In efforts to ensure that all infants and toddlers enrolled in the CNMI Early Intervention Program receive services in a manner that protects the health of the child, family, and early intervention practitioners, Elaine Eclavea, Guam CEDDERS, Early Childhood Consultant facilitated a series of virtual professional development training via Zoom Video Conferencing. On April 14, the training entitled Providing Early Intervention Services through Distance Technology was designed to increase the knowledge and understanding of providers on how to use Tele-Intervention during this time of social distancing. The topics discussed during the session was on feasibility, system requirements, Planning the Visit, and the Framework for Tele-Intervention Home Visits (this included 3-parts of the Visit). The training included information from The Family, Infant, and Preschool Program’s presentation by Dr. Dathan Rush. The Tele-Intervention strategies identified by Dr. Rush aligns with the evidenced-based model of Early Childhood Coaching as indicated in the CNMI Part C State Systemic Improvement Plan. CNMI Early Intervention Staff continued weekly Reflective Coaching Training Sessions through the months of April, May, and June to build the capacity of staff in using the “Collaborative Problem-Solving” process to enhance tele-intervention home visits.
July 26 marks the 30th anniversary of the passing of the Americans with Disabilities Act (ADA). In honor of this monumental legislation, Guam CEDDERS staff took time from their busy schedules on June 30 to watch the documentary Crip Camp. The documentary offered a raw and authentic portrayal of the people and events that led to the passage of the ADA in 1990.
The seeds of discontent for the status quo were planted at Camp Jened, nicknamed Crip Camp, a haven for teens with disabilities who were often neglected and overlooked by the outside world. Camp Jened gave campers a window to what a world where they were included could look like. This set into motion the events that would lead to the passing of the Rehabilitation Act of 1973, the 26-day 504 sit-in, and finally to the passage of the ADA in 1990.
After watching the documentary, Guam CEDDERS staff were given the opportunity to reflect on the impact of the message of the movie on their role at Guam CEDDERS. Everyone gleaned different lessons from the documentary. But it was strikingly clear that Guam CEDDERS carries the legacy of Camp Jened forward. The struggle of civil rights leader, Judith Heumann and her friends from Camp Jened has become Guam CEDDERS’ purpose. Their mission is our mission. As eloquently expressed by Denise Sherer Jacobson, an author, disability self-advocate, and former Camp Jened camper, “The ADA was a wonderful achievement, but it was only the tip of the iceberg. You can pass a law but until you can change society’s attitudes, that law won’t mean much.” And as such, we continue our work at Guam CEDDERS of creating partnerships and pathways to increase the quality of life of individuals with developmental disabilities and their families.
Social distancing. Sanitizing. Washing hands. Wearing a mask. Daily temperature checks. ZOOM meetings. What does all this mean? Is this normal? Or is this the “new normal?” While we live in a world that has the most scientific and technological advancements, a virus that is invisible to the naked eye has destabilized our economies, healthcare, and educational systems. This pandemic lets us know that we must continue progress in science and research to face future challenges. Without a vaccine, humankind must continue to live not in fear but live differently. By living differently and safely, we need to be informed. Information overload? Maybe. But better to know than to not know and not know what to do.
On June 26th, the team at Guam CEDDERS embarked on the first of what will be an on-going information dissemination process of Guam CEDDERS’ Pandemic Plan & Procedures. This plan aligns with the University of Guam – Pandemic Plan & Procedures for Operating Under PCOR3 / UPPOP3. The Guam CEDDERS’ leadership team wanted to ensure that all employees under Guam CEDDERS are aware of the procedures and actions to take during a pandemic situation as well as provide feedback on best practices for the organization.
COVID-19 activities that included a Scavenger Hunt, COVID BINGO, and Guam CEDDERS Pandemic Plan & Procedures Quiz with prizes brought cheers and healthy, competitive spirits amongst colleagues. With much excitement and laughter, the team at Guam CEDDERS showed that preparing for the “new normal” does not have to be mundane. With camaraderie and teamwork, we as a family, an organization, an island community, people of the world can get through this pandemic together. As in all things in life, “life is what you make of it,” even when living in “new normal” times.
On January 23, Joseph Mendiola, Interoperability Data Manager, Guam CEDDERS (Left) with Carlo Docago, DMR (Right) perform operations for EDHI’s server.
First and foremost, Guam Early Hearing Detection and Intervention
(EDHI) would like to thank our partners during this COVID19 Pandemic for their service to Guam’s community! Like in most places throughout the world, COVID19 has caused a halt to most services on Guam since March 16, 2020.As a direct result of the government shutdown, the Guam Early Intervention System (GEIS) and the Guam Department of Education (GDOE) audiology unit postponed scheduled outpatient hearing screening appointments for the safety of families and staff during this challenging period.
