By Kristen Eriksen
My last post discussed a little about the feelings parents may have if they or someone they know is concerned about a child’s development, and their feelings about Early Intervention. Today, I want to talk about what happens once you are referred to EI, and your child is eligible for services.
Once there is a referral to EI, parents are contacted to get information and then schedule an intake and evaluation. The intake is an interview with parents to get background information about the child. This involves one person coming to your home, and a lot of paperwork. The evaluation team consists of 2-3 professionals, all with different roles (often there will be an educator, a physical therapist and a speech therapist). The evaluation tool is the same for every child. The team will bring a bag of toys, specific to the test being given. Tasks will be presented, and there are “rules” about how things are presented, and what can and cannot be said or done. The team will continue to present items until it is clear that they can determine at what age-level the child is performing.
Sometimes the intake and evaluation are done at the same time. Personally, I prefer two separate visits so that parents are able to be there to watch the evaluation without being busy with the interview and paperwork.
Once the evaluation is done, the team will give you feedback immediately, and will then be able to tell you if your child is eligible for services. If eligible, the next visit will be to write a plan with goals for the next six months. Parents are involved in this plan and establish goals that are realistic and applicable to their family and child. This plan will also identify who will visit (what type of profession), and how often and where visits will occur. EI focuses on services occurring in the child’s natural environments; so at home, daycare, grandparents home, playgrounds or stores. Each case is specific and different. Some families are only in need of services monthly by one provider, while others need visits from several providers several times a week. It depends on the needs of the family and the child. Some children also need other specialized services for Autism Spectrum Disorders, or visual and hearing issues. These services are contacted by EI and coordinated by the EI Agency.
Typically, when your service providers visit, they will bring toys and activities to target the needs of your child. Sometimes they will go to a park or playground, again to target the needs and goals of your child. Parents are informed and included in visits, and given a note at the end of the visit, the whole visit lasting about an hour.
Every six months, there will be another evaluation to look for progress and to reevaluate the goals and plan.
As a nurse, please remember that if you or your child is sick, it would be best to cancel a visit. EI staff is in contact with lots of families, and try very hard to stay healthy so as not to spread illnesses. On this same note, EI staff wash their toys after all visits to be sure that little ones don’t share their germs!
In my future posts about development and EI, I will talk about speech concerns, sensory difficulties, feeding issues and why skipping over, or missing, some areas of development is sometimes of concern (why it is not always so advanced to go straight to walking without first crawling).


















