The Center to Inform Personnel Preparation Policy and Practice for Early Intervention and Preschool Education

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The Center to Inform Personnel Preparation Policy and Practice for Early Intervention and Preschool Education Mary Beth Bruder, PhD University of Connecticut Vicki Stayton, PhD Western Kentucky University Funded by Office of Special Education Programs

Rationale Federal Initiatives Concern over the competence of professionals is on the forefront of National agenda States education reform agendas The NCLB & the President s Commission on Excellence in Special Education both emphasize the need to focus on student performance & results

Rationale State Personnel Issues Shortages of qualified personnel Variability in personnel requirements Licensing standards not specifically tailored to infants, toddlers and their families

Rationale Institutes of Higher Education (IHE) Issues Program requirements vary

Rationale Supply and Demand Strong relationship between policy, personnel requirements and training programs Lack of specific research on supply and demand of EI/ECSE personnel

The Center s Purpose To guide the development of policy and practice for personnel preparation in early intervention & preschool education by examining issues & recommending actions to ensure an adequate supply of well qualified personnel to serve infants, toddlers and preschoolers with disabilities.

Phase I Study 1 Study 2 Standards & Certification State Part C & 619 Training Programs Institutes of Higher Education Study 3 Supply & Demand

Phase II Research Agenda Higher Education Programs (3 Studies) Personnel Standards (4 Studies) Professional Development (3 Studies)

Phase III Information Dissemination Policy Recommendations

Survey Study I Methodology Electronic or telephone Structured protocol with closed and open-ended questions Sample Part C Coordinators 619 Coordinators State level representatives (CSPD, Consultants)

Method of Participation Part C (n = 45) 619 (n = 48) Electronic 23 (51.1) 28 (58.3) Phone 22 (48.9) 20 (41.7)

Part C Personnel Supply Discipline Adequate Shortage Unsure Social Worker 62.2 17.8 17.8 Service Coordinator* 53.3 33.3 6.7 Pediatrician 53.3 24.5 20.0 Nurses* 51.1 22.2 22.2 Audiologist 46.7 33.3 17.8 Special Educator* 44.4 40.0 11.1 *1-2 Do not employ

Part C Personnel Supply Discipline Adequate Shortage Unsure Physical Therapist 40.0 46.7 11.1 Nutritionist 40.0 26.6 31.1 Occupational Therapist 37.8 51.1 8.9 Orientation/Mobility 35.6 31.1 31.1 Family Therapist 33.3 31.1 28.9 Speech/Language Pathologist 13.3 75.5 8.9 *1-2 Do not employ

Part C Personnel Training Discipline Audiologist Special Educator Occupational Therapist Nutritionist Physical Therapist Nurse States Reporting Adequate Training 46.7 44.4 42.2 42.2 40.0 40.0

Part C Personnel Training Discipline Service Coordinator Speech/Language Pathologist Orientation/Mobility Social Worker Psychologist Pediatrician Family Therapist States Reporting Adequate Training 40.0 37.8 35.6 35.6 33.3 28.9 28.9

Part C Standards and Requirements Add/Create Categories Credential for EI Modifications to Standards Additional Requirements Percent Reporting Yes or In Process 51.1 51.1 39.9 25.0

Part C Credentialing Procedures Procedure Competencies Course work Preservice Prep. Exams Training/inservice Portfolio Experience Observation Interview Apprenticeship Endorsement Percent Reporting 72.7 45.5 40.9 27.3 27.3 22.7 18.2 9.1 9.1 4.5 4.5

Part C Training Training during employment* Training Directory Training prior to employment CEU in Area Requirement Alternative Certification Career Ladder Percent of States 73.3 64.4 53.3 33.3 22.2 17.8 * Training descriptions vary.

