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Child Care Bureau logo CHILD CARE BULLETIN
Issue 5—September/October 1995
Serving Children with Disabilities in Child Care Settings

Contents

  • Including Children with Disabilities in Child Care
  • We All Play a Part in Inclusion
  • Gila River Training
  • Collaborative Efforts Promote Inclusive Child Care in Colorado
  • Special Needs Resource and Referral
  • State Initiatives Serve Children with Special Needs
  • Caring for Our Children
  • Key Federal Legislation
  • Inclusive School-Age Programs
  • Head Start RAPs
  • Tribal Leadership in Child Care
  • Child Care: A Place for Healing for Young Children with Challenges
  • Update: Seattle-King Country
  • Short Items
  • Organizational Resources in Child Care
  • Resources in Child Care
  • up arrowIncluding Children with Disabilities in Child Care

    Providing concrete solutions to increase the availability of high quality, affordable and accessible, inclusive child care for ALL children was the focus, of a Leadership Forum held on June 27, 1995. More than 125 experts, including parents and representatives from the fields of child care, disabilities, education, health, Head Start, and resource and referral as well as federal, state, local governments, and tribal communities, participated in the Forum. The Leadership Forum was sponsored by the Child Care Bureau in conjunction with the Administration on Developmental Disabilities, Head Start Bureau, Maternal and Child Health Bureau, and the Department of Education. The day was dedicated to developing strategies that states and tribes could use to build systems that would foster the successful inclusion of children with disabilities into their community child care programs.

    The keynote speaker, Barbara Cocodrilli Carlson, Program Director in Early Childhood at the Miriam and Peter Haas Fund, stated, "Families with children with disabilities are just like any other family who needs to work and wants a nice nurturing, stimulating, safe place for our kids when we can't be with them. We also want our children to be part of the larger community, and what better way to start?"

    According to Joan Lombardi, Associate Commissioner, Child Care Bureau, in the past few years, 28 states have used Child Care and Development Block Grant (CCDBG) funds for special needs initiatives in training, consumer education, and resource and referral, improving the quality of care for all children.

    Bob Williams, Commissioner, Administration on Developmental Disabilities, announced the possibility of funding one or more Projects of National Significance. These will demonstrate providing early child development and family support services, coordinating among the child care and disability communities.

    During the Leadership Forum, participants developed recommendations in five areas: staffing, facilities and environments, administration of inclusive practices, community resources, and financing strategies. These will be the foundation of a monograph and companion video, Passages to Inclusion: Creating Systems of Care for ALL Children, being developed for child care administrators. The monograph will also describe successful inclusive program models.

    The Administration for Children and Families (ACF) has an ongoing commitment to inclusive child care. ACF Assistant Secretary Mary Jo Bane announced that by next March the Child Care Bureau will provide technical assistance to ten qualifying states, tribes, or territories to develop systems to serve children with disabilities in child care settings.

    This Bulletin focuses on serving children with disabilities and program supports that are vital to inclusion, such as staff training, resource and referral, collaborations, and new links with organizational resources.

    up arrowWe All Play A Part in Inclusion
    by Pam Forbush Pavuk

    The goal of inclusion is to enhance children's abilities, to present opportunities to help them reach their true potential, and to offer a healthy and nurturing educational environment for all children. In such an environment, children are accepted for who they are, not what they are able to do, and those with special needs develop and excel along with their peers.

    The Community Connections Project at George Washington University in Washington, D.C. trains teams of early childhood professionals to support others in including children with disabilities in their programs. The teams provide guidance and support through consultations, meetings and workshops. These efforts increase community awareness and commitment to addressing the educational, social, and emotional needs of all children in early education settings.

    This project dovetails with the Child Care Plus program, funded by the U.S. Maternal and Child Health Bureau. The program is managed by the Fairfax County (Virginia) Office for Children and the Visiting Nurses Association, to provide support to children with special needs and their families. Through it, children are placed into care settings with continual interaction and guidance from health care and educational professionals.

    For the Fairfax County Employees' Child Care Center, collaboration with Child Care Plus has involved some specific supports. These included supplying provider assistance so that a playground schedule could be altered for a child with severe asthma, and training for staff in using an asthma nebulizer, an infant apnea (breathing) monitor, and a glucometer for measuring blood sugar levels of a child on a restrictive diet. Additional supports for the program included giving resources and advice on communicating with a child who has a profound hearing impairment, and developing observation tools and a family services plan for a child with a complex health needs. The collaboration has also created opportunities for staff to plan curricula, share ideas, and exchange information to better meet the needs of all of the children.

    Pam Forbush Pavuk is a teacher at the Fairfax County Employees' Child Care Center, and a member of their Community Connections team. To learn more about the Center's programs, contact Pam at: (703) 324-7370,or Marshann Snyder, Fairfax County Office for Children at: (703) 591-7265.

