Families’ Access to Early Intervention and Supports for Children With Developmental Disabilities
This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.
About the autistic author markerSapiets, S. J., Hastings, R. P., Stanford, C., & Totsika, V. (2022). Families’ Access to Early Intervention and Supports for Children With Developmental Disabilities. Journal of Early Intervention, 45(2), 103-121. https://doi.org/10.1177/10538151221083984
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Authors
Abstract
Early intervention (EI) provision is critical for families who have children with developmental disabilities (DD), but existing evidence suggests accessing EI is not always straightforward. The purpose of this study was to provide a comprehensive description of access to various EI supports (e.g., professionals, services, interventions) for families of young children with suspected or diagnosed DD across the United Kingdom and to investigate perceived ease of access to support, unmet need for support, and barriers and facilitators of access to support. Overall, 673 parental caregivers of children aged 0 to 6 years with suspected or diagnosed DD (e.g., developmental delay, intellectual disability, autism) completed our survey anonymously. Across education, health, and social care, services accessed the most were pediatrics (N = 569, 84.5%), speech and language (N = 567, 84.2%), and general medical practice (N = 530, 78.8%). However, only 18.9% (N = 127) accessed packaged interventions. More than three-quarters (N = 508, 75.5%) reported an unmet need for early support, indicating a mismatch between the availability and capacity of services and demand for support. Parents also reported common barriers (e.g., obstructive services and unhelpful professionals) and facilitators (e.g., supportive and competent professionals, enabling parent factors) of access. Implications for policy, practice, and research are discussed.
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These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 28 Oct 2026 01:01.
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- 59
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- 10
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- 59 / 69 (85.5%)
- Without detected author names
- 10
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- 10
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- 10
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- 10
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- From DOI or external metadata
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-
Sarah Dababnah , Kathleen Bulson (2015). “On the Sidelines”: Access to Autism-Related Services in the West Bank . Journal of Autism and Developmental Disorders, 45(12), 4124-4134. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Anna I Akhmetzyanova (2016). Formation and Evolution of Early Intervention for Children with Developmental Delays in Russia and Abroad . Journal of Psychological Abnormalities, 5(s1). OMICS Publishing Group.Crossref OpenAlex OpenCitations
-
null (2016). null . Philosophy Study, 6(9). David Publishing Company.Crossref OpenAlex OpenCitations
-
Katherine S. Wallace , Sally J. Rogers (2010). Intervening in infancy: implications for autism spectrum disorders . Journal of Child Psychology and Psychiatry, 51(12), 1300-1320. Wiley.Crossref OpenAlex OpenCitations
-
Lindsay A. Allerton , Vicki Welch , Eric Emerson (2011). Health inequalities experienced by children and young people with intellectual disabilities . Journal of Intellectual Disabilities, 15(4), 269-278. SAGE Publications.Crossref OpenAlex OpenCitations
-
Jacob Cohen (1960). A Coefficient of Agreement for Nominal Scales . Educational and Psychological Measurement, 20(1), 37-46. SAGE Publications.Crossref OpenAlex OpenCitations
-
LUIS SALVADOR CARULLA , GEOFFREY M. REED , LEILA M. VAEZ‐AZIZI , Sally-Ann Cooper , RAFAEL MARTINEZ LEAL , MARCO BERTELLI et al. (2011). Intellectual developmental disorders: towards a new name, definition and framework for “mental retardation/intellectual disability” in ICD‐11 . World Psychiatry, 10(3), 175-180. Wiley.Crossref OpenAlex OpenCitations
-
