Level and Intensity of Early Intervention Services for Infants and Toddlers With Disabilities: The Impact of Child, Family, System, and Community-Level Factors on Service Provision

Data from a statewide billing and information system for early intervention are used to examine the influence of multiple factors on the level and intensity of services provided in a state early intervention system. Results indicate that child and family factors including entry age, gestational age,...

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Bibliographic Details
Published in:Journal of early intervention 2009-03, Vol.31 (2), p.179-196
Main Authors: Hallam, Rena A., Rous, Beth, Grove, Jaime, LoBianco, Tony
Format: Article
Language:English
Subjects:
Age Differences
Community Services
Developmental Delays
Early Intervention
Health Insurance
Human Services
Individualized Family Service Plans
Infants
Longitudinal Studies
Multiple Regression Analysis
Poverty
Rural Areas
Rural Urban Differences
Statistical Analysis
Toddlers
Young Children
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Summary:Data from a statewide billing and information system for early intervention are used to examine the influence of multiple factors on the level and intensity of services provided in a state early intervention system. Results indicate that child and family factors including entry age, gestational age, Medicaid eligibility, access to third party insurance, and children's developmental skill areas influence the level and the intensity of early intervention services provided. In addition, findings show that county demographic factors also influence service provision, specifically the interaction between rural and poverty status. Implications for social policy are discussed.
ISSN:1053-8151
2154-3992
DOI:10.1177/1053815109331914