Telerehabilitation: An Adjunct Service Delivery Model for Early Intervention Services
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.
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
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
Copyright (c) 2011 Jana Cason
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.