Community-Based Early Intervention Services for High-Risk Infants: Unanswered Questions Leave Room for Improvement

Substantial literature indicates that it is necessary that infants receive early intervention services to improve long-term outcomes after birth. The effectiveness of parents as agents of intervention in the childs home environment is gradually realized. However, there a significant gap between the intensive service requirements for low-birth-weight (LBW) infants because the intervention requires intense one-on-one supervision by highly trained care givers. Based on web technology, we developed a supporting system to inform and teach parents in the early intervention of high risk infants. Results show the web-based training as a promising method of early intervention helps these caregivers in their practice of caring the high risk babies and may help overcome problems associated with the critical shortage of neonatal professionals.

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Early intervention services in Greece: Time to focus on people at high risk

Psychiatriki ◽

10.22365/jpsych.2018.291.58 ◽

2018 ◽

Vol 29 (1) ◽

pp. 58-63

Author(s):

S.I. Bargiota ◽

◽

V.P. Bozikas ◽

G. Garyfallos ◽

P. McGuire

Keyword(s):

Early Intervention ◽

High Risk ◽

Early Intervention Services ◽

Intervention Services

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4107 Implementation and evaluation of a novel protocol that uses clinical biomarkers to promote early diagnosis and treatment of Neurodevelopmental Disabilities

Journal of Clinical and Translational Science ◽

10.1017/cts.2020.237 ◽

2020 ◽

Vol 4 (s1) ◽

pp. 72-73

Author(s):

Tara Lynn Johnson ◽

Sowmya Sivakumar ◽

Namarta Kapil ◽

Bittu Majmudar

Keyword(s):

Early Intervention ◽

High Risk ◽

Early Diagnosis ◽

Clinical Care ◽

Standard Of Care ◽

Early Intervention Services ◽

Neurodevelopmental Disabilities ◽

Clinical Biomarkers ◽

High Risk Infants ◽

New Biomarkers

OBJECTIVES/GOALS: Our objective was to establish a new protocol to evaluate new biomarkers to detect Neurodevelopmental Disabilities (NDD) in high-risk infants. As early intervention results in better outcomes, our goal was to implement the protocol to promote earlier NDD diagnosis and referral for treatment. METHODS/STUDY POPULATION: We implemented a new protocol using the General Movement Assessment (GMA), Hammersmith Infant Neurological Examination (HINE), and Capute Scales to evaluate infants who were at high risk of NDD. To determine the success of our protocol with these biomarkers, we studied former premature infants who were evaluated in follow-up clinic from 10/1/2018-10/1/2019. We defined our primary and secondary outcomes as the ages of neurodevelopmental diagnoses and referral to early intervention services before and after implementation of the new protocol, respectively. Our hypotheses were that infants who were evaluated with these biomarkers would be diagnosed with NDD and be referred for treatment at younger ages than their counterparts. RESULTS/ANTICIPATED RESULTS: Approximately 120 patients were evaluated during the time period that was defined. About half were evaluated prior to implementing the GMA and HINE, and the remainder were evaluated using GMA and other developmental measures. We anticipate that infants who underwent GMA will be diagnosed with NDD and referred for therapies at a younger age than their counterparts. DISCUSSION/SIGNIFICANCE OF IMPACT: Through our translational research, we will transform the standard of care for high-risk infants by incorporating clinical biomarkers into day-to-day clinical care for these infants. Implementation of this novel protocol will promote the early diagnosis and referral to treatment for NDD.