Part C Ways of Addressing Personnel Preparation State Improvement Plan ICC Personnel Prep Committee Interagency Agreement CSPD Doc. In-service CSPD Doc. Pre-service Percent of States 73.3 57.8 53.3 51.1 37.8

Reported Factors Helping to Obtain Qualified Personnel in EI Specific recruitment efforts Training Characteristics of EI Family oriented philosophy Geography/attractive location Higher education programs Salary/benefits Certification Grants/funding programs Positive perceptions of EI System financial reimbursement Supervision

Reported Barriers to Obtaining Qualified Personnel in EI Lack of personnel pool Higher ed. program issues Low salaries Geography, rural locations Lack of knowledge about EI Characteristics of EI tasks Training issues System financial reimbursement difficulties State standards/certification Lack of interagency collaboration

619 Personnel Supply Discipline Adequate Shortage Unsure Audiologist* 37.5 20.9 39.6 Paraprofessional 36.2 38.3 25.5 Psychologist 31.9 38.3 29.8 Social Worker 31.9 27.6 40.4 Special Educator 29.8 59.6 10.6 Physical Therapist 29.8 49.0 21.3 *1-3 Do not employ

619 Personnel Supply Discipline Adequate Shortage Unsure Occupational Therapist 27.7 55.4 17.0 Pediatrician 27.1 16.7 52.1 Nurse* 27.1 29.2 41.7 Orientation/ Mobility 17.0 38.3 44.7 Family Therapist* 17.0 17.0 59.6 Speech/Language Pathologist 6.4 85.1 8.5 *1-3 Do not employ

619 Personnel Training Discipline Speech/Language Pathologist Occupational Therapist Physical Therapist Audiologist Special Educator Social Worker Percent Reporting Adequate Training 51.1 46.8 44.7 43.8 40.4 40.4

619 Personnel Training Discipline Orientation Mobility Psychologist Nurses Pediatrician Paraprofessional Family Therapist Percent Reporting Adequate Training 36.2 34.0 31.9 27.1 27.1 21.3

619 Standards and Requirements Credential for ECSE Modifications to Standards Add/Create Categories Additional Requirements Percent Reporting Yes or In Process 62.6 56.3 16.7 12.5

619 Credentialing Procedures Procedure Preservice Preparation Course work Competencies Exams Experience Recommendations Follow-up Mentoring Percent Reporting 69.6 65.2 43.5 43.5 4.3 4.3 4.3

619 Training Training Directory Training during employment* Alternative Certification Career Ladder CEU in Area Requirement Training prior to employment Percent of States 62.5 56.3 54.2 33.3 22.9 10.4 * Training descriptions vary.

619 Ways of Addressing Personnel Preparation State Improvement Plan Interagency Agreement CSPD Doc. In-service CSPD Doc. Pre-service Percent of States 66.7 43.8 29.2 22.9

Reported Factors Helping to Obtain Qualified Personnel in ECSE Training Strong higher ed. programs Certification/credential Salary/benefits Targeted recruitment Interagency initiatives Geography attractive location Characteristics of ECSE Positive perceptions of ECSE Philosophy Grants/funding programs Supervision/mentorship

Reported Barriers to Obtaining Qualified Personnel in ECSE Salary/benefits Higher education issues Lack of personnel pool Geography (rural) State standards/certification Lack of knowledge about ECSE Negative perceptions of ECSE Characteristics of ECSE tasks Training issues Competition with other states State issues, lack of support Lack of interagency collaboration

Study II Higher Education Create a database of personnel preparation programs Analyze the characteristics of training programs Determine how training programs provide learning opportunities specific to young children and families Develop a profile of current training programs

Study II Higher Education Survey Comprehensive review of preservice preparation for all types of personnel who serve infants, toddlers, and preschoolers with disabilities Recruitment Operational characteristics Program characteristics Instructional methods Collaborative opportunities Alignment with standards Program evaluation

Study II Methodology and Sample Survey Web-based Paper or phone options Program Representatives 5659 Programs Contacted

Survey Responses Survey responses: 1131 programs Survey section submitted: Section 1: 1127 Section 2: 859 Section 3: 787 Section 4: 750 All Sections: 746 Sample representation: 50 states & D.C. 18 types of programs

Response Rate by Discipline Discipline Requests Response Response Rate Occupational Therapy 150 62 41.3 Recreation Therapy 113 37 32.7 Ed. of Vision Impaired 23 7 30.4 Ed. of Hearing Impaired 65 19 29.2 Special Ed 571 160 28.0 Speech/Audiology 263 66 25.1 Physical Therapy 194 48 24.7 Early Childhood Ed. 714 150 21.0

Response Rate by Discipline Discipline Requests Response Response Rate Nursing 1283 266 20.7 Other 100 20 20.0 Social Work 438 73 16.7 Nutrition 184 27 14.7 Counseling 458 66 14.4 Psychology 1103 130 11.8 Total 5659 1131 19.99

