Title: Professional Collaboration
1Professional Collaboration
- Adriane Miliotis
- Delia OMahony
- Martine Torriero
2Organization of the Presentation
- Introduction
- Issues affecting effective collaboration
- Ethical Issues
- Turf issues
- Professional collaboration with
- SLP (Speech Language Pathologist)
- PT (Physical Therapist)
- OT (Occupational Therapist) Principals
- Child Study Team
- Board of Education
- Other professionals (medical doctor)
- Suggestions for the future
- References
3Discouraging Search
- Advanced Search
- Search Terms professional collaboration
- Journal Applied Behavior Analysis
- (Searching PsycINFO)
- No results were found.
4What is collaboration?
- Working together to enhance the learners
experience - Respecting professional expertise
5What is collaboration? cont
- participation in identifying, designing, and
developing inclusive program options - with families and other professionals
- forming partnerships has enhanced professional
practice - early childhood special educator's experiences,
resources, and contacts can be valuable assets to
communities as they seek to expand and sustain
community-based service options - (Allen Polaha, 2003)
6What are the components of collaboration?
- communication
- decision making
- Goal setting
- organization
- team process
- Nijhuis et. al. (2007)
7Why collaborate?
- Learners and parents
- How many different people do they see before
the child receives instruction? - What happens if parents and learners get
conflicting information?
8Why collaborate? cont
- Team Members
- Can we teach effectively in a vacuum?
- Consistent instruction
- Share ideas
- Learn from each other
9Effective Collaboration
- A basic understanding of
- expertise
- orientation
- terminology
- potential role of the other professionals in the
collaborating team - (Geroski, Rodgers and Breen 1997)
10Helpful to Know
- Qualifications
- Philosophy
- Professional terms
- Possible contribution to the team
- Professional respect
11Successful Collaborators
- Willing to try strategies
- Interested in using something new
- Quick to implement suggestions
- High adopters had the most
- knowledge of curriculum and pedagogy
- knowledge and student friendly beliefs about
managing student behavior - student-focused views of instruction
- ability to carefully reflect on students'
learning - (Brownell et. al. 2006)
12Roadblocks to Effective Collaboration
- Excessive paperwork
- Difficulties identifying appropriate
interventions with existing resources - Lack of financial support
- Inadequate training in problem solving procedures
- No release time for meetings
- Meeting times difficult to arrange
- Meetings last too long
- (Yetter Doll, 2007)
13Unsuccessful Collaborators
- Moderate and low adopters were less knowledgeable
- took longer to grasp ideas
- did not always implement them well
- some of these teachers needed to have ideas
explained in detail - would discard ideas they did not appear to
comprehend - (Brownell et. al. 2006)
14Educating other professionals
- Autism is a low-incidence disorder that has
received increasing attention as parents have
organized seeking more effective education
services for their children with autism 1 - prepare early intervention practitioners to work
with young children with autism, severe physical
impairments, and other low incidence disabilities
1 - The program features joint course work across the
Schools of Medicine and Education and seminars on
collaboration and teaming 2 - 1 Shriver, Allen, Mathews, 1999
- 2 Able-Boone, Crais, Downing, 2003
15Expanding Professional Roles
- Will the shift from direct to indirect roles
affect - job satisfaction
- staff turnover
- potential for burn-out among early childhood
special educators - professionals who were originally attracted to
the field because of direct work with young
children and families may be less satisfied with
roles that are now primarily adult oriented and
facilitative in nature
16Ethical Issues
- Before we can collaborate, we need
- Mutual consent form signed by parents and student
- Identify specific professionals to include
- Hand deliver, fax or mail
- Make initial contact through a letter
- Avoid phone tag due to different schedules
- Send parents a copy of the letter
- Indicate an interest in collaboration in this
letter
17Collaboration with related service providers
18Why should we collaborate?
- Coordination between the disciplines is
important when adding speech-language therapy to
an applied behavioral program. All objectives
must reflect a common goal in order to build
speech, language, play, and social skills.
