1. Chapter 30 Early Intervention Overview Rationale for early intervention services Principles of early intervention Services and supports available for early intervention Federal legislation that supports early intervention Chapter 30 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co., Inc. All rights reserved.

2. Introduction Federal early intervention legislation: state-based systems for infants/toddlers (birth–3 years) with disabilities Services and supports 1.Habilitation therapies 2.Family counseling 3.Early childhood educational services Chapter 30 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co., Inc. All rights reserved.

3. Case Study: Carl Born at 26 weeks 4 months in neonatal intensive care unit Cognitive function: newborn level; leg muscle tone: spastic diplegic cerebral palsy Referred to early intervention program for evaluation Individualized family service plan (IFSP): Child care center Weekly physical therapy/special instruction Monthly home visit Embedded creative activities/strategies Chapter 30 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co., Inc. All rights reserved.

4. Principles of Early Intervention Primary goals: 1.Support families in promoting childs optimal development 2.Facilitate childs participation in family/community activities Services are Family-centered, culturally/linguistically competent Developmentally supportive, strengths-based Team-based, individualized Based on highest-quality evidence available Chapter 30 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co., Inc. All rights reserved.

5. Immediate, sustained developmental benefits Saves money in the long term Benefits at-risk and diagnosed children Developmental decline prevented or mitigated Chapter 30 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co., Inc. All rights reserved. Research Support for the Value of Early Intervention

6. Components of Part C of IDEA: Infants and Toddlers with Disabilities Program Purposes: Enhance development, minimize developmental delay, recognize early brain development Reduce educational costs Maximize potential to live independently Enhance family capacity to meet special needs Enhance capacity of states/local agencies/service providers to identify, evaluate, and meet needs of all children Chapter 30 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co., Inc. All rights reserved.

7. Components of Part C of IDEA: Infants and Toddlers with Disabilities Program (continued) 16 components, 5 of which are 1.Identification and referral Coordinated efforts: Child Find, early and periodic screening, diagnosis, and treatment (EPSDT) Developmental screening 2.Determination of eligibility State-specific criteria Federal categories: developmental delay, diagnosed condition, informed clinical opinion Chapter 30 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co., Inc. All rights reserved.

8. Components of Part C of IDEA: Infants and Toddlers with Disabilities Program (continued) 3.Development of an IFSP Array of services Natural environment 4.Provision of services Flexible system, team based Individualized, outcomes driven 5.Transition from early intervention services at age 3 Home and hospital/early intervention to preschool Transition plan Chapter 30 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co., Inc. All rights reserved.

9. Status of Early Intervention Services All 50 states participate Serve 342,821 children/2.6% of population under 3 (2010) 20% of states: narrowed eligibility Highly responsive, easily found, multiple services Parents satisfied, children doing better at school age Complex, evolving system with room for improvement Chapter 30 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co., Inc. All rights reserved.

10. Future Considerations Life course Complex interplay of factors Needs science-based approach; widened focus System of care approach to service delivery Coordination across agencies/providers Natural environments Family centered: provider family child Promote childs development within naturally occurring learning opportunities Activities-based, routines-based Evidence-based practice Finding/using scientifically based information to guide practice Chapter 30 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co., Inc. All rights reserved.

11. Summary Early intervention structural components effectively in place Increasing numbers of users Research results: important benefits Full implementation not achieved; complex, evolving systems System continues to evolve Chapter 30 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co., Inc. All rights reserved.