González Moreno, Andrés Santiago (2013). Diagnostic and Statistical Manual of Mental Disorders . American Psychiatric Association.Crossref OpenAlex OpenCitations
-
Jane Ritchie , Liz Spencer (2010). Qualitative data analysis for applied policy research . In Analyzing qualitative data (pp. 173-194). Taylor & Francis.Crossref OpenAlex OpenCitations
-
R.A. McWilliam , Linda Lang , Pat Vandiviere , Robbie Angell , Laurie Collins , Gayle Underdown (1995). Satisfaction and Struggles: Family Perceptions of Early Intervention Services . Journal of Early Intervention, 19(1), 43-60. SAGE Publications.Crossref OpenAlex OpenCitations
-
Kristi L. Atkins , Jill K. Dolata , Patricia M. Blasco , Sage N. Saxton , Susanne W. Duvall (2020). Early Intervention Referral Outcomes for Children at Increased Risk of Experiencing Developmental Delays . Maternal and Child Health Journal, 24(2), 204-212. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Suzi Jayne Sapiets *Autistic author. Learn more… , Vasiliki Totsika , Richard P. Hastings (2021). Factors influencing access to early intervention for families of children with developmental disabilities: A narrative review . Journal of Applied Research in Intellectual Disabilities, 34(3), 695-711. Wiley.Crossref OpenAlex OpenCitations
-
CECILY L. BETZ , MARION TAYLOR BAER , MARIE POULSEN , UMME VAHANVATY , MELISSA BARE , YOUMNA HADDAD et al. (2004). SECONDARY ANALYSIS OF PRIMARY AND PREVENTIVE SERVICES ACCESSED AND PERCEIVED SERVICE BARRIERS BY CHILDREN WITH DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES . Issues in Comprehensive Pediatric Nursing, 27(2), 83-106. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Tom Bailey , Vasiliki Totsika , Richard P. Hastings , Chris Hatton , Eric Emerson (2019). Developmental trajectories of behaviour problems and prosocial behaviours of children with intellectual disabilities in a population‐based cohort . Journal of Child Psychology and Psychiatry, 60(11), 1210-1218. Wiley.Crossref OpenAlex OpenCitations
-
Julie Maltais , Diane Morin , Marc J. Tassé (2020). Healthcare services utilization among people with intellectual disability and comparison with the general population . Journal of Applied Research in Intellectual Disabilities, 33(3), 552-564. Wiley.Crossref OpenAlex OpenCitations
-
Edward F. Zigler (2000). Handbook of Early Childhood Intervention . Cambridge University Press.Crossref OpenAlex OpenCitations
-
M. Bellman , O. Byrne , R. Sege (2013). Developmental assessment of children . BMJ, 346(jan15 2), e8687-e8687. BMJ.Crossref OpenAlex OpenCitations
-
Sandra E. Herman , Maureen O. Marcenko , Steven J. Taylor (1997). Perceptions of Services and Resources as Mediators of Depression Among Parents of Children With Developmental Disabilities . Mental Retardation, 35(6), 458-467. Informa UK Limited.Type: Article DOI: 10.1352/0047-6765(1997)035<0458:posara>2.0.co;2 OpenAlex: https://openalex.org/W2058841881Crossref OpenAlex OpenCitations
-
Roy Grant , Elizabeth A. Isakson (2012). Regional Variations in Early Intervention Utilization for Children with Developmental Delay . Maternal and Child Health Journal, 17(7), 1252-9. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Megan L. E. Clark , Zoe Vinen , Josephine Barbaro *Autistic author. Learn more… , Cheryl Dissanayake (2018). School Age Outcomes of Children Diagnosed Early and Later with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 48(1), 92-102. Springer Science and Business Media LLC.
-
Emily Feinberg , Michael Silverstein , Sara Donahue , Robin Bliss (2011). The Impact of Race on Participation in Part C Early Intervention Services . Journal of Developmental & Behavioral Pediatrics, 32(4), 284-291. Ovid Technologies (Wolters Kluwer Health).Crossref OpenAlex OpenCitations
-
Christina Birkin , Angelika Anderson , Fred Seymour , Dennis W. Moore (2008). A parent‐focused early intervention program for autism: Who gets access? Journal of Intellectual & Developmental Disability, 33(2), 108-116. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Jo Bromley , Dougal Julian Hare , Kerry Davison , Eric Emerson (2004). Mothers supporting children with autistic spectrum disorders . Autism, 8(4), 409-423. SAGE Publications.Crossref OpenAlex OpenCitations
-
