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>
 
<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>
 
* Overly centred on ID/ASD??
 
* Overly centred on ID/ASD??
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!<big>Short-Term Outcomes</big><big>(skills, knowledge, attitudes)</big>
 
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!!!<big>Mid-Term Outcomes</big><big>(behaviours)</big>
 
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!!!<big>Long-Term Outcomes</big><big>(impact)</big>
 
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!<big>Social Impact</big>
 
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! style="background: #F08080;" |<big>→</big>
 
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! style="background: #F08080;" |<big>→</big>
 
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! rowspan="3" style="background: #F08080;" |<big>Early intervention is timely and effective</big>
 
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! style="background: #CEE0F2;" |<big>→</big>
 
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! rowspan="2" style="background: #CEE0F2;" |'''<big>→</big>'''
 
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! style="background: #CEE0F2;" |<big>→</big>
 
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|}<big>Click '''[[Disability/Early Intervention/Theory of Change|here]]''' to explore the Early Intervention Theory of Change.</big>
 
  
 
=== Key Statistics & Figures ===
 
=== Key Statistics & Figures ===
 
<big>7,000 children aged 6 and below have developmental difficulties as of 2015 <ref>https://www.todayonline.com/singapore/big-read-special-needs-children-pre-school-not-given-0</ref></big>
 
<big>7,000 children aged 6 and below have developmental difficulties as of 2015 <ref>https://www.todayonline.com/singapore/big-read-special-needs-children-pre-school-not-given-0</ref></big>
  
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<big>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)<ref>https://www.todayonline.com/singapore/more-preschoolers-diagnosed-developmental-issues</ref></big>
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<big>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)<ref>https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf</ref></big>
  
 
=== Theory of Change ===
 
=== Theory of Change ===
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<big>Click on each outcome in the Theory of Change to explore services, gaps and ideas.</big>
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=== Early intervention is timely and effective →edit | edit source | edit source ===
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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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|-
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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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|-
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|'''Diagnostic Touchpoints (e.g., hospitals)'''
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|
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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 (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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|
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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>
 +
**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
 +
***Includes developing a standardised case management tool between primary support agency and other service providers
 +
**Recommendation 4, Strategic Direction 4: Enhance network of touchpoints to ensure timely and effective detection of developmental needs
 +
***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?]'''
 +
*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<ref>https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf</ref>
 +
*'''[outcomes information on how DS/LS has fared?]'''
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|
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|-
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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)''']
 +
*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<ref>https://www.sgenable.sg/uploads/EIPIC%20Service%20Matrix.pdf</ref>
 +
*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>
 +
*[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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|
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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>)
 +
*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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|
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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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|-
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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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|
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|}<references />
 
== Opportunity Areas ==
 
== Opportunity Areas ==
 
    
 
    
 
<references />
 
<references />

Revision as of 02:35, 27 March 2020

To change anything in this page, feel free to contribute directly or to propose revisions and amendments in the Discussion page.

  • Overly centred on ID/ASD??

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

Hospitals → Timely Detection & Diagnosis
↘
EIPIC programmes → Effective Early Intervention
↘
Education

Early intervention is timely and effective →edit | edit source | edit source

  • 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
Diagnostic Touchpoints (e.g., hospitals)
  • 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)
  • Recommendations from EM3 that MSF will consider[3]
    • 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
      • Includes developing a standardised case management tool between primary support agency and other service providers
    • Recommendation 4, Strategic Direction 4: Enhance network of touchpoints to ensure timely and effective detection of developmental needs
      • 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
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[4]
  • [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[5]
  • Currently serving about 2,600 children[6], projected to grow to 3,200 places by 2018[7][8]
  • 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[9] - 41 graduated, 27 progressing to mainstream primary and the rest to SPED
  • EIPIC Centres have long waiting lists (up to six months[10] or a year[11])
  • Early Intervention Professionals face quick burnout, unattractive salaries/benefits relative to the private sector and shortage of manpower[12][13]
  • 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
  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. ↑ https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf
  5. ↑ https://www.sgenable.sg/uploads/EIPIC%20Service%20Matrix.pdf
  6. ↑ http://lienfoundation.org/sites/default/files/Inclusive%20Survey%20Part%202%20-%20Press%20Release%20Lien%20Fdn%20Final%5B1%5D.pdf
  7. ↑ https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf
  8. ↑ https://www.msf.gov.sg/media-room/Pages/Clarifications-on-EIPIC.aspx
  9. ↑ http://www.spd.org.sg/upload/SPD%20FY1617%20Annual%20Report.pdf
  10. ↑ 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
  11. ↑ https://www.todayonline.com/singapore/big-read-special-needs-children-pre-school-not-given-0
  12. ↑ Lien Foundation Study on Early Intervention Professionals. http://www.lienfoundation.org/sites/default/files/LF%20Early%20Intervention%20Survey%20Findings.pdf
  13. ↑ https://www.straitstimes.com/singapore/survey-unveils-challenges-faced-by-professionals-working-alongside-special-needs-children

Opportunity Areas

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