Staff travel required to provide home visiting services can be a barrier to quality service provision. This may be of particular concern to rural programs, where the demands of staff travel are often thought to be greater than in urban settings. As part of a statewide needs assessment of the Infants and Toddlers with Disabilities Program in Kansas…

Neonatal abstinence syndrome (NAS) is a public health issue that affected more than 2% of live births in Kentucky in 2017. We analyzed data from Kentucky's early intervention (EI) program and the mandatory statewide NAS registry to learn more about how families of children with NAS utilize EI services. Out of 1,113 children in the study, 32% were…

State Interagency Coordinating Councils (SICCs) play vital roles in decision-making for Part C of the Individuals with Disabilities Education Act (IDEA). While parent representatives are required to serve on SICCs, it is unclear how parents participate in the SICC. It is important to understand parent experiences on the SICC given the…

The purpose of this study was to examine the characteristics of Part C programs and how funding has impacted the quality of services for children and families given ongoing budgetary concerns. Perceptions of State Early Intervention Coordinators (EICs) regarding their state Part C systems were obtained through an online survey. Using survey…

Early Start is a center-based program for four-year-old children at risk of academic failure because of their home or community environment. The state-funded program successfully incorporated literacy activities into a supportive environment which informally encouraged practice with early reading and writing. (Author/JDD)

This response to an article evaluating Indiana's early intervention service delivery (EC 628 669) based on the state's comprehensive data system evaluates the amount of services provided, type of services, the service system, and the service delivery model. Analysis indicates continuing gaps between federal law requirements and implementation in…

This article describes progress made by states and U.S. territories in implementing the Part H program for handicapped infants and toddlers and the Section 619 preschool grants program, both authorized by the 1986 Amendments to the Education of the Handicapped Act. Challenges faced by states include financing, personnel supply and standards, and…

Synthesizes discussions that occurred among a consortium of professionals responsible for the evaluation of early-intervention programs and highlights issues emerging from state-level evaluations of early-intervention programs in the context of six different areas: measures, outcomes, service integration, eligibility, funding models, and cost…

This article describes data requirements in Public Law 99-457; discusses issues confronting states as they develop data systems, such as the problems of comprehensiveness, incompatibility, and confidentiality; examines data on numbers of infants and toddlers receiving early intervention services; and explores applications of a national database on…

A survey of 49 state Part H coordinators was conducted to review standards in place for personnel serving infants, toddlers, and their families. The study analyzed, by state, the standards for all 10 professional disciplines addressed under Part H of the Education of the Handicapped Act. Implications for state practice and policy are discussed.…

Data were gathered from all state Medicaid programs, 11 health insurance carriers, and 140 firms offering health insurance to employees, concerning coverage of various services needed by young children with disabilities, including ancillary therapies, mental health services, and case management. Results revealed that Medicaid offered the greatest…

This content analysis of 39 state definitions of "developmentally delayed infants and toddlers" for Part H of Public Law 99-457 focused on types of children, conditions listed as established conditions, criteria used to determine delay, and criteria delineated for "at risk" status. The analysis found some type of problem in…

This article provides an overview of issues that states must address in developing their early intervention personnel systems to best meet the demands of Public Law 99-457. Personnel issues include credentialling current staff, developing effective preservice systems and ongoing professional development systems, and determining personnel needs.…