About one in six children is affected by one or more developmental disabilities.1 The incidence rate for autism spectrum disorder is now as high as 1 in 50 children.2 This represents a 300% percent increase in the past 10 years. Autism is the fastest growing developmental disorder in the U.S.
Still, only 2.5% of children under age three are being
served through the federally-funded Early Intervention program, which is designed
to mitigate developmental delays and disorders.3
With proper intervention, a child can overcome a wide range of developmental,
behavioral, and learning
problems. Intensive, well-designed and timely intervention can improve the prospects—and
the quality of life—for many children who are considered at risk for cognitive,
social, or emotional impairment. In some cases, effective intervention can improve
conditions once thought to be virtually untreatable, such as autism. Well-implemented
programs can brighten a child’s future and the impact a developmental disorder
has on the family. It can lead a child to greater independence, enable that child
to be included in his/her community, and offer him/her a more productive and
fulfilling life.
Unfortunately, many physicians fail to identify a developmental delay at an age
when the child should be receiving early intervention services. Birth to three
is a critical time in a child’s development, so a delayed diagnosis may compromise
his/her chances for success.
The high (and growing) incidence of developmental disabilities demands greater
awareness and improved early identification. Too few physicians refer young children
to early intervention, primarily, because (1) physicians may not know what critical
signs to look for in a child during each stage; (2) physicians may not be familiar
with early intervention; (3) insurance companies allow physicians limited time
for office visits; and (4) some pediatricians believe a child’s severe developmental
disability will not be affected by early intervention, while others would rather
not alarm the parents unnecessarily in case the child is able to overcome the
developmental delay.
1.
Boyle CA et al (2011). Trends in the Prevalence of Developmental Disabilities in US Children, 1997–2008. Pediatrics. 10.1542/peds.2010-2989
2.
Blumberg SJ et al (2013). Changes in Prevalence of Parent-reported Autism Spectrum Disorder in School-aged U.S. Children: 2007 to 2011–2012. National Health Statistics Reports. Number 65, March 20, 2013. Maternal and Child Health Bureau.
3. 31st Annual Report to Congress on the Implementation of the Individuals with Disabilities Education Act, 2009. Section 664(d) of the Individuals with Disabilities Education Act (IDEA)
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