Implementing Services for Young Children, birth to 3, Post Covid

While many families have been struggling to work from home, stay healthy, and provide opportunities for their children, young children who may be eligible for early intervention services are not being referred to agencies providing Part C services. Referrals have declined due to a decrease in visits to pediatricians and fewer children in early care settings. Parents may have been unaware of the more subtle indicators of delay or reduced muscle tone given the chaos of pandemic issues for work, social activities, fewer play dates with age peers, and COVID anxiety.

States are being encouraged to increase their efforts to implement “child find” activities to identify, and evaluate all infants and toddlers who may be eligible for early intervention services. This will require increased efforts as families may still be working from home and options for child care remain more limited. Pediatricians nationwide are being encouraged to reach out to patients for routine well baby care and developmental assessments.

Any children, who were referred prior to the pandemic and services were disrupted by the pandemic, may be eligible for compensatory services. Referral sources are required to refer a child within seven days of when the child is suspected of having a disability. If the child is determined eligible, the initial child and family assessment must conducted and the individualized family service plan (IFSP) meeting held within 45 days. Higher priority is to be given to those children referred prior to the pandemic and if the child is over three, the EIS system must coordinate with the Part B Preschool program to meet their child find requirements. If parents have declined services during the pandemic, the State Lead Agency is encourage to recontact parents and encourage the parent to re-engage. If the child is over the age of three, information about the Part B Preschool program should be provided.

As parents and local early intervention systems become more comfortable with in-person evaluations and services, a return to a more typical model of service delivery. Getting past a backlog of referrals and evaluations may require additional temporary staff to ensure timelines and delivery of services in a more timely manner.

Check out this article from Disability Scoop: https://www.disabilityscoop.com/2021/11/01/ed-department-reminds-states-of-early-intervention-obligations-under-idea/29574/ 

The Devastating Impact of Covid-19 on Individuals with Intellectual Disabilities in the United States | Catalyst non-issue content

The Devastating Impact of Covid-19 on Individuals with Intellectual Disabilities in the United States | Catalyst non-issue content
— Read on catalyst.nejm.org/doi/full/10.1056/CAT.21.0051

https://catalyst.nejm.org/doi/full/10.1056/CAT.21.0051

Individuals with intellectual disabilities are more vulnerable to COVID as a result of lack of access to health care and vaccines. In addition, many have sensory or behavior issues which limit mask wearing.

Detroit’s Covid vaccination queue is one of first to include people with ADHD, other disabilities

Detroit is now giving Covid-19 vaccinations to people with ADHD, autism, vision or hearing impairments, and other intellectual and developmental disabilities.
— Read on www.nbcnews.com/news/us-news/detroit-s-covid-vaccination-queue-one-first-include-people-adhd-n1258399

An important decision to improve access for those individuals having problems with mask wearing and social distancing.

Returning to School in the Fall

Young children and students with disabilities face significant education challenges as the beginning of school in the fall approaches.  Around the country, school districts are grappling with the format and pace of programming while at the same time accommodating the learning needs of many children.  The physical obstacles include transportation of children while observing social distancing and variations in hybrid models of in-school and virtual learning.

Many young children and students with disabilities may not be willing to tolerate masks, particularly when riding for long periods of time on a bus or when attempting to communicate if dependent on sign language or communication supports.  Variability in routines will challenge children if the schedules are intermittent or are unexpectedly changed due to recurrent school closures for student or teacher illness.

Some children with IFSPs and IEPs that have not been implemented during the quarantine period may be eligible for compensatory services.  Team meetings, with parent participation, will evaluate the current levels of student functioning within the curriculum and determine any revisions that will assist the child.  Additional services may be necessary to support the child with regressions during distance learning.