Difference between revisions of "Disability/Early Intervention"

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<big>To change anything in this page, feel free to contribute directly or to propose revisions and amendments in the [http://wiki.socialcollab.sg/index.php?title=Talk:Disability/Early_Intervention/Theory_of_Change&action=edit&redlink=1 Discussion] page</big>
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<big>To change anything in this page, feel free to contribute directly or to propose revisions and amendments in the [http://wiki.socialcollab.sg/index.php?title=Talk:Disability/Early_Intervention/Theory_of_Change&action=edit&redlink=1 Discussion] page. Use [square brackets] for anecdotes, comments or to raise questions.</big>
  
 
== Overview & Synopsis ==
 
== Overview & Synopsis ==
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|Timely [http://wiki.socialcollab.sg/index.php/Disability/Early_Intervention#Detection_.26_Diagnosis Detection & Diagnosis]
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|[http://wiki.socialcollab.sg/index.php/Disability/Early_Intervention#Detection_.26_Diagnosis Detection, Diagnosis & Referrals]  
 
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|Effective [http://wiki.socialcollab.sg/index.php/Disability/Early_Intervention#Early_Intervention Early Intervention]
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|[http://wiki.socialcollab.sg/index.php/Disability/Early_Intervention#Early_Intervention Early Intervention]
 
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=== Detection & Diagnosis ===
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=== Detection, Diagnosis & Referral ===
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Time Detection & Accurate Diagnosis
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Timely Detection, Accurate Diagnosis & Proper Referrals to Follow-Up Services
  
 
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| style="width: 33.3%;" |'''<big>Gaps</big>'''
 
| style="width: 33.3%;" |'''<big>Gaps</big>'''
 
| style="width: 33.3%;" |'''<big>Ideas</big>'''
 
| style="width: 33.3%;" |'''<big>Ideas</big>'''
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|'''Detection'''
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This is usually a problem only for less visible disabilities.
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[Knowledge gap: Where are the places or touchpoints that might detect disabilities
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|[Knowledge gap: Are early childhood educators equipped to identify clients for diagnosis?]
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[Anecdote: Some people don't get diagnosed until much later in life, especially less visible disabilities like dyslexia]
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|'''Diagnostic Touchpoints (e.g., hospitals)'''
 
|'''Diagnostic Touchpoints (e.g., hospitals)'''
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|[Knowledge gap: Any issues with accuracy, cost, accessibility, or quality of diagnoses?]
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|'''Referrals'''
 
|For caregivers of children with ASD, touchpoints are poorly equipped in advising parents on where to obtain reliable help during the post-diagnostic phase (see page 61 [https://www.ncss.gov.sg/NCSS/media/NCSS-Publications/Pdfdocument/Understanding-the-Quality-of-Life-of-Adults-with-Disabilities.pdf here])
 
|For caregivers of children with ASD, touchpoints are poorly equipped in advising parents on where to obtain reliable help during the post-diagnostic phase (see page 61 [https://www.ncss.gov.sg/NCSS/media/NCSS-Publications/Pdfdocument/Understanding-the-Quality-of-Life-of-Adults-with-Disabilities.pdf here])
 
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Recommendations from EM3 that MSF will consider<ref name=":12">https://www.msf.gov.sg/policies/Disabilities-and-Special-Needs/Documents/Enabling%20Masterplan%203%20(revised%2013%20Jan%202017).pdf</ref>
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*Improve transition management (Recommendation 3, Strategic Direction 1 of EM3) <ref name=":12">https://www.msf.gov.sg/policies/Disabilities-and-Special-Needs/Documents/Enabling%20Masterplan%203%20(revised%2013%20Jan%202017).pdf</ref>
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*Recommendation 3, Strategic Direction 1: Improve transition management
 
 
**For newly-diagnosed cases, to set up an agency to provide case referral, care planning and advisory services, and to facilitate smooth handover of information to other agencies
 
**For newly-diagnosed cases, to set up an agency to provide case referral, care planning and advisory services, and to facilitate smooth handover of information to other agencies
 
**Includes developing a standardised case management tool between primary support agency and other service providers
 
**Includes developing a standardised case management tool between primary support agency and other service providers
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*Recommendation 4, Strategic Direction 4: Enhance network of touchpoints to ensure timely and effective detection of developmental needs
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*Enhance network of touchpoints to ensure timely and effective detection of developmental needs (Recommendation 4, Strategic Direction 4: of EM3)
 
**To make information and training more available to touchpoints (e.g., family, hospitals, polyclinics, family medicine practitioners, community partners) such as using electronic platforms, training primary care practitioners
 
**To make information and training more available to touchpoints (e.g., family, hospitals, polyclinics, family medicine practitioners, community partners) such as using electronic platforms, training primary care practitioners
 
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Revision as of 09:24, 27 March 2020

To change anything in this page, feel free to contribute directly or to propose revisions and amendments in the Discussion page. Use [square brackets] for anecdotes, comments or to raise questions.

Overview & Synopsis

Knowledge Gaps

Current information mainly focused centered on intellectual disability and autism; do other disabilities face similar issues with detection and early intervention? Eg hearing loss or other forms of sensory disabilities.