Although this shutdown has setback the ability for infants to receive timely follow-up hearing screening services to infants delivered at the local government hospital who refer at the initial hearing screening, there is still a silver lining for infants born on Guam!Amid all the COVID19 challenges that the medical community has encountered, Guam EHDI’s birthing site partners continue to provide initial newborn hearing screening before discharge from Guam Memorial Hospital Authority (GMHA) and Sagua Mañagu Birthing Center (SMBC).GMHA staff continued to monitor and track the number of babies needing an outpatient hearing screening appointment and gathered the families’ contact information to assist the Guam EHDI partners once outpatient hearing screening services can be resumed. The SMBC did not miss a step as staff continued providing follow-up outpatient hearing screening appointments at their facility.Kudos to the hardworking team at GMHA and SMBC for advancing the mission of screening babies before discharge in line with the Joint Commission on Infant Hearing Screening (JCIH) guidelines!
Our Deaf and Hard of Hearing (DHH) family partner, Guam’s Positive Parents Together, Inc. (GPPT), was also affected by the pandemic.GPPT canceled an inaugural Deaf and Hard of Hearing Family and Mentor Pool Party scheduled by GPPT for its DHH families to meet and interact with DHH adults. The long-awaited and highly anticipated event to bring families of children who are DHH together with the adult DHH community would have provided families the opportunity to interact and foster relationships with DHH adults and provide DHH children role models for them. Guam EHDI continues to work with GPPT to ensure families receive opportunities to engage with the DHH adult community.
On May 7, Guam EHDI provided training on the Guam ChildLink Data System at the request of Guam’s Preschool Development Birth to Five Leadership Workgroup.The presentation allowed participants to learn how Guam ChildLink has evolved to be a data collection, surveillance, and reporting system for five early childhood projects on Guam. During the presentation, the Guam EHDI Interoperability Data Manager, Joseph Mendiola, summarized the Guam EHDI network, reviewed the Guam ChildLink database development and maintenance, and discussed opportunities for data sharing. In attendance were representatives from Guam CEDDERS, the Guam Early Learning Council, the Department of Public Health and Social Services (DPHSS) Maternal and Child Health Bureau, DPHSS Family Health Information Resource Center, DPHSS Bureau of Social Services Administration, and GDOE GEIS.
During this time of a “new normal” due to the COVID-19 pandemic, Guam CEDDERS continues its mission to “create partnerships and pathways to increase the quality of life of individuals with developmental disabilities and their families.” Guam CEDDERS stays connected virtually with partners on island, within the Pacific region, in the mainland United States, and even down under in Australia to find ways to continue facilitating the technical assistance and training supports prioritized by our partners for improving outcomes for children, youth, and adults with disabilities and their families.
The Guam Department of Education (GDOE) in collaboration with Guam CEDDERS held several virtual planning meetings in the last few months with stakeholders to collect input on how the State Systemic Improvement Project (SSIP) will be adapted in response to COVID-19. Sessions were comprised of the SSIP Project Director, SSIP Principals, SSIP teacher leaders, GDOE Special Education personnel, and SSIP on-island consultants. The focus of the meetings was on how professional development will be delivered amid the COVID-19 restrictions and what supplemental resources were needed by schools. The content and format of professional development sessions were discussed. In addition, a Teacher Leader Survey was also sent out to ascertain areas that need to be targeted during professional development.
On May 1, the Guam Department of Education (GDOE) in collaboration with Guam CEDDERS held a virtual stakeholder input session on significant disproportionality with 14 GDOE personnel and members from the Guam Advisory Panel for Students with Disabilities (GAPSD) and the Guam Developmental Disabilities Council. New regulations require states, inclusive of Guam, to use a standard methodology to determine if significant disproportionality based on race and ethnicity is occurring in the State and the local educational agency.An important part of the reporting process is how the State included stakeholders in determining whether or not significant disproportionality exists.There are three categories for significant disproportionality: identification, placement, and discipline.
The Office of Special Education Programs (OSEP) is responsible for ensuring that states comply with the Individuals with Disabilities Education Act (IDEA). Annually, each state must have a State Performance Plan/Annual Performance Report (SPP/APR). The SPP/APR evaluates the state’s efforts to implement the requirements and purposes of Part B and Part C of the IDEA. In April, OSEP provided a clarification period so states may provide additional information or clarification to their initial report submission. Guam CEDDERS Interim Director, June De Leon provided support to Guam, the Republic of Palau (ROP), the Federated States of Micronesia (FSM), and the Commonwealth of the Northern Mariana Islands (CNMI) in submitting any required clarifications to their Federal Fiscal Year (FFY) 2018 SPP/APR report.
