Perspectives and Practices in Early Intervention Referrals for Children With Established Conditions

The primary objective of this study was to examine the perceptions, common referral practices, and resources utilized by pediatricians and Early Intervention (EI) personnel in facilitating the direct enrollment of children with established medical conditions into EI program. A survey, developed through a literature review, policy document review, and cognitive interviewing with pediatricians and EI personnel, was completed by 69 general pediatricians and 193 EI personnel involved in intake and eligibility evaluations in Michigan and Washington. Descriptive analysis was used to analyze the results. Most pediatricians (76%) and EI personnel (81%) rated the EI referral system as “ Excellent ,” “ Very good ,” or “ Good .” EI personnel primarily rely on state-approved established conditions list, internet searches, and colleague consultations for eligibility determination. Pediatricians reported “ Rarely ” utilizing the established conditions list, and instead they “ Often ” refer children to EI for eligibility determination, with limited or no accompanying medical information. Inconsistencies in key referral practices among these professionals were observed. Understanding perceptions and practices of pediatricians and EI personnel is crucial for improving early childhood preventive care. Addressing identified gaps and promoting consistency in referral practices can enhance access to EI services for children with established medical conditions and developmental delays.