scholarly journals Parental Perceptions Influencing the Utilization of Early Intervention Services in Children with Developmental Delay

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.

2005 ◽  
Vol 11 (1) ◽  
pp. 71-78 ◽  
Author(s):  
Swaran P. Singh ◽  
Helen L. Fisher

By focusing therapeutic effort on the early stages of psychotic disorders, effective early intervention should improve short- and long-term outcomes. Strategies include pre-psychotic and prodromal interventions to prevent emergence of psychosis, detecting untreated cases in the community and facilitating recovery in established cases of psychosis. The evidence base for each of these strategies is currently limited, although several international trials are under way. The Department of Health in the UK has announced the intention of setting up 50 early intervention services nationally, several of which are already operational. In this article, we briefly discuss the differing ways in which early intervention is conceptualised, summarise the evidence supporting it in established cases of psychosis, suggest appropriate service models and describe two early intervention services in south-west London.


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  


2019 ◽  
Vol 31 (5-6) ◽  
pp. 425-440 ◽  
Author(s):  
Sherry K. W. Chan ◽  
Hei Y. V. Chan ◽  
Jillian Devlin ◽  
Tarun Bastiampillai ◽  
Titus Mohan ◽  
...  

2019 ◽  
Vol 217 (3) ◽  
pp. 491-497 ◽  
Author(s):  
Sherry Kit Wa Chan ◽  
Herbert H. Pang ◽  
Kang K. Yan ◽  
Christy Lai Ming Hui ◽  
Yi Nam Suen ◽  
...  

BackgroundLittle is known about long-term employment outcomes for patients with first-episode schizophrenia-spectrum (FES) disorders who received early intervention services.AimsWe compared the 10-year employment trajectory of patients with FES who received early intervention services with those who received standard care. Factors differentiating the employment trajectories were explored.MethodPatients with FES (N= 145) who received early intervention services in Hong Kong between 1 July 2001 and 30 June 2002 were matched with those who entered standard care 1 year previously. We used hierarchical clustering analysis to explore the 10-year employment clusters for both groups. We used the mixed model test to compare cluster memberships and piecewise regression analysis to compare the employment trajectories of the two groups.ResultsThere were significantly more patients who received the early intervention service in the good employment cluster (early intervention:N= 98 [67.6%]; standard care:N= 76 [52.4%];P= 0.009). In the poor employment cluster, there was a significant difference in the longitudinal pattern between early intervention and standard care for years 1–5 (P< 0.0001). The number of relapses during the first 3 years, months of full-time employment during the first year and years of education were significant in differentiating the clusters of the early intervention group.ConclusionsResults suggest there was an overall long-term benefit of early intervention services on employment. However, the benefit was not sustained for all patients. Personalisation of the duration of the early intervention service with a focus on relapse prevention and early vocational reintegration should be considered for service enhancement.


2020 ◽  
Vol 255 ◽  
pp. 112941
Author(s):  
Courtney L. Scherr ◽  
Hannah J. Getachew-Smith ◽  
Laura Sudec ◽  
John J. Brooks ◽  
Megan Roberts

Sign in / Sign up

Export Citation Format

Share Document