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1 Two Ohio Programs: Providing Support to Families Regional Infant Hearing Program Sandi Domoracki, M.A., CCC/A, Project Director (330) 633-2055 [email protected] Kelli Halter, M.S., Project Director (216) 231-8787 ext. 265 [email protected] Family Child Learning Center Cleveland Hearing & Speech Center

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Page 1: 1 Two Ohio Programs: Providing Support to Families Regional Infant Hearing Program Sandi Domoracki, M.A., CCC/A, Project Director (330) 633-2055 sdomorac@kent.edu

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Two Ohio Programs: Providing Support to Families

Regional Infant Hearing Program

Sandi Domoracki, M.A., CCC/A, Project Director (330) 633-2055

[email protected]

Kelli Halter, M.S., Project Director(216) 231-8787 ext. 265

[email protected]

Family Child Learning CenterCleveland Hearing & Speech Center

Page 2: 1 Two Ohio Programs: Providing Support to Families Regional Infant Hearing Program Sandi Domoracki, M.A., CCC/A, Project Director (330) 633-2055 sdomorac@kent.edu

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Faculty Disclosure Information

In the past 12 months, I have not had a significant financial interest or other relationship with the manufacturer(s) of the product(s) or provider(s) of the service(s) that will be discussed in my presentation.

This presentation will (not) include discussion of pharmaceuticals or devices that have not been approved by the FDA you will be discussing unapproved or “off-label” uses of pharmaceuticals or devices.

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RIHP is funded by the Ohio Department of Health (ODH) Bureau of Early

Intervention Services, through a federal grant from the US Department of

Education, Individuals with Disabilities Education Act (IDEA).

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What?

The purpose:1) To provide the follow along and

tracking of infants who do not pass their newborn hearing screenings.

2) To provide family-centered, habilitative services for infants and toddlers (0-3) with hearing loss or deafness at not cost to families.

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The programs offers:- Home-based family support- Unbiased parent education on

communication options- Assistance with follow-up audiological

appointments and connections to community resources

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The program also offers:- Guidance in communication and

language development- Opportunities to interact with the Deaf

community- Parent to parent support- Planning for transition to preschool

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What Does Providing Family

Support Look Like?

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Home-based Support

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ChildFamily

1 Hour 84 Hours

CONSULTATION MODEL

Interventionist

ChildInterventionist

1 Hour

DIRECT SERVICES MODEL

Lee Ann Jung

Coaching – Why?

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Adults as Learners

Approximately 50% is retained. (Shapiro et al, 1992)

40-80% may be forgotten immediately. (Kessels, 2003)

Of the 50% recalled, approximately half is remembered wrong (Anderson et al, Kessels, 2003)

( Adapted from Margolis, 2004)

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“People don’t argue with their own data.” Relate new info to what they already know or to an experience.

“Learning has not taken place until behavior has changed.” (Pike, 1994)

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Levels of Competence

“Unconscious Incompetence

Conscious Incompetence

Conscious Competence

Unconscious Competence

Conscious Unconscious Competence”

I can do this unconsciouslyLevels of Competence (Robert W. Pike. Creative

Training Techniques Handbook, 2nd edition, 1994, pg6)

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Do List: Ideas for home-based support Do send an introduction letter to child’s doctor,

audiologist, and other key people on child’s team. Do help family organize test results, business cards,

& handouts you give them by providing them with a notebook. Include a section for communication and sharing among child’s team members.

Do include other individuals (parents, college students) with similar experiences to share during home visits.

Do offer a family contact sheet. Remember details. Do allow for silence, don’t feel compelled to fill the

gaps.

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. Do initiate a contact (visit or phone call) between a newly

identified family and a seasoned family. Do use videos or written materials. Do provide access to mentor services (deaf, oral parent). Do establish a lending library of materials and texts for

families (Make sure every family has a copy of the library material).

Do establish a chatroom/list serve for families to post ideas and questions.

Do provide a family support corner on your website (include parent-generated notations, poetry, ideas, and pictures).

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Group-based Support

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Purpose of Support Groups Emotional support from others who have “been

there” or “who are there now”

A way to share information

A safe place to brainstorm and express feelings

A sounding board for choices being made

A place to validate feelings

A place to learn new ways to handle situations

A place to discover similar challenges experienced by other parents

SKI*HI

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Group-based support doesn’t have tolook like this

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Group-based support can look like this

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Sandi & Kelli’s Top Ten List or What We Have Learned Along the Way:

Do circulate invitations or fliers. Do limit the use of the word “support” in titling the

gathering. Do use a variety of forms and functions for groups. Do consider facilitators who will assist in the discussion

and stay after to mingle. Do allow for a flexible agenda, trust the families to take

the agenda where they need it to go. Do encourage extended family members to attend.

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Do monitor excessive expressions of negativity, judgment and participants who may dominate majority of discussions. Take note of these for later individual discussions.

Do remember not all things will work with all people. A group can be 2 or it can be 100 participants.

Do empower families to choose topics, settings, speakers, times, etc

Do consider ease of access to location and comfort of setting. Example: Arrange small group meetings at park, playground or fast food restaurant. Arrange large group meetings at non-clinical settings.

When you get it all figured out, it all changes.

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Bibliography

  Dunst, Carl, Carol Trivette, and Angela Deal. Enabling & Empowering Families Principles & Guidelines for Practice. Cambridge: Brookline Books, Inc., 1988. Edwards, Carolyn. "Reflections on Counseling: Families and Hearing Loss." Loud & Clear Newsletter - Advanced Bionics 2003, 2 ed. Hanft, Barbara E., Dathan D. Rush, and M'lisa L. Sheldon. Coaching Families and Colleagues in Early Childhood. Baltimore: Paul H Brookes Co., 2004. Jerger, J: Foreword: Effective Counseling in Audiology. 1994 Prentice-Hall; VII.  Margolis, B: Informational Counseling in Health Professionals: What do Patients Remember? January 2004; www.audiologyincorporated.com  McWilliam, P.J., and Donald B. Bailey, Jr. Work Together with Children & Families Case Studies in Early Intervention. Baltimore: Paul H Brookes Co., 1993.   McWilliam, P.J., Pamela J. Winton, and Elizabeth R. Crais. Practical Strategies for Family-Centered Intervention. San Diego: Singular Group, Inc., 1996.   Watkins, Sue, and Dorothy Johnson Taylor. SKI-HI Cirriculum.   Watkins, Sue. SKI-HI Cirriculum - The Basics and Getting Started; Special Needs. Vol. 1. North Logan: HOPE, Inc., 2004.   Yanz, Jerry L., Seneca Open Ear BTE. Behavioral Style Analysis, 15 Sept. 2005, MicroTech Sound Science and Services.