    To learn more about the Community Connections Project, contact George Washington University at: (202) 739-0604.

    up arrowGila River Training
    by JoAnn Elliott

    A collaboration among the Gila River Indian Community in Arizona, the state CCDBG program, and Save the Children provides for child care food services and monthly training for family child care providers. Training is conducted in central locations and also in individual child care providers' homes, for those in remote locations. Training topics include health and safety, child development, caring for children with special needs, providers as business professionals, and incorporating native culture and traditions into daily activities. The workshops on caring for children with special needs cover the areas of regulations, adapting home environments, promoting peer acceptance, parent support, and resources.

    The Child Care and Development Services Coordinator is developing plans for training that include incentives of higher compensation for providers who complete a specified amount of training.

    In addition, the coordinator has created kits of developmentally appropriate materials and activities for working with children with special needs. The kits contain a curriculum which describes specific activities and the developmental areas that each activity promotes. Kits are loaned to individual providers as well as providers from other departments such as Head Start and Special Services.

    For more information, contact JoAnn Elliott, Coordinator, Child Care and Development Services, Gila River Indian Community, at: (520) 562-3640.

    up arrowCollaborative Efforts Promote Inclusive Child Care in Colorado

    In January 1995, Colorado began a collaborative effort to enhance the quality of services for all children, to increase access to child care settings by children with special needs, and to provide parents with greater access to various scheduled and temporary (respite) settings.

    This project, Colorado Options for Inclusive Child Care (COFICC), aims to:

    COFICC services for families and providers include problem solving when care options are limited or nonexistent, tips on interviewing and contracting, and help in identifying barriers to inclusion specific to each care setting. They also aid in linking with community resources for on site training, consultation and support.

    COFICC is jointly funded by the Colorado CCDBG and the Department of Education, Part H Unit. There is additional support from a grant to the Colorado Division of Child Care from the Administration on Children, Youth and Families to develop family directed respite options for families of children with disabilities and/or chronic or terminal illnesses.

    CORRA (The Colorado Office of Resource and Referral Agencies), the coordinating office for the state-wide network of child care resource and referral, has taken responsibility for supporting and coordinating the COFICC project.

    For more information, call COFICC Coordinator, Jennifer Burnham, Colorado Office of Resource and Referral Agencies (CORRA), 303) 290-9088, or The Colorado Division of Child Care Grants and Quality Initiatives, (303) 866-2304, (303) 866-4556

    up arrowSpecial Needs R&R

    Child care resource and referral agencies are critical in locating and supporting child care providers, as well as in helping parents work with providers to facilitate a successful placement. Since 1980, BANANAS, Inc., the child care resource and referral agency in northern Alameda County, California, has been serving child care providers and families. BANANAS' services include an emphasis on special needs child care. The agency has a number of publications, including Building a Special Needs Component into Your Child Care Resource and Referral Service, the BANANAS' Child Care Providers' Guide to Identifying and Caring for Children with Special Needs, and Choosing Child Care for a Child with Special Needs.

    To learn more, contact Ginger Barnhart, Resource and Referral Coordinator, BANANAS, Inc., 5232 Claremont Avenue, Oakland, CA 94618, (510) 658-1409.

    up arrowState Initiatives Serve Children with Special Needs

    Arizona

    An interdisciplinary training approach for feeding children with special health care needs is underway in Arizona. Through a Maternal and Child Health Improvement Project Field Initiated Grant, Project CHANCE (Children's Health And Nutrition Curriculum Education) has developed a child care provider training program and curriculum, A Guide to Feeding Young Children with Special Needs.

    Workshop presenters include a registered dietitian, a team leader with the Office of Children with Special Health Care Needs who specializes in individual family service plan (IFSP) development, a director of a preschool, an occupational therapist, and the parent of a child with special needs. The topics include developing nutrition care plans, special diets, oral motor development and self-feeding skills, and mealtime environments.

    The program was piloted by the Arizona Department of Health Services, Office of Nutrition Services, in collaboration with the Arizona Self-Study Project/Office of Women and Children, a training and support service that helps child care providers improve their programs and work toward accreditation.*

    For more information contact: Linda Rider, Project CHANCE Coordinator, Arizona Department of Health Services (602) 542-1886.

    Illinois

    Leadership Training to Support Child Care for All Children, is a statewide training effort to promote inclusive care for children with special needs. The workshops and field assignments were designed by Early Childhood and Early Childhood Special Education faculty from the University of Illinois.

    The training utilizes a team approach that includes one participant from a child care resource and referral agency, a community or home child care provider with experience in inclusion, and representatives of a local interagency council, school district, or other child and family service program. Teams work on training and field assignments, such as developing local directories of child care programs and professionals with experience in providing inclusive care, training sessions and onsite consultations with programs to facilitate enrollment of children with disabilities, and interviews with families of children with disabilities on barriers and supports for obtaining care.

