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Discussion Starter · #1 ·
My DS is 14.5 months old, and has been enrolled in our state's Early Intervention program for the last 6 months due to gross and fine motor delays.<br><br>
When we initially called to set up an evaluation for DS, I talked with a lady who came out to our house. She observed DS and did a vision and hearing screening, then set up a time for our evaluation.<br><br>
After the evaluation she came to our home, and went over the results with us. We were told what services DS was eligible for, filled out all the forms, got an IFSP set up and arranged for services. I thought that would be all she did until it was time for our next evaluation.<br><br>
But she told me that she was going to visit us once or twice a month. She didn't say that this was mandatory or optional, just stated what she would be doing. There is also nothing in the IFSP or any of the paperwork we signed regarding this.<br><br>
She came out several times, and I really didn't feel that her visits were beneficial. All she did was give me a print out with milestones, and typical development for DS's age, and a magazine with a list of local activities. Then she would tell us a couple age appropriate activities we could do with DS. Really basic stuff like put some rice in a bottle and let him shake it, or hide a toy under a blanket for him to find. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll"><br><br>
These visits were never documented, to my knowledge which I found odd. When the therapists come out they fill out a form saying what they observed, what they did and what to work on for next time. We also sign a form after each visit.<br><br>
We had several visits with her then she just up and disappeared for 3-4 months. We didn't hear from her and had no visits. Then a couple weeks ago she calls our Developmental Therapist in a panic claiming that she couldn't reach us, and was unable to leave a message on our phone.<br><br>
The Developmental Therapist told her she had no problems getting ahold of us, and I told the Developmental Therapist we had no contact with her for several months. Well it turns out she had the wrong phone number the entire time. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll"><br><br>
I also asked the Developmental Therapist if she knew why the Service Coordinator was insisting on coming out once or twice a month and she had no idea. She confirmed what I already believe, that they typically only coordinate services, handle the paperwork and make sure thing are flowing smoothly.<br><br>
So the Service Coordinator came back over to our house last week to drop off the evaluation form we had to fill out. She also said that she would like to keep coming out once a month. I'm uncomfortable with the idea, because I really don't feel that she needs to and I don't feel that it's beneficial. It feels like they're sending a social worker out to our house every month to monitor us but aren't telling us why.<br><br>
Is this typical for Early Intervention? Has anyone had a similar experience?<br><br>
Are these visits just one more hoop we have to jump through to receive services? Do I have the right to decline the visits? Who would I go about bringing all this up with or asking? It is my understanding that the Service Coordinator works for a parenting center, according to her business card, but also works in conjunction with EI? I just find these whole visits completely bizarre and unnecessary especially since they aren't in any way being documented and nothing is mentioned about them on paper.
 

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Is this Parents as Teachers program?<br><br><a href="http://www.parentsasteachers.org/site/pp.asp?c=ekIRLcMZJxE&b=272091" target="_blank">http://www.parentsasteachers.org/sit...MZJxE&b=272091</a><br><br>
Or is she with Early Intervention which is Birth to 3? Early Intervention will offer Occupational Therapy, Physical Therapy etc.<br><br>
These are two different programs.<br><br>
We currently have Parents as Teachers, which is birth to 5. Teri comes out every 4-6 weeks. We talk about milestones, she does activities with the two youngest kids. Talks bout outside activities and asks about any help or assistance my husband and I might need.<br><br>
We have had Early Intervention when we lived in Montana and when we lived in Kansas. In Montana it was called Family Outreach. In Kansas it was called Tiny-K. It was with this program we received in home Physical Therapy in Kansas. In Montana, they didn't pay for PT but they did help with her braces when we couldn't pay for the difference from what our insurance covered. But the coordinator would come to the house and to the PT periodically.<br><br>
I really like both programs. They have been very helpful to us. But hey, each family is different.<br><br>
For you, I think I would clarify who this lady is and which program she is a part of.<br><br>
ETA - My daughter is 3 1/2 and has been transfered to the school district for services now. She has an IEP.
 

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She should NOT be doing that as an EI Service Coordinator.<br><br>
I had twins in EI and my experience was that EI gets a wide variance of people in it. I have had phenomenal people. I also had a nutritionist who gave me a business card that said "Family Specialist" and played social worker. I found out from a real social worker that she really has boundary issues and likes to be more of a social worker than a nutritionist.<br><br>
Personally, I would call the supervisor at the EI office and clarify why the service coordinator is doing monthly visits. I would say that you heard that is not usual and would like to know why she is doing the visits. I would explain that I wasn't finding it beneficial and ask if its required.<br><br>
My bet is that the Service Coordinator really wants to be a direct service provider and is having a boundary issue that her supervisor would love to know about.
 

