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Ecomap Implementation Checklist

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<strong>Ecomap</strong> <strong>Implementation</strong> <strong>Checklist</strong> <br />

Name: ________________________________ Date: _________________ <br />

Observer: __________________________________ <br />

Opening the Discussion <br />

1. Did the interviewer provide an explanation of <br />

the purpose for completing an ecomap (e.g., a <br />

way to learn about the supports present in a <br />

family’s life)? <br />

2. Did the interviewer explain how the <br />

information gathered would be recorded (i.e., <br />

in a picture/map)? <br />

Gathering Information about the Family Unit <br />

3. Did the interviewer ask the family to list who <br />

lived in the home? <br />

Gathering Information about Informal Supports <br />

4. Did the interviewer ask the family who their <br />

informal supports were (e.g., family, friends, <br />

neighbors, colleagues at work, church, <br />

others)? <br />

5. Was at least one follow-­‐up question asked <br />

about each informal support to find out about <br />

the relative strength of support (e.g., where <br />

they live, how often they talk, do they get <br />

along, how do they help, are they helpful or <br />

stressful)? <br />

6. Did the interviewer ask a clarifying question to <br />

get more information when support was <br />

described as helpful or stressful? <br />

Gathering Information about Formal Supports <br />

7. Did the interviewer ask the family who their <br />

formal supports were (e.g., early intervention <br />

professionals, teachers, doctors, therapists, <br />

social service agencies)? <br />

8. Was at least one follow-­‐up question asked <br />

about each formal support to find out about <br />

the relative strength of support (e.g., how do <br />

they get along, what kind of support do they <br />

provide; are they helpful or stressful)? <br />

9. Did the interviewer ask a clarifying question to <br />

get more information when support was <br />

described as helpful or stressful? <br />

Concluding the Discussion <br />

10. Did the interviewer review the information <br />

with the family, asking specifically about <br />

changes and additions? <br />

Yes No Comments <br />

Adapted with Permission from TEIDS Plus: Integrating Quality Assurance and Data-­‐Based Decision-­‐Making To Enhance IFSP <br />

Quality, <strong>Implementation</strong> and Child and Family Outcomes (McWilliam, Snyder, Ridgley, & Davis, 2007). Project funded by the <br />

US Department of Education, Institute of Education Sciences (Grant R324B07266).


11. Did the interviewer tell the family what would <br />

happen with the information (e.g., shared with <br />

team, used for IFSP development)? <br />

12. Did the interviewer offer a copy of the <br />

information to the family? <br />

13. Did the interviewer thank the family for <br />

participating? <br />

Interview Style <br />

14. When discussing informal supports, did the <br />

interviewer initially use open-­‐ended questions <br />

to gain an understanding? <br />

15. When discussing formal supports, did the <br />

interviewer initially use open-­‐ended questions <br />

to gain an understanding? <br />

16. Did the interviewer ask clarifying questions to <br />

confirm all supports (i.e., formal and informal) <br />

had been included? <br />

17. Did the interviewer avoid using the words, <br />

“formal” and “informal”? <br />

18. Did the interviewer maintain focus without <br />

attending to distractions? <br />

19. When an interruption occurred, did the <br />

interviewer return easily to the discussion? <br />

20. Did the interviewer use appropriate affect <br />

(facial expressions, tone of voice)? <br />

21. Did the interviewer use affirming behaviors <br />

(nodding, positive comments, gestures)? <br />

22. Did the interviewer use active listening <br />

techniques (rephrasing, clarifying, <br />

summarizing)? <br />

23. Did the interviewer act in a nonjudgmental <br />

way throughout the discussion? <br />

Drawing the Picture <br />

24. Did the interviewer use a piece of paper to <br />

record the information? <br />

25. Did the interviewer position the paper so the <br />

family could see/read the information as it <br />

was written? <br />

26. Did the interviewer record the family unit in <br />

the middle of the ecomap? <br />

27. Did the interviewer record informal supports <br />

above the family unit? <br />

28. Did the interviewer record formal supports <br />

below the family unit? <br />

29. Were lines drawn between each support and <br />

the family unit to reflect the relative strength <br />

of support? <br />

Yes No Comments <br />

Adapted with Permission from TEIDS Plus: Integrating Quality Assurance and Data-­‐Based Decision-­‐Making To Enhance IFSP <br />

Quality, <strong>Implementation</strong> and Child and Family Outcomes (McWilliam, Snyder, Ridgley, & Davis, 2007). Project funded by the <br />

US Department of Education, Institute of Education Sciences (Grant R324B07266).

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