COLLABORATIVE OUTCOMES PROCESS
TABLE OF CONTENTS
Step 1: Analyze Current Outcomes
Step 2: Interview Family
Step 3: Determine Priorities
Step 4: Gather Assessment Results
Step 5: Integrate Information
Step 6: Create Objective Measures
Step 7: Collaborate
Step 8: Review Progress
Resources
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Collaborative, Routines-Based Outcomes Process
STEP 1: Analyze Current Outcomes
WHAT:
Take a look at existing One Plan outcomes to see if they fit the criteria of
being collaborative and routines based.
HOW:
1) If this is initial One Plan, move on to Step 2: Interview.
2) If you are updating an existing One Plan, start by reading through all
current outcomes.
a) Determine:
i. Themes: “many providers seem to be working on building
independence across his day”
ii. Overlap: “visual fine motor skills are being worked on by Teacher
of the Visually Impaired and the Occupational Therapist”
iii. Routines: Think about the routines that could be linked with each
outcome: “working on visual fine motor skills could be imbedded into his
feeding routine”
b) If routines, priorities and current skills are documented move on to
Step 5: Integrate
Vermont I-Team Early Intervention Project, 4/24/17
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Collaborative, Routines-Based Outcomes Process
STEP 2: Interview Family about
Daily Routines, Activities and Supports
WHAT: Interview the family to gather information about their daily
routines, activities and support systems.
HOW: Use a structured format for gathering this information.
Integral Information:
1) What is working and what is challenging in everyday routines and
activities?
2) What is everyone else doing during routine?
3) What is the child doing during routine?
a) Social-emotional skills
b) Acquiring and using knowledge and skills
c) Taking appropriate action to meet needs
Vermont I-Team Early Intervention Project 4/24/17
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Step 2: Interview
page 2
Possible Tools:
- One Plan interview1 - for gathering family supports and routines
- ECO Map1,2
- AEPS3 (Assessment, Evaluation and Programming System for
Infants
and Children) Family Report
4
- RBI (Routines Based Interview)
- SATIRE5 (Scale for Assessment of Teachers Impressions of
Routines and Engagement)
- Cara’s Kit for Toddlers6 (Creating Adaptations for Routines and
Activities)
-Larimer County Age Anchoring Tool7 - for age norms
Vermont I-Team Early Intervention Project, 4/24/17
Collaborative, Routines-Based Outcomes Process
Step 3: Determine Family Priorities
WHAT: Help family prioritize their hopes and dreams
HOW: Perform a structured process for prioritization
Integral Information:
1) As family is interviewed, concerns should be starred on by notetaker.
2) Following the interview, review all identified concerns with the family it may be helpful for them to review the notes.
3) Consider which identified concerns will be addressed by EI team.
Family should be encouraged to add child and family concerns, but not all
concerns may be relevant to EI.
4) List these concerns into order of priority. Understanding the family’s
priorities will help to guide team members to allocate their time and
attention.
Possible Tools:
- Hopes and Dreams page of the One Plan8
- Priorities Page (“Things to work on”) of the RBI4
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Collaborative, Routines-Based Outcomes Process
Step 4: Gather Assessment Results
WHAT: Collect information about current level of function
HOW: Gather results from providers evaluation reports and/or current
progress toward One Plan outcomes
Integral Information:
1) Information gathered through developmental and discipline specific
evaluations
2) What is the impact of developmental skill level, needs and disability
on the child’s learning and participation in everyday routines and
activities?
3) What is the impact of the family needs and capacity?
4) Are evaluation reports being written in a collaborative way with input
from multiple providers?
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Collaborative, Routines-Based Outcomes Process
Step 5: Integrate Routines, Priorities and Assessment Results
WHAT: Organize information gathered about parent priorities,
routines and assessment results.
HOW: Structured meeting with full team and family
1) Start with first parent priority: “Do more for himself”
2) Determine which routine this affects: Self-care
3) Identify current skill level related to this routine: Billy is fully
dependent with dressing
4) Identify which providers (2 or more) will be working on this
outcome.
Possible Tools:
- One Plan Meeting Agenda9
Vermont I-Team Early Intervention Project – 4/24/17
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Collaborative, Routines-Based Outcomes Process
Step 6: Create Collaborative Outcomes and Objective Measures
WHAT: Using integrated information from step 5, develop the One Plan
outcomes.
HOW: Create outcomes during a structured meeting with team and family
1) Write collaborative outcome: “We want…. so that….”
We want Billy to increase his participation in dressing so that he can
be more independent in self-care routines.
