Aspect

Description

Description of support need

Regular offer for 1) all children with a VE indication who can develop sufficiently using the VE offer without additional Health or support and 2) all children with an SMI indication who can develop sufficiently without additional Health or support.

Outcomes child tracking system and tool

Child tracking system outcomes:

• No special features besides the (potential) language delay (in the case of a VE indication).

Outcomes parent interviews:

• No special features besides the (potential) language delay (in the case of a VE indication).

Professional partners potentially involved

Pedagogical staff

JGZ

CMD Youth Team

Description tasks

Pedagogical staff:

• Implement VE offerings (if VE indication).
• Signaling and recording development progress through child monitoring system.
• Maintain contact with parents.
• Conduct mentor interviews (in accordance with internal care structure location).
• Participation in consultation moments with colleagues (in accordance with internal care structure location).
• Inform low-threshold offerings in the municipality (see social Map in care folder).
• Monitor timely application for re-designation VE/SMI by parents (parents usually apply for the re-designation themselves).
• Initiate SWV deployment consultation/transfer interview ko-po/Early Help if applicable.

KO (teaching assistant or employee assigned this task) and JGZ/CMD Team Youth:

• Periodic general evaluation with parents of children with a VE/SMI indication. In principle, the JGZ will be involved in these evaluations. If there is an involvement of the CMD Team Youth, it can be decided in consultation with parents to have the CMD Team Youth (client advisor) also involved.
• Consideration of interim withdrawal of VE indication (all parents should be informed that this is a possible outcome, as it has implications for care funding).

Note: From the project the following frequency of evaluation moments is proposed: after 6 weeks check participation indicated toddler, evaluation 3 months after start, 6 months after start and then depending on child development.

JGZ (from the parent contacts at the consultation center):

• At regular visits: encourage parents to share relevant information about the child's development and agreements made with KO.
• In case of concern signal or insufficient picture of a child after a visit of the parents and the child to the consultation office: ask parents to request and pass on information from KO about the child's development in KO. If parents find it difficult to do this themselves, support them and/or contact KO themselves with their consent
• For identified developmental delays, areas of concern in the home and/or questions from parents:
  • Additional consultations at the consultation center or at home.
  • Refer to/implement non-indicated offerings such as Stevig Ouderschap.

Role of parents

Parents communicate relevant information from KO to JGZ and vice versa.

Parents are broadly knowledgeable about the care structure (general information about mentor meetings and child monitoring system, among other things, from a supportive, non-problematic attitude):

• Explanation of permission sharing information with involved partners: permission contact JGZ for evaluation VE/SMI indication.

If parents wish, they can receive more detailed information.

Parents have periodic discussions with their child's mentor about his/her development using a child monitoring system. The frequency (at least annually) is laid down in the internal care route/procedure.

Parents will be invited to the VE/SMI indication evaluation interviews (or consent to this interview if they do not participate, in which case they will receive feedback).

Communication streams

Pedagogical staff → invite parents periodic conversations

KO employee → invite JGZ/CMD Team Youth periodic evaluation VE/SMI indication. This will usually be JGZ, if the CMD Team Youth is involved the involved CMD Team Youth client advisor can be invited.

Central point of contact for parents and stakeholders

Pedagogical staff member (mentor child)

Transition to other level of care:

What if care signals come from parents, from the group and/or the child monitoring system in this level and a decision must be made whether to scale up to care level 2?

Teaching assistant and/or care coordinator:

• If insufficient information, supplement with observations in the group:
• Apply guidelines for scaling up to care level 2 based on outcome of child monitoring system:
  • On one or more basic characteristics, there are signs that development is impaired:
    • Free of emotional barriers
    • Curious, entrepreneurial, inquisitive
    • Self-confidence, stable self-image
    • Home situation (characteristic added to the three basic characteristics from KIJK!)
  • At least one risk factor is present (checklist of risk factors in KIJK!):
    • Impulsivity
    • Oppositional/ rebellious behavior
    • Passivity
    • Poor selective attention
    • Low maneuverability
    • Great fatigue

If the above Requirements are met, the following will be discussed with parents:

• Do parents/educators recognize the concerns?
• What does the child show at home?
• Do parents need any tips or hints? What offer could parents take advantage of?
• What concerns emerge from the child monitoring system (KIJK!)?
• Is it expected that more than the basic offerings in the group will be needed?
• Is additional supply needed in the group?