    The project is funded through the Illinois Planning Council on Developmental Disabilities along with the Illinois Department of Child and Family Services.

    For further information, contact: Nancy Gaumer, Co-Director, Child Care Resource and Referral Service, (217) 333-8199, or Susan Fowler, Head of the Department of Special Education, University of Illinois, (217) 333-0260.

    Montana

    Since 1987, the Montana University Affiliated Rural Institute on Disabilities has housed a federally funded project to promote inclusion in child care and preschool programs and to work with professionals in early childhood. Formerly known as the Educational Home Model Outreach Program, the project is now called Child Care plus+.

    Beginning as a model demonstration project to expand options for families looking for child care for their children with disabilities, the model was funded for replication in 1990. Project staff have worked with early childhood professionals in 14 states thus far.

    Child Care plus+ provides presentations and training on including children with disabilities in everyday activities and routines. Technical assistance for providers is completed by telephone and on-site consultations, as well as through videotape exchanges, and materials from the Child Care plus+ resource library.

    The training is funded through the U. S. Department of Education, Early Education Programs for Children with Disabilities.

    For more information, contact: Child Care plus+, Rural Institute on Disabilities, 1-800-235-4122, or (406) 243-5467.

    Oklahoma

    The number one need identified by parents of children with disabilities in Oklahoma is child care services. Special Care, Inc. is a child care center addressing this need. It is a licensed, private, non-profit center accredited through the National Association for the Education of Young Children (NAEYC).*

    Additional support through state and federal funds has enabled Special Care to increase their services. The center also participates in the Child and Adult Care Food Program and has a Title XX contract.

    In addition to child care, therapeutic intervention services are provided on-site. By providing speech, physical and occupational therapies, parents have fewer appointment demands, teachers are able to consult with therapists and incorporate goals into the classroom routines, and children receive therapies at times suitable for their needs. Funds to provide therapies come from private insurance, grants, and contracts with Oklahoma's Early Intervention Program and Medicaid.

    Other collaborations with Special Care include the Foster Grandparent and Job Training Partnership Act (JPTA) programs, as sources of volunteers, as well as local universities who work with the program as a practicum site for students.

    Special Care has implemented Unique Environments, an on-site training program designed to help providers in centers and family child care homes become more knowledgeable about including children with disabilities in their programs.

    For further information, contact: Pam Newby, Executive Director, Special Care, Inc., (405) 752-5112.

    Texas

    The Texas Department of Human Services has targeted a portion of CCDBG funding to support the delivery of child care services to children with disabilities. The goal is to increase access to and delivery of quality child care services in natural and inclusive environments.

    The CCDBG funds, through the Early Childhood Developmental Resources (ECDR) project, assist in obtaining adaptive equipment and materials for children with disabilities in child care settings. This equipment is designed to match a child's abilities and facilitate more independent interactions with the environment and with others.

    Child Care Management Services (CCMS) contractors work with the ECDR project to assist providers in the purchase of adaptive equipment. In addition, CCMS contractors maintain resource rooms that contain a variety of materials for enhancing program services for children with disabilities.

    For more information, contact: Charlotte Brantley, Director, or Jill Flannery, Program Specialist, Child Care Services, Texas Department of Human Services, (512) 450-4158

    Vermont

    The Child Care Services Division uses IV-B and CCDBG funds for integration grants to child care programs that are pursuing NAEYC accreditation and meet specific programmatic and environmental standards. They also use CCDBG funds for mental health consultation grants to community mental health centers. This assures ongoing consultation to child care centers related to issues of behavior management and appropriate supports for children with challenging behaviors.

    Vermont also has an in-service training model project that leads to an inclusive family child care home providers' certification. It will increase the supply of quality registered family child care homes that include children with disabilities, and the number of providers who can design, implement, and evaluate family-centered, inclusive, developmentally appropriate environments for all children.

    Training participants agree to: take a pre/post self-assessment using an adaptation of the Quality Criteria for Family Child Care, attend 26 hours of training, participate in a year long practicum, and develop a portfolio which can be reviewed by the Child Care Services Division of the State Department of Social and Rehabilitative Services. The certificate signifies a commitment to including children with disabilities in a high quality family child care home, and may serve as an initial step toward attaining a Child Development Associate (CDA) credential, or accreditation through the National Association for Family Child Care (NAFCC).*

    The training model project is funded through a federal grant from the Office of Special Education Programs, and carried out jointly by the University Affiliated Program at the University of Vermont and the state's Child Care Services Division.

    For further information, contact: Kim Keiser, Director, State of Vermont, Child Care Services Division, (802) 241-3110.

    Virginia

    In 1992, Virginia's Department of Social Services, Division of Licensing Programs initiated meetings with representatives from Virginia's Department of Mental Health, Mental Retardation, Substance Abuse Services, the Department of Health, and Department of Education, along with the Virginia Council on Child Day Care and Early Childhood Programs, and the George Washington University (GWU). The collaboration focused on including children with disabilities in child care settings, as well as training and technical assistance activities.

