This article describes the development and use of a first of its kind statewide implementation of an adapted Early Start Denver Model (ESDM). Supported by a collaborative partnership between stakeholders that included families, state agencies, and a state university, the intervention was implemented within the existing framework of a northeastern…

Many autism-focused early intervention (EI) models have not yet been adopted by community-based providers in rural settings due to fit and feasibility when working within the Part C model. Family Implemented TEACCH for Toddlers (FITT, based on the University of North Carolina TEACCH Autism Program) is a research-based, Part-C compatible, EI model…

Few studies examine the effectiveness of community-based early interventions in unselected samples of autistic children, especially those from minoritized backgrounds. These types of studies require attention to strategies for recruitment, retention, data collection, and support for community providers beyond those used in university-based trials.…

As more families enroll their infants and toddlers with disabilities in child care programs, early intervention (EI) services are being delivered in these natural environments. This article presents the findings of a study on infants and toddlers with disabilities in child care settings from the perspectives of professionals. Twenty-four child…

The Baby Bridge program was developed to ensure timely and continuous therapy services following neonatal intensive care unit (NICU) discharge. A systematic process for development of the Baby Bridge program included a review of the evidence, integration of theory, and input from NICU health care professionals, early intervention leadership, and…

The national agenda for early intervention for young children with disabilities has been articulated through the early childhood programs under the Individuals With Disabilities Education Act. Part B and Part C of the act address states' responsibilities in creating and managing systems of services. Part D of the act supports research, innovation,…

This discussion of the role of interagency collaboration in implementation of Part H of Public Law 99-457 focuses on interagency collaboration as a foundation for early intervention services; critical points in establishing a collaborative foundation; cornerstones for building lasting interagency systems; and realities that affect collaboration.…

This article describes progress made by states and U.S. territories in implementing the Part H program for handicapped infants and toddlers and the Section 619 preschool grants program, both authorized by the 1986 Amendments to the Education of the Handicapped Act. Challenges faced by states include financing, personnel supply and standards, and…

This paper is a study of systems change in services to infants and toddlers with disabilities resulting from Part H of the Individuals with Disabilities Act. It examines the process of moving from federal legislation to implementation in one state (New York) and offers practical strategies to change agents in order to maximize successful systemic…

This paper presents a decision model illustrating the role of values in influencing choices between policy options in implementing Part H of the Individuals with Disabilities Education Act. The paper discusses value assumptions, the role of conflicting values in decision making, the concept of an individual hierarchy of values, and implications…

The Birth to Three Inservice Training Project was a federally funded demonstration project which trained Connecticut early interventionists from a variety of backgrounds. The model stressed a conducive learning climate, mutual planning, diagnosis of individual learning needs, continuous evaluation, and follow-up training. The service delivery…