In partnership with the University of Guam (UOG) Office of Information Technology and Guam CEDDERS, Guam Department of Education (GDOE), Division of Special Education prioritized providing technical support to their speech-language pathologists in delivering teletherapy. With facilitation support from Guam CEDDERS June De Leon and Josephine Cruz, UOG’s Interim Chief Information Officer Manny Hechanova conducted five virtual sessions in April and May with the Division’s speech-language pathologists assigned to providing Extended School Year services in the summer. A total of eight Division personnel and speech-language pathologists participated in the virtual sessions. The sessions covered an array of topics related to using the Zoom and Moodle virtual platforms. Participants learned how to use the various features on virtual platforms.They also engaged in problem-solving on how to make the platforms more interactive as they deliver teletherapy.
As the much-quoted Scottish poet Robert Burns has said, “the best-laid plans of mice and men often go awry,” so have the plans with Project EPICS.
The Educating Pacific Island Clinicians in Speech-Language Pathology (EPICS) Project, is a personnel preparation grant funded by the US DOE awarded to San José State University, in partnership with Guam CEDDERS. With a start date of May 2015, the goal of this five-year project is to facilitate the training of graduate-level personnel from the U.S. affiliated Pacific Basin jurisdictions in speech-language pathology to meet the critical need of certified professionals in this specialty area.
Although some challenges occurred during these past four and half years since the start of the project, the Work Plan and timeline originally mapped out for the implementation of EPICS, including activities and milestones, were, for the most part, met for the majority of the student “scholars” enrolled in the program.Over the past two years, 18 scholars were on track to complete their requirements to graduate with a master’s degree in speech-language pathology in August 2020.
And then the coronavirus pandemic hit in full force in mid-March.
Initially, coursework actually proceeded as planned. The scholars were in the midst of completing two online courses so there was no need to develop modifications in that area.What was impacted, though, was their ability to earn their practicum hours, which required face-to-face interaction under the direct supervision of a licensed speech-language pathologist (SLP). An on-site visit scheduled for the end of March through the first week of April by Dr. Wendy Quach, EPICS Co-Principal Investigator, and Project Director, to facilitate final scholar advisement and project logistics was canceled as air travel was suspended.An even bigger challenge was the cancellation of the second cohort of nine scholars going to California in the Summer to complete their eight-week externship in the San José area.
After a two-week period of waiting to see how the quarantine unfolded, the following decisions were made:
The Comprehensive Examination, a final requirement for the program scheduled for May 2, proceeded as scheduled.Scholars were able to take the examination online in their homes.
Scholars were given additional opportunities to earn practicum hours via “Simucase,” a platform under the supervision of SJSU instructors.
Final program completion activities including student exit interviews and completion ceremony were postponed until August 2021.
The scholars who completed their externship during the Summer of 2019, and who meet all other graduation requirements would receive their master’s degree by August 2020.
The scholars in Cohort 2 whose externships were canceled for this summer were given an option to earn their practicum hours this Fall on Guam or wait until Summer 2021.One scholar has opted for the first choice while the remaining eight have decided to wait till next Summer.
Project officials are in the process of formally receiving approval for a “No Cost Extension” year to complete the project.In addition, EPICS administrators met online with representatives from the CNMI Public School System and Guam Department of Education Division of Special Education to provide project updates and discuss the next steps relative to the availability of scholars and potential clinical/job placements into their respective systems.
After a challenging four-and-a-half-year grueling schedule for all involved and getting to the point of making it to the proverbial “light at the end of the tunnel,” to say that project stakeholders are disappointed and saddened by this unfortunate turn of events is an understatement. However, given the global state of affairs faced by all, these steps had to be taken.
During the summer months, scholars for the most part will be working on completing their online Simucase hours and completing other requirements as needed and available online.They will also be studying for and taking the Praxis examination online, an examination required for national certification that is needed to be eligible for their nine-month Clinical Fellowship under the mentorship of a licensed speech pathologist.By the end of July, several of them will have completed all requirements and will be eligible for graduation.The remaining scholars will continue with their preparation for Praxis, if they decide to take it later, and keeping their knowledge and skills up to date in preparation for their Externship next summer.
Hopefully, no new challenges and barriers will arise to derail these plans.Stay tuned for the next update in September.