Equitable access to developmental surveillance and early intervention--understanding the barriers for children from culturally and linguistically diverse (CALD) backgrounds.

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  • Additional Information
    • Source:
      Publisher: Wiley Country of Publication: England NLM ID: 9815926 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1369-7625 (Electronic) Linking ISSN: 13696513 NLM ISO Abbreviation: Health Expect Subsets: MEDLINE
    • Publication Information:
      Original Publication: Oxford, UK : Wiley, c1998-
    • Subject Terms:
      Communication Barriers* ; Culture* ; Health Knowledge, Attitudes, Practice* ; Health Services Accessibility*; Early Intervention, Educational/*methods; Adult ; Australia ; Child, Preschool ; Female ; Focus Groups ; Humans ; Male ; Qualitative Research
    • Abstract:
      Background and Objective: Children from culturally and linguistically diverse (CALD) backgrounds are at risk of having developmental problems go undetected prior to starting school, and missing out on early intervention. Our aim was to explore the family and service characteristics, beliefs and experiences that influence the journey of families from CALD backgrounds in accessing developmental surveillance (DS) and early intervention services in south-eastern Sydney, Australia.
      Design, Setting and Participants: This qualitative study used in-depth interviews conducted with 13 parents from CALD backgrounds and 27 health and early childhood professionals in Sydney. The Andersen Behavioural Model of Health Service Use (BM) was the underlying theoretical framework for thematic analysis.
      Results and Discussion: Family and service knowledge about early childhood development (ECD), community attitudes, social isolation and English language proficiency were dominant themes that impacted on the probability of families accessing services in the first place. Those that impeded or facilitated access were resources, extended family and social support, information availability, competing needs, complex service pathways and community engagement. There were variable practices of early detection through DS. Children from CALD backgrounds with developmental problems were perceived to miss out on DS and early intervention despite language delay being a key issue identified by participants.
      Conclusion: This study highlights the importance of increased community and family awareness and professional training in ECD; better coordination of health and early childhood services, with simpler referral pathways to early intervention to prevent children from CALD backgrounds 'slipping through the net'.
      (© 2014 John Wiley & Sons Ltd.)
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    • Contributed Indexing:
      Keywords: culturally and linguistically diverse; early childhood development; health and early childhood services; parents; qualitative research
    • Publication Date:
      Date Created: 20141217 Date Completed: 20161019 Latest Revision: 20200306
    • Publication Date:
      20240628
    • Accession Number:
      PMC5810693
    • Accession Number:
      10.1111/hex.12318
    • Accession Number:
      25510182