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Experiencias de L´Alquería, el programa de atención temprana en la Universidad Católica de Valencia, España. Dr. Robin McWilliam

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Teletón Paraguay
Teletón Paraguay

The document outlines how to conduct support-based home visits using the Routines-Based Model. It discusses assessing staff practices and ideals using tools like FINESSE. It provides guidance on developing individualized plans by constructing ecomaps, conducting Routines-Based Interviews, writing child and family goals, and collecting baseline data. The document then reviews how to structure home visits using forms like the Next-Steps form, Vanderbilt Home Visit Script, and matrices. It presents a family consultation flow chart and checklist for support-based home visits.

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Experiencias de L’Alquería… y Algo Más Dra. Margarita Cañadas y Dr. Robin McWilliam
Contact robin@mcwilliamconsulting.com margarita.cañadas@ucv.es Copy of this PowerPoint will be at ramgroup.info 12/22/2015Cañadas y McWilliam (2015) 2
Outline How to assess your staff’s typical practice and what they consider ideal How to develop an individualized plan, according to the Routines-Based Model How to conduct a support-based home visit 12/22/2015Cañadas y McWilliam (2015) 3
How to assess your staff’s typical practice and what they consider ideal FINESSE Family FINESSE 12/22/2015Cañadas y McWilliam (2015) 4
FINESSE 12/22/2015Cañadas y McWilliam (2015) 5
12/22/2015Cañadas y McWilliam (2015) 6
Family FINESSE 12/22/2015Cañadas y McWilliam (2015) 7
Family FINESSE 12/22/2015Cañadas y McWilliam (2015) 8
How to Develop an Individualized Plan, According to the RBM Construct an ecomap with the family Conduct a Routines-Based Interview (RBI/EBR) Write participation-based child goals Write family goals Collect baseline data on Child functioning in routines Family quality of life 12/22/2015Cañadas y McWilliam (2015) 9
Construct an Ecomap With the Family 12/22/2015Cañadas y McWilliam (2015) 10
Conduct a Routines-Based Interview (RBI/EBR) 12/22/2015Cañadas y McWilliam (2015) 11
The Routines-Based Interview  Go through each “routine” (i.e., time of day or activity)  Get a sense of family’s and child’s functioning  Write down significant information  Star the concerns  Recap concerns with the family, showing them the starred items  Ask what the family would like to concentrate on  Write down these outcomes  Ask them for the priority order 12/22/2015Cañadas y McWilliam (2015) 12
Structure 12/22/2015 Home Routines Waking up Changing diaper/bathroom Going to kitchen Breakfast Parent getting dressed Going out In shops Lunch Going to park Other family members coming home Dinner preparation Dinner Bath TV Bedtime “Classroom” Routines Arrival Circle Free play Snack Small toys Centers Outside Music Story Lunch Nap Centers Departure Within Each Routine 1. What does everyone else do? 2. What does this child do? a) Engagement b) Independence c) Social relationships 3. How satisfactory is this routine? 3. How well is this routine working for the child (“goodness of fit”) Cañadas y McWilliam (2015) 13
Write participation-based child goals What does the family want the child to be able to do? At what times of day did this need arise? How will we know the child can do this? How often? How many? How much? How far? Over how many times of day? For how long? 12/22/2015Cañadas y McWilliam (2015) 14
