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Cited by 48Infant Development and Preterm CareFamily and Disability Support ResearchEarly Childhood Education and Development

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Birth Characteristics Associated With Early Intervention Referral, Evaluation for Eligibility, and Program Eligibility in the First Year of Life

Clements, Karen M., Barfield, Wanda D., Kotelchuck, Milton, Lee, Kimberly G., Wilber, Nancy·2006·Maternal and Child Health Journal
DOI 10.1007/s10995-006-0080-4
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Abstract

Objectives The Individual with Disabilities Education Act mandates Early Intervention (EI) services for infants and toddlers with developmental delay. We assessed the percentage of infants at risk for developmental delay due to characteristics present at birth who were referred to Massachusetts EI within 1 year of birth, evaluated for eligibility, and eligible for services. In addition, we identified birth characteristics that independently predicted 0-1 year program referral, evaluation, and eligibility. Methods The Pregnancy to Early Life Longitudinal (PELL) data system linked birth certificate, hospital discharge, and EI program data of 219,037 infants born in Massachusetts, 1998-2000. Multivariate logistic regressions identified independent infant predictors of referral, evaluation, and eligibility. Results Of 219,037 births, 14,852 (6.8%) were referred to EI within 1 year. Birthweight Conclusion EI referral and evaluation are high among infants born at risk for delay in Massachusetts. Some characteristics not included in the state's high-risk definition (e.g. birthweight 1200-1499 g) were identified that predicted referral. Most referrals were eligible for services. Results demonstrate the value to states of using linked population and program data for program evaluation.

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Crossref · 10.1007/s10995-006-0080-4

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  • The PELL system serves as the primary population model for successfully linking existing systems for developmental monitoring and Child Find purposes.

    “The PELL system serves as the primary population model for successfully linking existing systems for developmental monitoring and Child Find purposes”

    From A Systematic Review of Part C Early Identification Studies (2018) · cites this paper as Clements et al., 2006

  • The Pregnancy to Early Life Longitudinal (PELL) Data System from Massachusetts met criteria for a model system for children from general population (primary) settings.

    “The Pregnancy to Early Life Longitudinal (PELL) Data System from Massachusetts was identified from published reports that included all the key data points in the model for children from general population (primary) settings”

    From A Systematic Review of Part C Early Identification Studies (2018) · cites this paper as Clements et al., 2006

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Metadata

Authors
Clements, K. M., Barfield, W. D., Kotelchuck, M., Lee, K. G., & Wilber, N.
Affiliations
  • Massachusetts Department of Public Health (US)
  • Boston University (US)
  • Beth Israel Deaconess Medical Center (US)
Corresponding author
Clements, Karen M.
ORCID
Venue
Maternal and Child Health Journal
Publisher
Springer Science and Business Media LLC
Published
2006-05-19
Volume
10
Issue
5
Pages
433-441
ISSN
  • 1092-7875 (ISSN-L)
  • 1573-6628
DOI
10.1007/s10995-006-0080-4
OpenAlex
W2162082816
Cited by
48
References
0
Citations by year
2026: 1 · 2025: 1 · 2023: 3 · 2022: 3 · 2021: 1 · 2020: 4 · 2019: 7 · 2018: 3 · 2017: 1 · 2016: 3 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 2
FWCI
3.24
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Maternal and Child Health Journal (publishedVersion)
  • PubMed (publishedVersion)
Funders
U.S. Public Health Service (S3485-23/23, S1887-21/23)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
  • Social Sciences › Education › Early Childhood Education and Development
Keywords
early intervention, developmental delay, infants and toddlers, birth weight, low birth weight, birth characteristics, high-risk infants, triplet births, Individuals with Disabilities Education Act, Massachusetts
MeSH terms
Developmental Disabilities, Disability Evaluation, Eligibility Determination, Humans, Infant, Massachusetts, Medical Record Linkage, Referral and Consultation, Risk Factors, Confidence Intervals, Odds Ratio, Early Intervention, Educational, Risk Assessment

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