Service delivery complexities early intervention for children with physical disabilities

Ziviani, Jenny, Darlington, Yvonne, Feeney, Rachel, Rodger, Sylvia and Watter, Pauline (2013) Service delivery complexities early intervention for children with physical disabilities. Infants and Young Children, 26 2: 147-163. doi:10.1097/IYC.0b013e3182854224

Author Ziviani, Jenny
Darlington, Yvonne
Feeney, Rachel
Rodger, Sylvia
Watter, Pauline
Title Service delivery complexities early intervention for children with physical disabilities
Journal name Infants and Young Children   Check publisher's open access policy
ISSN 0896-3746
Publication date 2013-04
Year available 2013
Sub-type Article (original research)
DOI 10.1097/IYC.0b013e3182854224
Volume 26
Issue 2
Start page 147
End page 163
Total pages 17
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Collection year 2014
Language eng
Abstract Early intervention (EI) for children with physical disabilities is advocated as a means of enhancing child outcomes and family functioning. The issues confronted by service providers in delivering this support have received relatively little attention. The purpose of this study was to gain an understanding of the experiences of frontline EI staff delivering services to children with physical disabilities and their families. Researchers sought views about the ways in which EI programs provide services, how programs build and maintain relationships with families and team members, the prevalence of changing and unmet family needs, the presence of barriers to optimal service delivery, and recommendations for service improvement. Qualitative interviews with 10 staff members highlighted both positive aspects of service quality and issues encountered in the provision of services. Staff commented favorably on family-centered practice; aspects of service structure/delivery, including offering a wide range of supports, flexible service provision, and the focus on intervening early; and provider-related aspects including teamwork and interagency coordination and appropriate personal qualities and skills. Despite the strong endorsement of EI, participants also identified several challenges: meeting the high demand for services, under and unmet needs, and inadequate funding and staffing.
Keyword Attitude of health personnel
Developmental disabilities
Early intervention
Qualitative methods
Young children
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

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