This paper is a study of systems change in services to infants and toddlers with disabilities resulting from Part H of the Individuals with Disabilities Act. It examines the process of moving from federal legislation to implementation in one state (New York) and offers practical strategies to change agents in order to maximize successful systemic…

This paper discusses resources needed by infants and toddlers who are disabled and by their families, with respect to policy implementation of Part H of the Individuals with Disabilities Education Act. The paper emerged from a series of focus group discussions with health professionals in five states. Out of the open-ended discussions emerged…

This paper explores the barriers and possible solutions toward the implementation of the goal of a coordinated service system for young children with special needs and their families. The components of the vision of a comprehensive, interagency, multidisciplinary, coordinated service system are outlined, such as interdisciplinary cooperation, a…

This report reviews approaches that federal, state, and local governments have used to integrate the delivery of health and other educational and social services to at-risk families, and examines barriers to designing and implementing integrated service delivery systems. The report contrasts "system-oriented" integration efforts, which…