(Parker 1996) - ... SLPs are not the only professionals who
target communication outcomes within the scope of
their practice. Teachers, occupational
therapists, reading specialists, and behavior
analysts do so as well, either directly or
indirectly. Therefore, cross-disciplinary
collaboration is essential. (Koenig and Gunter
2005)
19Benefits of Collaboration
- The creation of evidence-based therapeutic
approaches and practices by individuals with
combined expertise in ABA and SLP - The ability to improve the integration of support
provided by SLP and ABA professionals as
participants on home-, school-, and center-based
intervention teams - A reduction in the number of reinvented wheels
- Discrete trial to establish skills and NET to
generalize - (Koenig and Gerenser, 2006)
20The Role of the SLP
- From the ASHA Position Statement Roles and
Responsibilities of Speech-Language Pathologists
in Diagnosis, Assessment, and Treatment of Autism
Spectrum Disorders Across the Life Span - Collaboration Speech-language pathologists
should collaborate with families, individuals
with ASD, other professionals, support personnel,
peers, and other invested parties to identify
priorities and build consensus on a service plan
and functional outcomes.
21What do the fields of SLP and ABA have in common?
- ABA and SLP are the treatment components most
frequently requested by parents - ABA and SLP therapists are highly focused on the
individual, his or her unique learning style, and
the outcomes of treatment - Both ABA and SLP address skill deficits directly
by teaching specific language behaviors rather
than treating the problem indirectly using
specialized diets or sensory stimulation programs - Both fields rely on procedures that are supported
by evidence. Most therapists measure the child's
performance by collecting data to make decisions
about progress and potential changes in
instruction. - (Harchik, 2005)
22Coordinating Speech-Language Pathology with an
Applied Behavior Analysis Program (Parker, 1996)
- 1. The SLP should develop language goals similar
to those developed by the behavior program in
order to facilitate generalization. - - Ex. ABA program is working on expressive labels
with the Sd, What is this? The SLPs goal can
be to use the same vocabulary to request those
items in a low structure, play context.
23- 2. The SLP should help to make the discrete-trial
goals of the behavior program as communicative
and functional as possible. - Ex. Work on requesting programs using objects of
high interest. - 3. The SLP can add valuable information about
speech-language goals that are being addressed in
the behavior program. - Ex. Suggest a prompt to remediate specific sound
errors such as placing a hand on the students
throat to teach the /k/ sound.
24- 4. The SLP helps to ensure that all therapists
are attempting to use similar vocabulary,
commands, and toys in focusing on their goals. - 5. The SLP can offer information to the behavior
team and parents on developmentally appropriate
linguistic forms and the developmentally normal
communication sequence. - Ex. Assists with the periodic reassessment of
linguistic goals.
25- 6. The SLP can demonstrate how to incorporate
specific goals into daily, preexisting
activities, such as dinner, bath, and bedtime,
which will be helpful with generalization and
sequencing. - Ex. A daily activity such as cooking dinner can
be used to teach sequencing skills and specific
language forms. If the child is working on
prepositions, the parent can say, First we put
the water in the pot, then the salt in, then the
spaghetti in.
26- 7. The SLP should help develop reinforcers- both
tangible, such as food, stickers, and toys, and
social, such as praise, hugs, and tickles. - 8. The SLP should assess the manner in which
speech-language skills are used within the
classroom or play group in order to ensure
maximum benefit from these interactions. - - Ex. Suggest that the teacher give the child a
toy that she knows another child likes, then
encourage the two children to play together. - - Ex. Encourage the classroom teacher to set up
activities that require a buddy, and pair the
child with a peer who is both a strong language
model and a friendly child.
27- 9. The SLP can also help troubleshoot specific
linguistic problems. - Ex. If the child is having difficulty
remembering the names of objects, the SLP can
develop appropriate categorization and world
knowledge tasks. - 10. The SLP can also aid in the diagnosis and
treatment of concurrent disorders (e.g. apraxia
or dysarthria)
28Three models for team interaction
29(No Transcript)
30http//www.njeis.org/NJFoundationsSP.pdf
31The Consultative Model of Service Delivery
(Bellone, et. al 2005)
32Why should we use this model?
