In order to suggest policies aimed at preventing underutilization of early intervention services by typically underserved populations, this study reviewed the literature on utilization of health and social services, devised a generic model of service utilization, and examined the national distribution of several of the model's factors. The model…

This paper explores the barriers and possible solutions toward the implementation of the goal of a coordinated service system for young children with special needs and their families. The components of the vision of a comprehensive, interagency, multidisciplinary, coordinated service system are outlined, such as interdisciplinary cooperation, a…

This study examined provision of services to children with developmental disabilities and their families in the context of requirements of Part H of the Individuals with Disabilities Education Act, which requires family centered services for infants and toddlers. Focus group discussions were held with health professionals at two sites in each of…

An exploratory study was conducted on the implementation of Part H of Public Law 99-457, with emphasis on the involvement of health care providers. A series of 10 focus group discussions were held with health professionals (mostly nurses and physicians) in five states (Colorado, Hawaii, Maryland, North Carolina, Ohio). These health care providers…

This issue paper is based on recommendations of a February, 1991 meeting on promoting child health through Part H of the Individuals with Disabilities Education Act (IDEA). Part H emphasizes family-centered care; service coordination; comprehensive services; collaboration among service providers and funding sources; outreach to traditionally…

This paper reports on a symposium of experts in child and family development and health care which met to discuss integrated systems of services. The symposium was part of the Carolina Policy Studies Program which is addressing policy implementation of Part H of the Individuals with Disabilities Education Act (IDEA). The paper notes IDEA's…

This paper argues that there is a critical need to reframe the fundamental policy questions which fragment early childhood intervention services and health care, in order to construct an integrated system of comprehensive services that includes basic health care and developmental support for all children and their families and that provides…

Despite the availability of relevant knowledge to guide policy formulation, and in spite of financial resources appropriated to support the developmental process, policies and procedures related to child identification in Public Law 99-457 (Part H), state plans are inconsistent with both contemporary research and Congressional expectation. Eleven…