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Early intervention services to children with developmental delay in resource poor settings in India

Nepal Journal of Medical Sciences ◽

10.3126/njms.v2i2.8966 ◽

2013 ◽

Vol 2 (2) ◽

pp. 149-155 ◽

Cited By ~ 2

Author(s):

R Lakhan ◽

A Mario ◽

FN Qureshi ◽

ML Hall

Keyword(s):

Early Intervention ◽

Developmental Delay ◽

Low Cost ◽

Pearson Correlation ◽

Community Based ◽

Early Intervention Services ◽

Community Based Rehabilitation ◽

Resource Poor ◽

Intervention Services ◽

The Impact

Background: Early intervention has been proven to be effective in facilitating development in children with developmental delay (DD). However, such service, subject of this study, is not available to DD children in most of India. Against the odds, therefore, one non-government organization (NGO) in the country, Ashagram Trust (AGT), decided to establish a service unit in a resource-poor geographical setting. This study aimed to examine the impact of early intervention provided to children with DD by Community Based Rehabilitation Workers (CBRWs) under supervision of professionals. Methods: Data analysis of pre- and -post scores on an early intervention tool (EIT). A total of 67 children (male 38, female 29), ages 6 through 36 months, ranging in DD from borderline (IQ<80) to a high level of DD, received early intervention services provided by community-based rehabilitation workers (CBRWs) under the supervision of professionals. A total of 46 children who stayed in compliance were analyzed. Results: A paired t-test was conducted. Overall results indicated significant improvement (pre-mean 22, sd – 3.9, post-mean 39, - 4.3, t-value – 6.40, p<0.0002, Pearson correlation 0.873, p<0.05) in children with DD in all four areas of development, motor, communication, cognitive and social. Conclusion: The study demonstrated positive outcome of early intervention in areas of motor, communication, cognitive and social development of children with DD. Early intervention services may be successfully provided by CBRWs under the supervision of trained professionals in resource-poor tribal areas of India, using low cost locally prepared therapeutic materials. Nepal Journal of Medical Sciences | Volume 02 | Number 02 | July-December 2013 | Page 149-155 DOI: http://dx.doi.org/10.3126/njms.v2i2.8966

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Early intervention in psychosis: a map of clinical and research initiatives in Latin America

Brazilian Journal of Psychiatry ◽

10.1590/s1516-44462011000600007 ◽

2011 ◽

Vol 33 (suppl 2) ◽

pp. s213-s224 ◽

Cited By ~ 18

Author(s):

Elisa Brietzke ◽

Ary Gadelha Araripe Neto ◽

Álvaro Dias ◽

Rodrigo Barbachan Mansur ◽

Rodrigo Affonseca Bressan

Keyword(s):

Early Intervention ◽

Latin American ◽

Urban Areas ◽

Community Based ◽

Early Intervention Services ◽

The Public ◽

Tertiary Hospitals ◽

Intervention Services ◽

Research Initiatives ◽

Early Intervention In Psychosis

OBJECTIVE: This article aims to review Latin America's early intervention services in psychosis and to shed light into their challenges and particularities. METHOD: An internet-based search comprising medical societies' websites, published articles, and major universities' websites was conducted and the results were critically discussed. RESULTS: Latin American countries are profoundly deficient in specialized early intervention services. Our search found seven target services, four of which are based in urban areas of Brazil, inside tertiary hospitals or universities. Among the initiatives advanced by these centers, there are partnerships with the public educational system and other community-based efforts toward knowledge transfer. On the other hand, several challenges remain to be overcome, especially in relation to their expansion, which is necessary to match the existing demand.

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EDIS Early Intervention Services: Community-Based, Family-Centered Services in Natural Environments

PsycEXTRA Dataset ◽

10.1037/e551452013-001 ◽

2011 ◽

Keyword(s):

Early Intervention ◽

Natural Environments ◽

Community Based ◽

Early Intervention Services ◽

Intervention Services ◽

Family Centered

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Bottom Line: Who Pays the Bill for Early Intervention Services?

ASHA Leader ◽

10.1044/leader.bml.18022013.26 ◽

2013 ◽

Vol 18 (2) ◽

pp. 26-27

Author(s):

Janet McCarty ◽

Laurie Havens

Keyword(s):

Early Intervention ◽

Private Insurance ◽

Infants And Toddlers ◽

Bottom Line ◽

Early Intervention Services ◽

Intervention Services

Medicaid, federal education funds and private insurance all cover the costs of speech-language and hearing services for infants and toddlers. Learn who pays for what.

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