Autism spectrum disorder can be reliably diagnosed prior to age 2, and early, intensive intervention has been found to improve long-term outcomes. Nonetheless, most children with ASD do not receive a diagnosis until after age 3, with even later diagnoses for children from non-white ethnic groups. This study conducted telephone surveys with…

California's public-school system recently introduced another grade level, Transitional Kindergarten, as an opportunity to offer universal access to early education for all 4-year-olds. Elementary school teachers and administrators must be well prepared to support and education these young children. This dissertation focuses on four key principles…

Clinicians' beliefs about an intervention's fit with an individual family influence whether they use it with that family. The factors that influence clinicians' decisions to implement evidence-based practices for young autistic children have yet to be evaluated systematically. These factors may partially account for the significant disparities in…

Parents of children who are newly identified as deaf or hard of hearing (DHH) face many decisions surrounding communication and intervention, including where to receive early intervention (EI) services. This study explored the experiences and perspectives of parents of DHH children enrolled in a center-based, family-centered EI program focused on…

Only about 10 percent of eligible infants and toddlers with developmental delays nationwide receive early intervention services, which are widely agreed to reduce delays and lessen the adverse effects of risk factors and disabilities on learning and development. California serves fewer children than the national average. Challenges arise from…

A labor force of migrant farmworkers, mostly of Latino origin, largely support the agriculture industry in the US. While migrant labor is essential in the modern food system, food insecurity remains high among migrant farmworkers. Presented are the results from a survey on food insecurity, access, and farm to preschool involving 32 farmworker…

A secret sauce for family and community engagement emerged as a result of a technical assistance project that supported Early Head Start-Child Care Partnership grantees in California. Power-sharing, communication, creativity, and continuous recommitment to families were key ingredients of that sauce. When these were present, programs were able to…

Research shows relationships fuel early brain development and provide the foundation for lifelong health and success. Yet we also know that parenting a very young child places enormous physical and emotional demands on adults. Some families may not have what they need, or know where to turn for support if they want it, even when it is within reach…

This paper presents a set of strategies and options that California can use to leverage Medi-Cal, the State's Medicaid program, to move toward an equitable, advanced health delivery system for its children. Close to five million children are enrolled in Medi-Cal, more than two-thirds of whom are Black and Brown children. California's program alone…

Children from low-income families are more likely than those from higher income families to have poor social, emotional, cognitive, behavioral, and health outcomes. One approach that has helped parents and their young children is home visiting, which provides information, resources, and support to expectant parents and families with young…

The California Children and Families Act of 1998 led to creation of the Kern County Children and Families Commission (First 5 Kern) to support early childhood service programs in Kern County, the third largest county in California that spread a land area as large as the state of New Jersey. In Fiscal Year 2014-15, First 5 Kern administered more…

The Early Learning Challenge (ELC) program awarded more than $1 billion in four-year grants to 20 States to implement comprehensive and cohesive high-quality early learning systems that support young children with high needs and their families. A key lever in making these improvements was the enhancement of States' Quality Rating and Improvement…

The research on young children with a dual diagnosis of hearing loss and autism spectrum disorder (ASD) is meager and scattered. Pockets of research on this population of children suggest that it is difficult to make the diagnosis of ASD in children with hearing loss. A case study design was used to examine the diagnostic process for young…

A retrospective cohort study was conducted to identify child, maternal, family, and community factors associated with rate of developmental disability among children enrolled in the California Early Start Program. The cohort included 8,987 children considered at high risk for developmental disability due to medical risks and/or developmental…

This study investigates barriers to accessing services for children under age 3 presenting with language delays and behavioral difficulties, including language barriers for Spanish-speaking families. Using a telephone script, researchers called 30 agencies in Los Angeles County, including regional centers (the state network of Part C agencies for…