The purpose of this study was to examine utilization rates of scheduled early intervention services. Service utilization data reported for 1 week out of every month over a 4-month period were analyzed for a cohort of 146 infants and toddlers. Major findings included: (a) 69% of the families used the majority of their services; (b) child and maternal characteristics were not significantly related to service utilization; (c) providers who were younger and close in age to mothers evidenced significantly higher utilization rates; (d) families in which therapists served as the primary service provider had the lowest utilization rates; and (e) mothers who believed that service decisions should be made by professionals evidenced higher utilization rates. Overall data reveal that the assignment of a primary service provider to a family is a critical event in the early intervention experience.

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This study examined child-centered data (from birth to 7 years) and familial factors as possible predictors of disabilities in adolescence. The sample was taken from original participants in the National Collaborative Perinatal Project in Rhode Island who were also judged as handicapped after school entry. Results of the current study indicated that parental traits (i.e., maternal education) are more accurate predictors of adolescent status than the child's own behavior from birth to 3 years, whereas child-centered skills assessed at 4 and 7 years of age are better predictors than are familial factors. Overall, data suggest that early identification models which focus upon developmental delay or adverse medical events from birth to 3 years of age are inadequate in fully identifying children eventually judged to be handicapped. Screening initiatives must be developed that are multivariate (child and family focused) and account, for differential weights of risk factors over time.

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The purpose of this article is to share one institution's intervention to improve oral chemotherapy patient education. The overall aim was to provide clinicians with a single source of educational materials that would meet a diverse group of patients' educational needs and be consistent with published guidelines.
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