Cañadas y McWilliam (2015) 12/22/2015 15
Write Family Goals Usually, 1 criterion Family will have information about sleep problems in children with autism by January 1, 2016 Jill will enroll in a class to complete her high-school education by January 1, 2016 12/22/2015Cañadas y McWilliam (2015) 16
Kathy and Leon will have one date night a month for three months in a row. Family will get a new car that fits Michael’s travel chair by February 1, 2016 Nina will feed Peter via tube without fear, on a 1-5 scale, at a level of 4 for 3 consecutive weeks 12/22/2015Cañadas y McWilliam (2015) 17
Baseline data on child functioning in routines Measure of Engagement, Independence, and Social Relationships (MEISR) “Mai-ser” [Autism: “oh-tis-m”] 12/22/2015Cañadas y McWilliam (2015) 18
12/22/2015Cañadas y McWilliam (2015) 19
12/22/2015Cañadas y McWilliam (2015) 20
Family quality of life 12/22/2015Cañadas y McWilliam (2015) 21
FaQoL Factors Family Relationships Access to Information and Services Child Functioning Overall Life Satisfaction (Total Score) 12/22/2015Cañadas y McWilliam (2015) 22
How to conduct a support-based home visit Next-Steps Form Vanderbilt Home Visit Script-Expanded Matrix Support-Based Home Visit Checklist Family Consultation Flow Chart 12/22/2015Cañadas y McWilliam (2015) 23
Next-Steps Form 12/22/2015Cañadas y McWilliam (2015) 24
12/22/2015Cañadas y McWilliam (2015) 25
VHVS-E 12/22/2015Cañadas y McWilliam (2015) 26
Matrix 12/22/2015Cañadas y McWilliam (2015) 27
Completed Matrix 12/22/2015Cañadas y McWilliam (2015) 28
Support-Based Home Visit Checklist 12/22/2015Cañadas y McWilliam (2015) 29
12/22/2015Cañadas y McWilliam (2015) 30
FamilyConsultation FlowChart How’sit goingw/ each outcome? Not much improvement Child is improving Child can do it Get detailed description Ask for demo of child func, if nec How’s intervention going? Ask-to- Suggest Offer to demo (8 modeling steps) Description Implementing Demo by parent? Refine skill Tweak implementation Why? Hard to fit in intervention Child not responding Forgot Change interv or routine Change or persist Try matrix Need help? No Yes End intervention Not implementing End intervention? Yes Up the ante No Yes Behavioral Consultation in Home Visits Encourage R. A. McWilliam © 2009 Don’t know how to implement intervention Intervention previously planned? No 12/22/2015Cañadas y McWilliam (2015) 31
12/22/2015Cañadas y McWilliam (2015) 32
12/22/2015Cañadas y McWilliam (2015) 33
12/22/2015Cañadas y McWilliam (2015) 34
How’sit goingw/ each outcome? Not much improvement Child is improving Child can do it Get detailed description Ask for demo of child func, if nec How’s intervention going? Ask-to- Suggest Offer to demo (8 modeling steps) Description Implementing Demo by parent? Refine skill Tweak implementation Why? Hard to fit in intervention Child not responding Forgot Change interv or routine Change or persist Try matrix Need help? No Yes End intervention Not implementing End intervention? Yes Up the ante No Yes Behavioral Consultation in Home Visits Encourage R. A. McWilliam © 2009 Don’t know how to implement intervention Intervention previously planned? No 12/22/2015Cañadas y McWilliam (2015) 35
How Do I Begin? FINESSE II Discuss routines with family (include MEISR, if you like) and find out what family wants child to be doing 6 months from now Get training on RBI www.ramgroup.info 12/22/2015Cañadas y McWilliam (2015) 36

