Level and intensity of early intervention services for infants and toddlers with disabilities: The impact of child, family, system, and community-level factors on service provision

Data from a statewide billing and information system for early intervention are used to examine the influence of multiple factors on the level and intensity of services provided in a state early intervention system. Results indicate that child and family factors including entry age, gestational age, Medicaid eligibility, access to third party insurance, and children's developmental skill areas influence the level and the intensity of early intervention services provided. In addition, findings show that county demographic factors also influence service provision, specifically the interaction between rural and poverty status. Implications for social policy are discussed.