Telerehabilitation: An Adjunct Service Delivery Model for Early Intervention Services

Authors

  • Jana Cason DHS, OTR/L Spalding University

DOI:

https://doi.org/10.5195/ijt.2011.6071

Abstract

Early Intervention (EI) services for children birth through two years of age are mandated by Part C of the Individuals with Disabilities Education Act (IDEA); however, personnel shortages, particularly in rural areas, limit access for children who qualify. Telerehabilitation has the potential to build capacity among caregivers and local providers as well as promote family-centered services through remote consultation.  This article provides an overview of research related to telerehabilitation and early intervention services; discusses the feasibility of telerehabilitation within traditional EI service delivery models; examines telecommunications technology associated with telerehabilitation; and provides hypothetical case examples designed to illustrate potential applications of telerehabilitation in early intervention.

  

Author Biography

Jana Cason, DHS, OTR/L Spalding University

Assistant Professor, Auerbach School of Occupational Therapy, Spalding University

References

Baharav, E. & Reiser, C. (2010). Using telepractice in parent training in early autism. Telemedicine and e-Health, 16, 727-731.

Bruder, M. (2010). Early childhood intervention: A promise to children and families for their future. Council for Exceptional Children, 76, 339-355.

Cason, J. (2009). A pilot telerehabilitation program: Delivering early intervention services to rural families. International Journal of Telerehabilitation, 1, 29-37.

Code of Federal Regulations. (2011). 34 CFR 303.18 - Natural environments. Retrieved from http://cfr.vlex.com/vid/303-natural-environments-19760129.

Dinnebeil, L., Pretti-Frontczak, K., & McInerney, W. (2009). A consultative itinerant approach to service delivery: Consideration for the early childhood community. Language, Speech, and Hearing Services in Schools, 40, 435-445.

Federal Communications Commission. (2010). Voice-Over-Internet protocol. Retrieved from http://www.fcc.gov/voip/

Hanson, M., & Bruder, M. (2001). Early intervention: Promises to keep. Infant and Young Children, 13(3), 47-58.

Harper, D. (2006). Telemedicine for children with disabilities. Children’s Health Care, 35(1), 11-27.

Heimerl, S., & Rasch, N. (2009). Delivering developmental occupational therapy consultation services through telehealth. Developmental Disabilities Special Interest Section Quarterly, 32(3), 1-4.

Karp, W., Grigsby, K., McSwiggan-Hardin, M., Pursley-Crotteau, S., Adams, L., Bell, W., Kanto, W. (2000). Use of telemedicine for children with special health care needs. Pediatrics, 105, 843-847.

Kelso, G., Fiechtl, B., Olsen, S., & Rule, S. (2009). The feasibility of virtual home visits to provide early intervention: A pilot study. Infants & Young Children, 22, 332-340.

National Early Childhood Technical Assistance Center (NECTAC). (2010). Part C SPP/APR 2010 Indicator Analyses – (FFY 2008). Retrieved from http://www.nectac.org/~pdfs/partc/part-c_sppapr_10.pdf

Robinson, S., Seale, D., Tiernan, K., & Berg, B. (2003). Use of telemedicine to follow special needs children. Telemedicine and e-Health, 9, 57-61.

Rush, D., Shelden, M., & Hanft, B. (2003). Coaching families and colleagues: A process for collaboration in natural settings. Infants & Young Children, 16(1), 33-47.

Scarborough, A., Hebbeler, K., & Spiker, D. (2006). Eligibility characteristics of infants and toddlers entering early intervention services in the United States. Journal of Policy and Practice in Intellectual Disabilities, 3, 57-64.

Trute, B., & Hiebert-Murphy, D. (2007). The implications of “working alliance” for the measurement and evaluation of family-centered practice in childhood disability services. Infants & Young Children, 20, 109-119.

Vismara, L., Young, G., Stahmer, A., Griffith, E., & Rogers, S. (2009). Dissemination of evidence-based practice: Can we train therapists from a distance? Journal of Autism and Developmental Disorders, 39, 1636-1651.

Wakeford, L. (2002, November 25). Telehealth technology for children with special needs. OT Practice, 12-16.

Watzlaf, V., Moeini, S., & Firouzan, P. (2010). VoIP for telerehabilitation: A risk analysis for privacy, security, and HIPAA compliance. International Journal of Telerehabilitation, 2(2), 3-14. doi: 10.5195/ijt.2010.6056

Workgroup on Principles and Practices in Natural Environments. (2007, November). Mission and principles for providing services in natural environments. OSEP TA Community of Practice-Part C Settings. Retrieved from http://www.nectac.org/topics/families/families.asp

Additional Resources

American Occupational Therapy Association’s Position Paper on Telerehabilitation, http://media.americantelemed.org/ICOT/AOTA%20telereh05.pdf

American Physical Therapy Association’s Position on Telehealth, http://www.apta.org/AM/Template.cfm?Section=Home&CONTENTID=67435&TEMPLATE=/CM/ContentDisplay.cfm

American Speech-Language-Hearing Association’s Position Statement on Telepractice http://www.asha.org/docs/html/PS2005-00116.html

American Telemedicine Association, http://www.americantelemed.org

American Telemedicine Association’s A Blueprint for Telerehabilitation Guidelines, http://www.americantelemed.org/files/public/standards/ATA%20Telerehab%20Guidelines%20v1%20(2).pdf; also available at http://telerehab.pitt.edu/ojs/index.php/Telerehab/article/view/6063/6293

Published

2011-05-24

How to Cite

Cason, J. (2011). Telerehabilitation: An Adjunct Service Delivery Model for Early Intervention Services. International Journal of Telerehabilitation, 3(1). https://doi.org/10.5195/ijt.2011.6071

Issue

Section

Clinical Report

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