Response Rate by OSEP Funded Grant Projects Contacted Responded Refused Participation Response Rate OSEP Funded Grant Projects 107 48 7 44.86%

Description of Sample by Type of Institution of Higher Education (IHE) (n=1131) Type of IHE Frequency. Sample % Response Rate Public 748 66.2 21.6 Private 381 33.7 17.5 N/A 2 0.2 13.3 Total 1131 100.0 19.9

Description of Sample by Program Degree (n=1116) Type of Degree Undergraduate Masters Associate Doctorate Other Frequency 488 443 204 97 90 Sample % 43.1 39.2 18.0 8.6 8.0

Description of Sample by Age Span Addressed in Programs (n=1107) Life 0-3 3-5 5-8 0-5 0-8 0-21 3-21 5-21 Other Age Range Frequency 620 13 16 10 43 111 80 33 62 119 Percent 56.0 1.2 1.4 0.9 3.9 10.0 7.2 3.0 5.6 10.7

Program Preparation for Licensure License General License (n=1085) License for 0-5 with special needs (n=1073) % Yes 86.4 38.3 % No 14.6 61.7

Program Preparation for Licensure (n=313) License Age Range for Early Childhood 0-3 3-5 0-5 % Yes 58.1 72.2 77.0 % No 41.9 27.4 23.0

Number of Students Enrolled in Program 2003-2004 (n=1050) Range None 1-29 30-59 60-99 100-149 150-249 250-349 350 Frequency 1 237 246 180 144 125 51 66 Percent 0.1 22.6 23.4 17.1 13.7 11.9 4.9 6.3

Student Composition by Ethnicity (n=1066) White Ethnicity Black/African American Hispanic/Latino Asian/Pacific Islander American Indian/Alaskan Native Mean % 77.0 9.8 6.4 3.4 1.2 Standard Deviation 24.43 15.24 12.20 7.64 5.07

Programs Offering Courses Focusing on Areas (n=693) Area Frequency Percent Mean SD Families 599 86.43 2.15 1.66 Research & Evaluation 510 73.59 1.90 1.26 Team Process 445 64.21 2.00 1.47 Inclusion/Natural Environments 410 59.16 2.08 1.53 Assistive Technology 339 48.91 1.77 1.44

Areas Addressed by OSEP Funded Programs (n=30) 100.0 90.0 86.7 86.7 90.0 80.0 70.0 70.0 73.3 Percent of Programs 60.0 50.0 40.0 30.0 20.0 10.0 0.0 Ass istive Technology Families Inclusion/Natural Environments Research and Evaluation Team Process

Instructional Strategies Used in Programs (n=728) Practice Independent Research Lecture Class Simulation Field Experience Assessment 20.7 83.1 51.0 68.1 Assistive Tech 16.8 60.0 38.3 48.6 Development 31.7 94.1 44.0 76.4 Intervention 26.6 85.2 51.5 77.5 Cultural Sensitivity 25.1 88.6 46.6 73.9 Due Process 12.4 75.8 20.5 35.3 Family Centered 22.9 86.8 46.3 70.9 FAPE 12.8 62.0 17.2 35.3

Instructional Strategies Used in Programs (n=728) Practice Independent Research Lecture Class Simulation Field Experience IEP 13.9 71.0 35.9 54.5 IFSP 11.1 63.0 27.5 43.7 Instructional Plan 19.5 66.5 41.9 57.8 Learning Environment 19.4 73.1 40.0 62.0 LRE 12.6 70.3 24.7 51.9 Natural Environment 14.7 63.3 25.8 52.5 Professional Ethics 20.3 89.1 49.2 68.8 Teaming 15.7 72.8 46.6 64.3 Zero rejection 9.1 44.0 12.5 24.7

Roles for Which Students are Prepared (n=727) Role Provider Consultant Researcher Evaluator Service Coordinator Parent Support Consultant Administrator Other Paraprofessional Frequency 622 227 223 219 211 185 178 158 91 Percent 85.6 31.2 30.7 30.1 29.0 25.4 24.5 21.7 12.5

Settings for Which Programs Prepare Students (n=733) Setting School Hospital Clinic Center Preschool Head Start Home Childcare Community Other Frequency 558 426 420 392 326 321 321 309 283 125 Percent 76.1 58.1 57.3 53.5 44.5 43.8 43.8 42.2 38.6 17.1