Julie E. Sutton , Jaci C. Huws , Christopher R. Burton (2019). Experiences of sleep hygiene education as an intervention for sleep problems in children with developmental disabilities: Findings from an exploratory study . British Journal of Learning Disabilities, 47(3), 165-173. Wiley.Crossref OpenAlex OpenCitations
-
Oliver Chadwick , Jennifer Beecham , Nicola Piroth , Sarah Bernard *Autistic author. Learn more… , Eric Taylor (2002). Respite Care for Children with Severe Intellectual Disability and their Families: Who Needs It? Who Receives It? Child and Adolescent Mental Health, 7(2), 66-72. Wiley.Crossref OpenAlex OpenCitations
-
Flavia Chiarotti , Aldina Venerosi (2020). Epidemiology of Autism Spectrum Disorders: A Review of Worldwide Prevalence Estimates Since 2014 . Brain Sciences, 10(5), 274. MDPI AG.Crossref OpenAlex OpenCitations
-
Megumi J. Okumura , Heather A. Knauer , Kris E. Calvin , John I. Takayama (2018). Caring for Children with Special Health Care Needs: Profiling Pediatricians and Their Health Care Resources . Maternal and Child Health Journal, 22(7), 1042-1050. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Rafat Hussain , Kathleen Tait (2015). Parental perceptions of information needs and service provision for children with developmental disabilities in rural Australia . Disability and Rehabilitation, 37(18), 1609-1616. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Michelle H. Zimmer , Laura M. Panko (2006). Developmental Status and Service Use Among Children in the Child Welfare System . Archives of Pediatrics & Adolescent Medicine, 160(2), 183. American Medical Association (AMA).Crossref OpenAlex OpenCitations
-
Louise D. Denne , Richard P. Hastings , Carl J. Hughes (2018). Common approaches to intervention for the support and education of children with autism in the UK: an internet-based parent survey . International Journal of Developmental Disabilities, 64(2), 105-112. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Katharine E Zuckerman , Olivia J Lindly , Brianna Kathleen Sinche (2015). Parental Concerns, Provider Response, and Timeliness of Autism Spectrum Disorder Diagnosis . The Journal of Pediatrics, 166(6), 1431-1439.e1. Elsevier BV.Crossref OpenAlex OpenCitations
-
Laura Crane , James W Chester , Lorna Goddard , Lucy A Henry , Elisabeth L. Hill (2016). Experiences of autism diagnosis: A survey of over 1000 parents in the United Kingdom . Autism, 20(2), 153-162. SAGE Publications.Crossref OpenAlex OpenCitations
-
Gill Toms , Vasiliki Totsika , Richard P. Hastings , Helen Healy (2015). Access to services by children with intellectual disability and mental health problems: Population-based evidence from the UK . Journal of Intellectual and Developmental Disability, 40(3), 239-247. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Kathleen C. Thomas , Alan R. Ellis , Carolyn McLaurin , Julie Daniels , Joseph P. Morrissey (2007). Access to Care for Autism-Related Services . Journal of Autism and Developmental Disorders, 37(10), 1902-1912. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Mairi Ann Cullen , Geoff Lindsay (2019). Special Educational Needs: Understanding Drivers of Complaints and Disagreements in the English System . Frontiers in Education, 4. Frontiers Media SA.Crossref OpenAlex OpenCitations
-
Cynthia Leung , Angel Fan , Matthew R. Sanders (2013). The effectiveness of a Group Triple P with Chinese parents who have a child with developmental disabilities: A randomized controlled trial . Research in Developmental Disabilities, 34(3), 976-984. Elsevier BV.Crossref OpenAlex OpenCitations
-
Vasiliki Totsika , Richard P. Hastings , Eric Emerson , Gillian A. Lancaster , Damon M. Berridge (2011). A population‐based investigation of behavioural and emotional problems and maternal mental health: associations with autism spectrum disorder and intellectual disability . Journal of Child Psychology and Psychiatry, 52(1), 91-99. Wiley.Crossref OpenAlex OpenCitations
-
(n.d.). Department for Work and Pensions. (2021, March 25). Households below average income: An analysis of the income distribution FYE 1995 to FYE 2020. GOV. UK. https://www.gov.uk/government/statistics/households-below-average-income-for-financial-years-ending-1995-to-2020/households-below-average-income-an-analysis-of-the-income-distribution-fye-1995-to-fye-2020Type: OtherCrossref
