家庭对发育障碍儿童的早期干预和支持

IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL
S. Sapiets, R. Hastings, C. Stanford, V. Totsika
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引用次数: 6

摘要

早期干预(EI)的提供对有发育障碍(DD)儿童的家庭至关重要,但现有证据表明,获得早期干预并不总是简单的。本研究的目的是全面描述英国各地疑似或诊断为DD的幼儿家庭获得各种EI支持的情况(如专业人员、服务、干预措施),并调查获得支持的容易程度、未满足的支持需求以及获得支持的障碍和促进者。总体而言,673名0至6岁疑似或诊断为DD(如发育迟缓、智力残疾、自闭症)儿童的父母照顾者匿名完成了我们的调查。在教育、卫生和社会护理领域,获得服务最多的是儿科(N=569,84.5%)、言语和语言(N=567,84.2%)以及普通医疗(N=530,78.8%)。然而,只有18.9%(N=127)获得了一揽子干预措施。超过四分之三(N=508,75.5%)的人报告称,早期支持需求未得到满足,这表明服务的可用性和能力与支持需求之间不匹配。家长们还报告了获得服务的常见障碍(如阻碍性服务和无益的专业人员)和促进者(如支持性和称职的专业人员,有利的家长因素)。讨论了对政策、实践和研究的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Families’ Access to Early Intervention and Supports for Children With Developmental Disabilities
Early intervention (EI) provision is critical for families who have children with developmental disabilities (DD), but existing evidence suggests accessing EI is not always straightforward. The purpose of this study was to provide a comprehensive description of access to various EI supports (e.g., professionals, services, interventions) for families of young children with suspected or diagnosed DD across the United Kingdom and to investigate perceived ease of access to support, unmet need for support, and barriers and facilitators of access to support. Overall, 673 parental caregivers of children aged 0 to 6 years with suspected or diagnosed DD (e.g., developmental delay, intellectual disability, autism) completed our survey anonymously. Across education, health, and social care, services accessed the most were pediatrics (N = 569, 84.5%), speech and language (N = 567, 84.2%), and general medical practice (N = 530, 78.8%). However, only 18.9% (N = 127) accessed packaged interventions. More than three-quarters (N = 508, 75.5%) reported an unmet need for early support, indicating a mismatch between the availability and capacity of services and demand for support. Parents also reported common barriers (e.g., obstructive services and unhelpful professionals) and facilitators (e.g., supportive and competent professionals, enabling parent factors) of access. Implications for policy, practice, and research are discussed.
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来源期刊
CiteScore
3.30
自引率
7.10%
发文量
21
期刊介绍: The Journal of Early Intervention (JEI) publishes articles related to research and practice in early intervention for infants and young children with special needs and their families. Early intervention is defined broadly as procedures that facilitate the development of infants and young children who have special needs or who are at risk for developmental disabilities. The childhood years in which early intervention might occur begin at birth, or before birth for some prevention programs, and extend through the years in which children traditionally begin elementary school.
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