    Through interagency initiatives, the Division prepared trainers from various state agencies and their local counterparts to conduct statewide training on inclusion for child care providers. The Division has also trained administrators on the Americans with Disabilities Act (ADA) and created an ADA brochure for child care providers.

    Current plans with GWU include developing a manual for child care providers about working with children with disabilities and the special education system.

    To learn more, contact: Elizabeth Whitley Baron, Manager of the Training, Education and Consultation Office, Virginia Department of Social Services, Division of Licensing Programs, (804) 692-1774.

    up arrowCaring For Our Children
    by Bea Gold

    As the rights of individuals with disabilities have been guaranteed, providing services for children and their families has increasingly become a priority at federal, state and local levels. Over time, the language we use to describe people with disabilities has changed, public and private services and buildings are more accessible, and people with diverse strengths and needs live and work together in communities. The belief that people with disabilities are people first, shapes the language that we use and sends a very powerful message. When referring to a child with special needs, it is most appropriate to use language such as: "children with disabilities" or "a child who has a hearing impairment," rather than "handicapped children." The words emphasize that children with disabilities are children first, with the same needs as all children. It is important to see the whole child, including strengths, as well as special needs. This concept of people first is reflected in the terminology of legislation: The Americans with Disabilities Act (ADA), and The Individuals with Disabilities Education Act (IDEA).

    Families of children with disabilities have had limited choices for child care. To address these needs, quality programs that include children with disabilities must be made available and affordable. Nationwide, coordinated efforts are needed to address issues in recruitment, availability, affordability, and training.

    Families often rely on numerous agencies and services to meet the on-going needs of their children. When community-based child care works well for a child with disabilities, it is frequently the result of a collaborative effort among all agencies or programs connected with the family. How well these services work for the child and family depends on the ability of all to communicate with one another their roles, responsibilities, and goals for the child. This occurs when child care providers are regarded as critical members of a team and the child care environment is utilized as an appropriate placement for all children.

    In the past three decades, services to individuals with disabilities have changed significantly. Advocacy on the part of families and professionals who believe that children have the right to live and be educated in their homes and communities has laid the foundation for our current service system. Services beginning at birth have been expanded with an emphasis on the child in the context of their family life. This has meant serving children where they typically are: in their home or child care setting.

    Bea Gold is a Child Development Specialist and recently retired founding director of Child and Family Services. She has also served on the Editorial Panel of the National Association for the Education of Young Children.

    The above article has been excerpted from information provided by Project EXCEPTIONAL. The full citation is: Gold, B. (1995). "Who Will Care for Our Children? An Historical Perspective for Young Children with Disabilities." In A. Kuschner, L. Cranor, & L. Brekken, (Eds.). A Guide for Training and Recruiting Child Care Providers to Serve Young Children with Disabilities, Vol. 1 (Preliminary Edition). Sacramento: California State Department of Education, Bureau of Publications. For availability, contact the Bureau of Publications 1-800-995-4099 or (916) 445-1260.

    up arrowKey Federal Legislation

    1972
    Head Start Programs required to reserve at least 10% of enrollment for children with disabilities

    1973
    Section 504 of the Rehabilitation Act (P.L. 93-112) passed, guaranteeing civil rights for people with disabilities

    1975
    P.L. 94-142 Education for Handicapped Act (EHA) passed, guaranteeing a free appropriate public education for children with disabilities

    1986
    P.L. 99-457 Amendments to the EHA added the Infant/ Toddler Program and the Preschool Program

    1990
    P.L. 101-476 EHA is amended to become the Individuals with Disabilities Education Act (IDEA)

    The Americans with Disabilities Act (ADA) guarantees equal opportunities in employment, public accommodations, transportation, state and local government services, child care and telecommunications

    up arrowInclusive School-Age Child Care
    by Dale Borman Fink

    Ten years ago, options were limited for finding child care during out-of-school hours for children with disabilities, whether programs were segregated or inclusive. Today, parents are finding more options as more school age care (SAC) programs are including children with special needs.

    One SAC program that assures meaningful participation by all students is the Extended Day Enrichment Program, operated by Orange County Public Schools in Florida. The program serves approximately 13,000 children at 82 school sites. Dr. Betsy Fulmer, the district coordinator of school age care services, estimates that about 80 of these children have severe and profound multiple disabilities or medical fragility, and that 300 children have other significant special educational needs, including those who are blind, deaf, mentally retarded, or have mobility impairments.

    These are a few features of the Extended Day Enrichment Program:

    It is important to identify the supports being offered to assure that all children can participate in meaningful ways. Two pressing issues to examine are the need for less than daily care and the need for flexibility in age parameters. For example, do providers give first priority to enrollment of families who are in need of care five days a week? Families of students with disabilities may need only one or two afternoons of care per week, either as respite for parents or as a socialization experience for their child. Also, rigid enrollment limits, such as age 12 being the upper limit, may also exclude adolescents with special needs, as their continuing need for supervised care may exceed that of their typically developing peers. Inclusive efforts in SAC should also be accompanied by staff development initiatives, so that each child receives the most appropriate services.