- For individuals with ASD, exclusive provision of
services through pull-out services does not
address the underlying challenge of social
communication inherent in the disorder, the
issues of generalization, functional outcomes, or
the importance of collaborating with significant
communication partners. (ASHA 2006)
33Why?, cont
- Research on children with ASD suggests that the
greatest effects of any direct treatment are
reflected in the generalization of learning
achieved by working with parents and classroom
personnel.(NRC 2001)
34Traditional SL services are inadequate
- 1-5 hours treatment per week
- SLP is sole instructor
- Isolated setting
- Skill generalization and maintenance difficult to
achieve given these limitations - (Bellone, et.al., 2005)
35- BUT
- The pull-out model of service delivery continues
to be the most used model for preschool and
school-age children. (ASHA, 2004) - EVEN THOUGH
- There is no evidence supporting the long-term
effectiveness of individual therapies implemented
infrequently (e.g., once or twice a week), unless
the strategies are taught to be used regularly by
communication partners in the natural
environment. (ASHA 2006)
36Consultative SL services afford
- Consistent and continuous instruction throughout
the childs day - Skill generalization across people and settings
in childs natural environment - Skill maintenance through practice in naturally
occurring and programmed opportunities - (Bellone, et.al., 2005)
37The role of the SLP
- Develop curriculum
- Select data collection systems
- Train teachers
- Observe teachers students
- Attend meetings
- Modify teaching procedures
38The role of the teaching staff
- Provide multiple daily opportunities
- Collect sum data
- Review data w/ SLP
- Initiate questions, concerns
- Troubleshoot w/ SLP
- Incorporate changes into instruction
39The consultative model in a public school
- School administrator contacted NECCs consulting
department - NECC directors met with teachers and
administrators - Defined role of SLPs and teaching staff
- A letter was sent home to parents inviting them
to an informational meeting - After a follow up letter and phone call, 33
(n24) selected the consultative model
40The consultative model in a public school Public
School Contract
- Services were provided in 8 children in 3
classrooms - 2 hours/mo of consultative (indirect) services
from SLP - 40 hours/mo direct SL instruction from lead
classroom teacher - SLP consult with Head teachers
- Head teachers train teaching assistants
41The consultative model in a public school Results
- Public school students made progress/met 98 of
objectives (2005) - NECC students made progress/met 90 of objectives
(2004)
42What do other disciplines have to say about
professional collaboration?
43Guide for Professional Conduct
- PRINCIPLE 11
- A physical therapist shall respect the
rights, knowledge, and skills of colleagues and
other healthcare professionals. - 11.1 Consultation
- A physical therapist shall seek consultation
whenever the welfare of the patient will be
safeguarded or advanced by consulting those who
have special skills, knowledge, and experience. - 11.2 Patient/Provider Relationships
- A physical therapist shall not undermine the
relationship(s) between his/her patient and other
healthcare professionals. - 11.3 Disparagement
- Physical therapists shall not disparage
colleagues and other health care professionals.
See Section 9 and Section 2.4.A.
44Code of Ethics
- Principle 7. Occupational therapy personnel shall
treat colleagues and other professionals with
respect, fairness, discretion, and integrity.
(FIDELITY)
45Guidelines for Responsible Conduct For Behavior
Analysts
- 9.0 The Behavior Analyst's Responsibility to
Colleagues. - Behavior analysts have an obligation to bring
attention to and resolve ethical violations by
colleagues, to make sure their data are accurate
and presented truthfully, and they share data
with colleagues. - 9.01 Ethical Violations by Colleagues
- 9.02 Accuracy of Data
- 9.03 Authorship and Findings
- 9.04 Publishing Data
- 9.05 Withholding data
46Are related service providers a necessary
component of an effective program?
47- A public program serving children in preschool
through eighth grade diagnosed with Autism and
related disabilities in Bergen County, NJ - The speech-language department works
collaboratively with the classroom teachers to
promote various communication modes such as the
Picture Exchange System, computerized voice
output devices, sign language, and fostering
expressive language. (McKeon, et.al. 2006)
48- Does not employ related service personnel
- Curriculum includes teaching programs that
facilitate the development of language and fine
and gross motor skills - Programs are implemented by instructional
personnel throughout the day - Pull-out related services are rarely necessary
because of the breadth and comprehensiveness of
the curriculum - If services are deemed necessary, appropriate
referrals or consultations are arranged by ALG
staff (Meyer, et. al, 2006)
49- The Douglass School
- each class is supported by a half-time
speech-language specialist who provides
individual and group therapy as well as
consultative services to the preschool teachers.
