Family-guided Approaches to Collaborative Early-intervention Training and Services
Intervention Planning Worksheet
Family name: ______
Date: ______
Typical daily schedule of family:
A.M.P.M.
6:30 wake up – call out to mom3:00 Pick up kids______
Changes diaper – dressesXSnack______
BreakfastPlaytime – Fix dinner______
Free play – mom gets readyXDad comes home, outside play____
Car ride to take siblings to school & child careFamily time______
XBedtime – book ______
Information to gather in a family-friendly fashion:
1. Which routine(s) do family members identify as mutually enjoyable? How frequently do they occur?
What motivates the child to participate?
JP wants the cat to play with him – gets down and gestures “Come Kitty” JP plays with kitty 1-2 times a day
Mom lets JP pick his book out before bed. Gives choices.______
JP wants food or juice or TV remote. Happens frequently throughout the day.______
2. How does the caregiver currently proceed with the routine?
JP comes to the kitchen when hungry. Mom sits with him when he eats.______
If he can’t fix something or make something work, like the remote, he’ll scream.______
When dad comes home, they go out to play ball as a family.______
3. What outcome(s) should be embedded? Where and when?
Gesturing vocalizing and using JP words within any routine or activity parents can attend and respond.______
Strategies to demonstrate to caregiver:
Notes:
(Incorporate only 1-2 strategies per routine.)
Notes
XFollow the child's lead Points and vocalizes at remote on top of TV
❏ Provide choicesBrings stool to climb to VCR
❏ Model appropriate response
XGive inadequate portions
❏ Time delay: wait for child to request or initiate a topic
❏ Interrupt sequence and wait for response
❏ Place materials out of reach
❏ Create silly situations
❏ Provide physical assistance
Communication strategies for caregivers:
❏ Speak slowly and clearly; use common words
❏ Focus on the child's actions/communication
❏ Use gestures
❏ Use an exaggerated/animated voice
❏ Take turns with actions/vocalizations
❏ Expect a response from child
❏ Respond to child's initiation
❏ Expand on child's response
❏ Include a variety of attractive, interesting and desirable objects and materials
Cripe, J. & Graffeo, J. (1995). Family-guided approaches to collaborative early intervention training and services. Parsons, KS: University of Kansas, KUAP-Parsons, Project FACETS.
8/25/99
FACETS is a joint project of Kansas University Affiliated Program and Florida State University