A Logic Model for the Effective Implementation of Service Coordination: Culmination of Five Years of Research Michael Conn-Powers, Indiana University Julia Rusert, University of Connecticut Research and Training Center on Service Coordination University of Connecticut Health Center

Agenda Brief Overview and History Activities of Service Coordination Outcomes of Service Coordination Practices of Service Coordination Tool Kits: Intersection of Activities, Outcomes, and Practices

Center Principles Collaborative model of integrated activities Families are an integral component Stakeholders contribute to all phases Use of a Participatory Research Model

Center Framework Family Status Outcomes Recommended Practices Measurement Training Model Dissemination Surveys Focus Groups Delphi Technique Outcome Measurement Validation Studies I. II. V. Service Provision System Administration III. IV. VI.

Research Survey Studies Part C Survey Service Coordination Curriculum Survey Parent Leader Survey Parent ICC Survey

Focus Groups and Delphi Studies Focal States Connecticut, Indiana, Massachusetts, North Carolina Two rounds of Focus Groups and Delphis Parents Service Providers Service Coordinators Program Administrators Physicians Childcare Providers Identify Outcomes and Practices of Effective Service Coordination

National Surveys Parent/Practitioner Design Identified Outcomes of: Natural Environment Service Coordination Early Intervention Family Survey Design Identified Experiences with: Early Intervention Natural Environment Service Coordination

Interviews Focal States Connecticut, Indiana, Massachusetts, North Carolina Additional States Arizona, Utah, Washington Family Members in Early Intervention Family Members’ Service Coordinator Identify Outcomes and Practices

Outcome Comparison

Center Logic Model

Child Eligible for Part C Child’s Family Child and Family Characteristics - ethnicity, culture and primary language of family - age of child and others in family -developmental needs of child -support needs of family -SES of family -family/child enrollment in programs -location Input State Policies and Infrastructure -context -values -lead agency -funding -training -case loads -service delivery options Service Coordinator -values - background - training -years experience -skills Community Resources, Services and Supports -rural, suburban, urban -early childhood programs -early childhood learning opportunities -family support mechanisms -family /child services - financial infrastructure Output Service Coordination Model -type -finance -case loads -personnel standards Local Collaborative Practices -collaborative structures -personnel standards -team model relationships Service Coordinator Tasks - coordinate evaluations and assessments - IFSP -assist family with service providers -coordinate and monitor services -inform families on advocacy -coordinate medical and health -transitions Children and families receive quality service Transitions are successful Families have the support, knowledge and tools to address their individual needs Families make informed decisions about services, resources and opportunities for their child Children and families receive appropriate supports and services that are coordinated, effective and individualized to their needs Agencies and professionals are coordinated Families are knowledgeable about the needs of their child Long-term Outcomes Families acquire and/or maintain a quality of life to enhance their well being Families are able to meet the special needs of their child Children’s health and development is enhanced Immediate OutcomesIntermediate Outcome

Service Coordination Activities 1. Coordinating the Performance of Evaluations and Assessments 2. Facilitating and Participating in the Development, Review, & Evaluation of the IFSP 3. Assisting the Family in Identifying Available Service Providers 4. Coordinating and Monitoring the Delivery of Available Services 5. Informing Families of Available Advocacy Services 6. Coordinating with Medical & Health Providers 7. Facilitating the Development of a Transition Plan

Service Coordination Outcomes 1. Children and families receive quality service 2. Families are knowledgeable about the needs of their child 3. Families make informed decisions about services, resources, and opportunities for their child 4. Families have the support, knowledge, and tools to address their individual needs 5. Agencies and professionals are coordinated 6. Transitions are successful

Service Coordination Practices Help Giving Provide info/Access supports (Participatory) Provide support/encouragement (Relational) Collaboration Communication among team members Collaboration with community organizations Administration Administrative duties (paperwork) Professional development

How do we package and present this data on Activities, Outcomes, & Practices...

... so that Service Coordinators actually use this information to enhance their practices?

Service Coordinator Toolkits Checklists of Practices Printed and Web-Based Resources Helpful Tips Video Demonstrations Sample Forms and Informational Materials

For more information University of Connecticut A.J. Pappanikou Center For Developmental Disabilities 263 Farmington Avenue, MC6222 Farmington, CT USA Julia Rusert: Phone: (860) Fax: (860) Website: