A three-dimensional model is used to compare various approaches to natural environment interventions. The model distinguishes between practices that are contextually or noncontextually based, adult or child directed, and practitioner or nonpractitioner implemented. One approach (practitioner implemented, adult directed) has increasingly been…

This article reviews research showing that high-quality parent-infant interaction is important in the promotion of child resiliency and should be emphasized in family-centered early intervention programs. Research on risk factors that threaten the quality of parent-infant interaction and thus resiliency in infants and young children is also…

Discusses original recommendations on the preparation of early interventionists and reviews numerous societal, policy/legislative, and service delivery changes that have occurred over the past 10 years in early-childhood special education. Progress in the development of licensure/certification guidelines is highlighted, and the need for further…

Identifies the diverse array of resources being used by states to finance early intervention services. Strategies for addressing issues that arise when combining resources are discussed, including identifying which funding source is first or last payer, the use of family resources, determination of medical necessity, and service coordination.…

This article focuses on strategies that can be used to evolve an evidence-based practice. It describes methods for gathering research information, for reviewing studies critically, and for summarizing information for practice using a model supporting evidence-based practice. An example of the application of these strategies to early intervention…

Discussion of the case method of instruction (CMI) in early intervention personnel preparation offers information on selecting quality cases, preparing for case discussion, facilitating case discussion, and evaluating learner outcomes. Strategies described were field-tested and validated with 128 early intervention instructors who participated in…

This commentary identifies contributing influences and current issues that may be common across countries and defines potential elements of a universal manifesto on early intervention, including: recognition of individual differences, personalized interventions, involvement of families, support of families, comprehensive assessment, and provision…

This article describes a university-based training model for early intervention personnel in rural areas of Utah. The model uses an array of distance technologies including interactive television, Internet communications, CD-ROM, videotape, and traditional print material. Key decision-making points and the process of model development and delivery…

A study compared the progress of 12 Greek children (ages 8 months to 5 years) with disabilities who received a weekly educational visit from early interventionists for 2 years with that of 12 controls. Results showed significant gains for treated children in overall functioning level and in different domains of development. (Contains references.)…

A statewide staff mentoring program was developed in Illinois as an option for providing a personalized, intensive approach to training early intervention personnel on a large scale. Evaluation results for the initial period of developing the process and for the first eight trainer-trainee dyads suggest this approach is individualized,…

This article offers pediatricians a practical approach to identifying children (birth to three years) with developmental delays. The article discusses evidence of the effectiveness of early intervention, legislation mandating early intervention services, child-find activities, procedures for referral to the early intervention system, services…

Discusses the transferring of Medicaid recipients to managed care in Oregon and the effects on physical therapy and occupational therapy services for children with disabilities. Describes a process that balances fiscally responsible utilization of therapy resources with advocacy for appropriate therapy services. Guidelines for services are…

This article presents a model for viewing and conducting early intervention in a way that de-emphasizes professional services and emphasizes the support that professionals can provide. Key strategies for providing informational support, material support, and emotional support to families of children with disabilities are described, along with…

This article focuses on European early intervention for children with Down syndrome. Early intervention is viewed as a reconstruction of the construction processes in order to facilitate optimal response to environment conditions. It demands communication skills, a high level of transparency, theoretical education, and trust in the child's…

This article offers an historical perspective and evaluation approach for technical assistance efforts provided by U.S. based agencies in the Pacific and two studies of outcome evaluation at the regional and local level. The Palau Interagency Model is discussed in depth as a model for change and improved interagency coordination. (Contains…