→ If yes, then the child falls into care level 2 and in this conversation with parents is discussed what additional offer will be given (Plan of Action).

Aspect

Description

Description of support need

A potential developmental delay or advantage in one or more developmental areas has been identified, Requirements development may be missing. Additional offerings in the group are used to strengthen the child's development. This is given shape through extra attention, support from pedagogical staff, one-on-one moments, stimulating tasks, etc. All this is recorded in a Plan of Action.

Child tracking system outcomes:

• One or more Requirements for Development are missing.
• Risk factors present.

Outcomes parent interviews:

• Parents are aware of their child's development in the group and KO staff are aware of the child's development in the home environment. This provides a picture of the child's overall development on the basis of which the Plan of Action can be drawn up.

Professional partners potentially involved

Pedagogical staff

Care coordinator KO

JGZ

CMD Youth Team

CMD Team Access 

If child > 3 years old: Future elementary school / Helmond-Peelland PO Collaborative Association

Note: Other parties may be involved. Since this is case dependent and there may be many parties involved, not all potentially involved partners are included in this search.

Description tasks

Pedagogical staff in collaboration with care coordinator KO (depending on internal care structure location):

• Schedule consultation with parents (and sometimes care coordinator) to discuss additional offerings.
• Determine, implement and evaluate treatment agreements (what does the extra supply entail?).
• Everything will be recorded in a Plan of Action, which will include at least the following:
  • Report parent interview describing how things are going in the home situation.
  • Missing Requirements for development (from child tracking system).
  • Present risk factors (from child tracking system).
  • Support options in the group.
  • Possible observations to be conducted to clarify the question and/or evaluate progress.
  • Selected additional offerings, including purpose, duration, frequency, implementing staff member.
  • Agreements with parents on evaluation of additional offerings.
• Evaluate development of the child after deployment of additional offerings (in conversation with parents)
  • What development does the child monitoring system show? Is there growth, stagnation or regression? What do parents see at home?
  • Determine whether the backlog has been adequately addressed or risks removed
  • Determine whether the additional offer can be closed (child falls into care level 1A or 1B) or extended (child remains in care level 2)
  • If child>3: Is there already a contact with an elementary school? Is a transfer meeting desired? Or should a Kans!consultation be considered? If questions, contact SWV contact person (consultation).

Care coordinator KO (possible duties):

• Conduct observations in the group.
• Coordination on VE indication with consulting agency (if applicable).

Per location it is established who takes on the above tasks. The division of tasks and roles may differ per location. It is important that the performance of the tasks is recorded and thus guaranteed, so that it is clear who is the contact person.

KO (teaching assistant or employee assigned this task) and JGZ/CMD Team Youth:

• Periodic consultation on children in this level of care (including children with a VE/SMI indication), where parents can also be invited (per case and with parents weigh participation of parents). In principle, the JGZ will be involved in these evaluations. If there is an involvement of the CMD Team Youth (in case of SMI indication), it can be decided in consultation with parents to have the CMD Team Youth (client advisor) also involved. All parents receive oral or written feedback.

Note: this consultation (structural evaluation children in care level 2) needs to be further developed

• With a view to non-problematization on the one hand and prevention on the other, weigh who joins consultations (the care coordinator or not).

JGZ (from the parent contacts at the consultation center):

• At regular visits: Encourage parents to share relevant information about the child's development and agreements made with KO.
• For identified developmental delays, areas of concern in the home and/or questions from parents:
  • Still indicating toddlers for VE.
  • Additional consultations at the consultation center or at home.
  • Refer to/implement non-indicated offerings such as Stevig Ouderschap.

