Using the Telephone in the delivery of early intervention programs in Rural Victoria

1993 ◽  
Vol 17 (2) ◽  
pp. 27-32
Author(s):  
Renae L. Moore ◽  
Stana H. Sargood

Families living in rural areas who have a young child with a developmental disability often face difficulties in accessing early intervention services due to geographical isolation and restricted options to specialist services. Lack of services has been reported in a number of surveys of early intervention programs across Australia (Watt, Elkins, Conrad, Andrews, Apelt, Hayes, Calder, Coulston, & Willis, 1982; Barrie & Tomlinson, 1985). Watt et al found only five programs operating in rural areas with populations of 10,000 or less across Australia with a further 15 in towns of 10,000 to 30,000. Hayes and Livingstone (1986) found only rudimentary services in country areas often necessitating the placement of child in an urban facility to receive services.

Author(s):  
Jana Cason

Early Intervention (EI) services for children birth through two years of age are mandated by Part C of the Individuals with Disabilities Education Act (IDEA); however, personnel shortages, particularly in rural areas, limit access for children who qualify. Telerehabilitation has the potential to build capacity among caregivers and local providers as well as promote family-centered services through remote consultation.  This article provides an overview of research related to telerehabilitation and early intervention services; discusses the feasibility of telerehabilitation within traditional EI service delivery models; examines telecommunications technology associated with telerehabilitation; and provides hypothetical case examples designed to illustrate potential applications of telerehabilitation in early intervention.


2020 ◽  
pp. 1-6
Author(s):  
Caroline West ◽  
Sunkyung Yu ◽  
Ray Lowery ◽  
Caren S. Goldberg ◽  
Karen Uzark

Abstract Objective: To examine the use of early intervention services in infants with CHD after open-heart surgery and identify factors associated with receipt of services. Study design: Surveys were administered to caregivers of infants who underwent open-heart surgery before 1 year of age at a single institution between July, 2017 and July, 2018. Information regarding the infant’s use of early intervention services and the caregiver’s experience with the programme was obtained. Clinical data were retrieved from the medical record review. Logistic regression identified factors associated with receipt of services. Results: The study included 158 eligible infants. Ninety-eight caregivers (62%) completed the surveys. Of those surveyed, 53.1% of infants were currently or previously enrolled in early intervention services. Infants most frequently received physical therapy (76.9%). The majority of caregivers found services to be moderately/very helpful (92.3%) and sufficient for their child (76.9%). In the univariate analysis, single-ventricle disease, known syndrome/genetic abnormality, extracardiac anomaly, and longer intensive care and hospital length of stay were associated with receipt of services. Single-ventricle disease (p = 0.004) and known syndrome/genetic abnormality (p < 0.0001) remained independently associated with receipt of services in the multivariable analysis. Conclusion: Amongst infants at risk for neurodevelopmental deficits, approximately half received services after open-heart surgery. Caregivers expressed satisfaction with the programme. While infants with single-ventricle disease and a known syndrome/genetic abnormality were more likely to receive early intervention services, many at-risk infants with CHD failed to receive services. Further research is needed to identify barriers to early intervention services and promote developmental outcomes.


1987 ◽  
Vol 60 (3) ◽  
pp. 811-821 ◽  
Author(s):  
Mark A. Fine ◽  
Carolyn F. Swift ◽  
Steven Beck

The present investigation studied provision of early intervention services for young children. 377 programs in Ohio were interviewed with respect to the number of young handicapped and “at risk” children participating, the types of services provided children and their parents, and budget information. Younger children (0–2 yr.) and those from rural areas were less frequently involved than older children from urban and semiurban areas. While a wide range of services were provided children and their parents, there was considerable variability in the proportion of programs providing these services. Public sources of funding provide the bulk of support for early intervention services, while private sources provide supplementary, but decreasing, support for services.


ASHA Leader ◽  
2013 ◽  
Vol 18 (2) ◽  
pp. 26-27
Author(s):  
Janet McCarty ◽  
Laurie Havens

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.


2010 ◽  
Vol 23 (2) ◽  
pp. 132-144 ◽  
Author(s):  
Melissa Raspa ◽  
Kathleen Hebbeler ◽  
Donald B. Bailey ◽  
Anita A. Scarborough

2011 ◽  
Vol 62 (8) ◽  
pp. 882-887 ◽  
Author(s):  
Helen Lester ◽  
Max Marshall ◽  
Peter Jones ◽  
David Fowler ◽  
Tim Amos ◽  
...  

2017 ◽  
Vol 12 (6) ◽  
pp. 1100-1111 ◽  
Author(s):  
Sarah E. Hetrick ◽  
Denise A O'Connor ◽  
Heather Stavely ◽  
Frank Hughes ◽  
Kerryn Pennell ◽  
...  

2021 ◽  
pp. 070674372199267
Author(s):  
Ashok Malla ◽  
Manish Dama ◽  
Srividya Iyer ◽  
Ridha Joober ◽  
Norbert Schmitz ◽  
...  

Background: Clinical, functional, and cost-effectiveness outcomes from early intervention services (EIS) for psychosis are significantly associated with the duration of untreated psychosis (DUP) for the patients they serve. However, most EIS patients continue to report long DUP, while a reduction of DUP may improve outcomes. An understanding of different components of DUP and the factors associated with them may assist in targeting interventions toward specific sources of DUP. Objectives: To examine the components of DUP and their respective determinants in order to inform strategies for reducing delay in treatment in the context of an EIS. Methods: Help-seeking (DUP-H), Referral (DUP-R), and Administrative (DUP-A) components of DUP, pathways to care, and patient characteristics were assessed in first episode psychosis ( N = 532) patients entering an EIS that focuses on systemic interventions to promote rapid access. Determinants of each component were identified in the present sample using multivariate analyses. Results: DUP-H (mean 25.64 ± 59.00) was longer than DUP-R (mean = 14.95 ± 45.67) and DUP-A (mean 1.48 ± 2.55). Multivariate analyses showed that DUP-H is modestly influenced by patient characteristics (diagnosis and premorbid adjustment; R 2 = 0.12) and DUP-R by a combination of personal characteristics (age of onset and education) and systemic factors (first health services contact and final source of referral; R 2 = 0.21). Comorbid substance abuse and referral from hospital emergency services have a modest influence on DUP-A ( R 2 = 0.08). Patients with health care contact prior to onset of psychosis had a shorter DUP-H and DUP-R than those whose first contact was after psychosis onset (F(1, 498) = 4.85, P < 0.03 and F(1, 492) = 3.34, P < 0.07). Conclusions: Although much of the variance in DUP is unexplained, especially for help-seeking component, the systemic portion of DUP may be partially determined by relatively malleable factors. Interventions directed at altering pathways to care and promote rapid access may be important targets for reducing DUP. Simplifying administrative procedures may further assist in reducing DUP.


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