“…As with any service system, the quality of EI and ECSE depends on the knowledge and skills of the individuals who provide the services (Bruder, 2016; Bruder, Mogro-Wilson, Stayton, & Dietrich, 2009; Kagan, Kauerz, & Tarrant, 2008; Winton, McCollum, & Catlett, 2008). These are professionals and paraprofessionals from many disciplines, such as education, special education, psychology, occupational therapy, physical therapy, speech and language therapy, nursing, and social work, who provide intervention services or administer local or state EI or ECSE programs (Bruder et al, 2009).…”