Abstract
Professionals from 10 countries are implementing practices from the Routines-Based Model, which has three main components: needs assessment and intervention planning, a consultative approach, and a method for running classrooms. Its hallmark practices are the Routines-Based Interview, support-based visits with families, and a focus on child engagement. Implementers were interested in actual practices for putting philosophy and theory into action in their systems and cultures. We describe implementation challenges and successes and conclude that (a) models have to be adaptable, (b) some principles and practices are indeed universal, (c) we can shape excellent practices for international use, and (d) leadership is vital.
Highlights
In Minga Guazú, in the hot eastern side of Paraguay, where many of the families in early intervention are indigenous Guaraní, a young occupational therapist (OT)welcomes a family to the early intervention center
All implementers have chosen to adopt the Routines-Based Interview (RBI), which is accompanied by an ecomap, participation-based goals for children, and family goals for siblings and parents [33]
A second challenge in implementing the Routines-Based Model (RBM) is the use of a primary service provider (PSP), rather than having a host of different providers from different disciplines working with the child [35,41]
Summary
In Minga Guazú, in the hot eastern side of Paraguay, where many of the families in early intervention (birth–6 years of age) are indigenous Guaraní, a young occupational therapist (OT). Welcomes a family to the early intervention center. The center is for children with physical disabilities This OT has been trained in the Routines-Based Model (RBM) and, today, she will talk to the family about 2 or 3 of the 12 goals on the child’s and family’s intervention plan. She will ask the family whether they would like to show her what they have been doing, and she will guide them through some strategies that, together, they have decided might help the child participate meaningfully in breakfast time. Res. Public Health 2020, 17, 8308 through some strategies that, together, they have decided might help the child participate meaningfully in breakfast time. Arestill stillhammering hammering nails, a dorm on a university remodeled to become a preschool This model demonstration site will show how you can run a classroom to promote child engagement. Conclusions about what has to happen to improve early intervention around the world
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