-person therapy sessions for children. Sessions can be hosted in your home or childcare center. Please see the link below to learn more about live video visits.

https://eiclearinghouse.org/public-awareness/live-video-visits/

What services are offered through Early Intervention?

https://eiclearinghouse.org/getting-started/ei-program-services/

• Assistive technology • Audiology/aural rehabilitation • Developmental therapy/Family training and support • Health consultation • Medical diagnostic evaluation (See brochure)  • Nursing • Nutrition • Occupational therapy • Physical therapy • Psychological/counseling services • Service coordination • Sign language or cued language • Social work • Speech language pathology • Transportation • Vision • Translation/interpretation to other languages

How can I help get the process moving? Parents and caregivers can support the process by submitting paperwork and documentation requested by the service coordinator. Help with obtaining copies of insurance cards and prescription for services (signed by medical provider) are greatly appreciated!

What happens if Early Intervention does not hear back from a family? Service coordinators are required to close the case after 45 days if they do not hear from the family and/or receive the required paperwork back to begin the process to schedule the evaluation. We understand, sometimes life gets busy. Feel free to reinitiate the referral when you are ready by calling our main office, (312) 942-7800.

What if my insurance/income/address/family size changes? Families are required to notify their service coordinator with any of the above changes. Additionally, caregivers are asked to kindly provide supporting paperwork to document the change.

What is your service coordinator’s role? A service coordinator works in partnership with the family—from initial referral through transition out of early intervention—to help the family gain access to the early intervention system, identify supports and services that meet the family’s needs, and understand the family’s rights and procedural safeguards.

The key to a service coordinator’s work is building a trusting relationship with the family. A service coordinator will take a family-centered approach at all times, acknowledging the family as full and equal team members, recognizing family strengths, and respecting family beliefs and values. This enables families to have access to support and information about their child’s needs, a deeper understanding of their child’s strengths and needs, and access to quality supports that are effective, coordinated, and individualized to their needs.

What is an IFSP? An Individual Family Service Plan (IFSP) is a report that is developed after the initial evaluation(s). The IFSP outlines which areas of development and which therapies will be the focus during the child’s time in the program. The IFSP is active for one year, as long as the child stays in the program and/or until the child turns three, whichever comes first. The IFSP is updated after one year of service.

https://eiclearinghouse.org/einotes/ifsp/

What is an annual assessment? An annual assessment is required for all children in the program with an active Individual Family Service Plan (IFSP). The assessment is done with all ongoing therapists and a developmental therapist if the child is not currently receiving developmental therapy. During the assessment, the IFSP and goals will be updated for the child to ensure the areas of focus are relevant to the child’s development.

Can I still get Early Intervention services if we move? Early Intervention is a program offered throughout the United States. The Child and Family Connections (CFC) office you work with will be based on your zip code. Your service coordinator can help you identify your new office and assist with transferring all paperwork. Please notify your service coordinator prior to your move. If your move is within Illinois the service coordinator is able to transfer the case. If you are moving out of state your service coordinator can provide you with information about the office in your new area.

What Is Early Intervention?


Your child’s brain and body are growing rapidly during the first three years of life. They are learning many new things about the world around them. While all children need love and support to grow and learn, some children need a little extra help. An Early Intervention team can support your family and help your child reach their potential.

Early Intervention is a statewide program funded by IDEA Part C (Individuals with Disabilities Education Act) and overseen by Illinois DHS (Department of Human Services). It provides supports and services for families to help their children under age 3 meet developmental milestones.

How is a child referred for Early Intervention?

Anyone can refer a child to Early Intervention (e.g. parents, physicians, other health care providers, child care providers, social service agencies, early learning programs, etc.). Once a referral is made, it is up to the family to decide whether they want to participate. When possible, please use a standard referral form (seen below):

https://www2.illinois.gov/hfs/SiteCollectionDocuments/hfs650.pdf

Referrals can also be made by calling our office, (312)942-7800.

What happens after my child is referred?

Once your child is referred, your family will be assigned a service coordinator. Together you and the service coordinator will arrange for an initial phone call. You will discuss your child’s strengths and areas of potential growth. Through these conversations, you and the service coordinator may determine which area(s) of development may need support. Initial evaluations with therapist(s) will then be scheduled. Results from these evaluations will be shared with you and the service coordinator. You, the service coordinator and therapists will then make a plan (IFSP – Individualized Family Service Plan) https://eiclearinghouse.org/einotes/ifsp/which will outline goals as well as the frequency, type and focus of therapies.

https://eiclearinghouse.org/getting-started/ei-program-services/


Want to learn more? Please consider looking at the links below.

What is Early Intervention?

https://www.dhs.state.il.us/OneNetLibrary/27897/documents/Brochures/4395.pdf

 

The Family Rights Handbook includes information on parental consent, prior notice, examination of records, confidentiality, complaints, and surrogate parents. Please refer to the Family Rights packet for information on your rights are a parent.

https://eiclearinghouse.org/getting-started/family-rights/

 

Please refer to the Guide for Families for information on how to navigate the Early Intervention program.

https://www.dhs.state.il.us/OneNetLibrary/27897/documents/Brochures/4279R0518.pdf

 


 

 

Getting Ready for Your First Visit

What can I expect during a therapy visit?

https://eiclearinghouse.org/einotes/typical-visit/


Introducing the Therapy Team

Possible Member’s of Your Child’s Therapy Team

https://eiclearinghouse.org/getting-started/ei-program-services/

 Speech Therapy https://eiclearinghouse.org/einotes/encouraging-speech/

Supports speech delays and/or communication concerns. Therapies help your child develop skills such as clarity, comprehension, fluency and sound production. Your child may need speech language therapy due to hearing impairments, cognitive delays, and/or weakness in the oral muscles.

