PCA Frequently Asked Questions
Who chooses the "teams"? Are the teams individual to each unique family? Are ALL providers included in the teams?
All practitioners meeting your state's highest qualified standards for
personnel and who are committed to using evidence-based practices and working on a team will
have a place in this type of an approach. Teams are typically formed to serve geographical
regions. The size of the area varies depending on the number of families and availability of
practitioners. A team must minimally consist of a service coordinator, occupational therapist,
physical therapist, speech-language pathologist, and someone representing early childhood special
education. Teams are not formed to support each family, but rather each family receives a team.
In this way, teams have the experience of working together across families and over time, rather
than changing for every family.
In a primary coach approach to teaming does one person usually goes out to the home, but the team meets together once per week?
Yes. A given team will meet (who also serve a number of the same children), but
not discuss every child every week. Rather, a practitioner or service coordinator places his or her
name on the agenda to request coaching from other team members related to a question that he/she or
a particular family may have in order to obtain input from the other team members.
Are teams set up geographically and are they stable teams?
Yes, and we're finding that the practitioners REALLY, REALLY like it. Service
coordinators love it because they are not chasing down practitioners and are actually coordinating
resources, rather than simply filling out forms.
What do you do about practitioners who are so specialized, and they can't be in all areas (i.e. hearing)?
Typically, educators of children who are deaf and hearing impaired as well as
vision consultants need to be a member of more than one team. As a known resource to an area, they
would alternate meeting attendance from week to week, and if either the educator/consultant or other
team members needed to address a question or issue, that would be a priority in terms of setting the
meeting agenda. These individuals may also be the primary coach for those families.
How many families served by a team?
Because of variances in travel time as well as the frequency and intensity
of supports, an exact or recommended number is difficult to define. We recommend considering percent of
time. In this way, you would consider the amount of time the person gives to the early intervention
program per week. Of that time, approximately 80% should be either with families or driving between
visits. The other 20% is spent in team meetings and completing necessary paperwork. We estimate that
a team of four practitioners and one service coordinator working full time could easily support a
minimum of 60 families.
Would an area have 2-3 teams for the family to choose from?
The number of teams using a primary coach approach to teaming will vary within a given
area depending on the number of children and families, as well as the number of practitioners available.