Dinah Beams, MA, CED. Nanette Thompson. Coordinator, Colorado Home Intervention Program Colorado School for the Deaf and the Blind

Transcription

1 Dinah Beams, MA, CED Coordinator, Colorado Home Intervention Program Colorado School for the Deaf and the Blind Nanette Thompson MSCCC-SLP, LSLS Cert. AVT Oral Communication Consultant, CHIP Listen Foundation

2 We have no relevant financial or nonfinancial relationship in the products or services described, reviewed, evaluated or compared in this presentation.

3 Learning Objectives List the criteria for determining if a child receives direct service or consultation from the specialist List the benefits of mentoring through tele-health List five different ways tele-health can be used to increase quality of services to families Draft a lesson plan for a tele-health session

4 Private/Public Partnering The Oral Communication Consultant position is funded through a unique partnership between the Colorado Home Intervention Program at the Colorado School for the Deaf and the Blind and the Listen Foundation Joint sessions Trainings Evaluations/Consultations

5 Help! What do we call this anyway? Terminology - Words Matter! Tele-Medicine Tele-Health Colorado Medicaid: the purpose of providing the services is to assist in the effective management and monitoring of clients whose medical needs can be appropriately and cost-effectively met at home through the frequent monitoring of data and early intervention. Tele-Intervention Tele-Practice Discuss terminology with your state partners. Consistency across agencies and programs Implications for funding

6 Building Capacity through Tele-Health Mentoring Training Consultation Team-building Direct Service

7 Tele-Health: Enhanced Mentoring OCC Project On-going relationship Increases opportunity for professional growth Increased opportunities for individualization for both child and provider leading to better outcomes Provides specific learning opportunities honoring what the provider wants and needs Training is related to child outcomes Provides reflective professional learning opportunities

8 Tele-Health: Training Opportunities for training and real time support to early interventionists in more remote areas or professionals with limited experience in this area. Regional trainings that include presentations from professionals and experts in other regions (in lieu of video recordings) providing the opportunity for focused live interactions

9 Tele-Health: Consultation Allows increased time with professionals with specific skill sets needed by child and family to aid in better intervention services Provides opportunity for second opinion when otherwise not available in the community Provides decreased time in the wait for services and assessments in the home for the family Western Slope Child B

10 Tele-Health: Consultation Training with a limited number of sessions (could be as few as one) for a specific purpose i.e upcoming CI Opportunity to provide follow-up consultations at set intervals to build capacity in the community Provide information to professionals who are not trained in working with children who are deaf and hard of hearing

11 Tele-Health: Team-Building Team for a child and family can include professionals in the community and professionals at a distance Permits the involvement of a highly skilled professional as part of the team Involvement of all team members in IFSP meetings, transition meetings, evals Aids in transition to school services Child E in LC Child B moving out of state

12 Tele-Health: Direct Service Providing true parent-centered early intervention Maximizes parent coaching Increases parent involvement immediately Can t rescue the parent or save the moment

13 Tele-Health: Direct Service Providing intervention services to families in remote areas Overcoming technology barriers Overcoming language barriers Supporting skill development when no providers are available Child N when family is out of the country

14 Tele-Health: Direct Service Hybrid Model: It doesn t have to be all or nothing. Think beyond rural!

15 Other uses: Providing Connections Parent-to-Parent Deaf and Hard of Hearing adult role models Community providers

16 Resistance Administrators HIPPA Families wanting in-person contact Families doubtful of effectiveness Licensing Reimbursement Bandwidth and access Additional planning and time required

17 Overcoming Resistance Making it Happen: Provider who is already in the home introduces the family to the concept of tele-intervention Scheduling meetings Local families due to weather, schedules, encourage a skill Part of mentoring and training projects Building it into the system of service delivery

18 Additional Issues: Recording Sessions Family vs. Provider Documentation Assessments

19 Implementation Presenting it to a family Sample letter to a family Readiness checklist Check bandwidth ( Tele-Intervention Lesson Plan Materials Needed s- planning and touching base before session Managing the environment Patience, a sense of humor, and deep respect for families

20 Resources Galore! Free monthly webinar Unique to Colorado. Perhaps your state also has one! A Practical Guide to the Use of Tele-Intervention in Providing Early Intervention Services to Infants and Toddlers Who are Deaf and Hard of Hearing

21 Still More Resources! Presentation with lots of other EI Tele-Health resources NCHAM Training Videos ASHA Special Interest Group 18, Telepractice ASHA.org Telepractice Frequently Asked Questions Telepractice for SLPs and Audiologists: Key Issues

22 Tele-health In Action Creating lesson plans with case studies What s similar/different about an in-person and teleintervention session? Review the available resources- get hands on! What tools are available? What to do when???? the child is very active the parents are low energy Suspect additional challenges are present for the child

23 Dinah Beams Nanette Thompson