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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
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.
Objective:
Part C early intervention is a nationwide program that serves infants and toddlers who have developmental delays. Previous research has revealed that large numbers of candidates for Part C services do not receive early intervention. Current eligibility criteria for Part C services vary from state to state. This article compares estimates of the percentage of children who are likely to be eligible for early intervention in each state and Washington, DC, with the proportion of children who are served in each of those jurisdictions.
Methods:
Data for this study were obtained from the Early Childhood Longitudinal Survey-Birth Cohort. Using these data, we computed the proportion of children who would be eligible based on the numerical eligibility definitions currently in use across the United States.
Results:
This study revealed the proportion of infants and toddlers likely to be eligible for Part C services ranges from 2% to 78% across the United States. The proportion of children enrolled in Part C ranges from 1.48% to 6.96%.
Conclusions:
This research documented substantial variability in the proportion of children who are likely to be eligible for Part C services. Most states have adopted eligibility definitions that make many more children candidates for Part C early intervention than they serve. However, current rates of enrollment are insufficient to serve all children with delays that fall under 2 SDs below the mean on any of the 5 developmental domains that are required to be evaluated by Part C regulations.
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