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| | <big>Click on each outcome in the Theory of Change to explore services, gaps and ideas.</big> | | <big>Click on each outcome in the Theory of Change to explore services, gaps and ideas.</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.</big> | + | <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/Accessibility_to_Infrastructure_and_Information/Theory_of_Change&action=edit&redlink=1 Discussion] page.</big> |
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| | == Theory of Change == | | == Theory of Change == |
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| | !<big>Short-Term Outcomes</big><big>(skills, knowledge, attitudes)</big> | | !<big>Short-Term Outcomes</big><big>(skills, knowledge, attitudes)</big> |
| | !!!<big>Mid-Term Outcomes</big><big>(behaviours)</big> | | !!!<big>Mid-Term Outcomes</big><big>(behaviours)</big> |
| − | !!!<big>Long-Term Outcomes</big><big>(impact)</big> | + | !!!<big>Long-Term Outcomes</big><big>(impact</big><big>)</big> |
| | ! | | ! |
| | !<big>Social Impact</big> | | !<big>Social Impact</big> |
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| − | ! style="background: #F08080;" | | + | ! style="background: #F08080;" |<big>Public infrastructure administrators know how to provide physical accessibility</big> |
| | + | ! style="background: #F08080;" |<big>→</big> |
| | + | ! style="background: #F08080;" |<big>Disabled people can successfully use physical accessibility measures</big> |
| | ! style="background: #F08080;" |<big>→</big> | | ! style="background: #F08080;" |<big>→</big> |
| − | ! style="background: #F08080;" | | + | ! style="background: #F08080;" |'''<big>Public infrastructure is physically accessible</big>''' |
| | ! style="background: #F08080;" |<big>→</big> | | ! style="background: #F08080;" |<big>→</big> |
| − | ! rowspan="3" style="background: #F08080;" |<big>Early intervention is timely and effective</big> | + | ! style="background: #FFF8DC;" |<big>Persons with disabilities can access public infrastructure and information on an equal basis with others</big> |
| − | ! rowspan="3" style="background: #F08080;" |<big>→</big>
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| − | ! rowspan="3" style="background: #FFF8DC;" |
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| − | ! style="background: #CEE0F2" |
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| − | ! style="background: #CEE0F2;" |<big>→</big>
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| − | ! rowspan="2" style="background: #CEE0F2;" |
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| − | ! rowspan="2" style="background: #CEE0F2;" |'''<big>→</big>'''
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| − | ! style="background: #CEE0F2;" |
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| − | ! style="background: #CEE0F2;" |<big>→</big>
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| − | === '''Early intervention is timely and effective →''' ===
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| − | * '''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.'''
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| − | {| class="wikitable"
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| − | | style="width: 33.3%;" |'''<big>Programmes</big>'''
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| − | | style="width: 33.3%;" |'''<big>Gaps</big>'''
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| − | | style="width: 33.3%;" |'''<big>Ideas</big>'''
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| − | |'''Diagnostic Touchpoints (e.g., hospitals)'''
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| − | *For caregivers of children with ASD, touchpoints are poorly equipped in advising parents on where to obtain reliable help during the post-diagnostic phase
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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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| − | **Recommendation 3, Strategic Direction 1: Improve transition management
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| − | ***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
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| − | ***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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| − | ***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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| − | |[https://www.sgenable.sg/pages/content.aspx?path=/for-children/development-support/ '''Development Support (DS) & Learning Support (LS)''']
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| − | *For pre-school children with mild developmental needs '''[total number of such children?]'''
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| − | *Support and intervention in areas such as speech and language, social skills, motor skills, behaviour and literacy
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| − | *Rolled out to > 300 preschools, > 2,000 children and families, caa December 2015<ref>https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf</ref>
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| − | *'''[outcomes information on how DS/LS has fared?]'''
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| − | |[https://www.sgenable.sg/pages/content.aspx?path=/for-children/early-intervention-programme-for-infants-children-eipic/ '''Early Intervention Programme for Infants & Children (EIPIC)''']
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| − | *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?]'''
