All eligible infants and toddlers who receive early intervention services under Part C of Individuals with Disabilities Education Act are entitled to service coordination. To examine the effectiveness of one state's service coordination training and its impact on knowledge and skill development, a pretest--posttest design with follow-up survey was…

Effective early childhood intervention (ECI) relies on collaboration among agencies, service providers, and families. Although previous literature has primarily focused on segments of collaboration within ECI service delivery, the actual process and how the adult stakeholders perceive and engage in collaborative practice have important…

This article reviews the literature on the transdisciplinary approach to early intervention services and identifies the essential elements of this approach. A practice model describing the implementation of the approach is then presented, based on the experiences of staff members in a home visiting program for infants that has been in existence…

Centrality of relationships (the integration of relationship-based concepts at the program, family, and child levels) is proposed as an organizing principle for the field of early intervention with children having disabilities. The shift from developmental deficit-based models to relationship-based organizing principles requires reformulating…

This article describes the successful Ohio Early Start program, which is designed to prevent later developmental problems in infants and toddlers. The program was coordinated with the existing early intervention program and other efforts to ensure a comprehensive, community-based and family friendly network of child development health and…

A study of 105 parents and 30 state-level administrators from six states investigated the state-level policy- and organization-centered strategies that are compatible with the needs identified by families of young children with disabilities. Results found parents identified access to services and the need for improved coordination as continuing…

Rather than viewing an early intervention team in isolation, a systems perspective considers the interrelationships and interdependence of the various elements comprising service delivery for children with disabilities. This article proposes a model, a multilayered framework, that takes into account the larger system of community and organization…

The Coimbra Early Intervention Project was undertaken in Portugal to develop the first coordinated, multidisciplinary, interagency program involving health care, education, and social service, using existing resources in the community. The program now operates regionwide and supports more than 100 families and children with disabilities or at…

Provides a case analysis of a child with a medically complex profile in which early-intervention staff and special-education staff worked to determine family priorities and utilized the local hospice agency to devise creative programming that meets the needs of the family and child. (Author/CR)

This article describes common federal and nongovernmental funding sources that provide early intervention services to families with young children who are disadvantaged or disabled. Three case studies portray how funding streams can be translated into coordinated services for children and families. Specific strategies include better service…

This article highlights the complexity of and critical need for service coordination for medically fragile infants and their families through an in-depth case study of a child and his family who "slipped through the cracks" of the system. The retrospective analysis describes problems and suggests alternative strategies for more effective…

Describes a program that addresses social, emotional, and behavior issues along with the developmental problems of infants and toddlers with developmental delays. Steps the early-intervention program in Montgomery County, Maryland, took to incorporate infant mental-health services are discussed and case studies are provided. (CR)

This article describes early intervention services provided to families with infants and young children with disabilities in Sweden. The "habilitation model" is based on medical, educational, psychological, and social perspectives placed in a family context. Government legislation stresses intervention focused on the handicapping…

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.…

A framework is provided for thinking about how welfare reform affects young children with disabilities and their families and strategies are presented for addressing their unique needs. The article documents the relationship between disability and poverty, reviews major changes in the law, and highlights challenges. (Contains references.)…