AIMHiTN Inclusion Support Form
Thank you for partnering with AIMHiTN! Our mission is to support you and your agency in enhancing the lives of children aged 0-6. As you respond to the questions below, we encourage you to reflect on ways AIMHiTN can assist not only your staff but also your programs in fostering greater inclusion for children with differing abilities. Inclusion, at AIMHiTN involves serving as a resource by host meaningful trainings, providing information (ex. brochures, handouts, articles, etc.), promoting accessibility, and facilitating meaningful dialogue. Our goal is to provide support that fosters ongoing improvement, enabling the assessment and refinement of inclusive practices to maximize their effectiveness. We are excited to collaborate with you to ensure that every child and caregiver feels recognized, valued, and supported. For more information or questions, contact our Inclusion Coordinator Charlie Dugger, M.Ed., ECMH-E, charlied@aimhitn.org.
Name
*
First Name
Last Name
Which County do you work in?
*
What sector do you belong to?
*
Are you AIMHiTN Endorsed? If so what level of endorsement do you have?
*
What is the primary language you speak?
*
How many years of experience do you have in early childcare?
Which of the following best describes your racial or ethnic background? Please select all that apply.
White
Black or African-American
Asian
Hispanic or Latinx
Native American or Indigenous
Pacific Islander
Other
Do you serve children ages 0-6 with Intellectual and Developmental Disabilities, IDD? If so, which types of IDD are you working with?
Are you confident in your ability to communicate with families regarding concerns that a child may exhibit signs of a disability or developmental delay?
Have you previously worked with, or are you currently working with, children aged 0-6 whom you believe may have developmental delays or exhibit signs of a disability but have not received a formal diagnosis?
Can your program meet the needs of the children requiring the following accomodations?
Mobility
Eating
Neurological
Social
Behavioral
Toileting
Medications
Seizures
Asthma
Allergies
Vision Differences
Hearing Differences
unsure
Other
Who do you primarily rely on for guidance and information on effectively supporting children with diverse needs?
Which of the following challenges do you find most significant when it comes to supporting and caring for children with diverse needs?
Has your center ever been unable to enroll a child due to limitations in accommodations? Have you ever needed to refer a family to an alternative program or service?
What are the most significant challenges your center faces in providing appropriate and effective accommodations for children with diverse abilities?
What are the benefits you see when including children with differing abilities in your program?
What additional training or resources would you like regarding working with children with differing abilities?
How would you rate the inclusivity of your organization on a scale of 1 to 5?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
What barriers have you encountered in incorporating inclusive practices into your work?
How confident are you in addressing questions related to abilities?
Are you currently engaged with an inclusion coach, such as CCR&R or an external consulting agency? If not, would you be interested in connecting with one?
Are you familiar with our Belonging Awards, which aim to recognize and promote inclusive spaces while supporting agencies in discussing best practices for inclusion? Would you be interested in applying for the awards? (Provide your email address if interested)
For more information visit our website.
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