A New Focus for Parent Education: Bridging the Gap Between Diagnosis and Intensive Early Intervention Services

2008 ◽  
Vol 15 (2) ◽  
pp. 60-66 ◽  
Author(s):  
Laurie A. Vismara ◽  
Sally J. Rogers

Abstract Research has documented positive effects of parent-implemented interventions for children with autism. This article presents a new approach to family training in children with autism designed to precede intensive early intervention services for children 12-36 months. The Early Start Denver Model consists of 12 one hour per week sessions with families and children focusing on bringing the child into coordinated, interactive social relations, increasing the reward of social engagement, and developing play activities into joint activity routines. Results of a small-scale efficacy study indicate that parents acquired ESDM intervention techniques during the intervention and maintained these skills during follow up assessment. Additionally, children showed improvements for a variety of social and communicative behaviors.

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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