*4.3. Children Functioning in Routines*

When professionals implement the model, children function well in routines [49]. Although routines vary somewhat across cultures, families generally want their children to participate meaningfully in the different times of day. In Portugal, professionals report that implementation has led to higher family engagement, higher implementation by families of strategies, better family well-being, families' feeling more competent, and quicker development in children. Results from Taiwan show the ECM has positive effects on child functioning [48]. Implementers such as York Region have seen children making progress based on what is important-building on engagement, independence, and social relationships rather than developmental skills in isolation that might not promote inclusion in their community.

Implementation successes, therefore, have been that professionals feel useful, families feel confident, and children are functioning in their routines. In Singapore, as an example, implementation of the RBM has brought about a paradigm shift in early intervention towards more family centeredness and a focus on functionality. It has paved the road to actualizing developmentally appropriate practices and inclusion principles.