An adaptive physical education professional
serves the preschool children on the three times
a week and acts as a liaison for consulting
professionals such as physical or occupational
therapists. (Harris, et. al, 2001) - Douglass Outreach
- Douglass Outreach employs five licensed
part-time speech pathologists for speech-language
services. (Harris, et. al, 2001)
50Princeton Child Development Institute
- Strong emphasis on language development
- Does not employ specialists
- All intervention personnel are trained to teach
receptive and expressive language in every
activity - Toilet training, outdoor play, lunchtime
- Language instruction encompasses discrete trials,
incidental teaching, time-delay procedures, and
video-modeling procedures. - 36 of 41 children entered PCDI before 60 months
of age and had no functional expressive language - The skills of these children currently range from
using sounds as mands to age appropriate verbal
repertoires. - (McClanahan and Krantz, 2001)
51Recommendations for Continued Collaboration
- Share treatment efficacy data
- Share innovative teaching procedures
- Share basic information
- Share successful collaboration experiences
- Read articles in journals associated with the
other profession - Share your concerns
- Share lunch
- (Koenig and Gerenser, 2006)
52 State of New Jersey
Department Of Education
Department of Human Services
BOE - Local School / Sending School District
Board of Education (Receiving School)
The Office of Early Care and Education (OECE)
Director of Special Services
SPAN/COSAC/ Autism Society of America
Child Service Team
School
ST OT PT ART Music BCBA
Parents / Home / Family Physician Dentist, Doctor
Principle
Child
Bus
Teacher
Siblings Family Celebrations
Community
After school services (latch key)
Neighborhood, Shops, Restaurants
DDD DVR
Employment Sheltered Living
53Collaboration with Administration
- Who are the possible collaborative partners?
- How can we develop a collaborative relationship?
54NJDOE Press Release February 20, 2007
- Approximately 7,400 New Jersey children between
the ages of 5 and 21 have been diagnosed with
autism spectrum disorders. - Fifty-five New Jersey school districts will
share 15 million in state funds to establish,
expand or enhance public school programs and
services for students diagnosed with Autism
Spectrum Disorders..
55Administration
- State of New Jersey
- Department of Human Services
- The Office of Early Care Education (OECE)
- Division of Family Development
- Department of Children and Families
- Build NJ Partners for Early Learning
- Coalition of Infant/Toddler Educators (CITE)
56Administration
- Child care services are coordinated through
- Department of Human Services' Office of Early
Care and Education for information, policy and
resources - the Division of Family Development for child care
operations - the Division of Developmental Disabilities
- the Office of Licensing in the Department of
Children and Families (DCF) - all in cooperation with Child Care Resource and
Referral Agencies in every county - Services include
- information and referral to help parents locate
child care resources and to answer typical
questions regarding types of child care - how to pay for care
- how to become family day care and licensed child
care providers.
57AdministrationDepartment of Education
- Division of Early Childhood Education
- The Division of Early Childhood Education (DECE)
of the New Jersey Department of Education has
programmatic responsibility for preschool through
3rd grade (PK3) programs. - responsible for the development, implementation,
and alignment of program components with a focus
on standards, curricula, and assessment. - The creation of this division
- Acknowledges that a continuum of developmental
stages constitute what is traditionally known as
early childhood, - Protects New Jerseys investment in high quality
preschool by providing high quality kindergarten
through third grade educational experiences for
young children. - PK3 work will be organized within a framework
that includes - structural (administration, class size,
teacher-child ratio, etc.) - process (quality of classroom environments,
teacher-child interactions, etc), - alignment (standards, curriculum, assessments)
components that are associated with childrens
social and academic outcomes. - The DECEs work will be
- Research-based, with a series of advisory
committees consisting of nationally recognized
experts representing a range of early
childhood-related areas - Cross-departmental to align all DOE PK3
initiatives, - Supportive of the efforts of the Division of
School Improvement.
58 Office of Special Education Programs
- Implements state and federal laws and regulations
governing special education to ensure that pupils
with disabilities in New Jersey receive full
educational opportunities. - Provides statewide leadership through the
development of policy and implementation
documents and provides guidance to school
districts and parents regarding the
implementation of special education programs and
services. - Responsible for administering all federal funds
received by the state for educating pupils with
disabilities ages 3 through 21. - Monitors the delivery of special education
programs operated under state authority, provides
mediation services to parents and school
districts, processes hearings with the Office of
Administrative Law, and conducts complaint
investigations requested by the public. - Funds four learning resource centers (LRCs) that
provide schools and parents with information
services, materials circulation, technical
assistance, consultation services and production
services. - Plans and implements program and personnel
development activities in areas such as
implementing the least restrictive environment
provision, planning the transition of students
with disabilities from school to adulthood,
planning programs and services for preschool
children with disabilities,developing
Individualized Education Programs (IEPs) and
accessing individual rights and entitlements.