Field Experience with Children 0-5 with Special Needs (n=776) Response Yes No Not sure Not applicable % Mandatory 32.7 60.3 2.1 5.0 % Optional 56.8 34.0 3.8 5.4

Field Experiences Total number of programs providing additional information about field experiences : 651 Range of field experiences per program: 1-10 Mean of field experiences per program: 3.7 Total number of field experiences reported: 2411

Field Experiences (Total of 2411 experiences reported) Field Experience Characteristics Required Optional Frequency 2092 127 Percent 86.7 5.3

Field Experiences (Total of 2411 experiences reported) Field Experience Characteristics Children with and without disabilities Only children with disabilities Only children without disabilities Frequency 1712 442 56 Percent 71.0 18.3 2.3

Field Experiences (Total of 2411 experiences reported) Field Experience Characteristics 0-3 3-5 5-21 Adult Frequency 1185 1469 1614 1013 Percent 49.2 60.9 66.9 42.0

Settings for Which Field Experiences Prepare Students (n=743) School Center Hospital Clinic Childcare Preschool Head Start Home Community Other Setting Frequency 578 431 424 414 374 360 357 273 253 77 Percent 77.8 58.0 57.1 55.7 50.3 48.5 48.0 36.7 34.1 10.4

Settings for Which Field Experiences Prepare Students (n=743) 600 578 500 431 414 424 Number of Programs 400 300 374 253 357 273 360 200 100 77 0 Center Childcare Clinic Community Head Start Home Hospital Preschool School Other Settings

Parent Involvement in IHE Program (n=848) Parent Involvement Do not play role Play role Frequency 595 253 Percent 70.2 29.8

Parent Involvement in IHE Program (n=244) Teach courses Co-teach courses Supervise field experience Co-supervise field experience Teach 1 or 2 course sessions Other Role Frequency 24 29 10 12 77 159 Percent 9.8 11.9 4.1 4.9 31.6 65.2

Parent Compensation for Time in IHE Program (n=223) Type of Compensation Not Paid, Volunteer Per Diem Other Salary Frequency 145 50 36 23 % 65.0 22.4 16.1 10.3

Cross-Disciplinary Collaborative Activities (n=723) No Collaboration Across Disciplines within IHE Yes Not Sure Frequency 398 294 31 Percent 55.0 40.7 4.3

Frequency and Percent of Programs Participating in Cross-disciplinary Activities (n=394) Cross-disciplinary Features Courses are taken with students from different disciplines Courses are offered and listed jointly across program areas within a college or school Students enrolled in the program represent different disciplines Courses are team taught by instructors from different disciplines or different programs Students are placed in practicum setting outside of the program s discipline area Frequency 263 154 151 145 129 % 66.8 39.1 38.3 36.8 32.7

Frequency and Percent of Programs Participating in Cross-disciplinary Activities (n=394) Students across disciplines complete field experiences together Practicum experiences are supervised by faculty or personnel outside the disciplinary area of the program The program s steering committee is comprised of individuals from multiple discipline Courses are offered and listed jointly across programs across a college or school Other Cross-disciplinary Features Frequency 125 110 109 104 44 % 31.7 27.9 27.7 26.4 11.2

Number of States With 2 or Less Higher Education Programs by Discipline Program No. of States w/ No Higher Education Program No. of States w/ 1 Higher Education Program No. of States w/ 2 Higher Education Programs Total Orientation/Mobility 36 10 2 48 Recreation Therapy 18 13 5 36 Pediatricians/Other Physicians 6 19 9 34 Nutrition 7 13 13 33 Occupational Therapy 8 16 7 31 Physical Therapy 4 14 11 29 Audiology 3 9 8 20 Speech-Language Pathology 3 9 8 20 Family Therapy 0 3 6 9 Guidance Counselor 0 3 6 9

Number of States With 2 or Less Higher Education Programs by Discipline Program No. of States w/ No Higher Education Program No. of States w/ 1 Higher Education Program No. of States w/ 2 Higher Education Programs Total Social Workers 0 4 4 8 Special Education 1 2 3 6 Psychologists 0 2 3 5 Nursing 0 0 0 0 Paraprofessionals n/a n/a n/a n/a Rehab Counseling n/a n/a n/a n/a Service Coordination n/a n/a n/a n/a

