This article refutes 10 myths and identifies literature that supports service delivery to infants and toddlers with disabilities in natural settings. The benefits of naturalistic intervention, home-based services, and family-centered services are discussed, and concerns regarding therapist shortages, ethical problems, personal safety of providers,…

Discusses issues related to technology, the Internet, and information professions, including environmental changes, the proposed Information Commons by the University of Toronto, changes in definition of professions, the need for alternative delivery of education and for a service orientation, and the need for flexible basic education for…

This article presents a description of the Child and Adolescent Services Assessment, a self- and parent-report instrument designed to assess use of mental health services by children, ages 8 to 18. The article provides information on interviewer training, coding of data, and psychometric data on clinical samples, and presents a case study.…

The experience of Project STAR, an early intervention program for children with acquired immune deficiency syndrome and their families in Boston, Massachusetts, has revealed that successful direct service programs must be family centered and community based, must provide a comprehensive range of services, and must coordinate those services across…

This article examines factors associated with underutilization of early intervention services, outlines the prevalence of these factors in the population of families with young children, presents statistics on the sociodemographic characteristics of families with children under five, and suggests policies that may facilitate the participation of…

Describes a three-month study of a family reunification program for abused and neglected children that explored the process and outcomes of service delivery. The coding scheme measured both the time used in and purposes of activities of the service workers. Discusses the implications of this method for practice, planning, and research. (TM)

Ways in which the proliferation of competitive health care financing and service delivery systems based on managed care affects the financial support available to academic medical centers (AMCs), especially graduate medical education programs, are discussed. Analysis is based on case studies of AMCs. Trends, potential conflicts, and areas for…

Eight American values/beliefs that affect speech/language service delivery are examined: the importance of time, the need for directness in communication, the appropriateness of informality in communication, the belief in equality, the necessity and efficacy of rehabilitation, the importance of independence, family involvement in rehabilitation,…

Information about the early intervention service systems in 20 states was gathered and organized into dimensions of a framework for describing early intervention systems at the state and local levels. Results indicate considerable variation exists on eligibility criteria, agencies involved in early intervention, and models of intake and service…

In the ephemeral dot.com economy, numerous education portals (search engines) are emerging just as unsuccessful ones are terminating or trimming services. Ideally, portals offer an online school/home gateway and provide tailored content for parents, students, and teachers. However, quality, equity, reliability, and commercialism issues abound.…

This article reviews the literature citing legal and ethical concerns regarding students with disabilities and charter schools and school choice. It questions the degree to which students with disabilities, and particularly emotional/behavioral disorders, are served in charter schools. It reports on an informal survey measuring service to students…

Reviews various models used for delivering personal adjustment services to individuals with visual impairments, including center-based services and home-based services. Addresses the need to individualize the rehabilitation process by determining the type of program and service delivery that best meets an individual's needs. (CR)

This article reviews the legislative/regulatory, societal, professional, and demographic influences that shaped and defined school-based speech-language practice as it is today. Emphasis is on the fundamental elements of contextually based assessments, educationally relevant intervention plans, and increased collaboration/consultation. Strategies…

This article examines issues affecting the education of people with deafness under Nigeria's 6-3-3-4 system of education. The system was introduced in 1976 and serves all categories of learners in Nigeria. Evidence indicates that the implementation, including in schools for the deaf, has been unsatisfactory and problems are discussed. (Contains…

After presenting selected issues associated with employing paraprofessionals, this article extends the discussion on paraprofessional issues by exploring guidelines to assist teams in making decisions about paraprofessional supports. This includes both considerations for the appropriate use of paraprofessionals when assigned, as well as…