Policy Advocacy

Actionable Areas

Key Statistics & Figures

7,000 children aged 6 and below have developmental difficulties as of 2015 [1]

Between 2010 and 2014, KKH and NUS screenings show a 76% increase in children 6 and below with developmental issues such as development delays, speech and language delays, learning difficulties and autism spectrum disorders (ASD)[2]

Theory of Change

Diagnostic Touchpoints & Referals → Detection, Diagnosis & Referrals
↘
EIPIC programmes → Early Intervention
↘
Education

Detection, Diagnosis & Referral

Timely Detection, Accurate Diagnosis & Proper Referrals to Follow-Up Services

Programmes Gaps Ideas
Detection

This is usually a problem only for less visible disabilities.

[Knowledge gap: Where are the places or touchpoints that might detect disabilities

[Knowledge gap: Are early childhood educators equipped to identify clients for diagnosis?]

[Anecdote: Some people don't get diagnosed until much later in life, especially less visible disabilities like dyslexia]

Diagnostic Touchpoints (e.g., hospitals) [Knowledge gap: Any issues with accuracy, cost, accessibility, or quality of diagnoses?]
Referrals For caregivers of children with ASD, touchpoints are poorly equipped in advising parents on where to obtain reliable help during the post-diagnostic phase (see page 61 here)
  • Improve transition management (Recommendation 3, Strategic Direction 1 of EM3) [3]
    • For newly-diagnosed cases, to set up an agency to provide case referral, care planning and advisory services, and to facilitate smooth handover of information to other agencies
    • Includes developing a standardised case management tool between primary support agency and other service providers
  • Enhance network of touchpoints to ensure timely and effective detection of developmental needs (Recommendation 4, Strategic Direction 4: of EM3)
    • To make information and training more available to touchpoints (e.g., family, hospitals, polyclinics, family medicine practitioners, community partners) such as using electronic platforms, training primary care practitioners

Diagnostic Touchpoints

(e.g., hospitals)

Early Intervention

  • Synopsis: While EIPIC serves around 3,200 children with mod-severe special needs, waitlists can extend from 6 months to 1 year. Further, early intervention professionals tend to have high turnover and quick burnout, due to unattractive remuneration compared to the private sector.
Programmes Gaps Ideas
Development Support (DS) & Learning Support (LS)
Early Intervention Programme for Infants & Children (EIPIC)
  • EIPIC Centres have long waiting lists (up to six months[4] or a year[5])
  • Early Intervention Professionals face quick burnout, unattractive salaries/benefits relative to the private sector and shortage of manpower[6][7]
  • Long waiting lists at EIPIC Centres - (1) If disproportionately high at certain EIPIC Centres, to educate and counsel parents on their choice of centre or (2) scale up vacancies
Community Educational Support Services

Development Support (DS) & Learning Support (LS)

  • For pre-school children with mild developmental needs [total number of such children?]
  • Support and intervention in areas such as speech and language, social skills, motor skills, behaviour and literacy
  • Rolled out to > 300 preschools, > 2,000 children and families, caa December 2015[8]
  • [outcomes information on how DS/LS has fared?]

Early Intervention Programme for Infants & Children (EIPIC)

  • Therapy and educational support services for children below 6 years with special needs at risk of moderate to severe developmental delays [total number of such children?]
  • 21 EIPIC Centres, caa July 2018[9]
  • Currently serving about 2,600 children[10], projected to grow to 3,200 places by 2018[11][12]
  • Enhanced Pilot for Private Intervention Providers to subsidise selected Private Intervention Centres
  • SPD - Building Bridges @ EIPIC Centres are at Tiong Bahru, Jurong, Tampines & Bedok served a total of 465 children in FY16/17[13] - 41 graduated, 27 progressing to mainstream primary and the rest to SPED

Community Educational Support Services

  1. ↑ https://www.todayonline.com/singapore/big-read-special-needs-children-pre-school-not-given-0
  2. ↑ https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf
  3. ↑ https://www.msf.gov.sg/policies/Disabilities-and-Special-Needs/Documents/Enabling%20Masterplan%203%20(revised%2013%20Jan%202017).pdf
  4. ↑ National Volunteer and Philanthropy Centre (NVPC). (2017). Issues faced by people with disabilities in Singapore. Retrieved from https://www.nvpc.org.sg/resources/report-on-issues-faced-by-people-with-disabilities-in-singapore
  5. ↑ https://www.todayonline.com/singapore/big-read-special-needs-children-pre-school-not-given-0
  6. ↑ Lien Foundation Study on Early Intervention Professionals. http://www.lienfoundation.org/sites/default/files/LF%20Early%20Intervention%20Survey%20Findings.pdf
  7. ↑ https://www.straitstimes.com/singapore/survey-unveils-challenges-faced-by-professionals-working-alongside-special-needs-children
  8. ↑ https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf
  9. ↑ https://www.sgenable.sg/uploads/EIPIC%20Service%20Matrix.pdf
  10. ↑ http://lienfoundation.org/sites/default/files/Inclusive%20Survey%20Part%202%20-%20Press%20Release%20Lien%20Fdn%20Final%5B1%5D.pdf
  11. ↑ https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf
  12. ↑ https://www.msf.gov.sg/media-room/Pages/Clarifications-on-EIPIC.aspx
  13. ↑ http://www.spd.org.sg/upload/SPD%20FY1617%20Annual%20Report.pdf


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