Improving Systems, Practices and Outcomes

EI Service Delivery Approaches/Models

There are many aspects of a service delivery system (See System Framework) but the basis of early intervention services under Part C of IDEA are family-centered services provided in natural environments (where families with children without disabilities or delays typically receive services and participate fully in family and community life.)

Descriptions of Approaches/Models of EI Service Delivery

Primary Coach Approach to Teaming or Primary Service Provider with Coaching - This is a team model in which one member is selected as the primary coach (to the family), and receives coaching support from other team members to strengthen parenting competence and confidence and promote child learning and development. Developers: Dathan Rush, M'Lisa Shelden

Routines-Based Early Intervention (RBEI) - This model includes the following practices: Routines-Based Interview (RBI), Ecomap, Functional Outcomes/Goals, Family Goals, Primary Service Provider, Collaborative Consultation, and Support-Based Home Visits (Family Collaboration). Developer: Robin McWilliam

The related projects below reinforce the values that families are the center point of intervention and children learn functional skills through daily routine activities and interactions. The models support team collaboration, primary provider with cross agency integration, embedding interventions on functional outcomes within family routines and daily activities.

  • TaCTICS - Therapists as Collaborative Team members for Infant/Toddler Community Services. Developer: Julianne Woods
  • FACETS - Family-guided Approaches to Collaborative EI Training and services. Developers: Julianne Woods and David Lindeman
  • FGRBI - Family Guided Routines Based Intervention. Developer: Julianne Woods
  • FACTICS - Facilitating Administrative Change Toward Infant/Toddler Community Services. Developer: Julianne Woods

Everyday Children's Learning Opportunities - organized ideas from social system and activity learning theory to conceptualize a way of using everyday family and community opportunities, experiences and events to help young children with disabilities develop everyday knowledge and skills. Developers: Carl Dunst and colleagues at the Puckett Institute

State-Reported Use of Primary Service Provider Model / Approaches

In November, 2014, 37 Part C Coordinators responded to a query about the use of a Primary Service Provider service model:

  • 13 States use a Primary Service Provider approach statewide
  • 15 States use a Primary Service Provider approach in some areas
  • 4 States are considering adopting a Primary Service Provider approach
  • 5 States reported not using a Primary Service Provider approach

Additionally, they identified the following intervention approaches used in their services. The numbers are greater than 37 because the states could select more than one:

  • IDEAs that Work: Office of Special Education Programs, U.S. Department of Education

The ECTA Center is a program of the FPG Child Development Institute of the University of North Carolina at Chapel Hill, funded through cooperative agreement number H326P170001 from the Office of Special Education Programs, U.S. Department of Education. Opinions expressed herein do not necessarily represent the Department of Education's position or policy.

Project Officer: Julia Martin Eile     © 2012-2019 ECTA Center

  • UNC Frank Porter Graham Child Development Institute