1. All sections to appear here
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2. Application of Basketball Strategy to Home Visiting
Robin McWilliam

3. Outline Game strategy: Purposes of home visiting
Game plan: Stages of a home visit
Hoosiers rule: Family consultation
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4. pptPlex Section Divider
Game Strategy
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5. Game Strategy: Purposes of Home Visiting
What do we hope to accomplish on home visits?
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6. Purposes of Home Visiting?
To accomplish these things, what do we have to do? Key ingredients? What do we have to be sure we don’t do?
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7. What We Hope to Accomplish
Building families’ capacity for when we’re not there
All the intervention occurs between visits
Helping families with their needs
Child needs
Child-related family needs
Family-level needs
Providing support
“Support-Based Home Visits”
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Robin McWilliam

8. Family-Identified Needs
Intervention in
Routines
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9. Not Providing intervention to children
“Involving” parents
Focusing almost exclusively on child needs
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10. What We Have to Do Key Ingredients Not
Assess functional and family needs
Consult collaboratively with families
“Family Consultation”
Discuss child needs in context
Ask families only for their main concerns
Assess only child performance
Solve problems for families
Discuss child skills without context
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Robin McWilliam

11. Support McWilliam, R. A. , & Scott, S. (2001)
Support McWilliam, R. A., & Scott, S. (2001). A support approach to early intervention: A three-part framework. Infants & Young Children, 13(4),
Emotional
Positive
Responsive
Oriented to the whole family
Friendly
Sensitive
McWilliam, R. A., Tocci, L., & Harbin, G. L. (1998). Family-centered services: Service providers’ discourse and behavior. Topics in Early Childhood Special Education, 18,
Material
Basic goods
Equipment
Informational
Disability
Resources
Child development
Interventions
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12. pptPlex Section Divider
Game Plan
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13. Vanderbilt Home Visit Script-Expanded
Stages of a Home Visit
Stage
Vanderbilt Home Visit Script-Expanded
Next-Steps Form
Arrival
Family agenda?
Review
What we will do until next visit
Family consultation
Questions before “ask to suggest” (Have you ever tried _____?)
Family demonstration + feedback
Home visitor demonstration + optional practice
Feasibility question
Focus of next (this) visit
Transition to next topic
Matrix
(See above)
Wrap up
What we did today
Focus of next visit
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Robin McWilliam

14. Vanderbilt Home Visit Script (Expanded)
This script incorporates the short, original version of the Vanderbilt Home Visit Script (McWilliam, 2010) with the eight steps of demonstration (McWilliam, 2010). To use this script, one needs a functional list of outcomes/goals, preferably developed with a Routines-Based Interview and a routines-by-outcomes matrix, in which the target routines for each outcome/goal are indicated.
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15. VHVS How have things been going?
Do you have anything new you would like to talk about?
Which goal or time of day would you like to talk about? Show the family the matrix.
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17. VHVS If this is a child outcome/goal,
How has the child been doing during X time of day? If the parent chose a goal, ask about it during a target routine. If the parent chose a routine, ask about overall functioning in the routine and then a specific target skill.
What have you been doing to help him/her?
What would you like to see him/her doing?
What is he/she doing now?
What have you tried with him/her?
How successful has that been?
Have you ever tried _____?
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18. VHVS If yes (they have tried it before), How well did it work?
Do you need more information?
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19. VHVS
If no (they haven’t tried it before), use the Eight Steps of Modeling
Speak to the adult about your suggestion
If it seems as though the parent doesn’t understand, ask him or her if he or she wants you to demonstrate.
Tell the parent what you’re going to do.
Do it.
Tell the parent what you did and point out the result of the strategy.
As the parent if he or she would like to try it.
If the parent says yes, observe; if no, don’t insist on it.
If the parent said yes, praise the parent and give him or her a limited amount of constructive feedback.
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20. VHVS Do you think this will work?
Continue with other skills in the same routine or other routines targeted for this skill.
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23. Family Consultation
Joint problem solving (solution finding) with the family
Ask questions to get
Background
Already tried
Context
Immediately desired behavior
Reason
Offer possibilities (“ask to suggest”: Have you ever tried _____?)
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Robin McWilliam

24. Why Not Just Give Suggestions?
Your input should be added value…
So you need to know background
You should not be the hero of the visit
Think about feasibility and implementation
Partners work together
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25. Using more in routines
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26. 5 Rules of Family Consultation
Ask about a target skill or a routine
Get description with 4+ questions
Work with family to find a solution (i.e., solve a problem)
Ask whether feasible
Ask whether family is confident in carrying out the intervention (i.e., the solution)
Demo + Practice?
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Robin McWilliam

27. pptPlex Section Divider
Hoosiers Rule
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30. Routines-Based Model for Early Intervention 0-5
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31. The Routines-Based Early Intervention Approach
Component
Practice
Understanding the family ecology
Ecomap
Functional, family-centered intervention plan
Routines-Based Interview (+ participation-based outcomes)
Integrated services
Primary service provider
Support-based home visits
Family consultation + 3 supports
Collaborative consultation to child care
Integrated therapy + coaching
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Robin McWilliam

32. Key Home-Visit-Related Practices
Use family consultation (instead of expert consultation);
Keep discussion of child functioning centered on routines
Work with details of child functioning (EISR; “dig deeper”)
Joint problem solving/solution finding rather than suggestions
Hoosiers rule
Use functional, family-chosen child- and family-level outcomes as the home-visiting agenda;
Respond to families’ priorities of the day;
Prepare families for parenting during the rest of the week;
Help families with parenting skills (reading, talking, playing, teaching, managing behavior);
Use informal and community supports to meet needs;
Address family-level needs also with family consultation
Provide or ensure emotional support
Document what happened and what will happen and leave with family
Use routines-based assessment to help families choose outcomes to be addressed on home visit
Support families in all areas of child and family functioning, using additional “team members” as necessary
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Robin McWilliam

33. Take-Home Messages
What was the most important thing to you about this approach to home visiting?
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34. Take-Home Messages All the intervention occurs between visits, so
We should use home visits to build adult family member’s capacities and
Meet family-identified needs.
Engage in joint solution finding by asking context questions. (How many?!)
Discuss child functioning in routines.
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Robin McWilliam