Outcomes of utilizing early intervention services on the motor development of children with undefined developmental delay

Author(s):  
Ling-Yi Lin ◽  
Rong-Ju Cherng
2017 ◽  
Vol 37 (1) ◽  
pp. 51-58 ◽  
Author(s):  
Sandhya Chauhan ◽  
Prem Lochan Prasad ◽  
Preeti Lata Rai ◽  
Bhawana Khurana

Introduction: Early intervention services play a pivotal role in the management of children with developmental delays but the utilization of these is quite low. This study aims to explore the influence of parental perceptions on the utilization of these services.Material and Methods: This is a hospital based qualitative study of 31 parents having children with developmental delay in 2 or more domains who presented for the first time for diagnostic evaluation. A semi-structured questionnaire was used in the interviews, exploring various aspects of parental perceptions regarding the child’s disability and the services required for them.Results: Apart from factors like educational and socioeconomic status of parents, accessibility of the services there are other factors involved at the level of parents which influence their readiness and motivation to utilize a service, viz understanding of the total spectrum of a child’s disability by parents and how well their child care needs are fulfilled.Conclusion: The parents’ long term motivation for utilizing the services depends upon how well their idea of a futuristic goal for their child is being addressed.


2013 ◽  
Vol 2 (2) ◽  
pp. 149-155 ◽  
Author(s):  
R Lakhan ◽  
A Mario ◽  
FN Qureshi ◽  
ML Hall

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  


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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