Social and Functional Characteristics of Receipt and Service Use Intensity of Core Early Intervention Services

Academic Pediatrics
Zachary RichardsonBeth M McManus

Abstract

Describe children's diagnostic, social, and functional characteristics associated with the use of core early intervention (EI) services. The sample included infants and toddlers (N = 2045) discharged from an urban EI program (2014-2016). Adjusted logit models estimated the marginal effects and 95% confidence intervals (CIs) of receipt of any of the 4 core EI services, controlling for the child's developmental condition type, race and ethnicity, primary language, sex, insurance type, age at referral, and functional performance at EI entry. Adjusted median regression estimated EI core service intensity controlling for child characteristics. The median per-child EI service intensity was less than 3 h/mo (median, 2.7; interquartile range, 2.1-3.5). Children whose primary language was English were 6% more likely to receive occupational therapy (marginal effect = 0.063; 95% CI, 0.010-0.115). Compared to infants, 1- to 2-year-old children were less likely to receive physical therapy and occupational therapy but more likely to receive speech therapy. Compared to infants, 1-year-olds received more intensive speech therapy (β = 0.42; 95% CI, 0.10-0.70), and 2-year-olds received less intensive occupational therapy (β = -0.70; 95% CI, -1.3...Continue Reading

Citations

Jul 6, 2020·BMC Pediatrics·M A KhetaniUNKNOWN High Value Early Intervention Research Group
Sep 11, 2020·Journal of Developmental and Behavioral Pediatrics : JDBP·Kate E WallisJudith S Miller

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