Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Autism7717 > Early Intervention 9/25 > Flashcards

Early Intervention 9/25 Flashcards

1
Q

Broad definition of “early intervention”

A

Any intervention delivered early (before school age)

Or

Early in progression of illness (e.g. early intervention for schizophrenia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Narrow Definition of Early intervention

A

“Part C”
Publicly funded program to provide services, education, and support for children ages 0-3 and their families/caregivers

Serves a population of children who:
Have a DD
Have an “established condition” with a high probability of DD
At risk for developing a delay or special need (in a few states)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What established services for children ages birth through their third birthday?

A

1986: EHA Revision (Now Part C of Individuals with Disabilities Education Act)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the 4 goals of Part C Early Intervention?

A
  1. Enhance development of infants and toddlers with disabilities
  2. Reduce educational costs by minimizing need for subsequent special education as a result of EI
  3. Minimize likelihood of institutionalization, and maximize independent living
  4. Enhance the capacity of families to meet their children’s needs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Theoretical Basis of EI

A

Younger brains more plastic

More neurological difference: Zone of modifiability

Ex. Cochlear implants

Early difficulties create “Development Cascade” of issues.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Early intervention that ______ later problems is less costly (both in monetary and social terms) than providing lifelong services and supports

A

PREVENTS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Persistent stress/lack of education opportunities can

A

impact neurological development

lead to significant delays, disabilities, and other poor long-term outcomes for children

Ex: poor children more likely to repeat grades and be high school dropouts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Perry Preschool Project

A

Successful in the 1960s Michigan with 3-4 year olds

Preschool or no preschool randomized

Adult-child interaction and shared play, high degree of parent involvement, social-emotional AND academic

Less likely to be arrested, more likely to earn 20k+ at 40 and graduate high school

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Head Start Impact Study

A

1998 3-4 year olds (head start or control group other preschool)

Followed through 3rd grade. At the end of program, favorable outcomes, by end of K, small group differences, few sig impacts end 3rd grade

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Why was Head start less effective than the model programs studied in RCT’s?

A

Perry program had parents involved and taught social/emotional skills too.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Essential EI Components

A
  1. Family/home nurturing contexts
  2. Strengthening relationships essential feature of EI/ECSE
    3.Children learn through acting on/observing environment
  3. Adults mediate children’s experiences to promote learning
  4. Participation in more developmentally advanced settings with support is required for later independent participation
  5. Individually and dynamically goal-oriented
  6. Transitions enhanced by adult
  7. Families and programs influenced by broader context
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a therapeutic model that is “Clinic-based” /private therapy?

A

Direct Service Provision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are characteristics of parent TRAINING model?

A
  • Service provider trains parent on specific strategies for promoting development at home
    • Structured/formal curriculum focused on specific goals
    • Parent is the primary/direct agent of change for the child
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Characteristics of Parent COACHING model?

A
  • Parent drives goals and contributes to development of strategies
    • Provider supports parent through providing evidence-based strategies, modeling, coaching, and reflective questioning with parent
    • Based on a session framework and driven by specific parent-directed goals, but does not use a pre-specified curriculum due to the need to choose strategies based on current needs and goals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Parent Training vs. parent coaching?

A

Training: provider trains parent on strategies, structured curriculum.

Coaching: Parent drives goals, no pre-specified curriculum.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Early Head Start Partnership (Skip?)

A

0-3 year old children
Qualify for publically funded child care (at or below poverty line)

Columbus. many with DD.

Barriers:
-recognition of DD/needs
-referral to EI system
-navigating referral and evaluation process
-follow-through with (and effectiveness of) services once child qualifies

17
Q

Although many specific models have evidence within their fields for efficacy (e.g. speech, PT, OT techniques)? What are the limitations? (Maybe direct service model specific)

A

Many studies done on non-representative or small samples, particularly when it comes to service barriers

Generalization to “Real-World” settings and long-term outcomes often not robustly assessed

18
Q

In what sense is part C early intervention “evidence based”?

A

philosophy, theory, and many of the pieces that are intended to be incorporated into EI programs are based on current knowledge and research on child development.

19
Q

In what sense is Part C EI NOT evidence based?

A

research on whether it is effective—as currently delivered in the community—is extremely sparse.

20
Q

Do children have a legal right to receive EI services (IDEA Part C)?

A

Yes

21
Q

Barriers to studying EI effectiveness

A

Services variable across states, regions, providers, children/families

Children in EI have variety of needs and diagnoses

22
Q

National EI Longitudinal Study (NEILS)

A

Department Education, 1996-2006

EI outcomes. 20 states

Who gets services:
1991: ~200,000 children (1.77%)
2020: ~437,234 children (3.70%)

23
Q

Did NEILS have more or less african american and poor children than are in the general population?

A

More

24
Q

What did 14-16% of families say they needed from EI that they didn’t get?

A

Finding child care, info on rec activities, other agencies and services that might help their child.

25
Q

What did most parents in NEILS say EI helped with?

A

Include child in family routines, understand child’s needs, understand legal rights, learn how to play with, talk to, and teach child.

26
Q

Most EI (~75%) according to NEIL took place in the

A

Home

27
Q

EI Cost per child vs total expenditure per child

A

Per child: $15,740
Overall: $916

28
Q

Kindergarten outcomes from NEIL: Former EI recipients without IEPs were performing _____ to peers

A

comparably

28
Q

___% children left services BEFORE 36 months.

__% children received preK education.

___% recieved srevices until 36 months, but no preK

A

16%

63%

20%

28
Q

Why do children stop services?

A

50% no longer need them

5% no eligible, 13% waiting list, 10% no available

29
Q

NEIL: parent report how well child made needs known

A

50/50 split.

30% improve
33% no change, trouble
21% no change, okay
16% declined

Autism7717 (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions