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Health care providers screen children systematically and regularly, using proven screening instruments, to identify infants and young children who are at biological risk of poor outcomes and those who are at risk of or experiencing developmental delays. Providers follow positive screening results with detailed assessments. They provide or link families to early intervention, therapeutic, and remedial services as needed.
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| The Hawaii HealthyStart program’s process for identifying at-risk families of newborns begins at hospital registration. Targeted families receive home visits to screen for developmental delays, assess parent-child interactions, and ensure that families have a pediatric primary care provider.
The Family, Infant and Toddler Program of the Vermont Department of Health is a family-centered, coordinated system of early intervention services for infants and toddlers who have delayed development or a health condition that delay development and their families. The program links families with public and private agencies, parent child centers, local school districts, health care practitioners, private therapists, and child care providers. Services and supports are provided in the most convenient and natural places for the family and child, including the home, child care setting, and community play group. http://www.dcf.state.vt.us/cdd/programs/prevention/fitp/index.html | |
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Providers of child care, family support, and early education recognize their role in identifying infants and young children who are at biological risk of poor outcomes, are experiencing developmental delays, or have relationships with parents that do not support developmental progress. Providers enlist health, mental health, and developmental consultants and children's primary health care providers in making judgments about individual children. They provide or link families to early intervention, therapeutic, and remedial services as needed.
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| The Maryland Family Support Centers Network aim to catch developmental delays early in a child’s life and provide individualized follow-up. Infants and toddlers are assessed through standardized testing and daily observation; those with delays are referred to the state’s Early Intervention Program for further evaluation. | |
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Health care providers are prepared to intervene at the earliest possible moment to provide support and services to at-risk infants and their families.
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| Under the Newborn Individualized Developmental Care and Assessment Program (a model of care for infants in neonatal intensive care units in multiple sites), developmental specialists observe the infants to assess signals of stability and stress. Professional caregivers work with family members to develop a plan for nurturing and interacting with each infant based on those observations and the infant’s physical condition and health. Caregivers are trained to recognize the infant’s communication and respond appropriately. | |
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