Part C early intervention for infants and toddlers: percentage eligible versus served

Steven A Rosenberg1, Cordelia C Robinson, Evelyn F Shaw

  • 1Departments of Psychiatry, University of Colorado School of Medicine, Colorado School of Public Health, Aurora, Colorado, USA. steven.rosenberg@ucdenver.edu

Pediatrics
|December 26, 2012
PubMed

Insights

State eligibility criteria for Part C early intervention vary widely, leaving many eligible infants and toddlers without services. Enrollment rates are insufficient to meet the needs of all children with developmental delays.

Area of Science:

  • Child Development
  • Public Health Policy
  • Early Intervention Services

Background:

  • Part C early intervention programs serve infants and toddlers with developmental delays.
  • Significant numbers of eligible children do not receive necessary early intervention services.
  • State-specific eligibility criteria create disparities in access to Part C services.

Purpose of the Study:

  • To compare estimated eligibility for early intervention services across states.
  • To analyze the proportion of children served by Part C early intervention programs nationwide.
  • To identify discrepancies between potential eligibility and actual service provision.

Main Methods:

  • Utilized data from the Early Childhood Longitudinal Survey-Birth Cohort.
  • Calculated the proportion of children eligible for Part C services based on existing state definitions.
  • Compared eligibility estimates with current enrollment data for each state and Washington, DC.

Main Results:

  • Estimated eligibility for Part C services varied dramatically, from 2% to 78% across the US.
  • Actual enrollment in Part C programs ranged from 1.48% to 6.96%.
  • A significant gap exists between the number of children eligible and those actually receiving services.

Conclusions:

  • Substantial variability in eligibility criteria leads to unequal access to early intervention.
  • Most states' eligibility definitions identify more children than are currently served.
  • Current Part C enrollment rates are inadequate to support all children with developmental delays meeting standard criteria.
Abstract

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