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| − | *21 EIPIC Centres, caa July 2018<ref>https://www.sgenable.sg/uploads/EIPIC%20Service%20Matrix.pdf</ref>
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| − | *Currently serving about 2,600 children<ref>http://lienfoundation.org/sites/default/files/Inclusive%20Survey%20Part%202%20-%20Press%20Release%20Lien%20Fdn%20Final%5B1%5D.pdf</ref>, projected to grow to 3,200 places by 2018<ref>https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf</ref><ref>https://www.msf.gov.sg/media-room/Pages/Clarifications-on-EIPIC.aspx</ref>
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| − | *[https://www.sgenable.sg/pages/content.aspx?path=/schemes/intervention-programmes/enhanced-pilot-for-private-intervention-providers/ Enhanced Pilot for Private Intervention Providers] to subsidise selected Private Intervention Centres
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| − | *SPD - Building Bridges @ EIPIC Centres are at Tiong Bahru, Jurong, Tampines & Bedok served a total of 465 children in FY16/17<ref>http://www.spd.org.sg/upload/SPD%20FY1617%20Annual%20Report.pdf</ref> - 41 graduated, 27 progressing to mainstream primary and the rest to SPED
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| − | *EIPIC Centres have long waiting lists (up to six months<ref name=":0">National Volunteer and Philanthropy Centre (NVPC). (2017). Issues faced by people with disabilities in Singapore. Retrieved from <nowiki>https://www.nvpc.org.sg/resources/report-on-issues-faced-by-people-with-disabilities-in-singapore</nowiki></ref> or a year<ref name=":1">https://www.todayonline.com/singapore/big-read-special-needs-children-pre-school-not-given-0</ref>)
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| − | *Early Intervention Professionals face quick burnout, unattractive salaries/benefits relative to the private sector and shortage of manpower<ref name=":2">Lien Foundation Study on Early Intervention Professionals. http://www.lienfoundation.org/sites/default/files/LF%20Early%20Intervention%20Survey%20Findings.pdf</ref><ref name=":3">https://www.straitstimes.com/singapore/survey-unveils-challenges-faced-by-professionals-working-alongside-special-needs-children</ref>
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| − | *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
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| − | |'''[https://www.sgenable.sg/pages/content.aspx?path=/for-children/therapy-for-young-children/ Community Educational Support Services]'''
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| − | *[https://www.awwa.org.sg/services-for-children-and-youth/community-integration-service/ AWWA Community Integration Service]
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| − | *[http://www.carecorner.org.sg/ets.html Care Corner Educational Therapy Service]
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| − | *[http://cpas.org.sg/ Cerebral Palsy Alliance Singapore (CPAS)]
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| − | *[http://downsyndrome-singapore.org/post/view/8/24 Down Syndrome Association's Children Education Services]
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| − | *Handicaps Welfare Association (HWA) '''[confirmation required]'''
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| − | *[http://ic2.com.sg/services/early-intervention/ iC2 PrepHouse]
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| − | *[http://www.shine.org.sg/educational-psychology-service/ SHINE Educational Psychology Service]
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| − | *Singapore Association for the Deaf (SADeaf)
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| − | *Singapore Association of the Visually Handicapped (SAVH)
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| − | *SPD
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| − | *St Andrew’s Community Hospital
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| − | *THK Children’s Therapy Centre
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| | |} | | |} |
| | + | * Need to define public infrastructure properly? |
| | + | * Other forms of [[Disability/Accessibility to Infrastructure and Information|accessibility]] that can be explored include communicative access, emotional access and cognitive access |
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| | + | * |
| | + | === '''Disabled people can successfully use physical accessibility measures → Public infrastructure is physically accessible''' === |
| | + | * Focus here is on awareness by disabled people and their utilisation of current physical accessibility measures |
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| | <references /> | | <references /> |