    Dale Borman Fink is the author of many publications, including the book, School-Age Children with Special Needs: What Do They Do When School Is Out? He is also a consultant and coordinator of the Family And Child Transitions into Least Restrictive Environments (FACTS/LRE) Project. To learn more, call (217) 333-7033.

    To learn more about the Extended Day Enrichment Program of Orange County, Florida, contact: Dr. Betsy Fulmer, (407) 849-3383.

    up arrowHead Start RAPs
    by Philip Printz

    Community support and belonging, appreciation of individual talents and skills, and meaningful parent involvement are at the heart of inclusion and central to Head Start's model of providing care for children and services to families.

    Head Start has both a regional and national training and technical assistance network providing expertise and support to programs. Resource Access Projects (RAPs) work with Head Start programs to enable them to fully include children with disabilities. The services provided by RAPs include maintaining a library of resources, training support, information on adapting technologies to meet childrens' needs, on-site technical assistance, and facilitating interagency agreements with State and Local Education Agencies (LEAs), and others providing services for children with special needs.

    Since states must provide services to children with disabilities, Head Start and LEA collaboration is essential, as well as coordination with the rest of the child care community. Head Start, child care, and LEAs can pool their resources to maximize financial potential and reduce duplication of efforts. Child care programs can work collaboratively with their local Head Start partner to provide comprehensive services for children with disabilities and their families.

    Philip Printz is the Director of the Head Start New England Resource Access Project (RAP) at Education Development Center, Inc. (EDC). To learn more, call EDC at (617) 969-7100.

    up arrowTribal Leadership in Child Care

    More than 300 tribal leaders and child care administrators from across the country gathered in Seattle, Washington July 31-August 3 for the second annual Tribal Child Care Conference, Guardians of Our Sacred Trust - Tribal Leadership in Child Care. Participants representing more than 180 tribes met to build upon a shared vision of local tribal communities that are child-friendly, supportive of families, and strong in leadership. Gaiashkibos, President of the National Congress of American Indians, gave an empowering speech, "Honoring our Future Generations."

    Workshops presented opportunities to learn from experts in the field and exchange ideas on planning and administering quality child care programs. Topics included training for new administrators, computer applications for managers (and Internet/ World Wide Web technologies), developing organizational infrastructure supports and funding strategies, such as networking with foundations. Other sessions covered collaboration with Head Start and other agencies, managing multiple funding streams, and special initiatives, such as culturally appropriate care for infants and toddlers, care during nontraditional hours, and the Healthy Child Care America campaign.

    Sandra Ninham, Councilwoman of the Oneida Tribe of Indians of Wisconsin, spoke of tribal resource allocation to support native families. She discussed growth in economic development in the Oneida Nation and the impact on child care and family issues. According to Ms. Ninham, "As we generated more jobs in the community...we knew we would also need to provide the infrastructure for our people to work without having to worry about child care." In response to rapid growth, the tribe has acted strategically to strengthen families, with immediate actions and long range plans that address economic, social, and educational goals.

    Overall, the conference was rich in honoring tribal languages and cultural traditions. Many people were involved in planning workshops and coordinating activities in culturally respectful ways. Special efforts by Dee Henry of the Suquamish Tribe and Shirley Fiander of the Yakama Nation as coordinating liaisons contributed to the conference's success. The National Indian Child Care Association, along with the Suquamish Tribe, Muckleshoot Tribe, and the Yakama Nation, (a few of the tribes located in Washington), sponsored a cultural evening including a traditional salmon bake, Pow Wow, and an Inupiaq (Eskimo) blanket toss.

    In one of the key events of the cultural evening, Greg (Tungwenuk) Nothstine, an active speaker for the Native Sobriety Movement, wove a theme of family support and community involvement into the basic elements of the traditional blanket toss. The "pullers" represent a community that, working together, create an environment of support, trust and safety; the "blanket" (a large walrus hide) represents the culture, laws, or beliefs through which communities interact; and a "tossee" can represent an individual, or collectively, all children which the community is entrusted to support and keep safe. The blanket toss is an exercise in trust and teamwork. A tossee cannot control how high or in which direction she is tossed. That is determined by the community, through the pullers' efforts. The importance and role of culture, traditions and tribal languages in child care settings were discussed in the workshops and illustrated through story telling and traditional dances.

    According to ACYF Commissioner Olivia Golden, tribal leadership is exemplified by development of a shared vision, cooperative partnering, flexibility, and determination. By example, tribes have extended family networks that nurture children while teaching them native language and culture. These systems provide an infrastructure for comprehensive, family focused support. Traditions of respecting elders, children, and families, along with community unification to help raise all of the children, are models from which everyone can learn.