-
Odom, Samuel L , Barton, Erin E , Brian Boyd , Brian Reichow (2016). Handbook of Early Childhood Special Education . Springer International Publishing.Crossref OpenAlex OpenCitations
-
Xin Wei , Mary Wagner , Elizabeth R. A. Christiano , Paul Shattuck , Jennifer W. Yu (2014). Special Education Services Received by Students With Autism Spectrum Disorders From Preschool Through High School . The Journal of Special Education, 48(3), 167-179. SAGE Publications.Crossref OpenAlex OpenCitations
-
Dunst C. J. (2008). Early intervention for infants and toddlers with developmental disabilities. In Odom S. L., Horner R. H., Snell M. E. (Eds.), Handbook of developmental disabilities (1st ed, pp. 161–180). Guilford Press. https://www.routledge.com/Handbook-of-Developmental-Disabilities/Odom-Horner-Snell-Blacher/p/book/9781606232484Type: OtherCrossref
-
B. M. McManus , A. C. Carle , M. J. Rapport (2014). Classifying infants and toddlers with developmental vulnerability: who is most likely to receive early intervention? Child: Care, Health and Development, 40(2), 205-214. Wiley.Crossref OpenAlex OpenCitations
-
Lisa A. Ruble , Craig Anne Heflinger , J. William Renfrew , Rob Saunders (2005). Access and Service Use by Children with Autism Spectrum Disorders in Medicaid Managed Care . Journal of Autism and Developmental Disorders, 35(1), 3-13. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Catriona George , Natalia Kolodziej , Michael Rendall , Fleur-Michelle Coiffait (2014). The effectiveness of a Learning Disability specific group parenting programme for parents of preschool and school-age children . Educational and Child Psychology, 31(4), 18-29. British Psychological Society.Crossref OpenAlex OpenCitations
-
Nazilla Khanlou , Nasim Haque , Nida Mustafa , Luz Maria Vazquez , Anne Mantini , Jonathan Weiss (2017). Access Barriers to Services by Immigrant Mothers of Children with Autism in Canada . International Journal of Mental Health and Addiction, 15(2), 239-259. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Robin A. McWilliam (2016). Birth to Three: Early Intervention . In Handbook of Early Childhood Special Education (pp. 75-88). Springer International Publishing.Type: Book chapter DOI: 10.1007/978-3-319-28492-7_5OpenCitations
-
Ann P. Turnbull , Jean Ann Summers , Rud Turnbull , Mary Jane Brotherson , Pam Winton , Richard Roberts et al. (2007). Family Supports and Services in Early Intervention: A Bold Vision . Journal of Early Intervention, 29(3), 187-206. SAGE Publications.Crossref OpenAlex OpenCitations
-
Richard P. Hastings (2016). Do Children With Intellectual and Developmental Disabilities Have a Negative Impact on Other Family Members? The Case for Rejecting a Negative Narrative . In International Review of Research in Developmental Disabilities (pp. 165-194). Elsevier.Crossref OpenAlex OpenCitations
-
Erica Salomone , Štěpánka Beranová , Frédérique Bonnet-Brilhault , Marlene Briciet Lauritsen , Magdalena Budisteanu , Jan K. Buitelaar et al. (2016). Use of early intervention for young children with autism spectrum disorder across Europe . Autism, 20(2), 233-249. SAGE Publications.Crossref OpenAlex OpenCitations
-
R.A. McWilliam , Linda Lang , Pat Vandiviere , Robbie Angell , Laurie Collins , Gayle Underdown (1995). Satisfaction and Struggles: Family Perceptions of Early Intervention Services . Journal of Early Intervention, 19(1), 43-60. SAGE Publications.Type: Article DOI: 10.1177/105381519501900110OpenCitations
-
Steven A. Rosenberg , Duan Zhang , Cordelia C. Robinson (2008). Prevalence of Developmental Delays and Participation in Early Intervention Services for Young Children . Pediatrics, 121(6), e1503-e1509. American Academy of Pediatrics (AAP).Crossref OpenAlex OpenCitations
-
Arun Karpur , Angela Lello , Thomas W. Frazier , Pamela J. Dixon , Andy J. Shih (2019). Health Disparities among Children with Autism Spectrum Disorders: Analysis of the National Survey of Children’s Health 2016 . Journal of Autism and Developmental Disorders, 49(4), 1652-1664. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Frank W. Kohler (1999). Examining the Services Received by Young Children with Autism and Their Families . Focus on Autism and Other Developmental Disabilities, 14(3), 150-158. SAGE Publications.Crossref OpenAlex OpenCitations
