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New Mexico School for the Blind and Visually Impaired (505)859-0427 Julie Maner , COMS Loreta Martinez-Cargo , COMS Joanne Habelt , O&M Mark Carter , COMS [email protected] Birth to Three Orientation and Mobility New Mexico Style AER Bellevue, WA.

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birth to three orientation and mobility new mexico style aer bellevue wa
New Mexico School for the Blind and Visually Impaired

(505)859-0427

Julie Maner, COMS

LoretaMartinez-Cargo, COMS

Joanne Habelt, O&M

Mark Carter, COMS

[email protected]

Birth to Three Orientation and Mobility New Mexico StyleAERBellevue, WA
slide2

NMSBVI INFANT TODDLER PROGRAM 2000 TO 2012

Cindy Faris

Program Coordinator

(505)859-0427

[email protected]

history

INFANTS & TODDLERS SERVED IN NMSBVI PRESCHOOL CENTER

  • LIMITED NUMBER SERVED IN NM BY OUTREACH
  • VISION DIAGNOSIS REQUIRED
  • 40 CHILDREN SERVED STATEWIDE IN 2000
HISTORY

40 KIDS

IN 2000

there must be more kids

LINDA LYLE PRIMARY INFANT TODDLER TEACHER

  • 2000 FIRST DEVELOPMENTAL VISION SPECIALISTS HIRED
  • OFFICIAL INFANT TODDLER PROGRAM STARTED
  • EARLY INTERVENTION PHILOSOPHY
THERE MUST BE MORE KIDS

1997-98

Linda Lyle comes out to connect with EI staff

state collaboration

INCREASE COLLABORATION

  • IDENTIFY MORE KIDS WHO NEED VISION SERVICES
  • ANDY GOMM, (FIT) AND PAULA SAENEZ, (NAVAJO NATION) OFFERED SUPPORT AND COLLABORATION
STATE COLLABORATION

JOINING WITH A SYSTEM OF STATE SERVICES

negotiations

VISION SCREENING

  • IDENTIFICATION OF KIDS
  • SERVICES IN HOME & COMMUNITY
  • TRAINING & TA FOR EI STAFF
  • AGREE TO SERVE KIDS “AT RISK” FOR VISION IMPAIRMENT
NEGOTIATIONS

WHAT CAN WE OFFER?

what does andy want

CONSISTENT WAY TO SCREEN VISION ACROSS STATE

  • RESEARCH BEGINS AND FIRST TOOL DEVELOPED
  • 2003 FIRST SCREENING TOOL
  • TRAINING FOR EI AGENCIES
  • VISION 101 IS BORN
  • ANDY SUGGESTS MEDICAID BILLING FOR VISION/O&M
WHAT DOES ANDY WANT?

TOOL TO SCREEN VISION

we found the kids

2000 served 40 kids statewide

  • 2006-07 served 450 kids
  • 2007-08 served 750 kids
  • Month of May 2012: 442 kids served
  • July 2011 to May 2012 we have provided screenings and services for 1,471 kids
  • Of 1,471; 731 were screened and 741 were provided ongoing services
WE FOUND THE KIDS

EI STAFF REFER THE LARGEST NUMBER OF KIDS

current statewide staff

1 PROGRAM COORDINATOR

  • 1 ADMINISTRATIVE ASSISTANT
  • 17 DEVELOPMENTAL VISION SPECIALISTS
  • TRAINING AS TEACHERS OF THE VISUALLY IMPAIRED AND/OR ORIENTATION AND MOBILITY SPECIALISTS
  • 4 O & M SPECIALISTS
  • INFANT TODDLER/EARLY CHILDHOOD; 4 OT, 1 PT, 1 SLP
CURRENT STATEWIDE STAFF

WE ARE PAID TO DRIVE

statewide services

DIRECT SERVICES FOR CHILD AND FAMILY

  • VISION SCREENING, FUNCTIONAL VISION EVALUATIONS, ONGOING ASSESSMENT
  • TRAINING FOR EI AGENCIES
  • RESOURCE AND INFORMATION
  • PARTICIPATE IN IFSP TEAM AND OTHER TEAM MEETINGS
STATEWIDE SERVICES

PARENTS OR AGENCIESARE NEVER CHARGED FOR SERVICES

hospitals doctors

PROVIDE VISION SUPPORT TO HOSPITALS FOR INPATIENT AND DISCHARGE

  • NICU, PICU, GPU
  • COLLABORATE WITH PRIMARY CARE PROVIDERS,PEDIATRIC OPHTHALMOLOGISTS, AND NEUROLOGISTS
HOSPITALS, DOCTORS