    Plans for the third annual (1996) Tribal Child Care Conference are being developed. To offer suggestions, call Linda Kills Crow, Child Care Technical Assistance Project, at: (202) 639-4465; or Roger Iron Cloud, Child Care Bureau, at: (202) 690-6244. Tribal Tech: At the Tribal Conference, participants visited the World Wide Web (WWW) Home Page for the Child Care Bureau and one for Tribal Grantee Information (under development). Other web sites visited included ACF, the National Child Care Information Center, NativeNet, Indian Health Service, and the Tribal Voice. Listed below are the uniform resource locators (URLs), or addresses, of these web sites:

    Other discussions focused on possibly forming a tribal information technology user's group.

    up arrowChild Care: A Place of Healing for Young Children with Challenges
    by Emily Fenichel

    High-quality child care can enrich a child's early life experiences. It can also offer protection to children at risk for social or emotional difficulties, and serve as a therapeutic component of services to children with identified mental health problems.

    Children come into child care from a variety of family situations. Their behavior and self-esteem are deeply affected by family circumstances such as separation, death, depression, dysfunction, substance abuse, neglect, violence, and many other causes of mental and emotional stress. How providers help children handle challenges and harsh realities are important, life-shaping experiences. Understanding all of the individual fluctuations in each child's behavior and adjusting to the level of support that the child needs is an everyday reality for child care providers.

    Three-year-old Kimberly, although bright, talkative, and imaginative in her play in the child care center, refused to join in any group activities, ignored requests, and often grabbed toys from other children, hitting and biting if the other child protested. Kimberly's parents and child care providers sought to understand the cause of her behaviors. A neuropsychological evaluation revealed that Kimberly had above average cognitive functioning, an attention deficit disorder (ADD), a mild expressive language problem, and motor planning difficulties. As Kimberly's parents and her child care providers understood her behaviors, they could focus more on her strengths, help her compensate for her difficulties, and build her self-esteem.

    Mental health consultation can be an invaluable support to child care centers. Specialists may provide assistance to parents and caregivers around the needs of individual children who exhibit challenging behaviors, sometimes providing group therapy within the child care program itself. Consultants may also address program issues, improving the overall quality of care as they understand and empathize with caregivers, to help them be more aware and understanding of children's experiences (see also "Meeting Mental Health Needs," in the Child Care Bulletin, July/August, 1995).

    Some models of mental health consultation and intervention in child care settings include:

    Child Witness to Violence Project
    Boston City Hospital
    Boston, MA
    (617) 534-4244
    Contact: Betsy McAlister Groves

    Day Care Consultants
    Infant-Parent Program
    San Francisco General Hospital
    San Francisco, CA
    (415) 206-5289
    Contact: Kadija Johnston

    The Early Childhood Group Therapy Training Program
    Jewish Board of Family and Children's Services
    New York, NY
    (212) 632-4733
    Contact: Rebecca Shahmoon Shanok

    Early Childhood Program
    Cardinal Glennon Children's Hospital
    St. Louis, MO
    (314) 577-5679
    Contact: Carol Klass
    Emily Fenichel is Associate Director for ZERO TO THREE/The National Center for Clinical Infant Programs and Editor of the journal, Zero to Three. To learn more, call: (703) 528-4300.

    up arrowUpdate: Seattle-King County
    by Jan Gross

    The Healthy Child Care America campaign supports a holistic approach to services for children in child care and their families (see "Healthy Child Care America Campaign Launched," Child Care Bulletin, July/August 1995). Optimal growth and development can only take place if a child is safe and healthy. A partnership of health, education, and caregiving in child care settings is essential to promoting health and safety.

    In Washington, a service that began as informal consultation to child care programs by the Seattle-King County Department of Public Health is now the Child Care Health Program, an integral part of services provided to the community. The program is staffed by a health educator, public health nurses, nutritionists, and a child psychologist, and has support from a dental hygienist and nurse epidemiologist. Staff consult with all licensed child care providers in education and training; provide consultation on specific issues at an individual site; and assist with early identification and referral.

    The Child Care Health Team offers classes including communicable disease prevention, behavior management, and safe environments. Staff work with providers and families to help access community resources for children with special needs. They also work with the mental health system, child care subsidy programs, resource and referral agencies, state licensing, and community colleges to help provide comprehensive services to the child care community.

    Jan Gross is the Coordinator of the Child Care Health Program for the Seattle-King County Department of Public Health. For more information, call Jan at: (206) 296-4368.

    up arrowShort Items

    Spotlight on. . .

    The Danny Chitwood Early Learning Institute in Alexandria, Virginia, provides training and technical assistance to centers and family child care providers on inclusion. One Institute project, funded by the U.S. Department of Education, is the Family Child Care Integration Project (FCCIP), a model in-service training program to prepare family child care providers to include children with special needs in their homes. FCCIP uses staff from an inclusive preschool as mentors, and targets providers serving at-risk children.

