Early Intervention (E.I.) services are designed to help children with developmental delays. E.I. bridges the fields of education and health, requiring practitioners to acquire vast amounts of knowledge across multiple disciplines.
Utilizing a clinical and educational approach, early intervention therapies support infants and toddlers in growth and development. Clinicians must also be socially and interpersonally adept in order to create long-lasting and trusting relationships with parents, extended family members, caregivers, and colleagues.
In this post, we discuss the science behind early intervention, the interpersonal skills required for this vocation, and how both of these aspects of early intervention work together.
Early intervention demands the use of evidence-based practice, which is derived from scientific research. However, we cannot implement classically-designed studies, where a norm group receives a certain type of services from specialized providers, while an identical control group does not, and after a period of time, the advances of both groups are compared. Therefore, the strategies utilized in early intervention therapy sessions are based on the practitioner’s knowledge of child development along with the child’s neurology.
Competent evaluation and assessment, combined with surveilling on-going progress, become the cornerstones for plans that families and professionals create for each child.
Current research tells us that the earliest years of life are critical for brain development, and we also know that the sooner we initiate the intervention process, the better the results. This is more urgent when the healthcare system is funded to provide services to eligible children only up to their third birthday, with some exceptions for states that extend early intervention services to five years old.
When a significant percentage of infants and toddlers access early intervention after their first birthday, the family and practitioners have already lost 33% of the time allotted to provide services. The early intervention system is designed to help children whose development is at least 25% lower than the average population in two or more areas, when measured with a criterion-referenced instrument, or reveals a -1.5 deviation from the mean in at least two domains, when using a standardized tool.
And this is where the Art of Early Intervention emerges.
Data collected from parents and caregivers is analyzed and added to the data from the clinical observations, evaluations, and assessments provided by the early intervention system, to create an individualized family service plan (I.F.S.P.).
The expertise provided by specialized evaluators, services coordinators, and practitioners supporting the family brings in the clinical knowledge that anchors decisions regarding what therapies children need. The parents’ expertise regarding their child informs practitioners of the challenges the family faces and what support they need to lead their child’s developmental journey.
The perfect blend of the family’s knowledge of their child combined with each team member’s expertise is the foundation that ensures developmental progress, and for this to happen, there needs to be a golden rule at play: cultural acknowledgment and mutual respect for each team member.
To successfully combine the art and science of early intervention, E.I. teams incorporate creativity, flexibility, and sincere compassion.
Families and practitioners need a solid emotional support network to compensate for the almost inevitable compassion fatigue that comes from working in one of the most solitary professional practice fields in the pediatric environment.
Early intervention tests the families’ and professionals’ abilities to combine scientific rigor with the flexibility of human relationships, while performing in a crisis situation.
For many families, learning about early intervention and working with specialized pediatric professionals means that their plans for their child have changed. Our role as interventionists is to support the child and the family, and to foster a hopeful outlook for the future.
The beauty of early intervention services lies in their ability to seamlessly integrate art and science. Practitioners must continually balance the search and application of evidence-based strategies with the kindness of human touch, ensuring that interventions are both effective and compassionate. This dynamic interplay fosters environments where children can thrive, laying the groundwork for lifelong learning and development.
Early intervention is a testament to the power of combining scientific rigor with the nuanced art of human connection. It is a field that not only changes lives but also highlights the extraordinary potential of holistic, empathetic care. It is not just a field of expertise; it is an intellectual and spiritual calling for those who enter and persevere in the cause of creating a safe space for exceptional children and their families.
If you are considering early intervention services for your child and would like to learn more, contact us today.
Carola, a native of Chile, is responsible for the supervision of all trainings created by the Sunny Days’ Clinical Education Team, as well as for the creation of new trainings focused on refining the clinical skills of the Sunny Days’ practitioners in New Jersey, New York, Pennsylvania, Delaware and California. She also trains Early Interventionists via live webinars that are announced on our site. A bilingual English/Spanish Physical Therapist with more than 30 years of experience in the clinical field, Ms. d’Emery is also a former member of the New Jersey State Interagency Coordinating Council. Dr. d’Emery joined Sunny Days in 2007 as Targeted Clinical Educator, and became the Director of Training and Clinical Quality Assurance in 2019. She has a PhD in Movement Sciences from Columbia University and a MPT in Kinesiology from the School of Medicine of the University of Chile. She is a member of the International Society of Early Intervention and of the New Jersey Chapter of the American Physical Therapist Association.