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My son is in EI and has been for a year. I've only seen the Service Coordinator maybe 6 times in the last year, including the three times she came out when we were just starting services. Two of the other times she came out with our speech therapist to do paperwork and the last time was for the transition meeting for us to move to the school system in August.<br><br>
I would personally be calling her supervisor to see if this is normal.<br><br>
Good luck!
 

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Discussion Starter · #5 ·
I think she is a part of Parents As Teachers, we have a bunch of papers she dropped off and they all say that on them. The place she works for is <a href="http://www.beechacres.org" target="_blank">http://www.beechacres.org</a><br><br>
Like I said I think she means well but she just comes across to my partner and I as kind of a busybody and it feels like she tries to play social worker. She doesn't really do much with DS just sings a couple songs and look at a book.<br><br>
If these visits are mandatory for us to continue receiving services, then I'll just deal with it. But if they're not mandatory, then we'd like to opt out of receiving them. We were never told either way and it felt like they just told us what was going to happen and we had no input regarding whether we wanted these visits or not.
 

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Parents as Teachers is voluntary. You don't need to do it at all if you don't want.
 

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Our Coordinator is a "developmental specialist" she was coming out once a week and "encouraging me to do stimulating activities." However she ALWAYS left paperwork. I felt like she was wasting my time, so we stopped the "developmental specialist" services. Now she calls me once a month to make sure everything is OK, and I see her once every 3 months or so. I would start by stating that you would like a paper record of every therapy or appointment for your pediatrician (for coordination of care). If she can't give you one, call and speak with her supervisor.
 

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<div>Originally Posted by <strong>Purple Cat</strong> <a href="/community/forum/post/14704829"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">She should NOT be doing that as an EI Service Coordinator.<br><br>
I had twins in EI and my experience was that EI gets a wide variance of people in it. I have had phenomenal people. I also had a nutritionist who gave me a business card that said "Family Specialist" and played social worker. I found out from a real social worker that she really has boundary issues and likes to be more of a social worker than a nutritionist.<br><br>
Personally, I would call the supervisor at the EI office and clarify why the service coordinator is doing monthly visits. I would say that you heard that is not usual and would like to know why she is doing the visits. I would explain that I wasn't finding it beneficial and ask if its required.<br><br>
My bet is that the Service Coordinator really wants to be a direct service provider and is having a boundary issue that her supervisor would love to know about.</div>
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This is not necessarily true. I worked in EI as a service coordinator right out of college. In the county in which I worked, we were required to see the families only one time every six months, but have a face to face contact regarding the child with a therapist OR parent once/month. If the child was receiving medicaid, it was once every three months. Now, I am on the receiving end, and in the county in which my son is receiving services, the agency requires the service coordinators to go out to see the family once per month. I think there are minimum National guidelines, but then each agency may have their own minimum guidelines. Maybe the Service Coordinator has boundary issues, but I doubt it. It is more likely that the agency in which your SC works requires this frequent of visits. I can't remember for sure, but I believe every SC nation wide is supposed to at least have phone contact with parents monthly.<br><br>
That said, SC is an entry level (post college degree) job. I am a social worker myself and also have a degree in Child Development and Family Studies, so I don't relish the idea of having someone perhaps less educated than me come out to see my kid and waste my time when I'm capable of keeping an eye on his overall development. We just started up with EI for my son, but I made it clear to my SC that I appreciated the offer, but it isn't going to be necessary for her to provide that level of service to us. She told me that was fine. I think you should go ahead and tell your SC that if you want to, and if she doesn't agree, you could call up her supervisor. Ask your PT or OT for the supervisors name if she doesn't give it to you.<br><br>
And, I am not sure of this, but her coming out so much and the agency sending them out probably has to do with politics and money more than anything. The agency is able to bill for the SCs services, and the more face-to-face and travel hours, the more that they can be reimbursed directly for SCs services. They do keep documentation of this. Most EI programs work by having an agency contract with the county to do the work. Secondly, if this is the case in your county, that would mean that they want to be seen as providing good and comprehensive services in order to maintain their county contract. It would certainly look wonderful on paper for all of these families to be getting all that "extra help" from their SC.
 
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