WE HELP CONNECT FAMILY FROM MEDICAL PROVIDER TO FOLLOWUP SERVICES

early identification and vision diagnosis

PRIMARY CARE DOCTORS FREQUENTLY MISS SIGNS OF VISUAL IMPAIRMENT

  • MAJORITY OF REFERRALS FROM EI STAFF
  • SERVING KIDS AT RISK ALLOWS OUR STAFF TO HELP WITH DIAGNOSIS
  • WE SERVE MORE CHILDREN, B-3, THAN OTHER STATES
  • CHILDREN RECEIVE TRANSITION SERVICES
EARLY IDENTIFICATION AND VISION DIAGNOSIS

EARLY ID/DIAGNOSIS LEADS TO FUTURE SERVICES

trends and challenges

INCREASE OF OPTIC NERVE HYPOPLASIA

  • INCREASE OF SHAKEN BABY/NONACCIDENTAL TRAUMA
  • INCREASE OF PREMATURE BABIES
  • INCREASE OF MEDICALLY FRAGILE BABIES
TRENDS AND CHALLENGES

STAFF MUST BE WELL TRAINED

strengths

COMMITTED STAFF

  • STATE AND COMMUNITY COLLABORATION
  • NMSBVI BOARD SUPPORT FOR EARLY IDENTIFICATION
  • SUPERINTENDENT HAS EARLY CHILDHOOD BACKGROUND
STRENGTHS

STAFF ARE OUR GREATEST RESOURCE

looking to the future

OUR ROLE IN THE TRANSDISCIPLINARY TEAM PROVIDER MODEL AS VISION SPECIALISTS

  • ACTIVE PARTICIPATION AS TEAM MEMBERS WITH KIDS, FAMILIES, AND AGENCIES
  • CONTINUED STATE AND COMMUNITY COLLABORATION
  • MODEL FOR OTHER STATES
LOOKING TO THE FUTURE

DEFINING

OUR

ROLE

orientation and mobility definition nm family infant toddler program
Orientation and Mobility DefinitionNM Family Infant Toddler Program

Services delineated in the IFSP that address purposeful and independent movement in children who are blind, visually impaired or are at risk for visual impairment.  Services provided involve the development of skills including concurrent motor skills, sensation, environmental concepts, body image, space/time relationships, and gross motor skills. Orientation and mobility instruction is focused on travel and movement in current environments and next environments and the interweaving of skills into the overall latticework of development.  Services include evaluation and assessment of infants and toddlers identified as blind/visually impaired to determine necessary interventions, equipment, and strategies to promote movement and independence.

nmsbvi b 3 o m guiding principles
NMSBVI B-3 O&M Guiding Principles

O & M services should start when a child is young

Movement improves cognitive functioning and increases skills in all developmental areas

Children should have an opportunity to learn by exploring and moving

Movement should be developmentally appropriate

O & M should be fun, because children learn best through play

Child, family and team centered O & M is most successful

Active participation allows the child to learn in a meaningful context.

Children learn best when they are engaged in natural learning environments.

nmsbvi birth 5 years orientation and mobility assessment
NMSBVI Birth – 5 YearsOrientation and Mobility Assessment
  • Parent Report  
  • Eye Exam
  •  Functional Vision
  • Communication
  •  Sensory:
  • Auditory/Tactual/Olfactory
  •  Gross Motor
  • Fine Motor
  • Quality of Movement
  • Orientation
  • Mobility
  • Concepts
  •  Travel Devices
  • Safety and Environmental Awareness
  • Supporting Purposeful Movement in Learning Situations
nmsbvi b 3 o m services in nm
NMSBVI B-3 O&M Services in NM

Work closely with NMSBVI developmental specialists and other team members

Early development of tool use and purposeful reaching

Try canes at early age… not sure how a child will respond to a cane unless you try

sensory motor learning
Sensory Motor Learning

Sensory Zone

Sensory Learning Zone

  • Awareness of sensory experiences
  • May not understand source of sensory information received
  • May not have opportunity to recreate sensory experience.
  • May not know how to create or repeat sensory experience
  • Experience may have limited sensory input
  • Child is directly experiencing activity that produced sensory input
  • Child should have opportunity to create her own sensory experiences
  • If appropriate, child should have as many senses as possible involved in the activity.
  • Shared activities offer opportunities for imitation and creativity and support learning
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