Factors influencing access to early intervention for families of children with developmental disabilities: A narrative review

Background Early intervention (EI) can improve a range of outcomes for families of children with developmental disabilities. However, research indicates the level of access does not always match the level of need. To address disparities, it is essential to identify factors influencing access. Method We propose a framework where access to EI is conceptualised as a process that includes three main phases. A narrative review examined potential barriers, facilitators and modifiers of access for each phase. Results The process of access to EI includes the following: 1) recognition of need, 2) identification or diagnosis and 3) EI provision or receipt. Several factors affecting access to EI for each phase were identified, related to the family, services, the intersection between family and services, and the context. Conclusion A broad range of factors appear to influence the process of access to EI for this population. Our framework can be used in future research investigating access. Broad implications for policy, practice and future research to improve access to EI are discussed.

Automated summary

Early intervention can greatly impact families of children with developmental disabilities, but the level of access does not always match the level of need. It is important to identify factors influencing access in order to address disparities. The process of access to early intervention includes three main phases: recognition of need, identification or diagnosis, and EI provision or receipt.