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• W129871307 abstract "This report describes an outreach program that provides service coordination and home-based early intervention for disabled infants and toddlers on the Navajo and Hopi reservations in Arizona. Developed by the Institute for Human Development (IHD), the outreach program uses paraprofessional instructional aides that are based in six northern Arizona reservation communities and speak the language of the communities they serve. II-11)'s paraprofessional model contains the following elements: (1) hiring and training local paraprofessional instructional aides who are familiar with the local culture, speak the local language, and are recognized and trusted; (2) identifying and evaluating children with disabilities within a 60-mile radius of the aide's home community, and forwarding referrals to the Division of Developmental Disabilities for confirmation of eligibility; (3) learning about specific resources in each community; and (4) encouraging local agencies to take over programs started by IHD and supporting new locally-administered programs with staff training and technical assistance. When a child is eligible for services, an Individualized Family Service Plan (IFSP) is developed that addresses the needs of both the child and the family. The annual IFSP is a team effort of parents, the paraprofessional aide, the IHD early intervention specialist, a case manager from the state agency, consulting therapists, and any others involved in the child's case. IHD also assists families with the transition from early intervention services to preschool programs. Advantages of this paraprofessional model are lister' (LP) *********************************************************************** Reproductions supplied by EDRS are the best that can be made from the original document. *********************************************************************** cn EARLY INTERVENTION IN RURAL NORTHERN ARIZONA Diane Lenz, Early Intervention Coordinator (Presenter) Linda Contrucci, Early Intervention Specialist (Presenter) The professional literature on early intervention highlights the importance of early identification and treatment in reducing the impact of disability on children and families. The federal government recognized this and passed P.L 99-457 In 1986, making money available to states for planning coordinated early intervention services. P.L 99 -457 stipulates that early intervention services be family-centered; the focus is on the family as the primary support for a child's development. The law irtnds that the family of a young child with special needs receive services that maximize the child's strengths and facilitate his/her development. The Institute for Human Development (IHD), a University Affiliated Program at Northern Arizona University in Flagstaff, has provided early intervention services in rural northern Arizona since the mid-1970's. The IHD provides early intervention and related services for children birth to three years of age, and their families, who live in Flagstaff and on the Navajo and Hopi reservations. The IHD currently serves up to 50 children with disabilities or who are at risk for developmental delays. Delays in development range from mild to severe and may be related to factors such as prematurity, mental retardation, Fetal Alcohol Syndrome, or cerebral palsy. Services are family-oriented and usually provided in the home. In Flagstaff, graduate students and the Early Intervention Coordinator provide service coordination and home-based early intervention for children. Services are provided in individual and small group settings. U.S. DEPARTMENT OF EDUCATION Office of Educational Research and Improvement EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) //his document has been reproduced as received from the person or organization originating it 0 Minor changer. have been made to Improve reproduction quality Points of view or opinions stated in this document do not necessarily represent official OERI position or policy 31 2 This discussion focuses on the project's Outreach program on the Navajo and Hopi reservations. The Outreach program illustrates how a community-based service model can use local paraprofessional staff effectively. Geographic and Cultural Considerations The IHD Outreach model for early intervention developed over ten years, in response to the geographic, linguistic, and cultural characteristics of northern Arizona Flagstaff, Arizona (elev. 7,000 ft.) is a community of about 43,000, located at the base of the San Francisco Peaks. It is the major 'metropolitan' area in northern Arizona The geography of northern Arizona includes deserts and mountains, and the climate can be extreme. Snow, mud, and unpaved roads complicate service delivery to remote reservation communities. The IHD Early Intervention Project serves three counties encompassing 39,847 square miles, with a population of about six people per square mile. Northern Arizona culture varies as much as its geography. Outreach Program paraprofessional Instructional Aides on the Hopi and Navajo reservations live in, and speak the language of, the communities they serve. Speaking a family's native language, the Instructional Aide helps the child learn skills more easily and helps parents understand concepts for which there are only English words. Respect for the balance between traditional cultural practices and family participation in formal services is critical to the success of service programs in multicultural setting. For example, the family of a child with dislocated hips might choose to follow the advice and PERMISSION TO REPRODUCE THIS MATERIAL HAS BEEN GRANTED BY inze.4kll GO/J7YfG// TO THE EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC). practice of a traditional medicine man rather than pursue Western medical intervention. Outreach Program professionals and Instructional Aides must reserve any personal influence and judgment and preserve the family's right to choose. The IHD Early Intervention/Outreach Model The IHD Outreach early intervention model evolved from University-based professionals' efforts to provide services to young children and families in rural northern Arizona communities. This city-based professional program was expensive, and contact with families was infrequent. Travel distances, inadequate telephone services, and cultural and language barriers hindered consistent, family-focused intervention. Today, Instructional Aides are based in six very diverse northern Arizona reservation communities. The aides provide home-based intervention within a 60-mile radius from their own homes. Schedules are determined by the number of families assigned, the distance to each home and how often the children are seen. An Early Intervention Specialist from Flagstaff travels about 1500 miles each month visiting service sites. Establishing Early Intervention Service Sites in Rural Reservation Communities The IHD's paraprofessional model develops programs specific to the needs and available resources of each community, according to four steps: 1. Identify and evaluate children with disabilities within a 60-mile radius of a rural community. Identify children with significant delays through phone conversations with community health professionals, Head Start staff, school personnel, and Arizona State Division of Developmental Disabilities staff. Identify important Tribal agencies which should be informed and involved in the project. Visit the community to confirm the" @default.
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• W129871307 title "Early Intervention in Rural Northern Arizona." @default.
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