Relationship Between State-Level Developmental Screening and IDEA Part C Early Intervention Rates

The purpose of this study was to explore whether a relationship exists between the rates of state-level developmental screening by a health care provider and state-level provision of Individuals with Disabilities Education Act, Part C (IDEA Part C) early intervention services. This is an important first step in determining whether states have the capacity to deal with a potential influx of newly identified children. This analysis compared screening rates from the 2016 National Survey of Children’s Health with service rates from the Department of Education’s 2016 IDEA Part C data. There was no significant relationship between rates of screening by a health care provider and receipt of IDEA Part C services ( r = .13, p = .366). Those who identified as White were screened and provided with IDEA services at a higher percentage than non-White ( r = .80, p < .001). There was a significant relationship between region and receipt of IDEA Part C services, F(3) = 8.14, p < .001, with the Northeast region ( M = 4.95, SD = 1.85) having higher percent served via IDEA Part C services. Results indicate no relationship between state levels of screening by a health care provider and receipt of IDEA Part C services. Efforts to increase developmental screening may require strategies to ensure adequate service access.

Early Intervention Service Delivery via Telehealth During COVID-19: A Research-Practice Partnership

Coaching has been identified as a best practice for early intervention (EI) services provided through the Individuals with Disabilities Education Act (IDEA) Part C. The current study describes the establishment and progress of a research-relationship partnership to deliver coaching via telehealth during the COVID-19 pandemic. Community-based EI providers implemented 9-weeks of telehealth coaching and evaluated the extent to which child and caregiver outcomes differed between families that had previously received in-person services versus telehealth only. Four EI providers completed the intervention with n=17 families of children aged 6-34 months during the pandemic (April-August 2020). We used the Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS) to collect outcomes on caregiver identified goals; we used Wilcoxon Signed Rank Tests to examine pre- to post-intervention data. Results showed significant improvements in parent satisfaction, child performance, and goal attainment (all p<.01). Findings suggest that telehealth coaching procedures implemented by community-based EI providers resulted in improvements in caregiver identified goals for young children.

Preparing Families of Young Children With Autism Spectrum Disorder for Formal School Settings

Transitioning young children with autism spectrum disorder from Individuals with Disabilities Education Act (IDEA) Part C to Part B 619 is a multifaceted process. This process may leave families stressed, worried, and frustrated due to the lack of awareness of expectations and their rights. Educators can better prepare parents and caregivers for the changes in service delivery and transitions to formal school settings using family-centered practices and in turn reduce the feelings of uncertainty associated with this transition while promoting family competence, confidence, and advocacy skills. Building better relationships with families and including the families in the planning, developing, and implementation processes can help prepare families for this significant transition.

Treatment for Challenging Behaviors: Are IDEA Part C Interventionists Using Functional Interventions?

Little is known about the specific practices of early interventionists, despite many young children receiving early intervention services through Part C of the Individuals With Disabilities Education Act. The aim of this study was to examine knowledge and use of functionally appropriate evidence-based interventions for challenging behaviors among Part C interventionists. Data collection involved semi-structured interviews with a sample of 10 interventionists who served infants and toddlers with challenging behaviors in one region in the state of Florida. These interviews included questions about the interventionists’ own cases as well as vignettes representing common early childhood behavioral issues. Thematic analysis of responses resulted in six themes and one subtheme reflecting insufficient training and confusion regarding best practices in functional assessment and intervention for challenging behaviors. Although interventionists were using a variety of functional interventions, most were not implementing these interventions systematically. Implications for early intervention programs are discussed.

Engaging in Play through Assistive Technology

The importance of play for all infants and toddlers should not be underestimated. However, owing to barriers and tensions in Assistive Technology (AT) in early intervention, opportunities are often limited for infants and toddlers with special needs to play, and where early intervention exists, it is slow to develop with AT. This chapter first discusses the importance of play and then draws attention to some issues and tensions that limit play and AT in early intervention for infants and toddlers with special needs. It then discusses how crucial it is to explore the potential of play for infants and toddlers with disabilities and gives research and practice-based suggestions to enact the spirit of the law: the Individuals with Disabilities Act (IDEA): Part C – Early Intervention program for infants and toddlers using AT. It concludes with some thoughts for the future of AT through research, early intervention play-based practices, and on-going education and development of early intervention providers and parents of infants and toddlers with special needs.

0-3 Population: Past, Present, and Future Directions for Providing Feeding and Swallowing Services

This article will provide an important historical context of the development of early intervention (EI) in regards to oropharyngeal dysphagia and the rationale of why service delivery models are so different across the United States. Since the onset of IDEA, Part C (2004) we have seen a significant need for EI specialists who have training in developmental feeding/swallowing issues and who are comfortable utilizing these skills within non-medical environments. Based on the number of infants/toddlers who are currently receiving services, evidence is available that indicates more qualified professionals will be needed as we look to the future.