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Can someone tell me how Early Start programs are supposed to be run?

post #1 of 9
Thread Starter 
Sophia had her first and second in-home visits for the early start program through our county's board of education last week. The first appt was with a hearing specialist and OT because the nurse wasnt available. It was a basic developmental check and some info about the program. The 2nd visit was with the hearing specialist and the RN (which is normal). The hearing sp. had to leave early and the RN proceeded with her developmental checklist for 2 more hours.

The nurse gave Sophia maybe 3 or 4 seconds to complete the tasks she had to check off before telling me that we are going to have to bring in another "specialist". Sophia has 2 different sized eyeballs, every doc has seen it, no one has a problem with it. The RN saw that her pupils (and I even told her they are proportionate to her eyeball size) were different sizes and said we need to go see an neurologist and ophthalmologist because of brain stem issues.
Now, Sophia has NINE specialists and they ALL say that the eyes and the brain are fine. This RN was also questioning Sophias meds and amounts, milk amounts and feed rate, specialists shes seeing and kept insisting that she accompany me to Sophias appts so that she can help me "understand" what is going on with Sophia. (this was AFTER I recited Sophias medical history, even using all the big words!)

Is this what the in-home visits are supposed to be like? They also insist on coming TWICE a month for 60 min each (and called today because she wants to bring over the Special Ed person), then Im supposed to go to them twice a month for 60 min.
Do I have to do this in order to transition her to school when shes older? We dont even know if there is anything developmentally wrong with her. Shes age appropriate with her milestones. I dont mind the commitment at all, I just dont want to work with this RN and shes the only one in the program. I also LOVE the hearing specialist, maybe I can choose what parts of the pgm I want?
This is not the only pgm running, so I can leave, just want to know whats standard!
post #2 of 9
Well, I'd say that if you can tolerate it, give the RN some more time. Remember that she's used to moms who have no idea about all this medical stuff, so to work with a mom who is knowledgeable is new to her. Hopefully she'll figure it out and will calm down a little. Just keep impressing her with your knowledge, spout off medical information quickly, be sure to say which dr is giving you which advice and why (for example, Dr so-and-so put her feeds at this many mls because when we tried this many mls this happened, so after considering the effect it had on fill-in-the-blank, it was decided to go with this rate.) Some of her questioning might just be so she has it straight in her own mind, not because she disagrees with it.

Also...I don't know how it works in your county...but in my county, Early Intervention is through the same agency as a program called Help Me Grow, which serves at-risk families as well as families with kids with disabilities. SO, they get a lot of kids referred to them because they have bad parents, uninvolved parents, teenage parents, etc. So they unfortunately work from the assumption that you know nothing and need help understanding every little thing.

We've been lucky in that our nurse recognized quickly that I didn't need any hand-holding, she's never been to an appt with us, she's never questioned anything (beyond "has anyone considered..."), and she trusts me to update her on all the appts we've had instead of her getting copies of records.

So I'd stick with her for a little while longer if you can, and see if things smooth over as she gets used to you. If they want to meet with you more frequently than you are comfortable (or able), than say that! Say "we're doing well right now, and Sophia's had so much going on with all her drs and such, so we need a break...can we meet only twice a month at my house instead of me bringing her to you twice a month as well?"
post #3 of 9
Thread Starter 
Ok ,if all those things are normal, I WILL give them another chance. Thanks!
post #4 of 9
I do think it might vary by county or state, but when we started EI they told us that all services were voluntary and we did not need to have x service to still be able to get y service.
Yuo might just need to be very explicit with the nurse that you dont need her services. There is a big difference between offering to come to appts with you and insisting. If you are really feeling pressured you might want to contact your case manager and ask what is actually required of you to continue the program.
post #5 of 9
We opt out of the nursing service, but use the dietician and dev. specialist. I had the same encounter with the nurse offering services to us (and I have been a pediatric nurse longer than she has). I just called our case worker and told her I wanted to opt out of her services. THey did not have a problem with it.
post #6 of 9
Man ... my baby has 9 specialists too, and my home visit nurse is the first one to admit that she is not a specialist and she will almost always refer me to call my ped or one of my specialists even for general baby questions - which makes me question why she is even coming over, lol - she helps me with breast feeding issues and things like that ... maybe you can request a different nurse?
post #7 of 9
Thread Starter 
Had another visit with the same RN and a Special Ed teacher today and it went great! The RN realized, I think after last time, that Im pretty capable and I understand whats going on with Dds care. She actually told me that lots of parents only work with their kids and make appts with their specialists when the RN is with them and THATS why they push their services so hard.

Next time they are going to teach me infant massage!

Today was a completely no pressure day!
post #8 of 9
post #9 of 9
I'm glad!!! I thought that might be what was going on, that they just weren't used to involved parents (which is sad, but true).

You, on the other hand, are an awesome mama!!
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