    Six training modules include workshops on topics related to quality care and inclusion, classroom visits, and home visits to adapt information and strategies to the home setting. The combination of information, modeling, and adaptation has improved the quality and availability of care for all children, including those with special needs.

    For more information about the Institute or the FCCIP model, contact Dr. Mary Ellen Hoy at: (703) 683-1774; FAX (703) 683-1793.

    Making It Happen. . .

    Massachusetts Model for Inclusive R&R Services

    A model demonstration grant from the U.S. Department of Education, Early Education Program for Children with Disabilities, was recently awarded to the Massachusetts Office for Children. Project Child Care 2000 will assist children and families in accessing inclusive child care services, targeting children with severe or low incidence disabilities and their families. Services include parent counseling, technical assistance, access to resources via the Information on Disabilities Exchange (INDEX), and linking experts in disabilities to child care service providers.

    Demonstration sites will develop, implement and evaluate a model system to refer families to child care providers who are able to administer medication, provide site modification, special equipment, and make other accommodations to meet a child's needs for assistance in communication, mobility, behavior management or other areas. Intake procedures will gather additional information about the child's strengths, needs, and disability. Services will include facilitating a team approach for those working with the child.

    By offering training through Wheelock College, the model will be made widely available to staff from Massachusetts and from other states as well.

    For more information, contact Margaret O'Hare, Project Director of Child Care 2000, Massachusetts Office for Children, at: (617) 727-8900. Project EXCEPTIONAL provides training and resource development through a grant from the U.S. Department of Education, Office of Special Education and Rehabilitation Services (OSERS). The Project aims to increase the quality and quantity of child care options for children with disabilities. The above article is excerpted from a ten part training curriculum designed to train child care and development staff on the inclusion of children with disabilities in child care settings.

    For more information, contact Project EXCEPTIONAL, The California Institute on Human Services, Sonoma State University, 1801 East Cotati Ave., Rohnert Park, CA 94928 or call: (707) 664-2051. Partnerships for Inclusion (PFI) provides technical assistance to North Carolina communities to develop inclusive services for children birth to five, with and without disabilities, and their families. Located at the Frank Porter Graham Child Development Center at the University of North Carolina at Chapel Hill, PFI collaborates with state agencies to develop policy and program initiatives that support early childhood inclusion.

    PFI has developed innovative models for delivering technical assistance through on-site consultation, community forums about inclusion, and train-the-trainer activities. Funding for PFI comes from the North Carolina Department of Human Resources and through the Division of Child Development and the Division of Mental Health, Developmental Disabilities, Substance Abuse, along with the Department of Public Instruction through the Division for Exceptional Children's Services, and the University of North Carolina.

    For more information, contact Molly Weston, Editor of All Together Now!, a publication of Partnerships for Inclusion (PFI), at (919) 966-0059.

    up arrowOrganizational Resources

    For information on linking with disabilities and child care resources, contact: The National Child Care Information Center 1-800-616-2242, or 1-800-716-2242 (fax) 1-800-516-2242 (TDD)

    The Administration on Developmental Disabilities (ADD), U. S. Department of Health and Human Services, manages grant programs with the goal of forming partnerships with State governments, local communities and the private sector to assist people with developmental disabilities reach their maximum potential through increased independence, productivity, and community integration. For more information, contact Lynne Lau or Shirley Redmond at 202-690-6590.

    Council for Exceptional Children (CEC) is a private, nonprofit membership organization of professionals committed to improving educational outcomes for exceptional individuals. CEC operates the ERIC Clearinghouse on Disabilities and Gifted Education (ERIC-EC). For more information, contact ERIC-EC, 1920 Association Drive, Reston, VA 22091-1589 or call either 1-800-328-0272 or (703) 264-9474.

    The Division for Early Childhood (DEC) of the Council for Exceptional Children is a professional organization designed for individuals who work with, or on behalf of, infants and young children, birth through age 8, who have special needs and their families. For more information, contact The Division for Early Childhood, 1444 Wazee Street, Suite 230, Denver, CO 80202, or call: (303) 620-4579.

    LINKS: Linking Networks for Kids is a national consortium of key organizations in the fields of early care and education, health, development, and disability. LINKS encourages collaboration between organizations to increase public knowledge about available resources and to support delivery of comprehensive services to developmentally vulnerable children and their families. LINKS is coordinated by the Judge David L. Bazelon Center for Mental Health Law. For more information, contact LINKS, 1101 Fifteenth Street, NW, Suite 1212, Washington, DC 20005-5002, or call: (202) 467-5730.

