Continuity of Early Intervention Services in New York City During the COVID-19 Pandemic
DOI:
https://doi.org/10.5195/ijt.2023.6553Keywords:
Children with disabilities, COVID-19, Early intervention services, Health services research, TeletherapyAbstract
In response to COVID-19, the New York City Early Intervention (EI) Program rapidly transitioned from in-person to teletherapy services. We describe the timing of service resumption among children who received EI services between March 1 and March 17, 2020. The proportion of children who transitioned to teletherapy-only was 25% as of March 24, rising to 78% by July 6. By December 31, 2020, 87% of the cohort had resumed either teletherapy or in-person services. Child age, race, language, and neighborhood poverty all predicted service resumption timing. Children with a diagnosis of autism spectrum disorder were more likely to transition to teletherapy, and children with only 1-2 domains of delay were more likely to discontinue services altogether. Continuity of EI services during the COVID-19 public health emergency was a critical priority. Timely policy changes facilitated swift return to services and avoided exacerbation of the long-standing racial disparities in access to EI services.
References
Cason J. (2009). A pilot telerehabilitation program: Delivering early intervention services to rural families. International Journal of Telerehabilitation, 1(1), 29–38. https://doi.org/10.5195/ijt.2009.6007
Cason J. (2011). Telerehabilitation: An adjunct service delivery model for early intervention services. International Journal of Telerehabilitation, 3(1), 19–30. https://doi.org/10.5195/ijt.2011.6071
Centers for Disease Control and Prevention. (2019). What is “early intervention?” https://www.cdc.gov/ncbddd/actearly/parents/states.html
Centers for Disease Control and Prevention. (2022). CDC Museum COVID-19 Timeline. https://www.cdc.gov/museum/timeline/covid19.html
Cole, B., Pickard, K., & Stredler-Brown, A. (2019). Report on the use of telehealth in early intervention in Colorado: Strengths and challenges with telehealth as a service delivery method. International Journal of Telerehabilitation, 11(1), 33–40. https://doi.org/10.5195/ijt.2019.6273
Deoni, S. C., Beauchemin, J., Volpe, A., Dâ Sa, V., & RESONANCE Consortium (2022). The COVID-19 pandemic and early child cognitive development: A comparison of development in children born during the pandemic and historical references. medRxiv: The Preprint Server for Health Sciences, 2021.08.10.21261846. https://doi.org/10.1101/2021.08.10.21261846
Eberly, L. A., Kallan, M. J., Julien, H. M., Haynes, N., Khatana, S. A. M., Nathan, A. S., Snider, C., Chokshi, N. P., Eneanya, N. D., Takvorian, S. U., Anastos-Wallen, R., Chaiyachati, K., Ambrose, M., O'Quinn, R., Seigerman, M., Goldberg, L. R., Leri, D., Choi, K., Gitelman, Y., Kolansky, D. M., … Adusumalli, S. (2020). Patient characteristics associated with telemedicine access for primary and specialty ambulatory care during the COVID-19 pandemic. JAMA Network Open, 3(12), e2031640. https://doi.org/10.1001/jamanetworkopen.2020.31640
Egan, S. M., Pope, J., Moloney, M., Hoyne, C., & Beatty, C. (2021). Missing early education and care during the pandemic: The socio-emotional impact of the COVID-19 crisis on young children. Early Childhood Education Journal, 49(5), 925–934. https://doi.org/10.1007/s10643-021-01193-2
Ellison, K. S., Guidry, J., Picou, P., Adenuga, P., & Davis, T. E. (2021). Telehealth and autism prior to and in the age of COVID-19: A systematic and critical review of the last decade. Clinical Child and Family Psychology Review, 24(3), 599–630. https://doi.org/10.1007/s10567-021-00358-0
Klintwall, L., Eldevik, S., & Eikeseth, S. (2015). Narrowing the gap: Effects of intervention on developmental trajectories in autism. Autism: The International Journal of Research and Practice, 19(1), 53–63. https://doi.org/10.1177/1362361313510067
Little, L. M., Wallisch, A., Pope, E., & Dunn, W. (2018). Acceptability and cost comparison of a telehealth intervention for families of children with autism. Infants & Young Children, 31(4), 275-286. https://doi.org/10.1097/IYC.0000000000000126
Litt, J. S., Glymour, M. M., Hauser-Cram, P., Hehir, T., & McCormick, M. C. (2018). Early intervention services improve school-age functional outcome among neonatal intensive care unit graduates. Academic Pediatrics, 18(4), 468–474. https://doi.org/10.1016/j.acap.2017.07.011
New York State Department of Health. (2020, April 1). New York State Department of Health Bureau of Early Intervention Guidance to Early Intervention Providers Regarding Novel Coronavirus (COVID-19). https://www.health.ny.gov/community/infants_children/early_intervention/docs/doh_covid19_eiproviders_04.01.20
Payán, D. D., Frehn, J. L., Garcia, L., Tierney, A. A., & Rodriguez, H. P. (2022). Telemedicine implementation and use in community health centers during COVID-19: Clinic personnel and patient perspectives. SSM. Qualitative Research in Health, 2, 100054. https://doi.org/10.1016/j.ssmqr.2022.100054
Pickard, K. E., Wainer, A. L., Bailey, K. M., & Ingersoll, B. R. (2016). A mixed-method evaluation of the feasibility and acceptability of a telehealth-based parent-mediated intervention for children with autism spectrum disorder. Autism: The International Journal of Research and Practice, 20(7), 845–855. https://doi.org/10.1177/1362361315614496
The Nation’s Report Card. (2022). NAEP Long-Term Trend Assessment Results: Reading and mathematics. https://www.nationsreportcard.gov/highlights/ltt/2022/
The National Early Childhood Technical Assistance Center. (2011, July). The importance of early intervention for infants and toddlers with disabilities and their families. https://ectacenter.org/~pdfs/pubs/importanceofearlyintervention.pdf
Sutherland, R., Trembath, D., Hodge, M. A., Rose, V., & Roberts, J. (2019). Telehealth and autism: Are telehealth language assessments reliable and feasible for children with autism? International Journal of Language & Communication Disorders, 54(2), 281–291. https://doi.org/10.1111/1460-6984.12440
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