Difference between revisions of "Disability/Early Intervention"
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|'''Diagnostic Touchpoints''' | |'''Diagnostic Touchpoints''' | ||
* Psychologists from the Ministry of Education | * Psychologists from the Ministry of Education | ||
− | * Professionals from government hospitals, e.g. [https://www.kkh.com.sg/patient-care/areas-of-care/childrens-services/pages/child-development.aspx KKH Department of Child Development], [https://www.nuh.com.sg/our-services/Specialties/Paediatrics/Pages/Developmental-and-Behavioural-Paediatrics.aspx NUH's Child Development Unit] | + | * [http://wiki.socialcollab.sg/index.php/Disability/Early_Intervention#Government_Hospitals_that_diagnose_children_with_special_needs Professionals from government hospitals], e.g. [https://www.kkh.com.sg/patient-care/areas-of-care/childrens-services/pages/child-development.aspx KKH Department of Child Development], [https://www.nuh.com.sg/our-services/Specialties/Paediatrics/Pages/Developmental-and-Behavioural-Paediatrics.aspx NUH's Child Development Unit] |
* Registered educational psychologists (for psycho-educational assessment) | * Registered educational psychologists (for psycho-educational assessment) | ||
* Private psychologists | * Private psychologists | ||
Line 125: | Line 125: | ||
* [https://www.kkh.com.sg/patient-care/areas-of-care/childrens-services/pages/child-development.aspx KKH Department of Child Development] | * [https://www.kkh.com.sg/patient-care/areas-of-care/childrens-services/pages/child-development.aspx KKH Department of Child Development] | ||
* [https://www.nuh.com.sg/our-services/Specialties/Paediatrics/Pages/Developmental-and-Behavioural-Paediatrics.aspx NUH's Child Development Unit] | * [https://www.nuh.com.sg/our-services/Specialties/Paediatrics/Pages/Developmental-and-Behavioural-Paediatrics.aspx NUH's Child Development Unit] | ||
+ | |||
+ | ==== Educational Institutions ==== | ||
=== Early Intervention === | === Early Intervention === |
Revision as of 14:46, 6 April 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.
Contents
Overview
Summary
- [Insert summary statement]
- [Insert summary statement]
Actionable Opportunity Areas
- [Insert opportunity area]
- [Insert opportunity area]
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.
- [insert key knowledge gaps, see specific ones below]
- [insert key knowledge gaps, see specific ones below]
Key Statistics & Figures
Prevalence rate & trends
- 7,000 children aged 6 and below have developmental difficulties as of 2015 [1] [Info gap: It is ambiguous from the TODAY article where this figure comes from, but potentially MSF]
- [Knowledge gap: How does the above square with the 10k students with special needs identified by SGEnable (see main page)? Does it mean that out of the 10k students iwth special needs, 7k are those under age 6?]
- Between 2010 and 2014, KKH and NUH 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]
- [Knowledge gap: Are the rates of developmental disabilities going up, and to what extent might this be a result of better diagnosis?]
Theory of Change
Key Programmes | ||||||
Diagnostic Touchpoints & Referals | → | Detection, Diagnosis & Referrals
Receive timely detection, accurate diagnosis & proper referrals |
↘ | |||
EIPIC programmes | → | Early Intervention
[Insert outcome statement] |
↘ | |||
Education |
Areas of Needs
Detection, Diagnosis & Referral
Ideal Outcomes: Children with special needs get timely detection, so that they might be referred to professionals for accurate diagnosis & proper referrals for follow-up services
Programmes | Gaps | Ideas |
Detection
This is usually a problem only for less visible disabilities. [Knowledge gap: What kinds of disabilities are hard to detect? What are the various places or touchpoints that might detect disabilities? Pre-schools, schools, polyclinics, caregivers themselves?] |
[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
|
[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) |
|
Child Development Programme (surveillance and diagnosis components)
|
Government Hospitals that diagnose children with special needs
Educational Institutions
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 |
Child Development Programme (intervention component)
|
||
For mild developmental needs | [Knowledge gap: number of such children] | |
For moderate to severe developmental delays |
| |
Therapy |
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
- AWWA Community Integration Service
- Care Corner Educational Therapy Service
- Cerebral Palsy Alliance Singapore (CPAS)
- Down Syndrome Association's Children Education Services
- Handicaps Welfare Association (HWA) [confirmation required]
- iC2 PrepHouse
- SHINE Educational Psychology Service
- Singapore Association for the Deaf (SADeaf)
- Singapore Association of the Visually Handicapped (SAVH)
- SPD
- St Andrew’s Community Hospital
- THK Children’s Therapy Centre
- ↑ https://www.todayonline.com/singapore/big-read-special-needs-children-pre-school-not-given-0
- ↑ https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf
- ↑ https://www.msf.gov.sg/policies/Disabilities-and-Special-Needs/Documents/Enabling%20Masterplan%203%20(revised%2013%20Jan%202017).pdf
- ↑ 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
- ↑ https://www.todayonline.com/singapore/big-read-special-needs-children-pre-school-not-given-0
- ↑ Lien Foundation Study on Early Intervention Professionals. http://www.lienfoundation.org/sites/default/files/LF%20Early%20Intervention%20Survey%20Findings.pdf
- ↑ https://www.straitstimes.com/singapore/survey-unveils-challenges-faced-by-professionals-working-alongside-special-needs-children
- ↑ https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf
- ↑ https://www.sgenable.sg/uploads/EIPIC%20Service%20Matrix.pdf
- ↑ http://lienfoundation.org/sites/default/files/Inclusive%20Survey%20Part%202%20-%20Press%20Release%20Lien%20Fdn%20Final%5B1%5D.pdf
- ↑ https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf
- ↑ https://www.msf.gov.sg/media-room/Pages/Clarifications-on-EIPIC.aspx
- ↑ http://www.spd.org.sg/upload/SPD%20FY1617%20Annual%20Report.pdf