Early childhood is a critical time for cognitive, social, and behavioral development. Many states have invested in comprehensive early childhood care and education systems that offer a wide range of supports and services to families from the prenatal period through school entry. Home visiting programs are an important component of state early…

This article explores factors that facilitate moving from the service-provider role to becoming part of a family's constellation of helpers. Elements of empowerment are juxtaposed with the following metaphors for practice: building a definition of disability, following the parent's lead, creating a community of helpers, and expanding perspectives.…

This article discusses the increased emphasis on providing early intervention services within natural environments and how to maximize natural learning opportunities by using everyday activities that children experience and embedding intervention in daily routines. Guidelines for deciding the frequency of services, changing services, and the level…

This article presents a framework for providing services to infants with disabilities and their families, by conceptualizing early intervention in terms of levels of prevention. Primary, secondary, and tertiary levels of prevention are proposed to prevent the manifestation, severity, or extended impact of developmental delays; and implications for…

Describes the Family-Centered Program Rating Scale (FamPRS), a 59-item instrument with parallel forms for family members and service providers to rate satisfaction with and importance of various early-intervention program characteristics. An example of using the instrument to improve family-centered practice is detailed. (DB)

Suggests eight questions that can serve as a framework for determining the extent to which early intervention has accomplished the goals inherent in a family-centered approach. Conceptual issues and methodological considerations associated with documenting these outcomes are presented and recommendations regarding implementation and future…

Describes how the clinical early intervention assessment report (CAR) can be used as a tool to promote family-centered practice. Strategies and examples for incorporating a family perspective into the CAR are presented, along with suggestions for using family-friendly terminology. An example of a rewritten CAR is provided. (Author/CR)

A mother discusses her family's experience in transitioning her daughter from early intervention services to an early childhood program. Helpful strategies that the early childhood staff used are identified and include introducing families to teachers during the transition process and allowing parents to visit the program before sending their…

The purpose of this paper is to summarize current trends in child abuse prevention and to provide program administrators and policymakers with guidelines for implementing successful new parent programs in their communities. Contents address: (1) the scope of the child abuse problem; (2) a theoretical framework or conceptual model for use in…

A rationale for and components of a development systems model are presented to guide early intervention programs. Core principles emphasizing a developmental framework, integration, and inclusion are expressed in the context of a multicomponent interactive system. The model's focus on maximizing family patterns of interaction by addressing…

This report discusses the outcomes of a project designed to help young children with special needs and their families prepare for and adjust to new service settings. The Bridging Early Service Transition (BEST) Project has helped administrators, service providers, and families plan and coordinate transitions for young children with disabilities or…

The family is the handicapped infant or toddler's ecological system, is critical to the child's optimal development, and must be incorporated into early intervention programs. Characteristics of the ecosystem of the family of a handicapped child are discussed, followed by characteristics of ecologically attuned early intervention teams. (JDD)

This article describes a variety of treatment options for infants and toddlers with nonorganic failure to thrive. Key elements of successful interventions are discussed and appropriate clinical applications are made. The need for a team approach to address the varied etiologically significant factors related to feeding difficulties is stressed.…

This article describes the Let's Play Project model, which uses play as the outcome for families and children with disabilities. The model is family-centered, play-focused, and uses assistive technology in the facilitation of play and development. Six assistive technology categories that are used are explained with examples of low-tech…

Families First, an early intervention program implemented in Marin City, California, was designed to integrate and coordinate the provision of a wide range of services to families of children in a low-income, mostly African-American community, from the third trimester of pregnancy to 8 years of age. The program is intended to enhance the…