-
Deborah J. Ward , Christine Furber , Stephanie Tierney , Veronica Swallow (2013). Using F ramework A nalysis in nursing research: a worked example . Journal of Advanced Nursing, 69(11), 2423-2431. Wiley.Crossref OpenAlex OpenCitations
-
L McDonald (2006). Investigation of global developmental delay . Archives of Disease in Childhood, 91(8), 701-705. BMJ.Crossref OpenAlex OpenCitations
-
Kylie M. Gray , Caroline Keating , John Taffe , Avril Brereton , Stewart Einfeld , Bruce Tonge (2012). Trajectory of Behavior and Emotional Problems in Autism . American Journal on Intellectual and Developmental Disabilities, 117(2), 121-133. Informa UK Limited.OpenCitations
-
Micah O. Mazurek , Christina Harkins , Michelle Menezes , James Chan , Robert A. Parker , Karen Kuhlthau et al. (2020). Primary Care Providers' Perceived Barriers and Needs for Support in Caring for Children with Autism . The Journal of Pediatrics, 221, 240-245.e1. Elsevier BV.Crossref OpenAlex OpenCitations
-
Gloria L. Harbin , R. A. McWilliam , James J. Gallagher (2000). Services for Young Children with Disabilities and Their Families . In Handbook of Early Childhood Intervention (pp. 387-415). Cambridge University Press.Type: Book chapter DOI: 10.1017/cbo9780511529320.020OpenCitations
-
Beth M. McManus , Zachary Richardson , Margaret Schenkman , Natalie J. Murphy , Rachel M. Everhart , Simon Hambidge et al. (2020). Child characteristics and early intervention referral and receipt of services: a retrospective cohort study . BMC Pediatrics, 20(1), 84-84. Springer Science and Business Media LLC.Crossref OpenAlex
-
Beth McManus , Zachary Richardson , Margaret Schenkman , Natalie Murphy , Rachel Everhart , Simon Hambidge et al. (2020). Child Characteristics and Early Intervention Referral and Receipt of Services: A Retrospective Cohort Study . Springer Science and Business Media LLC.OpenCitations
-
NHS England. (n.d.). Children and young people keyworkers. https://www.england.nhs.uk/learning-disabilities/care/children-young-people/keyworkers/Type: OtherCrossref
-
(n.d.). Office for National Statistics. (2018, August 1). Population of England and Wales. GOV UK. www.ethnicity-facts-figures.service.gov.uk/uk-population-by-ethnicity/national-and-regional-populations/population-of-england-and-wales/latestType: OtherCrossref
-
(n.d.). Office for National Statistics. (2019, February 26). Average household income, UK: Financial year ending 2018. www.ons.gov.uk/peoplepopulationandcommunity/personalandhouseholdfinances/incomeandwealth/bulletins/householddisposableincomeandinequality/yearending2018Type: OtherCrossref
-
(n.d.). Office for National Statistics. (2021, June 2). Working and workless households in the UK: January to March 2021. Office for National Statistics. https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/employmentandemployeetypes/bulletins/workingandworklesshouseholds/januarytomarch2021Type: OtherCrossref
-
Organisation for Economic Co-operation Development (OECD). (n.d.). What are equivalence scales? http://www.oecd.org/els/soc/OECD-Note-EquivalenceScales.pdfType: OtherCrossref
-
Potter-Collins A. (2011). Measuring equality: A guide for the collection and classification of ethnic group, national identity and religion data in the UK. Office for National Statistics. https://www.ons.gov.uk/methodology/classificationsandstandards/measuringequality/ethnicgroupnationalidentityandreligionType: OtherCrossref
-
Read N., Schofield A. (2010). Autism: Are mental health services failing children and parents? Recent research suggests that many CAMHS need to improve. Journal of Family Health Care, 20(4), 120–125. https://pubmed.ncbi.nlm.nih.gov/21053660/Type: OtherCrossref
-
Marissa E. Yingling , Bethany A. Bell (2020). Utilization of speech‐language, occupational and physical therapy by diagnosis of autism spectrum disorder . Child: Care, Health and Development, 46(5), 563-570. Wiley.Crossref OpenAlex OpenCitations
-
(n.d.). UK Government. (2019, September 26). English indices of deprivation 2019. https://www.gov.uk/government/collections/english-indices-of-deprivation-2019Type: OtherCrossref