Early intervention and special education in New York City: Patterns of service use and disparities affecting children of colour.
Background: Compliance with the requirements of the Individuals with Disabilities Education Act (IDEA) in the United States is monitored through review of cross‐sectional reports from three discrete, age‐defined programmes (early intervention [EI], early childhood special education [ECSE)] and schoo...
| Publicado en: | Child: Care, Health & Development Vol. 49; no. 1; pp. 119 - 130 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160783841&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160783841 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03051862 6NX jtl: Child: Care, Health & Development issn: 03051862 maglogo: Y pubinfo: dt: Jan2023 vid: 49 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 160783841 157758856 160783841 160783841 10.1111/cch.13024 160783841 ppf: 119 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Early intervention and special education in New York City: Patterns of service use and disparities affecting children of colour. aug: au: Romo, Matthew L. Jordan, Phoebe McVeigh, Katharine H. Chan, Pui Ying Stingone, Jeanette A. Lim, Sungwoo Askew, George L. affil: Division of Family and Child Health, New York City Department of Health and Mental Hygiene, Queens New York,, USA sug: subj: Early Childhood Intervention Education, Special Health Resource Utilization Healthcare Disparities Racism Human New York Female Male Child Quantitative Studies Children with Disabilities Legislation and Jurisprudence Speech Therapy Occupational Therapy Academic Achievement Students, Elementary Descriptive Statistics Child: 6-12 years Female Male ab: Background: Compliance with the requirements of the Individuals with Disabilities Education Act (IDEA) in the United States is monitored through review of cross‐sectional reports from three discrete, age‐defined programmes (early intervention [EI], early childhood special education [ECSE)] and school‐age special education [SE]) to promote the timely, efficient and effective delivery of appropriate services to all eligible children. Analysis of longitudinal data is required to discern how children use services across programmes to provide the necessary context for IDEA oversight and to identify areas for programme or policy interventions to reduce barriers to service use and promote equity. Methods: We applied sequence analysis to a data linkage across five public record systems among 15 626 New York City children born in 1998 who had records from birth through third grade. Results: Five predominant patterns of service use were identified: (1) multiple therapies across EI/ECSE/SE (13%), (2) EI without transition to Department of Education schools or services (24%), (3) EI and intermittent ECSE/SE (16%), (4) older entry into EI and both speech and occupational therapy throughout ECSE/SE (9%) and (5) limited EI use and mostly speech therapy in ECSE/SE (38%). Each pattern had distinct demographics (e.g., pattern 2 was disproportionately White and from low poverty neighbourhoods; pattern 4 was disproportionately male and Black; pattern 5 was disproportionately Latino) and academic outcomes (e.g., pattern 1 had largest proportion in a SE school and not tested in third grade; pattern 3 had third grade tests scores that were similar to overall citywide mean scores). Conclusions: The differences in demographic profiles across the five patterns of service use illustrate the systemic inequities in the delivery of these important services. Delayed entry and limited use of EI services among children of colour underscore the need for equity goals to increase early referral and optimize service use. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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