Abstract

Early intervention with children at risk or facing developmental problems is a practice defined by three fundamental characteristics: being family-centered, being based on the community and on the child’s life context, and being conducted by a team with transdisciplinary practice. In this paper we wish to present how the SNIPI-National System of Early Intervention, implemented in Portugal over the past 15 years, contributes to promote maximum development and the full inclusion of children up to 6 years of age and works to prevent school failure. The SNIPI covers the entire territory and intends to respond to the needs of children with developmental disorders or those in at risk situations. This community-based early intervention model is linked to the health, education and social care systems, involving the three responsible Ministries. In the present community case study, we present the implementation of this program in the Alentejo region, involving 31 local teams and almost 2500 children. Through the regional structure’s reports and the responses of parents and professionals in impact studies, we demonstrate how the system is established and how it tackles school failure and improves the educational inclusion of these children. The impact of this Early Intervention model has been significant not only on children’s developmental outcomes, but also for the health, education and social care professionals who work in a transdisciplinary perspective, as well as for the families who became more skilled at evaluating the children’s needs and the support provided. This approach to implementing a family-centered Early Intervention program can contribute to full inclusion. It facilitates the transition to schooling based on a non-discriminatory approach and educational achievement by aiding development and an adapted contextualization in pre-school education. This program system introduces significant innovation within the framework of existing educational policies that promote development and inclusion, and has therefore earned the interest of the scientific community and policy-makers alike. It has been possible to implement some of principles already studied but it had never been tested. The Early Intervention program in Alentejo, as part of the SNIPI, can be an example of good practices, with its own characteristics that allowed to create a network of integrated and comprehensive responses to the needs of the population in this region.

Highlights

  • A COMMUNITY BASED MODEL OF EARLY INTERVENTION IN PORTUGALHistorical PerspectiveIn recent years, Portugal has implemented a National System for Early Intervention (SNIPI) has been implemented

  • Care for children with developmental disorders is distributed between three institutions: The Ministry of Social Security is responsible for rehabilitation institutions and organizations working with people with disabilities; The Ministry of Health oversees therapeutic and clinical interventions; and the Ministry of Education safeguards children’s educational needs

  • In 2015, 2471 children under the age of 6 years were supported in Alentejo (SNIPI-National System of Early Intervention, 2016): 60% of which had a developmental delay without known etiology, 18% were diagnosed with a specific condition or disability, and in 22% cases some development risk factors were identified

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Summary

Introduction

A COMMUNITY BASED MODEL OF EARLY INTERVENTION IN PORTUGALHistorical PerspectiveIn recent years, Portugal has implemented a National System for Early Intervention (SNIPI) has been implemented. Intervention with children at risk or facing developmental problems is a practice defined by three fundamental characteristics: being family-centered, being based on the community and on the child’s life context, and being conducted by a team with transdisciplinary practice.

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