Advocating for Change to Meet the Developmental Needs of Young Children Experiencing Homelessness

Mary O'Donnell1, Sarah McKinnon2

  • 1Mary O'Donnell, OT, OTD, OTR, is Instructor, Entry-Level OTD Program, MGH Institute of Health Professions, Boston, MA; mary.e.odonnell2@gmail.com.

Insights

Homeless young children face significant risks for developmental delays, but early intervention programs often fail to identify and serve them. Occupational therapists can advocate for these vulnerable children to ensure access to essential early developmental services.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Public Health

Background:

  • Young children experiencing homelessness are at high risk for physical and cognitive impairments.
  • Existing federal and state programs frequently fail to address the specific needs of this vulnerable population.
  • Early intervention programs should be family-centered and health-promoting but often do not effectively locate or screen eligible children aged 3 years or younger.

Purpose of the Study:

  • To highlight the critical need for improved early intervention services for homeless children.
  • To emphasize the role of occupational therapy practitioners in advocating for this population.
  • To inform practitioners about barriers faced by homeless families and strategies for support.

Main Methods:

  • Literature review on early intervention programs and homelessness.
  • Analysis of policy gaps in services for young children experiencing homelessness.
  • Examination of the role and potential contributions of occupational therapy.

Main Results:

  • Many early intervention programs do not adequately identify or serve homeless children aged 3 years or younger.
  • Homeless families encounter significant barriers in accessing equitable early developmental services.
  • Occupational therapy practitioners are well-positioned to advocate for policy changes and provide community support.

Conclusions:

  • Occupational therapy practitioners must advocate for enhanced access to high-quality, federally mandated programming for homeless children.
  • Understanding the barriers faced by homeless families is crucial for developing effective support strategies.
  • Systemic improvements are needed to ensure equitable early developmental services for all children, regardless of housing status.

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