Note: This offering of this type of program needs to be further developed so that this offering is known to the organizations.

Role of parents

Parents are invited to a meeting in which the Plan of Action is drawn up/discussed and to evaluation meetings. Parents are informed in detail about care structure and permission to share information with partners is requested.

Communication streams

Pedagogical staff → invite parents to discussion Plan of Action and evaluation interviews and, if desired, the periodic evaluation with JGZ, supplemented by other stakeholders at the request of parents.

Central point of contact for parents and stakeholders

Teaching assistant (or care coordinator KO, KO makes its own assessment in this)

Transition to other level of care

What if the evaluation shows that additional offerings in the group seem insufficient and a decision must be made whether to scale up?

Teaching assistant and/or care coordinator:

• Apply guidelines for scaling up to care level 3 based on the outcome of the child monitoring system (this can be done prior to the evaluation interview with parents (and JGZ) and be discussed during that interview):
  • On one or more basic characteristics, there are signs that development is impaired:
    • Free of emotional barriers
    • Curious, entrepreneurial, inquisitive
    • Self-confidence, stable self-image
    • Developmentally supportive home situation (characteristic added to the three basic characteristics from KIJK!)
  • At least one risk factor remains present (checklist of risk factors in KIJK!):
    • Impulsivity
    • Oppositional/ rebellious behavior
    • Passivity
    • Poor selective attention
    • Low maneuverability
    • Great fatigue
  • If there is a developmental delay of at least four to six months in at least one of the developmental areas also included in the child monitoring system, including at least SEO or language, then the child meets the Requirements of Care Level 3:
    • SEO: coping with self; coping with others; self-efficacy; game development
    • Language: speech development; emergent literacy
    • Math: cognitive development, emerging numeracy
    • Physical development; large motor skills; small motor skills; drawing development

Possible next steps if the child meets Care Level 3 Requirements :

• Parents contact the JGZ (if desired supported by KO: parents and KO employee call together or send an email) for the use of indicated services (care level 3).
• Parents contact CMD Team Access (if desired supported by KO: parents and KO staff member call together or prepare an email). CMD Team Access will perform an initial analysis of the situation, after which it will be determined in consultation with parents what the next step will be. This can be a general offer, but possibly it is decided to refer to CMD Team Youth where a more extensive investigation into the situation will be carried out, possibly followed by an indicated offer (care level 3) or support in the intervening field (care level 2 is maintained). Possibly the Plus Team is/is involved at this stage (if there are pre-existing complex problems).

Note: Cooperation with Team Access and the Plus Team needs to be further elaborated, as they are not (yet) involved in the "Care Structure 0-4" project.

• Deployment Network Early Help (=MDO to consider from different perspectives which follow-up step/support is best suited for the child and/or family). The deployment of Early Help may lead to the deployment of an indicated offer (care level 3).
• Parents contact the general practitioner (if desired supported by KO: parents and KO employee call together or set up an email) for use of indicated supply (care level 3)

If the decision has been made to use an indicated offer (level of care 3):

Parents determine, in consultation with the professionals involved, who will be the person who acts as the Central Contact Point (for example, JGZ, CMD Team Youth (client advisor), Plus Team or care provider employee). This person is ideally someone who is regularly involved with the family; this should be coordinated on a case-by-case basis.  

Note: In the current situation - if the client advisor of CMD Team Youth is involved in the process - the client advisor of Team Youth is in some cases only involved in referral to indicated offerings and not in the implementation and evaluation of the offerings. After indication, the relevant file is closed and involvement as a Central Point of Contact is not the most obvious. In these cases, it should be considered whether an employee of the care provider, an employee of the Plus Team (if involved!) or the JGZ becomes the Central Point of Contact (customized decision).

Aspect

Description

Description of support need

Developmental delay is visible, additional supply in the group is not effective - development is secured from use of indicated supply.