    National Early Childhood Technical Assistance Center (NEC*TAC) is a collaborative organization funded through the Office of Special Education Programs (OSEP), U.S. Department of Education. NEC*TAS assists state agencies in developing and implementing comprehensive services for young children, birth through age 8, with special needs and their families, and assists with projects in the Early Education Program for Children with Disabilities (EEPCD). NEC*TAS consists of the Coordinating Office and five collaborative organizations. To learn more about NEC*TAS publications and services, contact the Coordinating Office, NEC*TAS, 500 NationsBank Plaza, 137 E. Franklin Street, Chapel Hill, N.C. 27514 or call: (919) 962-2001 (voice) or (919) 966-4041 (TDD).

    National Information Center for Children and Youth with Disabilities (NICHCY) is a clearinghouse that provides free information on disabilities and disability-related issues that affect children. For more information, contact NICHCY, P.O. Box 1492, Washington, D.C. 20013-1492 or call either 1-800-695-0285 or (202) 884-8200.

    The National Parent Network on Disabilities (NPND) was established to provide a national voice for parents of children, youth, and adults with special needs. NPND shares information to empower parents to be aware of and respond to policy issues concerning the needs of people with disabilities and their families. For more information, contact NPND, 1727 King Street, Suite 305, Alexandria, VA 22314, (703) 684-6763 (voice/TDD).

    The Children's Foundation has just completed a 20-minute videotape, Yes, You Can Do It, that looks at the "fears" and "myths" of caring for infants and toddlers with disabilities in a family child care setting. An Annotated Resource Directory: Caring for Infants and Toddlers with Disabilities will accompany the video. The Directory lists training materials and other resources relevant to those caring for young children with disabilities. For more information, contact Sandra Gellert, Project Director, at (202) 347-3300.

    United Cerebral Palsy Associations (UCPA) is a non-profit, human service organization that aims to improve the quality of life for persons with cerebral palsy and other disabilities, and their families. UCPA has informational brochures, books, videos, and other materials for parents and others who work with children with disabilities. UCPA has also conducted national teleconferences on topics related to family support, child care, early intervention, and technology. To learn more, contact UCPA, 1660 L Street, NW, Suite 700, Washington, DC 20036-5602 or call: 1-800-872-5827, or (202) 776-0406.

    The ERIC Clearinghouse on Rural Education and Small Schools (ERIC/CRESS) has prepared a packet of six brief reports for parents of children with special needs. ERIC/CRESS also provides information about organizations that provide support to families with special needs children. For the free packet and other information, call ERIC/ CRESS at: 1-800-624-9120, or send an e-mail message to the User Services Coordinator at lanhamb@ael.org.

    up arrowResources in Child Care

    Within each issue, the Child Care Bulletin highlights resources available to the child care community. We encourage providers, parents, administrators, and other readers to share your knowledge of what is available so that we may pass it on to the field.

    Publications

    All Kids Count: Child Care and the Americans with Disabilities Act (ADA)
    Libby Doggett and Jill George
    A guide to inform the child care industry about the law and to familiarize child care providers with the importance and value of including all children in regular child care settings. (Available for $12.50 from The Arc, P.O. Box 1047, Arlington, TX 76004).
    For more information about The Arc, contact The Arc National Headquarters, 500 E. Border, Suite 300, Arlington, TX 76010, or call: (817) 261-6003, or TDD: (817) 277-0553.

    Child Care and the ADA: A Handbook for Inclusive Programs
    Victoria Y. Rab and Karren I. Wood
    This book identifies legal issues, suggests some cost-effective solutions, and presents a variety of materials for assisting in ADA compliance. The book includes case scenarios, action plans, worksheets and checklists, comprehensive resource lists, and a glossary. (Available for $25 from Brookes Publishing Company, P.O. Box 10624, Baltimore, MD 21285-0624 or call: (410) 337-9580).
    The following publications are available from the Child Care Law Center, 22 Second Street, 5th Floor, San Francisco, CA 94105 or call (415) 495-5498.
    Child Care and the ADA: Highlights for Parents of Children with Disabilities
    This document is specifically designed to answer the questions of parents of children with disabilities. It briefly addresses the impact of the American with Disabilities Act (ADA) on admissions, fees, and services, as well as how parents can help child care programs achieve compliance with the law ($5).

    Caring for Children with HIV or AIDS in Child Care
    A detailed guide to the legal responsibilities of child care providers to admit and care for children with HIV or AIDS. Includes sections on admitting and accommodating children with HIV/AIDS under the ADA, universal infection control precautions, confidentiality, and background information on HIV and AIDS ($10).

    The document is for informational purposes only. No official endorsement of any practice, publication, program, or individual by the U.S. Department of Health and Human Services, the Administration for Children and Families, the Child Care Bureau, or the National Child Care Information Center is intended or is to be inferred. For additional information on this or related topics, please contact the National Child Care Information Center at (800) 616-2242 or info@nccic.org.

    NOTE: There may be publications on this page that are available as PDF (portable document format) files. To be able to read these files, download the free Adobe Reader.


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