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Experiencias de L´Alquería, el programa de atención temprana en la Universidad Católica de Valencia, España. Dr. Robin McWilliam

  • 1. Experiencias de L’Alquería… y Algo Más Dra. Margarita Cañadas y Dr. Robin McWilliam
  • 2. Contact robin@mcwilliamconsulting.com margarita.cañadas@ucv.es Copy of this PowerPoint will be at ramgroup.info 12/22/2015Cañadas y McWilliam (2015) 2
  • 3. Outline How to assess your staff’s typical practice and what they consider ideal How to develop an individualized plan, according to the Routines-Based Model How to conduct a support-based home visit 12/22/2015Cañadas y McWilliam (2015) 3
  • 4. How to assess your staff’s typical practice and what they consider ideal FINESSE Family FINESSE 12/22/2015Cañadas y McWilliam (2015) 4
  • 9. How to Develop an Individualized Plan, According to the RBM Construct an ecomap with the family Conduct a Routines-Based Interview (RBI/EBR) Write participation-based child goals Write family goals Collect baseline data on Child functioning in routines Family quality of life 12/22/2015Cañadas y McWilliam (2015) 9
  • 10. Construct an Ecomap With the Family 12/22/2015Cañadas y McWilliam (2015) 10
  • 11. Conduct a Routines-Based Interview (RBI/EBR) 12/22/2015Cañadas y McWilliam (2015) 11
  • 12. The Routines-Based Interview  Go through each “routine” (i.e., time of day or activity)  Get a sense of family’s and child’s functioning  Write down significant information  Star the concerns  Recap concerns with the family, showing them the starred items  Ask what the family would like to concentrate on  Write down these outcomes  Ask them for the priority order 12/22/2015Cañadas y McWilliam (2015) 12
  • 13. Structure 12/22/2015 Home Routines Waking up Changing diaper/bathroom Going to kitchen Breakfast Parent getting dressed Going out In shops Lunch Going to park Other family members coming home Dinner preparation Dinner Bath TV Bedtime “Classroom” Routines Arrival Circle Free play Snack Small toys Centers Outside Music Story Lunch Nap Centers Departure Within Each Routine 1. What does everyone else do? 2. What does this child do? a) Engagement b) Independence c) Social relationships 3. How satisfactory is this routine? 3. How well is this routine working for the child (“goodness of fit”) Cañadas y McWilliam (2015) 13
  • 14. Write participation-based child goals What does the family want the child to be able to do? At what times of day did this need arise? How will we know the child can do this? How often? How many? How much? How far? Over how many times of day? For how long? 12/22/2015Cañadas y McWilliam (2015) 14
  • 15. Cañadas y McWilliam (2015) 12/22/2015 15
  • 16. Write Family Goals Usually, 1 criterion Family will have information about sleep problems in children with autism by January 1, 2016 Jill will enroll in a class to complete her high-school education by January 1, 2016 12/22/2015Cañadas y McWilliam (2015) 16
  • 17. Kathy and Leon will have one date night a month for three months in a row. Family will get a new car that fits Michael’s travel chair by February 1, 2016 Nina will feed Peter via tube without fear, on a 1-5 scale, at a level of 4 for 3 consecutive weeks 12/22/2015Cañadas y McWilliam (2015) 17
  • 18. Baseline data on child functioning in routines Measure of Engagement, Independence, and Social Relationships (MEISR) “Mai-ser” [Autism: “oh-tis-m”] 12/22/2015Cañadas y McWilliam (2015) 18
  • 21. Family quality of life 12/22/2015Cañadas y McWilliam (2015) 21
  • 22. FaQoL Factors Family Relationships Access to Information and Services Child Functioning Overall Life Satisfaction (Total Score) 12/22/2015Cañadas y McWilliam (2015) 22
  • 23. How to conduct a support-based home visit Next-Steps Form Vanderbilt Home Visit Script-Expanded Matrix Support-Based Home Visit Checklist Family Consultation Flow Chart 12/22/2015Cañadas y McWilliam (2015) 23
  • 31. FamilyConsultation FlowChart How’sit goingw/ each outcome? Not much improvement Child is improving Child can do it Get detailed description Ask for demo of child func, if nec How’s intervention going? Ask-to- Suggest Offer to demo (8 modeling steps) Description Implementing Demo by parent? Refine skill Tweak implementation Why? Hard to fit in intervention Child not responding Forgot Change interv or routine Change or persist Try matrix Need help? No Yes End intervention Not implementing End intervention? Yes Up the ante No Yes Behavioral Consultation in Home Visits Encourage R. A. McWilliam © 2009 Don’t know how to implement intervention Intervention previously planned? No 12/22/2015Cañadas y McWilliam (2015) 31
  • 35. How’sit goingw/ each outcome? Not much improvement Child is improving Child can do it Get detailed description Ask for demo of child func, if nec How’s intervention going? Ask-to- Suggest Offer to demo (8 modeling steps) Description Implementing Demo by parent? Refine skill Tweak implementation Why? Hard to fit in intervention Child not responding Forgot Change interv or routine Change or persist Try matrix Need help? No Yes End intervention Not implementing End intervention? Yes Up the ante No Yes Behavioral Consultation in Home Visits Encourage R. A. McWilliam © 2009 Don’t know how to implement intervention Intervention previously planned? No 12/22/2015Cañadas y McWilliam (2015) 35
  • 36. How Do I Begin? FINESSE II Discuss routines with family (include MEISR, if you like) and find out what family wants child to be doing 6 months from now Get training on RBI www.ramgroup.info 12/22/2015Cañadas y McWilliam (2015) 36