59LEARNING RESOURCE CENTER - NORTH7 Glenwood
Avenue, 2nd Floor, Suite 201 East Orange, New
Jersey 07017
- Regions served Bergen, Essex, Hudson, Morris,
Passaic, Sussex, and Warren Counties - (973) 414-4491 - LRC General Service(973)
414-4496-FAX (973) 266-1849-TTY (973) 631-6349 -
Preschool Technical Assistancee-mail
lrcnorth_at_doe.state.nj.us
60A collaborative modelThe Child Study Team
- Composed of teachers, specialists,
administrators, and parents - Responsible for identifying and evaluating
students aged 3 21 for special education
programs and services. - Required to conduct both an educational
evaluation and a psychological evaluation. (A
neurological examination is also required before
a child becomes eligible for special services.) - Develops an Individual Education Plan with
parent/child. - Assigns a case manager
- Visits receiving school or agency with
parent/child - Organizes placement and transportation
- (Walther-Thomas, Korinek, McLaughlin, 1999)
61IEP Meeting
- Who should attend?
- Student (if appropriate)
- Parent
- At least one general (or special) education
teacher - At least one Child Study Team member
- Students case manager
- School district representatives
- Persons invited by parent or school
- Representatives of agencies providing payment for
services
62Typical School Operations NetworkCouncil of the
Borough (duly elected by town)
- Board of Education (elected by Council)
- Superintendent
- Hired by the BOE
- to direct operations
- Manage the fiscal year budget
- Hire all school staff including Child Study Team
members, teachers, and professional support staff
(ST, OT, PT, BCBA, librarian, etc.)
63School
- Effective collaboration emerges out of concerns
by individuals who are like-minded in some ways
and very different in others. Walther-Thomas,
Korinek, McLaughlin Williams (2000) - Principals tend to focus on issues such as
achievement trends, financial implications,
professional development, student placement,
professional schedules, and community relations. - Teachers are concerned with individual and group
performance, IEP planning, and new
responsibilities. - Families care about the impact of new initiatives
on their children.
64Improving student bus-riding behavior through a
whole-school intervention (Putnam, Handler
Ramirez-Platt Luiselli, 2003)
- Intervention developed through collaboration with
students, school personnel and bus drivers - 624 students participated during 5 phases of the
study - Disruptive behavior that resulted in referrals or
suspensions was targeted and measured in an ABAB
reversal design - Results indicated an overall decrease in bus
suspensions
65Parents have power!
- Parents and children are the service users
- Parents and children have the most to
- gain/lose regarding adequate effective
- services
- The child is at the center and the parent needs
- to learn to collaborate with all the service
- providers and get them to collaborate with
- each other from the time of diagnosis to
adult development. - Parents can enlist the work of nonprofit agencies
and foundations to work with one another to map
the terrain of a problem - They should talk to public officials about
providing long-term funding for vital programs
both in their community and at the State level. - Parents should know their rights and not accept
anything less.
66Suggestions for the Future
- develop and evaluate new methods of preparing
early childhood special educators whose primary
role now consists of consultation and
collaboration, rather than teaching - Use the case method of instruction
- Prepare professionals to become independent and
competent problem solvers in the role of
consultant - personnel training programs must be systemic in
nature - (Dybvik, 2004)
67Suggestion for the Future, cont
- changes in professional roles
- create opportunities for interactive learning for
professionals who function in a variety of roles,
including administrative ones - ensure a shared knowledge and values base among
all professionals who serve young children and
families - Remedy roadblocks
- (Skrtic, 1991)
68Suggestion for the Future, cont
- 21st century changes
- "the entire history of special education is (and
should continue to be) one of incremental
progress toward more socially inclusive
instructional placements for students with
disabilities" - Efforts aimed at early childhood community
integration will continue to present profound
challenges to practitioners in ECSE - Effectively change our roles in response to the
changing times, in support of young children with
and without disabilities growing up together - (Skrtic, 1991)
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