Who, What, & Where? The Differences Between EI, RRT, IECMH, and IBHS

Early Intervention (EI), Rapid Response Team (RRT), Infant Early Childhood Mental Health (IECMH), and Intensive Behavioral Health Services (IBHS) are different services that may support young children in early care and education programs. Young children and families may utilize all, some, or none of these services.

Early Intervention (EI)

 

WHO:

Eligible children ages 0–5 (age of beginners or age of beginning K-12 school). Eligibility is determined by a multidisciplinary evaluation.

WHAT:
  • Parent/guardian must provide written permission.
  • Services are no cost to the family under Individuals with Disability Education Act (IDEA) Part B and Part C.
  • Individualized Family Service Plan (IFSP) (IFSP for Infant/Toddler EI) or Individualized Education Program (IEP for Preschool EI) is created to outline the child’s goals and services.
  • The amount, frequency, and type of services (Developmental Therapy, Occupational Therapy, Speech Therapy, Physical Therapy, etc.) varies based on each child’s individual situation.
  • Services are delivered using a coaching model in partnership with families, caregivers, and teachers.
WHERE:

Home, early learning program, child care, preschool, and/or familiar community setting.

Rapid Response Team (RRT)

 

WHO:

Children enrolled in licensed early care and education programs in Allegheny County. Additional regions across the state are also developing their own Rapid Response Teams.

WHAT:
  • Services are no cost and are facilitated by the Early Learning Resource Center Region 5 (ELRC 5) in Allegheny County.
  • Support is provided to child care programs on developmentally appropriate practices and classroom-wide positive behavior support.
  • Child-specific support may be provided when a child is at risk of suspension or expulsion. The parent/guardian must provide consent for a child specific referral.
  • RRT can provide consultation and coaching to programs with the goal of phasing out support as programs build their capacity. RRT is not intended to be a long-term service.
WHERE:

RRT works within licensed early care and education programs and responds within 48 hours.

Infant Early Childhood Mental Health (IECMH)

 

WHO:

Children ages birth–5 who attend licensed early care and education programs in PA.

WHAT:
  • The Office of Child Development and Early Learning (OCDEL) funds IECMH statewide.
  • IECMH consultation is a no-cost resource for licensed programs.
  • IECMH supports social-emotional development from birth through age 5.
  • IECMH strengthens the capacity of the early learning workforce. Services can include the creation of an action plan as well as professional development training.
  • A parent/guardian release form is required for child-specific referrals.
WHERE:

IECMH works within licensed early care and education programs in PA.

Intensive Behavioral Health Services (IBHS)

Note: formerly known as BHRS and/or wraparound services (TSS, BSC)

WHO:

For children and youth under age 21 with mental, emotional, or behavioral health needs, as documented by a licensed professional with a Promise ID.

WHAT:
  • IBHS requires a written order from a qualified licensed professional, such as physician or psychologist with Promise ID.
  • IBHS services are billed under Medical Assitance (MA). Learn more about Medical Assistance.
  • IBHS may include individual services (1:1) such as behavior consultation, Applied Behavior Analysis (ABA) services, and/or group services.
  • Written orders are valid for 12 months and include the number of hours for the services (sometimes up to 30 hours per week).
  • IBHS completes an assessment of the child to understand strengths and needs before developing an individual treatment plan. Services are then provided by a professional who is at minimum a Master’s-level clinician. The service team may also include a Behavioral Health Technician (BHT) for individual services or a Registered Behavior Technician (RBT) for ABA services.
WHERE:

The written order must include the location(s) where services can be provided, such as home, school, or community setting.

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