1. Quality Management in Early Childhood Intervention
Presentation Eskisehir, September 2009
Dr. Manfred Pretis

2. Quality in Early Childhood Intervention
Parents have the right to obtain the best available service
Quality of service delivery is correlated with higher effects of the intervention
Quality shows an impact on the efficiency as services offer tailor-made programs

3. 4. The tricky issue of quality
quality for parents:
best available service best effect for the child
Lack of comparability
quality for the service providers: necessity within the market
Cost-factor
quality for the financing body:
most effective and cheapest service
quality for research:
Definition of criteria
Complexity within the field

4. Quality in Early Childhood Intervention
Meeting the needs and expectation of the parents
Best preventive effect in terms of “cost efficiency ratio”
Quality is experienced “here and now”
Evidenced based intervention methods

5. What is important for Early Childhood Services in general?
Internal Quality Criteria, processes and indicators which are defined by the institution and
External Quality Criteria in terms of scientific and political correctness (full participation, transparency, reflexivity)

6. Where can Quality be measured?
on the conceptual level (existing concept, defined key terms, operational fields, strategies etc.)
on the level of structure (training, child-staff-ration, management, infrastructure, available equipment)
on process level (evidence based support processes for the child and the family, documentation and monitoring)
On result level (outcomes for the child, the family and team-effects)
on the level of sustainability (follow up and impact on the society)

7. A. Set of Rules on the Conceptual level
the existence of a concept (vision, mission, operational fields, activities)
the definition of key quality terms (e.g. integration, family centredness, prevention..)
A clear link between all levels and key quality terms

8. B. A set of rules regarding structural requirements
Defined requirements regarding basic education/ remuneration of the professionals in the field
availability of equipment and
infrastructure
Transparent leadership
Clear responsibilities
Definition of support
Clear link to predefined terms

9. C. Set of rules on the level of processes
- Description of all processes in a Centre - from the first intake till the finalisation of the intervention
Definition of responsibilities, goals, resources and monitoring structures
Clear link to the predefined key terms
These processes should be described in an easy understandable way so that families can easily understand, what the process of early intervention in the centre is about

10. D. Set of rules regarding results
Description of outcome parameters which are connected with the conceptual goals, the structure and the performed processes (e.g. developmental gains of children in terms of prevention, family support…)

11. E. Set of rules regarding sustainability
Long term indicators which are able to measure the impact of the mission of the Centre
(e.g. the ratio of children fully integrated after the intervention, description of preventive effects..)

12. The external point of view:
To avoid a pure self-evaluated
assessment of own services also
an external view towards the own
service has to be included.
full participation
transparency
reflexivity (continuous quality management)

13. Participation Transparency Reflexivity Concept Structure Process
Research
Sustain-
ability
Financial
bodies
Professionals
Structure
Children
Parents
Process
Result
Transparency
Reflexivity

14. Focus on structural quality
The Future for Turkey
Focus on structural quality
(comparable basic training (
Focus on a set of defined standards for all early childhood intervention centres
Accreditation mechanisms to monitor the quality of centres
Full participation of parents

15. Make use of our online resource pool and the online assessment instrument
The Turkish online assessment allowes matching processes between individual and/or institutional curricula in the field of Early Intervention and a European frame
The Turkish uploaded training resources – can be used free of charge: just visit
Online seminars for professionals- within the pilot run will be held in winter 09/spring 2010

16. Please visit our websites
training for informal carers of
persons with dependency
Training resources for professionals
working with kids in the context of mental vulnerabel parents
certification of ICT skills
for youngsters with intellectual disabilities)
valorisation of
European projects for people with disability
Child and Adolescent
Mental Health in Enlarged Europe

17. THANK YOU FOR YOUR ATTENTION

18. Remarks