Early Intervention

Question 1

What is early intervention predicated on?

Answer 1

1. infancy is a sensitive period in development
2. assumes children are more responsive to experimental learning during first 3 years
3. families assume primary role of nurturing and providing early learning experiences

Question 2

Services provided to children up until 5 y.o. designed to:

Answer 2

1. promote child health and well being
2. enhance emerging competencies
3. minimize developmental delays
4. remediate existing or emerging disabilities
5. prevent functional deterioration
6. promote adaptive learning
7. promote overall family functioning

Question 3

Early Intervention embraces what 5 concepts?

Answer 3

1. prevention
2. remediation
3. experiential learning
4. individuality
5. family centeredness

Question 4

T/F: eligibility for early intervention varies from state to state

Answer 4

True

Question 5

Established Condition or At Risk Category:

Autistic Disorder

Answer 5

Established Condition

Question 6

Established Condition or At Risk Category:

BW less than 1500 grams

Answer 6

At Risk

Question 7

Established Condition or At Risk Category:

Child specific trauma

Answer 7

At Risk

Question 8

Established Condition or At Risk Category:

<32 weeks gestation

Answer 8

At Risk

Question 9

Established Condition or At Risk Category:

CP

Answer 9

Established Condition

Question 10

EI Components of service delivery include:

Answer 10

1. public awareness program
2. central directory of information
3. a comprehensive child find system
4. comprehensive evaluations and assessments
5. individualized family service plan

Question 11

To receive funding the states must comply w/all provisions of IDEIA Part C. The law states general guidelines on:

Answer 11

when, how, and where assessments, IFSPs, and interventions must be planned, conducted, and implemented

Question 12

services of PT included in IDEIA Part C

Answer 12

1. screening, evaluation, and assessment of children to identify movement dysfunction
2. obtaining, interpreting, and integrating information appropriate to program planning to prevent, alleviate, or compensate for movement dysfunction and related problems
3. Providing individual and group services or treatment to prevent, alleviate, or compensate for movement dysfunction and related functional problems

Question 13

EI:

Role of the PT

Answer 13

1. Provide prevention and intervention strategies for children w/impairments in NM, MSK, cardiopulm, and integ systems
2. Provide interventions for activity and participation including motor learning, environmental adaptations, AT, family support, and education

Question 14

T/F: A PT can use the clinical informed opinion to negate findings that suggest that the child has delays based on an assessment tool

Answer 14

False

Question 15

Informed Clinical Opinion

Answer 15

familiarity with the personal and environmental factors that may indicate underlying constraints to motor development or performance.

Question 16

5 major elements of Early Intervention

Answer 16

1. Team collaboration
2. Evaluation and assessment
3. IFSP
4. Providing services in natural environments
5. Transition

Question 17

Service coordinators are responsible for:

Answer 17

1. implementation of IFSP
2. coordination w/other agencies
3. assisting families w/access to services

Question 18

IDEIA distinction:

Evaluation

Answer 18

procedures used to determine initial and continued eligibility

Question 19

IDEIA distinction:

Assessment

Answer 19

ongoing procedures used to identify

1. child’s strengths and needs
2. services appropriate to meet those needs
3. resources, priorities, and concerns of the families
4. supports and services needed to enhance family’s capacity to meet their child’s developmental needs

Question 20

Family Interview

Answer 20

1. obtain info on family perspectives in available resources to enhance child’s development
2. child and family daily routines
3. child’s health and development
4. perceptions about therapy
5. expectations of early intervention

Question 21

behaviors associated w/effective interviewing

Answer 21

• maintain eye contact
• eliciting and exploring parental concerns
• providing relevant and well time information
• attending to solutions and strategies proposed by parents

Question 22

Observation:

Natural Environment

Answer 22

broad construct that entails home and community settings

Question 23

Observation:

Answer 23

entails observing child and caregiving environment.

may focus on:

• caregiving routines
• parent-child interaction
• play
• ADLs

Question 24

Observation: Pt’s role

Answer 24

focus on:

• postural control and mobility during play
• exploration of environment
• self help skills
• social interactions

Question 25

Observation: Note the following

Answer 25

1. what child enjoys doing
2. how child interacts
3. opportunities for movement and sensorimotor exploration
4. how often and under what circumstances the child moves
5. toys and materials that are available
6. areas of the home accessible to the child
7. how much adult assistance for guidance is provided
8. skills or resources the child needs to become more successful

Question 26

Eval/Assessment:

Top down approach

Answer 26

measures of body function and structure conducted

1. after the team has a clear understanding of the family and child’s goals and current abilities, and
2. relate to the team’s hypothesis for impairments that may be a cause of activity and participation limitations

Question 27

IFSP: for intervention to be meaningful:

Answer 27

the individuality of each family must be recognized

Question 28

IFSP: Outcomes should

Answer 28

1. be based on what is valued and important to the family
2. determined by the family in collaboration w/providers
3. focus on activity and participation

Question 29

IFSP: 4 types of outcomes

Answer 29

1. child related
2. family related
3. child related family (needs of the family related to the child)
4. general family

Question 30

How often is an IFSP reviewed?

Answer 30

• every 6 months
• formal meeting held annually
• team member can request review at any time

Question 31

T/F: a formal review must occur for there to be a change in services

Answer 31

True