Our family doctor mentioned that ds will most likely need EI assistance at some point in his future. He's pretty behind with his fine motor skills and has an evaluation with a swallowing specialist coming up soon due to some issues with solids. Can anyone who has had a child recently gone through evaluations and therapies explain how this all works to me.... and if there are copays/fees for the programs? Really- any info you folks can give would be a help since I have no idea how any of this works.... I live in Milford if that helps. TIA!
Do you know which agency services Milford? We work with the Moore Center in Manchester for PT/OT and soon to start ST. My kids were born with a congenital problem, so they are very delayed - but the light of my life:)
From what I understand EI is free for parents if your child has a 33%+ delay - through the state and federal funded program. I think you may be under the Gateways area - http://www.gatewayscs.org/ess.htm
Anyway, they will evaluate your child and then write up what is called an IFSP which stands for Individualized Family Service Plan. This will be a list of goals that you would like to see your child accomplish. The IFSP is redone every 6 months or more if you request. When your child turns two, you begin the transfer process to your local school system for PT/OT...though your services continue through EI until your child turns three.
For us, we have an OT come out once a week, a PT come out once a week and we will see what the ST recommends. We also have services through MICE for hearing/vision impairment. I haven't found them to be all that helpful. We also recieve services through Special Medical Services (SMS) - we have a speech pathologist come about once a month to help with feeding and swallowing issues. We LOVE our speech pathologist - Karen Ringuette. She is EXCELLENT. If you can "get her", I would HIGHLY recommend her. She and her nutritionist partner - Kim Lovely, are a wonderful team that offer lots of great insights and recommendations. All our services are at our home, which makes things much better - our kids act so much more like "themselves" than if a specialist would see them in an office. They work with the children for about 30-45 minutes individually and then leave progress notes and offer suggestions and activities to follow up on.
Our PT is workign with us to get the right equipment for our kids - she has set up appointments for me to get them their AFO's and stander. She helps write the medically necessasity requests that we submit to Medicaid. (Due to my guys conditions they will qualify for medicaid probablly until at least they are 21)
I recommend you call Gateways ASAP and get an evaluation done - the early you can start therapy, the better. Please feel free to ask more questions.
My son received EI when we lived in NH and it was a very good experience, and detailed much better than I would by the PP. We worked with RISE for baby and family and had weekly visits to work on oral motor and speech skills (issues which developed around the time we started solids). We also had the SMS services the PP mentioned-- Denise Mitchell was the speech pathologist and she was great, as was the nutritionist, Marisa Smith. Very helpful and they also worked with our ENT up at dartmouth to help figure out what was going on. Overall it was a very positive experience.
expecting #3 October 26, 2010