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Referrals | Initial Team Observation
Meeting | Family Service Planning Meeting
FAQS ON REFERRALS
Q. What if I don't know if my child needs therapy?
A. Refer anyway. It is always a pleasure
for staff to be able to tell parents after an observation or assessment
that their child is functioning just fine.
Q. At what age is it appropriate to refer?
A. The research clearly tells us that the
earlier intervention begins, the better.
Q. What if I'm not sure if you provide the service
my child needs?
A. Refer anyway. If we are not the appropriate
agency to help, we will guide you to the one that is.
Q. How long will I have to wait to see someone
once I refer?
A. For referrals to the Early Intervention
Program, a Family Support Worker (who sees all
new families except those referred for speech therapy only or Family
Connections only) typically
meets with parents within one week of receiving the referral for the Initial
Consultation. He or she tells the family about the Centre, finds out what
the family needs, and asks the parents to sign the consents and authorizations.
In general, the child will be seen by the therapist(s) within one month.
If a follow-up consultation is required while you are waiting for
service(s), please contact the department director(s) at 604-463-0881.
For referrals to the Family Connection Program, a Case Facilitator will
meet with the family to develop a "Family Care Team" comprised of informal
and formal supports. The team will set goals, creates action plans,
and work together to achieve the objectives chosen by the family.
The family may also receive individual support from the Case Facilitator,
as needed.
Q. What does therapy cost?
A. Physiotherapy, speech-language therapy,
occupational therapy, family support, paediatric consultation, and respite
care, are free to families. Fees are charged for some services, including
therapy groups, parent education courses, and equipment loan. Families
that cannot afford to pay for these services may request a subsidy or
waiver through the Family Support Worker or their child's therapist.
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FAQS ON THE INITIAL TEAM OBSERVATION
MEETING
Q. What is an ITOM?
A. An Initial Team Observation Meeting (ITOM)
is the meeting at which the therapists assigned to a family first meet
the child in the presence of the parent(s). It is an opportunity for the
parents, therapists, and Family Support Worker (FSW) to share information
about the child and for the therapists to observe the child in an informal
setting. An ITOM is not an assessment (that takes significantly more time)
but it is a first look at a child in a relaxed setting.
Q. What happens during the ITOM?
A. During the ITOM therapists generally
take turns interacting with the child in a playful way. The physiotherapist
might incorporate various activities, such as kicking a ball, walking
a balance beam, or jumping on one foot into some kind of non-threatening
game. The occupational therapist might invite the child to join her in
colouring a picture, drawing, or making a tower of blocks. The speech-language
pathologist will be watching and listening to the child's communication
and may ask the child and his parent(s) specific questions to help assess
how the child communicates at this point. The Family Support Worker organizes
the ITOM and records observations and information during the meeting.
A plan is discussed and put in writing.
Q. What happens at the end of the ITOM?
A. A copy of the notes from the meeting
are given to the parents at the end of the meeting. These notes include
a PLAN of action - or 'next steps'.
Q. Where does the ITOM take place?
A. The ITOM can take place at the Centre
or the family's home. The FSW will ask the family for their preferred
location.
Q. When is the ITOM held?
A. Our goal is to have an ITOM within one
month of the Initial Consultation unless family circumstances, such as
holidays or hospitalization, do not allow this.
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FAQS ON THE FAMILY SERVICE PLANNING
MEETING
Q. What is a Family Service Planning Meeting?
A. A Family Service Planning Meeting (FSP)
is an opportunity for the parents and professionals on a child's team
to create a coordinated and integrated service plan. The purpose of the
FSP meeting is:
1. to ensure that all the people on the child's team are working toward
the same family-identified goals
2. to ensure that everyone on the team has a good idea what everyone else
is doing, and why
3. to identify strategies that all (or many) members of the team can implement
in a variety of environments
Q. When and where does the Family Service Planning
Meeting take place?
A. The initial meeting (IFSP) is held approximately
3 months after the Initial Team Observation Meeting (ITOM). An FSP Review
(FSPR) meeting is typically held at least annually. The FSP meeting may
be held at the Centre, at home, or at a preschool or daycare. It usually
lasts about 90 minutes.
Q. Who attends the FSP Meeting?
A. Parents are welcome to invite anyone
they would like to be at the meeting. Participants usually include the
child's parents and therapists, the Family Support Worker, and community
professionals working with the child (eg. preschool or daycare teacher,
Infant Development Consultant, Supported Child Development Consultant). Parents
may wish to invite grandparents or other relatives who care for the child
on a regular basis.
Q. What happens
at a FSP Meeting?
A. An FSP Meeting generally follows this
format: Update of medical issues, appointments, changes in status; Strengths
of child and family; Needs and concerns; Family-identified goal(s); Objectives
(created by therapists or Family Support Worker with input from parents);
Strategies; Plan. One person facilitates the discussion; another records.
The family is given a copy of the notes of the meeting to take home with
them. A typewritten formal report is created within two weeks and all
participants sign it. The original copy is kept in the child's file. Parents
receive a copy. Other participants in the meeting may receive a copy with
the parents' permission.
WHAT HAPPENS WHEN MY CHILD GOES TO
KINDERGARTEN?
Transition
To Kindergarten Process
| When |
What To Do |
| September/ October |
- All children eligible to enter Kindergarten next Fall will
be identified.
- Release to SD #42 forms, an acknowledgement form, and a
transition information letter will be distributed to each
family by the Service Coordinator.
- The Service Coordinator will explain the transition
process to the family, ensure that the forms are signed and
return the forms to the RMCDC therapy aide by November 15.
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| November/December |
- Therapists will identify those children who may require
extra supports in the classroom and ensure that the forms are
completed for the Early Identification meetings with SD #42.
Only those who will meet the criteria established by the
School District will be invited to these Early Identification
meetings.
- Packages including a letter explaining he Early
Identification process, a Kindergarten Profile booklet, and
the SD #42 OT/PT Screening form will
be delivered and explained to the identified families by the
Service Coordinator.
- Families will be asked to submit copies of reports/tests
(NOT generated by RMCDC) as well as complete the Kindergarten
Profile and bring them to the Early Identification meeting. in
the New Year.
- School District #42 staff will make a one/two week period
available at the end of January and meeting times will be
arranged by RMCDC.
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| January |
- The RMCDC therapy aide will contact each family in the New
Year to schedule the Early Identification meeting time.
- The Early Identification meeting will take place at RMCDC
and be attended by the family, SD#42 support staff
(Psychologist, Special Education represent6atives), the
child's primary RMCDC therapist, and a Supported Child
Development Program consultant (if applicable) to identify the
child's needs, complete the necessary SD #42 referral forms
and discuss the requirements necessary to secure funding.
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| February |
- Kindergarten registration take place at the child's
catchment school. Dates will be published in the local papers and
families may contact the school of their choice for
confirmation.
- Referral forms, for children NOT requiring an Early
Identification meeting, for occupational therapy,
physiotherapy and speech-language therapy services may be
completed at the school with the assistance of school staff at
the time of registration.
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| April/May/June |
- School Kindergarten and support teachers will make
arrangements to meet with families and/or observe children in
their preschool/daycare settings.
- Schools will arrange individual Transition meetings with
RMCDC families to discuss planning for September.
Meetings may include: Kindergarten teachers, support teachers,
district supports staff, Supported Child Development Program
consultants, RMCDC therapists, preschool/daycare providers as
well as parent(s)/guardian(s).
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| July/August |
- Discharge reports will be completed by August 31 and
distributed, with signed consent, to the appropriate school
and/or Student Support Services.
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