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Risk factors associated with children lost to care in a state early childhood intervention program

Peggy P Giannoni1, Philip H Kass

  • 1Department of Population Health and Reproduction, University of California, Davis, One Shields Avenue, Davis, CA 95616, USA.

Research in Developmental Disabilities
|March 27, 2010
PubMed

Insights

Family factors like mother's age and education, Medi-Cal status, and transportation access significantly impact children's participation in early intervention programs. Premature birth was also a medical risk factor for loss to care.

Area of Science:

  • Pediatrics
  • Public Health
  • Developmental Psychology

Background:

  • Early intervention services are crucial for child development.
  • Understanding factors leading to loss to care is vital for program effectiveness.
  • The California Early Start Program serves a diverse population.

Purpose of the Study:

  • To identify risk factors associated with children being lost to care within the California Early Start Program.
  • To compare children lost to care with those who remained in the program.
  • To inform interventions aimed at improving family engagement in early intervention.

Main Methods:

  • Retrospective cohort study design.
  • Analysis of data from 8987 children enrolled in the California Early Start Program in 1998.
  • Comparison of demographic, medical, and socioeconomic factors between children lost to care and those not lost to care.

Main Results:

  • Premature birth was the sole medical risk factor linked to an increased risk of loss to care.
  • Maternal age, educational level, Medi-Cal ineligibility, and lack of transportation were significant family risk factors for loss to care.
  • 2443 children were identified as lost to care.

Conclusions:

  • Family-related socioeconomic and logistical factors play a substantial role in early intervention program attrition.
  • Targeted interventions addressing these identified risk factors can potentially improve family retention in early intervention services.
  • Further research can build upon these findings to enhance support systems for families in early intervention programs.

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