Perspectives of Therapist's Role in Care Coordination between Medical and Early Intervention Services

Roger I. Ideishi Roger I. Ideishi, JD, OT/L, is Associate Professor of Occupational Therapy, University of the Sciences in Philadelphia. Margaret E. O'Neil, PT, PhD, MPH, is Associate Professor of Physical Therapy, Drexel University. Lisa A. Chiarello, PT, PhD, PCS, is Associate Professor of Physical Therapy, Drexel University. Kim Nixon-Cave, PT, PhD, PCS, is Associate Professor of Physical Therapy, University of the Sciences in Philadelphia, Pennsylvania.Correspondence[email protected]

Margaret E. O'Neil Roger I. Ideishi, JD, OT/L, is Associate Professor of Occupational Therapy, University of the Sciences in Philadelphia. Margaret E. O'Neil, PT, PhD, MPH, is Associate Professor of Physical Therapy, Drexel University. Lisa A. Chiarello, PT, PhD, PCS, is Associate Professor of Physical Therapy, Drexel University. Kim Nixon-Cave, PT, PhD, PCS, is Associate Professor of Physical Therapy, University of the Sciences in Philadelphia, Pennsylvania.

Lisa A. Chiarello Roger I. Ideishi, JD, OT/L, is Associate Professor of Occupational Therapy, University of the Sciences in Philadelphia. Margaret E. O'Neil, PT, PhD, MPH, is Associate Professor of Physical Therapy, Drexel University. Lisa A. Chiarello, PT, PhD, PCS, is Associate Professor of Physical Therapy, Drexel University. Kim Nixon-Cave, PT, PhD, PCS, is Associate Professor of Physical Therapy, University of the Sciences in Philadelphia, Pennsylvania.

Kim Nixon-Cave Roger I. Ideishi, JD, OT/L, is Associate Professor of Occupational Therapy, University of the Sciences in Philadelphia. Margaret E. O'Neil, PT, PhD, MPH, is Associate Professor of Physical Therapy, Drexel University. Lisa A. Chiarello, PT, PhD, PCS, is Associate Professor of Physical Therapy, Drexel University. Kim Nixon-Cave, PT, PhD, PCS, is Associate Professor of Physical Therapy, University of the Sciences in Philadelphia, Pennsylvania.

ABSTRACT

This study explored perspectives of therapist's role in care coordination between early intervention (EI) and medical services, and identified strategies for improving service delivery. Fifty adults participated in one of six focus groups. Participants included parents, pediatricians, and therapists working in hospital and EI programs. Structured guiding questions were used to obtain participants' perceptions. Transcript analysis included open code identification, axial code grouping, and constant comparative methods. The researchers established inter-rater reliability (κ = 0.85) in the coding scheme before data analysis. The themes identified included information exchange, communication among parents and therapists, approaches toward child and family care, supporting social and emotional needs, perceptions of therapists' roles, and understanding service delivery systems to improve care coordination. Participants recommended training for therapy service providers and pediatricians in the areas of child development, team building, and service systems. Family-centered strategies emphasizing systems of care are recommended to improve therapists' role in care coordination.

KEYWORDS. :

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this paper.

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