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Infant-Toddler and Family Instrument (ITFI) Manual and Instrument Set


Infant-Toddler and Family Instrument (ITFI) Manual and Instrument Set

Authors: Nancy H. Apfel, Sally Provence

ISBN: 978-1-55766-494-5
Pages: 472
Copyright: 2001
Availability:
Available Stock
Paperback $55.00 Qty:

Size:  11.0 x 8.5
Stock Number:  64945
Format:  Paperback
Promotion Code: 
This straightforward, easy-to-use, clinically sensitive tool helps you evaluate the strengths and vulnerabilities of children from 6 months to 3 years and their families. With the Infant-Toddler and Family Instrument (ITFI), a wide range of family service providers can organize impressions about the child, family, and the environment, helping them decide whether further referrals and services are needed. Consisting of an Instrument and Manual, ITFI offers a clear, step by step way to question caregivers about their child's characteristics, daily activities, health, development, and family life in understandable language that feels natural and comfortable.

The ITFI Instrument includes

  • a direct, open-ended Caregiver Interview
  • a Developmental Map that covers nine different age intervals and key developmental areas: gross and fine motor, social and emotional, language, coping, and self-help
  • a Checklist for Evaluating Concern that professionals complete after family visits
  • a Plan for the Child and Family that professionals use while reviewing the results with the family and recommending referrals
The Manual provides detailed instructions, tips on handling sensitive issues, guidelines on referrals, and an appendix on the field testing of ITFI. Four case studies are also presented to illustrate effective use of ITFI, including development of a plan of action.

Learn more about the ITFI system today.

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Reviews

Review by: T. Brazelton, pediatrician, noted author, and Professor Emeritus, Harvard Medical School
"This is a wonderful instrument, adapted to clinical use ... It values the child's excitement in performance. Each assessment becomes an opportunity for sharing the child's behavior and excitement. This ITFI brings out the fun and excitement that a test can bring—to both child and parent."
Review by: J. Lally, Director, Center for Child & Family Studies, WestEd
"This instrument is a jewel ... It provides clear and straightforward guidance to help people from many different service disciplines accurately assess child and family need."
Infant-Toddler and Family Instrument

I. Caregiver Interview
  • Part 1: Home and Family Life
  • Part 2: Child Health and Safety
  • Part 3: Family Issues and Concerns
II. Developmental Map
  • Gross and Fine Motor Development
  • Social and Emotional Development
  • Language Development
  • Coping and Self-Help Development
  • Developmental Map Summary Sheet
III. Checklist for Evaluating Concern
  • Home and Family Environment
  • Child Health, Development, and Safety
  • Stressors in the Child's Life
  • Checklist for Evaluating Concern Summary Sheet
IV. Plan for the Child and Family

Manual

About the Authors
Foreword
Edward Zigler
Preface
Acknowledgments
  1. Overview
  2. Preparing to Visit the Family
  3. Conducting the Infant-Toddler and Family Instrument (ITFI)
  4. Awareness of Cultural Differences
  5. Completing the Caregiver Interview
    • Part 1: Home and Family Life
    • Part 2: Child Health and Safety
    • Part 3: Family Issues and Concerns
  6. Using the Developmental Map
    • Gross and Fine Motor Development
    • Social and Emotional Development
    • Language Development
    • Coping and Self-Help Development
    • Developmental Map Summary Sheet
  7. Completing the Checklist for Evaluating Concern
    • Home and Family Environment
    • Child Health, Development, and Safety
    • Stressors in the Child's Life
    • Checklist for Evaluating Concern Summary Sheet
  8. Arriving at a Plan for the Child and Family
  9. Case Studies
Appendix A: Picture Cards
Appendix B: Field Testing

Excerpted from Chapter 1 of the Manual of the Infant-Toddler and Family Instrument (ITFI)
By Nancy H. Apfel, Ed.M., & Sally Provence, M.D.
©2001. Brookes Publishing. All Rights Reserved.

The ITFI is a relatively short survey of family and child functioning that can be used by family services, child care, and health care providers. It was designed with home visitors in mind but can be used by other individuals in different environments, such as by a child care worker in a child care center or by a nurse, a doctor, a psychologist, or another professional in a medical, community service, or mental health center. Such family services providers can use the ITFI in developing a collaborative plan with caregivers on how to serve the children and their families. In addition, when service providers are called on to determine whether a family or a child needs further in-depth evaluation by a doctor, psychologist, or other professional, this instrument can be helpful in making such a decision.

It is expected that this instrument will supplement other services provided by the agency or individual, increasing the scope of services. To clarify, once the ITFI is completed, the practitioner has a summary of the family's strengths and vulnerabilities, specific child symptoms and stressors, and how well the caregivers are meeting their child's basic needs. With information organized in such a way, the types of services that the family and child may need are clearer. The agency is then better able to collaborate with the family to construct a plan to meet its needs.

It would be unusual for one agency or individual to be able to provide all the services that a typical family at risk might require. For example, a family may need help connecting with a women and children's crisis center, a child psychologist, a pediatrician, a city housing authority, and a community legal aid office. In working with families to develop support plans, an agency could help families look for services already in existence in the community to supplement the agency's own services. Building such connections could enhance the services of a particular agency while also avoiding duplication of services. The ITFI could also inspire the development of new services in an agency, such as support groups or workshops for individuals with specific needs, such as teenage mothers or grandparents raising grandchildren.

The ITFI is not intended to be a definitive measure of whether a child or family should receive services or further evaluation but rather to be a tool to organize the service provider's impressions of family and child needs.

There are four sections to the ITFI:

  1. The Caregiver Interview, divided into three parts—Home and Family Life, Child Health and Safety, and Family Issues and Concerns—to be given in one or more sessions with the parent(s) or primary caregiver(s)
  2. The Developmental Map, a series of observations of spontaneous and elicited behavior of the infant-toddler in four domains—Gross and Fine Motor Development, Social and Emotional Development, Language Development, and Coping and Self-Help Development—plus a Summary Sheet Manual for the Infant-Toddler and Family Instrument (ITFI)
  3. The Checklist for Evaluating Concern, divided into three parts—Home and Family Environment; Child Health, Development, and Safety; and Stressors in the Child's Life—that permit the interviewer to organize his or her impressions and concerns about the family and the child, plus a Summary Sheet
  4. The Plan for the Child and Family, next steps to be taken, if necessary
Several preparation sessions are strongly recommended as orientation and instruction for the appropriate use of the ITFI.

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