Disability/Early Intervention

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Overview

Knowledge gaps

Overly centred on ID/ASD??

Key Statistics & Figures

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

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)

Theory of Change

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

Detection & Diagnosis

Time Detection & Accurate Diagnosis

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 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

Early Intervention

• 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) 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 [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 Currently serving about 2,600 children, projected to grow to 3,200 places by 2018 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 - 41 graduated, 27 progressing to mainstream primary and the rest to SPED	EIPIC Centres have long waiting lists (up to six months or a year) Early Intervention Professionals face quick burnout, unattractive salaries/benefits relative to the private sector and shortage of manpower	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 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