Difference between revisions of "Disability/Early Intervention"
From Social Collaborative Singapore
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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> | |
+ | |||
+ | == Overview & Synopsis == | ||
+ | |||
+ | ===== Knowledge gaps ===== | ||
+ | Overly centred on ID/ASD?? | ||
+ | |||
+ | ===== Opportunity Areas ===== | ||
+ | |||
+ | == 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>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 == | ||
+ | |||
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− | + | |Diagnostic Touchpoints | |
− | + | |→ | |
− | + | |Timely [http://wiki.socialcollab.sg/index.php/Disability/Early_Intervention#Detection_.26_Diagnosis Detection & Diagnosis] | |
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− | + | |↘ | |
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− | + | |EIPIC programmes | |
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− | | | + | |Effective [http://wiki.socialcollab.sg/index.php/Disability/Early_Intervention#Early_Intervention Early Intervention] |
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+ | |Education | ||
+ | |} | ||
+ | |||
+ | === Detection & Diagnosis === | ||
+ | Time Detection & Accurate Diagnosis | ||
+ | |||
+ | {| class="wikitable" | ||
|- | |- | ||
+ | | style="width: 33.3%;" |'''<big>Programmes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Gaps</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Ideas</big>''' | ||
+ | |- | ||
+ | |'''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 [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> | ||
+ | *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 | ||
+ | |} | ||
+ | |||
+ | ==== 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. | ||
+ | {| class="wikitable" | ||
+ | |- | ||
+ | | style="width: 33.3%;" |'''<big>Programmes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Gaps</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Ideas</big>''' | ||
+ | |- | ||
+ | |[https://www.sgenable.sg/pages/content.aspx?path=/for-children/development-support/ '''Development Support (DS) & Learning Support (LS)'''] | ||
| | | | ||
| | | | ||
|- | |- | ||
+ | |[https://www.sgenable.sg/pages/content.aspx?path=/for-children/early-intervention-programme-for-infants-children-eipic/ '''Early Intervention Programme for Infants & Children (EIPIC)'''] | ||
| | | | ||
+ | *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> | ||
+ | | | ||
+ | *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 | ||
+ | |- | ||
+ | |'''[https://www.sgenable.sg/pages/content.aspx?path=/for-children/therapy-for-young-children/ Community Educational Support Services]''' | ||
| | | | ||
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|} | |} | ||
− | == | + | ==== [https://www.sgenable.sg/pages/content.aspx?path=/for-children/development-support/ '''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<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?]''' | ||
+ | |||
+ | ==== [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 | ||
+ | *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 | ||
+ | |||
+ | ==== '''[https://www.sgenable.sg/pages/content.aspx?path=/for-children/therapy-for-young-children/ Community Educational Support Services]''' ==== | ||
+ | *[https://www.awwa.org.sg/services-for-children-and-youth/community-integration-service/ AWWA Community Integration Service] | ||
+ | *[http://www.carecorner.org.sg/ets.html Care Corner Educational Therapy Service] | ||
+ | *[http://cpas.org.sg/ Cerebral Palsy Alliance Singapore (CPAS)] | ||
+ | *[http://downsyndrome-singapore.org/post/view/8/24 Down Syndrome Association's Children Education Services] | ||
+ | *Handicaps Welfare Association (HWA) '''[confirmation required]''' | ||
+ | *[http://ic2.com.sg/services/early-intervention/ iC2 PrepHouse] | ||
+ | *[http://www.shine.org.sg/educational-psychology-service/ 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 | ||
+ | |||
+ | <references /> | ||
<references /> | <references /> |
Revision as of 03:05, 27 March 2020
To change anything in this page, feel free to contribute directly or to propose revisions and amendments in the Discussion page
Overview & Synopsis
Knowledge gaps
Overly centred on ID/ASD??
Opportunity 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 | → | 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[3]
|
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) |
| |
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
- 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