The child can be expected to develop adequately with appropriate offerings.

From this level (when the commitment in care level 2 proves insufficient) there is a more severe (or additional) support need.

Child tracking system outcomes:

• One or more Requirements for Development are missing.
• Risk factors remain.
• Developmental delay of at least four to six months in at least one of the developmental areas, including at least SEO or language.

Professional partners potentially involved

Pedagogical staff

Care coordinator KO

JGZ

CMD Youth Team

Healthcare providers  

Future elementary school / Helmond-Peelland PO Collaborative Partnership

Note: Other parties may be involved. Since this is case dependent and there may be many parties involved, not all potentially involved partners are included in this search.

Description tasks

Central Contact Point (JGZ, CMD (Team Youth) or other concerned party):

• Analysis of the situation and conversation with parents about appropriate follow-up: research and/or indicated offerings.  
• Prepare any indication/referral / have it prepared by competent party.
• Establish support plan (CMD Team Youth, does in each case).
• Keep KO informed of outcomes/progress of process only at parents' request.
• Tailored support for parents in organizing follow-up research or offerings (most parents can do this themselves, others need guidance to a greater or lesser extent).
• Thinking along about the use of Health in bridging period if applicable.

Note: If the child is referred for investigation/treatment, the child still often attends KO. Health in child care during that bridging period may be needed pending the outcomes. This may also be necessary in the case of waiting lists. Consideration should be given as to whether the child can continue to attend KO and what Health is needed to do so. If this is the case, a consultation is scheduled with parents, KO and the organizations involved.

• Mid-term review meetings with parents and care provider (depending on parent and KO need, KO joins).  
• If child >3: Monitor referral to PO with parental consent/request: Is there already a contact with an elementary school? Is a transfer meeting desired? Or should a Kans!consultation be considered? In case of questions contact SWV contact person (consultation).

Note: If another organization involved takes on the role of Central Contact Point, similar tasks as above should be performed. However, this is yet to be worked out with those organizations, which are not currently involved in this project.

Pedagogical staff (i.c.w. Care Coordinator KO):

• With parental consent, participate in discussions with parents/person serving as Central Point of Contact/eventual other partners.
• Transfer of information including Plan of Action (with parental consent).
• Implement and evaluate action agreements affecting the group.
• Information serving transition to elementary school:
  • Record information in Kindkans if applicable (future registration system).

Other partners:

• Intern supervisor elementary school: participate Kans!consultation if applicable.
• Investigating body:
  • Informing parents about the study.
  • Conducting the study.
  • Report and advise on next steps.
  • Communicate with parents about results.
  • Refer to appropriate offerings.
  • With parental permission, communicate results with other stakeholders.
• Care provider: implement indicated offer.

Role of parents

Parents contact the indicated provider, supported if necessary by the person designated as the Central Point of Contact or the teaching assistant/care coordinator. A meeting is scheduled between the parties involved. Parents participate in evaluation discussions.

Parents are informed in detail about the care structure and permission is sought to share information with partners and organize an MDO (if applicable).

Communication streams

Central Point of Contact / KO → invite parents to conversation following scaling up to care level 3

Central Point of Contact → consult bridging care with KO and parents (and possibly other partners)

Central point of contact for parents and stakeholders

Indicating partner (JGZ/CMD Team Youth) or other concerned professional

Transition to other level of care

The person designated as the Central Point of Contact and parents schedule regular meetings (with possibly other partners) for evaluation.

• If it appears that the indicated Health is effective and the child has caught upHealth is no longer needed), it can be determined through the child monitoring system whether there is still a heavier support need (in accordance with the procedure described for care level 2) and a decision can be made to scale down to care level 1A, 1B or 2.
• If it turns out that the indicated Health is not sufficiently effective and the child's retardation has not caught up or increased, a decision can be made to scale up to care level 4. Consideration may be given at this time to having an employee of the care provider who will implement the offer serve as the Central Point of Contact.