1. Family-Guided Routines-Based Intervention Introduction Module
This initiative is made possible with a grant from the Minnesota Department of Education using federal funding CFDA # Special Education –Preschool Grants and CFDA # Special Education –Grants for Infants & Families.

2. Family-Guide Routines-Based Intervention and Your Program
What is Family-Guided Routines-Based Intervention?
Why Focus on family priorities and embedded intervention?
How does the FGRBI Innovation work?
Stages of Implementation
Benchmarks of Quality
Data Collection
Implementation Team
Internal Coaching
Benchmarks of Quality/Critical Elements
Implementation Team & Coaching
How Will We Know if We are Ready?
This will cover what “our” Centers of Excellence definition of FGRBI is and what this specific innovation will be looking at.

3. What is Family-Guided Routines-Based Intervention?
“An approach to early intervention which incorporates developmentally appropriate skill building into daily routines in the child’s natural environment. FGRBI focuses on supporting and coaching the child’s caregivers, building their confidence and competence.” (Woods)
Quote from the work of Dr. Juliann Woods, Florida State University

4. What is Family-Guided Routines-Based Intervention?
Embedded intervention/intentional within routines is identifying times and activities when intervention procedures designed for teaching a child’s IFSP outcomes are intentionally implemented in the context of ongoing (naturally occurring) activities, routines and transitions in the home or community (Woods).

5. What is Family-Guided Routines-Based
Essential elements of FGRBI: family centered, individualized, culturally responsive services and supports; family selected everyday routines, activities, places; embedded evidence-based instruction on functional outcomes; team-based collaboration, parent/caregiver implemented; and coaching as the primary service provider.
Family guided routines based intervention refers to effective practice for all children and families receiving Part C intervention.
There are 2 distinct and important parts to this intervention. The first: Family Guided, refers to focusing on the priorities of the family. The child and family are one unit, the family as a whole needs to be recognized. The Routines Based part refers to supporting families in making minimal change in the routines they are doing everyday to embed intervention.
FAMILY Guided
ROUTINES Based

6. Family Guided Routines Based Intervention in Minnesota
The Minnesota Centers of Excellence launched the FGRBI initiative in At that time, the philosophy and concepts of this strategy were fairly new. In the 5 years since the roll out, the project is now able to move from supporting the acceptance of the philosophy to supporting the implementation of a family-guided routines-based intervention.

7. Critical Elements of Implementation: Benchmarks Of Quality
Implementation Team is established and meets monthly.
Staff support the need for program-wide implementation and adopt the framework in to their work.
Family involvement is incorporated through all phases of implementation – using their intentional feedback to support decisions.
Consistent Program-Wide Expectations are developed and implemented throughout program.

8. Benchmarks Of Quality, cont.
All early interventionist implement a family-guided routines-based approach
Consistent teaming times are in place in order to support all interventionists
A plan for ongoing staff support around implementation of the family-guided routines-based intervention to fidelity is in place.
Data is collected, analyzed and shared to monitor implementation and outcomes.

9. What Data Will be Collected & Used?
Benchmarks of Quality
Team Cohesion Measure
Home Based Coaching Checklist
Monthly 5 point reflection
Child Engagement measure

10. Implementation Team Membership
Administrator from Early Intervention program Data Manager Internal Coach (1-2) Early Intervention team representation (1-2) Professional Development Facilitator (PDF)
Leadership is ultimately about creating a way for people to contribute to making something extraordinary happen.
(Alan Keith)

11. What is Coaching in Family-Guided Routines-Based Intervention
An ongoing, outcome focused approach to improving intervention practices by providing opportunities to observe practices, implement with support and eventually implement independently. Coaching refers more specifically to on-site and in-vivo guidance provided by a consulting professional in order to help an interventionist learn to implement an intervention procedure with fidelity.

12. What is Coaching? A collaborative & iterative process
Focused on building skills & competencies
Reliant on observation & feedback
Goal-directed
Outcomes driven
This is a partnership & develops because both parties want it to. Coaching guides another person to develop a new skill & build competencies.
Coaching is interactive.

13. Coaching supports interventionists to improve their process just as it supports caregivers. When we talk about coaching caregivers, we are coming from the frame of peer coaching, vs in
Home visiting, our “coaching” comes from an “expert” perspecitve
Early intervention!

14. What are the Expected Benefits?
Staff view themselves as having the skills to better support children and their families.
Staff look to each other as sources of additional information and support.
Staff can demonstrate the fundamental elements of a family guided home visit.
A culture of support is created throughout the program.
Staff become intentional and purposeful in problem solving with families and building intervention into already occurring routines.

15. What are the Expected Benefits?
Families receive intervention that is individualized, flexible, and responsive to their unique circumstances.
Families increase their confidence and competence in supporting their child’s needs through increased knowledge and skills in ways that support their unique needs.
Families and interventionists work together as a team to plan and implement supports and services in order to have their unique needs met.
Families receive services that are responsive to their concerns, priorities, and changing circumstances.

16. For More Information…….
The Florida State University
American Speech and Hearing Association
American Occupational Therapy Association
Siskin Institute

17. What are the next steps? Review Give & Get with PDF
Complete Hexagon Tool with PDF
Complete Application including approval from school board
This initiative is made possible with a grant from the Minnesota Department of Education using federal funding CFDA # Special Education –Preschool Grants and CFDA # Special Education –Grants for Infants & Families.