Examples are:

  • The presence or absence of common baby talk sounds
  • The patterns in which a child moves their lips and tongue
  • The timing of an infant’s first words
  • Difficulties in the formation of categories of sounds
  • Sensitivity of nerves around the mouth to touch or temperature extremes


Feeding Therapy

Feeding therapy can help identify physical concerns that may be associated with chewing and/or swallowing.  Concerns could be related to texture or consistency of the food being consumed. Typically, feeding therapy is done by a speech or occupational therapist that specializes in feeding therapy. 

Children who exhibit signs or symptoms listed below may benefit from feeding therapy:

• Frequent episodes of gagging, coughing, or choking

• “Gurgling” voice (wet voice) during or after eating/drinking

• Frequent upper respiratory infections and/or pneumonia

• Difficulty transitioning to textured food

• Poor weight gain or unexplained weight loss

• Behavioral feeding issues (refuses foods, tantrums, etc.)

• Difficulty chewing or swallowing

• Spitting up after feeding

Nutritional therapy

Feeding, weight gain, and diet are consistently high on parent’s priority list for their infant/child and can be a source of stress when they feel unable to meet these needs on an ongoing basis. Please refer to the link below if have nutritional concerns for your child:

https://eiclearinghouse.org/everyday/role-nutrition/#:~:text=Nutrition%20services%20in%20early%20intervention%20are%20provided%20by%20licensed%20dieticians,food%20habits%20and%20food%20preferences

 Occupational Therapy

An occupational therapist will work on how your child uses their hands to explore and play. They can also help a caregiver understand how their child may be experiencing their outside world and managing sensory experiences.

Occupational therapy may be beneficial if your child:

• Seeks sensory input (e.g. increased need for physical play, toe-walking, has difficulty understanding physical boundaries with peers or adults) • Avoids sensory input (e.g. covers ears, avoids clothing textures seems distressed when hands or body gets messy) • Demonstrates a decreased attention span, increased impulsivity or difficulty standing still • Falls down often or frequently bumps into objects • Requires increased time to complete simple tasks • Demonstrates difficulty transitioning, inflexible thinking or decreased frustration tolerance.

 Developmental Therapy

Supports early learning and preschool readiness skills through play. Therapies are designed to assist children in their everyday environment (home, childcare setting, etc.). A developmental therapist can help caregivers promote play skills, manage daily routines such as dressing, eating and other self-care activities. Developmental therapy focuses on the overall cognitive development for children. Please refer to the link below if have developmental concerns for your child:

https://eiclearinghouse.org/everyday/developmental-therapist-ei/

 Physical Therapy

Physical therapists can help with gross motor skills, like rolling, sitting, standing, walking, as well as teach/promote positioning exercises for plagiocephaly (flat head) and torticollis (head tilts). Through play, physical therapists can help a child build strength, coordination and symmetry in their movements. Please refer to the link below if have gross or fine motor concerns for your child:

https://eiclearinghouse.org/everyday/ot-pt-difference-ei/

Developmental Therapy Hearing (DTH)

Works to support families that have a child with a formal diagnosis of hearing loss. Therapies develop strategies to address developmental delays caused by hearing loss. Please refer to the link for more information about DTH in EI:

https://www.dhs.state.il.us/OneNetLibrary/27897/documents/Brochures/5101.pdf

 Developmental Therapy Vision (DTV) works to support families of children with diagnosed vision loss. They can share information related to your child’s specific visual diagnosis and develop strategies to address the potential impacts on the child’s development due to the visual loss and maximize visual function.

 Please refer to the link for more information about DTV in EI:

https://www.dhs.state.il.us/OneNetLibrary/27897/documents/Brochures/5102.pdf

Medical Diagnostic Evaluation

Infants and young children who may benefit from a medical diagnostic evaluation include those with one or more of the following indicators: • Delay in all areas with no medical diagnosis to explain the delay • Motor delay or abnormalities of movement with no diagnosis • Challenging behaviors and developmental delay • Differences in language, socialization and behaviorNo gains in development following therapeutic intervention

 The medical diagnostic team is typically led by a developmental/behavioral pediatrician, child psychiatrist and/or pediatric neurologist. The team may also include a speech, occupational, developmental therapist or a social worker/psychologist. The team will integrate medical, educational and psychological information to make appropriate diagnoses and recommendations for treatment. The goal of the evaluation is to help the family better understand the child’s development, diagnosis and treatment plan. https://eiclearinghouse.org/wp-content/uploads/2020/08/Medical-Diagnostic-brochure.072016.pdf

 Audiology

Supports children with hearing loss and/or prevents potential damage. A visit to the audiologist may be considered if your child is experiencing challenges with speech development. The medical and therapy teams may want to rule out hearing loss as a possible reason for language delays

Psychological and Counseling Services

Social workers, psychologists, counselors and other mental health professionals are available to provide support to children and their families. Early Intervention recognizes that support oftentimes needs to extend beyond the child. Being a parent or caregiver of young children comes with a fair share of stress. You are not alone! These team members can assess the need for outside resources (medical card, food stamps, health care, etc.). In addition, they help parents address challenging behaviors, navigate moments of overwhelm and support caregiver health. Please ask your service coordinator if you would like to connect with these services.


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