Abstract
Objective
To examine the relationship between ease of access to needed community-based services
(ease of access) and educational services receipt, and variation in educational services
receipt by sociodemographic and need factors among a nationally representative sample
of children with autism spectrum disorder (ASD), developmental delay (DD), and/or
intellectual disability (ID).
Methods
Data from the 2009–2010 National Survey of Children with Special Health Care Needs
were linked to the 2011 Survey of Pathways to Diagnosis and Services on a sample of
3502 US children aged 6 to 17 years with ASD, DD, and/or ID. Descriptive statistics,
chi-square tests, and multivariable logistic regression models were used to determine
associations of educational services receipt with ease of access and sociodemographic
and need factors.
Results
Among children with developmental conditions, nearly half (49.7%) lacked easy access
to services, and 16.9% did not have an individualized education program (IEP). Among
children with an IEP, those with ease of access were more likely to have an IEP that
addressed parent concerns about the child's development and education than those unable
to easily access services (adjusted odds ratio 2.77; 95% confidence interval 1.71–4.49).
Need factors, including functional limitations status, care coordination need, developmental
condition type, and early intervention receipt, were significantly associated with
educational services receipt.
Conclusions
Cross-systems initiatives facilitating service access remain important to ensuring
the developmental needs of children with ASD, DD, and/or ID are met. Increased interprofessional
collaboration promoting quality educational services receipt for children diagnosed
with developmental conditions may further reduce disparities.
Keywords
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Article Info
Publication History
Accepted:
April 14,
2015
Received in revised form:
April 11,
2015
Received:
August 27,
2014
Footnotes
The authors declare that they have no conflict of interest.
Identification
Copyright
© 2015 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