2) Write objective measures: “How will we know we are successful”?
Add 2-4 objective measures for each outcome. (Note: each objective
measure will likely be discipline specific)
a) Billy will remove his pants with moderate assistance by
grasping waistband with two hands, 1x/day, 3-4 days per week
b) Billy will indicate choice between 2 different articles of clothing when
given options, 1x/day
c) Billy will be engaged during communication during the dressing
routine by quieting to listen, looking at the face of the communicator,
and/or watching signs for each clothing item during choice time.
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STEP 6: Create
page 2
Outcome Checklist:
-- Is the outcome routines-based?
-- Is the outcome based on a family priority?
-- Is the outcome based on a functional activity?
-- Is there more than one provider involved in the “we want, so that”
outcome?
-- Are the “how will we be successful” outcomes based on SMART goal
writing techniques?
Specific: by grasping waistband with two hands
Measureable: 1x per day, 3-4 days per week.
Attainable
Routines based: self-care
Tied to function: dressing
Vermont I-Team Early Intervention Project – 4/24/17
STEP 6: Create
page 3
Example on One Plan:
We want: Billy to increase his
participation in dressing
So that: he can be more
independent in self-care
routines.
Outcome: How will we know we What resources do we
are successful?
have to help with this
Billy will remove his pants with
outcome?
moderate assistance by grasping elastic waist pants
waistband with two hands, 1x/day,
3-4 days per week
Billy will indicate choice between
2 different articles of clothing
when given options, 1x/day
Billy will be engaged during
communication during the
dressing routine by quieting to
listen, looking at the face of the
communicator, and/or watching
signs for each clothing item during
choice time.
- Possible Tools:
- One Plan Meeting Agenda9
Vermont I-Team Early Intervention Project – 4/24/17
Collaborative, Routines-Based Outcomes Process
Step 7: Collaborate
WHAT: Make a plan for team collaboration
HOW: Develop team collaboration activities:
Options for collaboration:
- Schedule co-visits between providers
- Provide family with notebook to keep track of visit notes and
schedule
- Provide family with brief, written descriptions of collaborative
strategies
- Schedule regular team and/or provider meetings
Tools:
- Collaborative Meeting Agenda9
- Family Routines Plan9
- Childcare Routines Plan9
Vermont I-Team Early Intervention Project – 4/24/17
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Collaborative, Routines-Based Outcomes Process
STEP 8: Plan Review
WHAT: Review outcomes on an ongoing basis
HOW: Plan Review from One Plan
1) What is reason for Review?
- Periodic review
- Annual review
- Change in Services/Update/Referral – review of progress can
happen at any time
2) Identify sources of information
3) Update current status:
- Family routines
- Family priorities
- Changes in family living situation
- Medical updates
4) Update current skill levels:
- Review results of most recent screening/evaluation/
Observations
- Review “How will we know we are successful” to see if child
has met any of the objectives
- Determine if there are any new areas of concern
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Step 8: Plan Review
page 2
5) Integrate findings from previous sections:
- Update “we want, so that” and “how will we know we are
successful” sections of plan.
- Use Outcomes Checklist from STEP to be sure these are
collaborative, routines-based and SMART
6) Identify the areas in need of continued or additional services.
7) Complete new/revised Family Outcomes pages, Service grid
and Family consent for change in services.
Tools:
- One Plan Guidelines1
Vermont I-Team Early Intervention Project – 4/24/17
Collaborative, Routines-Based Outcomes Process
RESOURCES:
1 Information on Eco Maps, One Plan Tool Box and One Plan guidelines:
CIS Partners
2 Information on Eco Maps: Eco Maps
3 The APES family report, to learn about daily routines at home:
APES Family Interview
4 Routines Based Interview (RBI) – to learn about daily routine of family
at home:
RBI article
RBI protocol
5 SATIRE (Scale for Assessment of Teachers Impressions of
Routines and Engagement) – to learn daily routine at childcare program
SATIRE
6 Cara’s Kit – to learn daily routine of childcare program Cara’s Kit
7 Larimer County Age Anchoring Tool
Outcome 1: Positive Social Emotional Skills
Outcome 2: Acquiring and Using Knowledge and Skills
Outcome 3: Taking Appropriate Action to Meet Needs
8 Hopes and Dreams page of One Plan
Hopes and Dreams
9 One Plan Meeting Agenda
Collaborative Meeting Agenda
Family Routines Plan
Childcare Routines Plan
Collaborative Outcomes Process Checklist
I-Team EI Project Resources
Vermont I-Team Early Intervention Project – 4/24/17
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