Percentage of Graduates who Find Jobs in Their Field (n=706) 100.0 90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 100.0 96.8 99.3 98.0 99.1 98.2 94.2 92.5 95.2 95.5 98.5 95.7 90.9 91.3 94.1 86.5 88.6 89.9 81.9 Audiology (n=2) Speech & Language Pathology (n=35) Early Childhood Education (n=82) Early Childhood Special Education (n=33) Special Education (n=56) Education of the Visually Impaired (n=6) Education of the Hearing Impaired (n=7) Occupational Therapy (n=33) Physical Therapy (n=34) Social Work (n=46) Counseling (n=37) Family Therapy (n=5) Nutrition (n=17) Nursing (n=174) Recreation Therapy (n=15) Psychology (n=67) Early Intervention (n=9) Blended Program (n=27) Other Program (n=21) Average Percentage Survey Program

Students Who Find Jobs Working With Children With Special Needs (n=612) Programs Frequency Mean SD Overall 612 20.59 27.64 Nursing 127 8.02 14.30 Early Childhood Education 73 17.49 22.51 Psychology 63 13.32 17.74 Special Education 52 17.15 26.66 Counseling 35 5.23 6.92 Social Work 34 17.21 22.33 Speech-Language Pathology 34 35.94 21.54 Physical Therapy 32 12.38 14.46 Occupational Therapy 30 30.27 21.07 Early Childhood Special Education 30 72.37 33.90

Students Who Find Jobs Working With Children With Special Needs (n=612) Programs Frequency Mean SD Blended Program 26 46.35 37.18 Other Program 21 38.05 41.27 Recreation Therapy 14 26.14 33.75 Nutrition 13 2.46 3.12 Early Intervention 9 50.33 38.74 Education of the Hearing Impaired 6 22.00 16.72 Education of the Visually Impaired 6 10.67 8.04 Family Therapy 5 7.00 10.36 Audiology 2 12.50 17.67

Next Steps Research Agenda Higher Education Programs Personnel Standards Professional Development

Higher Education Programs This strand will continue the inquiry into the availability and quality of personnel preparation programs in Early Childhood.

Higher Education Research Questions Question 1A: What is the availability, content, quality of coursework and practica experiences across disciplines in Early Childhood personnel preparation programs funded by OSEP? Method: Electronic Survey

Higher Education Research Questions Question 1B: What is the availability, content, and quality of doctoral training programs in Early Childhood? Method: Electronic Survey

Higher Education Research Questions Question 1C: Can a collaborative doctoral training model be developed in Early Childhood Intervention? Method: Focus Group

Personnel Standards This strand will continue the inquiry into the credentialing of highly qualified Early Intervention/Early Childhood Special Education personnel.

Personnel Standards Research Questions Question 2A: What are the scope, content, process of and outcomes of B-3 early intervention credentials in states that use them? Method: Phone Interview

Personnel Standards Research Questions Question 2B: What is the status of B-3 credentials among national professional organizations? Method: Focus Group

Personnel Standards Research Questions Question 2C: What are the variables that contribute to the success of a credential process in B-3? Method: Case Study

Personnel Standards Research Questions Question 2D: Does a B-3 personnel credential ensure positive outcomes for providers, families and children? Method: Experimental Group Design (CT)

Professional Development This strand will address professional development competencies and training opportunities.

Professional Development Research Questions Question 3A: How do early interventionists, early childhood special educators and related services personnel define their own competence, confidence, quality and professional development opportunities? Method: Electronic Survey

Professional Development Research Questions Question 3B: Are there models of effective professional development for Early Intervention and Early Childhood Special Education personnel (state systems or professional organizations) that result in effective child/family outcomes? Method: Case Study

Professional Development Research Questions Question 3C: How do physicians define competence and quality in regard to referral decisions for children in need of early intervention? Method: Electronic Survey

Contact Information Mary Beth Bruder 860-679-1500 bruder@nso1.uchc.edu Vicki Stayton 270-745-3450 vicki.stayton@wku.edu\ Sara Wakai 860-679-1514 swakai@uchc.edu Center Information http://www.uconnucedd.org/ Data Reports http://www.uconnucedd.org/projects/personnelprep/