1. June 8, 2017 Mary Muhlenhaupt, OTD, OTR/L, FAOTA Cindy Gray, MHS, MBA, OTR/L Robin Miccio, MS

2.  E-mail: cynthia.gray@jefferson.edu cynthia.gray@jefferson.edu  Phone: 215-503-5778

3.  Welcome  County, ITSE Rollout  Vision and Goals  Lunch  Test Your Knowledge  Breakout sessions  Social Emotional  Wrap-up

4. 10:45 Break Gather up your belongings. When you return please sit next to someone you don’t know or haven’t spent a lot of time with. See you in 15 minutes!

5. You Said:Result: Keep projects simple with less paperwork Competency project was straightforward and simple. Results inform us about current practice and help us prepare for future trainings. Need more information on Informed Clinical Opinion County Update: provided resources, information, and practice to write an ICO. Providers reported feeling more confident and prepared.

7. STAFF NEEDS HELP WITH: Management SkillsConflict Resolution Goal WritingWriting outcomes Session Notes ServicesDocumentation Progress MonitoringEngaging Families ICOTime management ECO Data & Quality Observation Record Listening Community Resources to Families TLC will use this list to guide our future trainings for providers and SCs. In the mean time, think about ways you motivate or support your staff with these topics and share with one another during break.

8. TOPICS SUPERVISORS NEED SUPPORT ON: #1. Staff motivation and reinforcement #2. Collaboration among supervisors about difficult problems/cases #3. Improving the quality of interventions #4. Team-building #5. Conflict Resolution #6. Auditing Staff Documentation (Session Notes) #7. Staff Productivity #8. Auditing and Assigning ECO Scores Our breakout sessions this afternoon will address some of these topics!

13. Handbook

16.  Pair up with a partner (one you don’t know well)  10 minutes - One person answers questions on the Appreciative Inquiry form. Record your partner’s responses  10 minutes - Switch roles  10 minutes - Find 3 other partner dyads. In your group of eight, compare goals, vision, and next steps  Be prepared to share insights with larger group

17. Following lunch, please stay at your tables for a brief activity

18. Supervisor Bingo Any follow-up comments or questions?

19. Please choose one session you are most interested in. After 20 minutes we will be switching to a second session 1. ECO Data collection and Tracking 4. Goal Writing and Session Notes 2. Quality Home Visits5. Supporting Staff: Team Building and Motivation 3. Community Resources6. Social Emotional Roll Out

20.  Please share something you learned that you felt was valuable, new, or that you might utilize back at your agency.

21. Break

22. Three Evidence Based Practices 1. Responsive Interaction: Serve/Return 2. Structure environment for regulated behavior 3. Individualized activities to support SE competence and development

23.  Video http://www.nysaimh.org/2016/01/15/serve- return-interaction-shapes-brain-circuitry/http://www.nysaimh.org/2016/01/15/serve- return-interaction-shapes-brain-circuitry/

24. Cooperation Turn-taking, sharing, following directions, engagement specific to relationship (not structuring environment), social interaction Caregiver nurturing, reinforcement, responsive interaction Physical affection, nurturing, praise, positive verbal and non-verbal interaction (smiles, eye- contact, gestures like touch), following child's lead in play, games that encourages responsive interaction (i.e. peek-a-boo), labeling or naming what the child is doing as part of a responsive interaction, bonding Stimulate communication Encouraging verbalization to build social emotional competency (i.e. naming family members, feelings, encouraging positive verbal exchange, building relationships, expressing wants and needs), labeling or naming what the child is DOING

25.  Video https://www.youtube.com/watch?v=iXqS18Gj9K8

26. Participation in Routine Helping behaviors (i.e. cleaning, raking, bathing, getting ready, going on walks) Structure Environment Structured activity to maximize child engagement. Use of adapted devices, changing setting/situation to increase regulation (attention span, emotions), participation, and safety. Predictable Schedule/ Routines Structure day so child knows what comes next. Warnings for Transitions & Anticipatory Language Give prompts to child so they know when the activity will change Sensory/Regulation Providing sensory input to calm or activate child as needed using touch (deep pressure), vestibular (rocking), lighting, sound, temperature. Choices Providing child more than one acceptable option. Autonomy Encourage child to separate from caregiver as developmentally appropriate.

27.  Video https://www.youtube.com/watch?v=iXqS18Gj9 K8

28. Modeling/teaching approp behavior Showing/teaching child appropriate SE behavior Gave family resources/ educated parent i.e. community, support groups, websites, handouts pertaining to SE development Play that explicitly addresses SE i.e. All about Me book, game or books that help child identify feelings Pretend play Role-playing, dress-up, and imagination Self Care/Adaptive Skills Promoting toileting, dressing, feeding skills

29. Remaining Courses: Monday, June 13, Last SE courses 9-12, 1-4 at Lankenau Wednesday, August 17 at Lankenau: 9:00- 12:00: AA-ECO self choice 1:00 – 4:00: Social Emotional Intermediate NEXT SUPERVISOR MEETING: September 21 st 9-4pm Have a wonderful summer!