State Systemic Improvement Plan

Annual SSIP Reports

Training Opportunity for NeuroRelational Framework

Early Support for Infants and Toddlers (ESIT) and the Washington Association of Infant Mental Health (WA-AIMH) are excited to share an incredible training!

The NeuroRelational Framework (NRF) is being offered to qualified and selected multi-disciplinary teams across Washington State. This advanced Infant and Family Relational Health (IFRH), also known as Infant Mental Health (IMH), training focuses on the integration of social-emotional capacities with developmental needs of very young children and their families.  

The course is designed with a team approach to learning, offering ESIT Provider Agencies more advanced and intensive knowledge about IFRH within their system of services and supports to ESIT families. It is part of the overall State Systemic Improvement Plan (SSIP) with a focus to build and improve IFRH practices amongst the ESIT workforce.

The following information outlines the details for submitting an “Expression of Interest.” We are hopeful your program will find the benefits of this exciting opportunity!

Learn in-depth about the course, time commitment, and selection criteria.

Apply and fill out the Expression of Interest Form – due Fri., October 14, 2022.

Promoting First Relationships

Promoting First Relationships (PFR) is the evidence-based practice for supporting social-emotional development.

  • Promoting First Relationships website


WA-AIMH/PFR competencies crosswalk

Promoting First Relationships Refresher Training

Reflective Consultation

Reflective Consultation

Social-Emotional Assessment

SE Practice Guide

Functional Outcomes

Functional Outcomes Practice Guide

Outcome Revision Activity Template

ESIT and Home Visiting Services Program MOU Materials 

This MOU and corresponding guidance are only applicable to State Systemic Improvement Plan (SSIP) implementation sites at this time while they are piloting the requirements. Local Lead Agencies and Early Intervention Provider Agencies are encouraged to work toward these best practices, but are not yet expected to implement the requirements in the MOU and guidance.

ESIT and Home Visiting Services Program MOU

ESIT and Home Visiting Services Program MOU Guidance

Health Resources and Services Administration (HRSA) MOU mandate

Home Visit Rating Scale

HOVRS Data Collection Sheet

Professional Development Plan Template 

COS Data Quality

Guiding Questions for Data Analysis

Data Activity Template

Data Activity: Self-Guided Data Analysis

Child Outcome Summary Team Collaboration (COS-TC) Quality Practices Checklist

This set of materials provides training on the COS-TC checklist and accompanying materials.  It is strongly recommended that you complete the ESIT COS modules and the ESIT in-person training on Engaging Families in the COS Process before completing this training.  You will receive a more in depth description of the following materials during the training:

COS-TC Data Collection Sheet - Section II for Individuals

COS-TC Data Collection Sheet - Section IV for Teams

COS-TC Training: Depending on the time you take for discussion, this training is about 2 hours and 15 minutes in length.

COS-TC Checklist for Training: This checklist is used for the training.  However, we have created a different version you will use for your own COS process observations.  The COS-TC Tracking for SSIP Submission below is the one that will be submitted to ESIT if you are an implementation site for the State Systemic Improvement Plan.

COS-TC Checklist and Descriptions: This tool goes into more detail about what to look for during your COS process observations.

Completed Checklist for Reference: Use this to see how the creators of the COS-TC rated each quality indicator for the video samples seen in the training.  NOTE: be sure to match up the name of the child  for each video sample as there are additional videos rated in this document that are not included in the training.

Guidance on Using the COS-TC Checklist: Additional guidance from the creators of the tool.

COS-TC Improvement Plan Template: This is an optional form to use for individual or program level improvement activities based on your COS process observations.

Local Team Self-Assessment and L-COMS Self-Assessment

The purpose of Washington’s Child Outcome Measurement System (COMS) is to assure stakeholders that early intervention makes a difference for infants, toddlers and families. Families are a crucial source of information about their children, and this enhances the quality of the data. The COMS is one way for families to see their child’s progress and to give input on program improvements. The data is analyzed at state and local levels to help improve services and meet federal and state reporting requirements

Early Intervention Competencies

Early Intervention Competencies

ESIT Competency Review Tool

ESIT Competencies Rollout Webinar Recording