Location

Sacramento, CA


What type of agency do you work for?

Other


With which Regional Center catchment area are you associated?

Alta California


What is your primary professional role in Early Start?

Training/Technical Assistance Provider


Are you a parent or family member of a child with special needs?

No


My Comments

What's Challenging?

What's challenging for you about providing services in the natural environment to families who are monolingual? Here's what some professionals had to say at the ESPS 2018 world cafe session on natural environments:  Meeting the needs of Mixtec families Finding translators (Atto, Bajo) Scheduling in working families Limited providers who speak other languages Multi-ethnicity trust building Immigration – fewer referrals, difficulty getting into homes for intakes and visits Understanding cultural…

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What's Working Now?

Tell us below what's working well for you regarding providing services in the natural environment to families who are monolingual. Here's what some professionals had to say at the ESPS 2018 world cafe session on natural environments:  Scheduling Mixtec assessments with Salud clinic or medical clinics Language line for initial/on-going phone contact Flexibility Materials are now available in various languages (websites, brochures, etc.) Matching home visitors Cultural activities Partnership…

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What's Challenging?

What's challenging about coaching and transdisciplinary teamwork when providing services in the natural environment? Here's what some professionals had to say at the ESPS 2018 world cafe session on natural environments:  Engaging the parent with teachers and therapist – parents can get creative Buy in from parent and vendor providers having the same practice/philosophy Cultural sensitivity Getting parents to practice what has been modeled or coached is difficult Cross-vendor communication…

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What's Working Now?

Tell us below what's working well for you about coaching and transdisciplinary teamwork when providing services in the natural environment. Here's what some professionals had to say at the ESPS 2018 world cafe session on natural environments:  Parent engagement with teachers and therapist Using what is available in home (get creative) Transdisciplinary team supports families on objectives/parent involvement/being with them rather than doing Modeling to parents Working with siblings Developing…

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What's Challenging?

What's challenging about providing Routines-Based Intervention (RBI) in diverse settings and contexts?  Here's what some professionals had to say at the ESPS 2018 world cafe session on natural environments:  Lack of parental understanding of what interventions should look like Finding the right environment (setting) Limited time of service provider to gather data No buy-in from providers “Bagless” visit Alternative settings may not be available in very rural/remote settings Increasing use of…

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What's Working Now?

Tell us below what's working well for you around providing Routines-Based Intervention (RBI) in diverse settings and contexts. Here's what some professionals had to say at the ESPS 2018 world cafe session on natural environments:  Generalization of skills - making outcomes functional Familiarization with community Getting families out in the environment Meeting in libraries Monthly outings – getting families comfortable Scheduled playgroup “Bagless” visits Writing outcomes that incorporate…

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What's Working Now?

Tell us below what's working well about costs and/or savings of providing services in the natural environment. Here's what some professionals had to say at the ESPS 2018 world cafe session on natural environments:  Teamwork Low rent Providing services to remote areas Home environment is safer for medically fragile children More consistency Using what’s at home or natural environment (ex: slide or swing at the park) Getting a snapshot of family and environment during initial visits Meeting the…

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What's Challenging?

What's challenging about costs and/or savings of providing services in the natural environment? Tell us below in the comments. Here's what some professionals had to say at the ESPS 2018 world cafe session on natural environments:  Distance, time, expense Limited number of children seen with long distance/travel time Lack of providers in remote areas Shared housing: co-families may not want services in the home No-shows = no reimbursement Poor safety in some areas Mileage isn’t covered…

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What's Challenging?

What's challenging about providing (or receiving) insurance-funded services in natural environments? Tell us below in the comments. Here's what some professionals had to say at the ESPS 2018 world cafe session on natural environments:  Availability of providers, huge waiting list Understanding process for families/navigation of systems Lack of consistency Holding medical insurances accountable for providing services Not in natural environment Intervention focused on medical model – asking…

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What's Working Now?

Tell us below what's working well for you regarding providing (or receiving) insurance-funded services in natural environments.  Here's what some professionals had to say at the ESPS 2018 world cafe session on natural environments:  Collaboration between agency and insurance More hours available More support, better guidance Informing parents to request independent medical review; contact Dept of Managed Care and Dept of Insurance Providers start to become familiar with our kiddos Teachers can…

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