Factors influencing access to early intervention for families of children with developmental disabilities: a narrative review
Open accessAbstract
Background: Early intervention (EI) can improve a range of outcomes for families of children with developmental disabilities. However, research indicates the level of access does not always match the level of need. To address disparities, it is essential to identify factors influencing access. Method: We propose a framework where access to EI is conceptualised as a process that includes three main phases. A narrative review examined potential barriers, facilitators and modifiers of access for each phase. Results: The process of access to EI includes the following: 1) recognition of need, 2) identification or diagnosis and 3) EI provision or receipt. Several factors affecting access to EI for each phase were identified, related to the family, services, the intersection between family and services, and the context. Conclusion: A broad range of factors appear to influence the process of access to EI for this population. Our framework can be used in future research investigating access. Broad implications for policy, practice and future research to improve access to EI are discussed.
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The results are consistent with a recently published international framework describing the process of accessing early intervention services, from recognition of developmental need, to identification or diagnosis, to receipt of services.
“The results from this study are consistent with a recently published international framework describing the process of accessing early intervention services, from recognition of developmental need, to identification or diagnosis, to receipt of services.20”
From Sustained Effectiveness of a 211 Call Center With Early Childhood Care Coordination (2025) · cites this paper as [20]
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McCafferty, P., & McCutcheon, J. (2020) · Child Care in Practice · doi:10.1080/13575279.2020.1765145 · Cited by 21 · see citing works
Scaling up child development centres in Bangladesh
Khan, N. Z., Sultana, R., Ahmed, F., et al. (2017) · Child Care Health and Development · doi:10.1111/cch.12530 · Cited by 19 · see citing works
The incredible years parent program for Chinese preschoolers with developmental disabilities
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Being a dad to a child with Down’s syndrome: Overcoming the challenges to adjustment
Ridding, A., & Williams, J. (2019) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.12563 · Cited by 18 · see citing works
Stanford, C. E., Totsika, V., & Hastings, R. P. (2020) · Research in Autism · doi:10.1016/j.rasd.2020.101615 · Cited by 18 · see citing works
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Neurodevelopmental Disabilities: Introduction and Epidemiology
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Flagged first, then by citations
Research works printed but not linked: 1
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Cited by
Sorted by citations
Early Childhood Care Coordination Through 211: A Randomized Clinical Trial
Nelson, B. B., Dudovitz, R. N., Thompson, L. R., Vangala, S., Zevallos-Roberts, E., Gulsrud, A., Porras-Javier, L., Romley, J. A., Herrera, P., Aceves, I., et al. (2024) · Pediatrics · doi:10.1542/peds.2023-065232 · Cited by 9 · see citing works
Sustained Effectiveness of a 211 Call Center With Early Childhood Care Coordination
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- Authors
- Sapiets, S. J., Totsika, V., & Hastings, R. P.
- Affiliations
- University of Warwick (GB)
- Corresponding author
- Sapiets, Suzi J.
- Venue
- Journal of Applied Research in Intellectual Disabilities
- Publisher
- Wiley
- Published
- 2020-12-22
- Volume
- 34
- Issue
- 3
- Pages
- 695-711
- ISSN
- 0952-9608 (ISSN-L)
- 1360-2322
- 1468-3148
- PMC
- PMC8246771
- OpenAlex
- W3113098262
- Cited by
- 141
- References
- 125
- Citations by year
- 2026: 32 · 2025: 43 · 2024: 32 · 2023: 20 · 2022: 10 · 2021: 4
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Applied Research in Intellectual Disabilities (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Warwick Research Archive Portal (University of Warwick) (submittedVersion)
- Kent Academic Repository (University of Kent) (submittedVersion)
- Funders
- University of Warwick
- Cerebra
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- early intervention, developmental disabilities, access to services, barriers and facilitators, diagnosis, service delivery
- MeSH terms
- Child, Developmental Disabilities, Humans, Intellectual Disability, Early Intervention, Educational
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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