The Effect of State Early Intervention Eligibility Policy on Participation Among a Cohort of Young CSHCN

McManus, Beth M.; McCormick, Marie C.; Acevedo‐García, Dolores; Ganz, Michael L.; Hauser‐Cram, Penny

doi:10.1542/peds.2009-1255g

Cited by 64 publications

(57 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, these programs vary across states in terms of service models, coordination, and eligibility criteria; participation ranges from 23% to 83% of children identified with a standard definition of eligibility, and participation is lower for Hispanic and poor children (53).…”

Section: Early Interventionmentioning

confidence: 99%

Prematurity: An Overview and Public Health Implications

McCormick

Litt

Smith

et al. 2011

Annu. Rev. Public Health

Self Cite

220

160

View full text Add to dashboard Cite

The high rate of premature births in the United States remains a public health concern. These infants experience substantial morbidity and mortality in the newborn period, which translate into significant medical costs. In early childhood, survivors are characterized by a variety of health problems, including motor delay and/or cerebral palsy, lower IQs, behavior problems, and respiratory illness, especially asthma. Many experience difficulty with school work, lower health-related quality of life, and family stress. Emerging information in adolescence and young adulthood paints a more optimistic picture, with persistence of many problems but with better adaptation and more positive expectations by the young adults. Few opportunities for prevention have been identified; therefore, public health approaches to prematurity include assurance of delivery in a facility capable of managing neonatal complications, quality improvement to minimize interinstitutional variations, early developmental support for such infants, and attention to related family health issues.

show abstract

Section: Early Interventionmentioning

confidence: 99%

Prematurity: An Overview and Public Health Implications

McCormick

Litt

Smith

et al. 2011

Annu. Rev. Public Health

Self Cite

220

160

View full text Add to dashboard Cite

show abstract

“…4,5,6,7 The mechanisms through which families enroll in EI are multi-faceted and in addition to the diagnosis of a developmental condition, also typically require appropriate community outreach, good communication from pediatric providers, and optimal parental knowledge and supportive beliefs about developmental and therapeutic intervention. This constellation of factors influencing EI enrollment can contribute to access disparities.…”

mentioning

confidence: 99%

Social Disparities in Early Intervention Service Use and Provider-Reported Outcomes

Khetani

Richardson

McManus

2017

J Dev Behav Pediatr

View full text Add to dashboard Cite

Objective To describe social disparities in early intervention service use and provider-reported outcomes. Methods Secondary data analysis of administrative data to ascertain EI service use of all EI and discipline-specific services and child and family characteristics. Adjusted logistic regression models estimated the odds of receiving each type of core EI service. Adjusted median regression models estimated differences in EI intensity for each type of core EI service. Adjusted ordinal regression models estimated the association between each type of EI therapy service and provider estimates of children’s global functional improvement. Results Children with a diagnosis (b=0.8 SE=0.2) and those whose caregiver had 12 years of education or less (b=0.6 SE=0.3) had higher EI intensity. Black, non-Hispanic (BNH) children had nearly 75% lower odds of receiving physical therapy (PT) [OR=0.3, 95%CI:0.1, 0.7] and greater odds of receiving speech therapy [OR=3.4, 95%CI:1.3, 9.3] than their white, non-Hispanic (WNH) peers. BNH who received PT received about an hour less per month (b=−0.7 SE=0.4) than their WNH peers. Hispanic children [b=1.0 SE=0.3)] and those with higher family income (b=0.7 SE=0.3) received greater intensity of PT compared to their peers who are WNH and from low-income families. Publically insured children had lower intensity of OT (b=−0.5 SE=0.3) and ST (b=−0.6 SE=0.3). Greater intensity of EI services was not associated with greater provider perceived improvement. Conclusions Results suggest disparities, by race and family income, in receipt of EI therapy services. These findings highlight opportunities to customize and coordinate care for improved EI access and care quality.

show abstract

“…For example, among states with narrow EI eligibility criteria, poor children are 18% less likely to receive EI services. 93 Some are the result of barriers discussed above relative to cultural differences and to mental health issues. [94][95][96][97][98] The effects of poverty and comorbid conditions, such as food insecurity, have been linked not only to health and ultimate educational performance but also to mental health and behavior in young children and their mothers.…”

Section: Infants and Toddlers From Economically Deprived Backgroundsmentioning

confidence: 99%

Early Intervention, IDEA Part C Services, and the Medical Home: Collaboration for Best Practice and Best Outcomes

Tapia¹,

Murphy²,

Norwood³

et al. 2013

Pediatrics

151

View full text Add to dashboard Cite

The medical home and the Individuals With Disabilities Education Act Part C Early Intervention Program share many common purposes for infants and children ages 0 to 3 years, not the least of which is a family-centered focus. Professionals in pediatric medical home practices see substantial numbers of infants and toddlers with developmental delays and/or complex chronic conditions. Economic, health, and family-focused data each underscore the critical role of timely referral for relationship-based, individualized, accessible early intervention services and the need for collaborative partnerships in care. The medical home process and Individuals With Disabilities Education Act Part C policy both support nurturing relationships and family-centered care; both offer clear value in terms of economic and health outcomes. Best practice models for early intervention services incorporate learning in the natural environment and coaching models. Proactive medical homes provide strategies for effective developmental surveillance, family-centered resources, and tools to support high-risk groups, and comanagement of infants with special health care needs, including the monitoring of services provided and outcomes achieved.

show abstract

The Effect of State Early Intervention Eligibility Policy on Participation Among a Cohort of Young CSHCN

Cited by 64 publications

References 11 publications

Prematurity: An Overview and Public Health Implications

Prematurity: An Overview and Public Health Implications

Social Disparities in Early Intervention Service Use and Provider-Reported Outcomes

Early Intervention, IDEA Part C Services, and the Medical Home: Collaboration for Best Practice and Best Outcomes

Contact Info

Product

Resources

About