A History of EI/ECSE in The United States: A Personal Perspective - Dr. Diane Bricker
A History of EI/ECSE in The United States: A Personal Perspective - Dr. Diane Bricker
Diane Bricker
As I suppose is often the case, when I started to work with young children and Young
children with disabilities, I never really spent a lot of time thinking about how the services
and programs that these children received actually came to be. This article presents itself as
a road map of how to introduce any new program or innovation in education. Step by step
Dr. Bricker lays out how we have gone from no Early Intervention or toddler programs for
today with legislative and judicial decisions designed to protect and provide services for all
infants, toddlers and preschoolers with disabilities, governmental funding for research and
programs and professional preparation programs targeting the Early intervention and
preschool. None of these moving pieces – governmental, judicial or higher ed. professionals
in the field could have probably gotten us to where we are alone. Clearly, the determination
and dedication to people like Dr. Bricker, who knew what it would take and where to get the
support and policies they needed to move the needle forward was a major drive of the EI
movement. Universities play a large role in getting the ball rolling. They provide the data and
My final take away- change doe not always come quickly. Proof of need backed by
data often produced and promoted at the University level, together with policy and judicial
development and governmental or corporate financial support is the key to changing almost
anything in significant and lasting way. Slow and steady wins the race!
child with special needs. The sooner one can identify a disability the sooner you can begin to
address or adapt it to the benefit of the child. This article did a great job of laying out the
process and procedures of infant and toddler services. I had not considered the fact that these
programs are often in based in the family home. The recognition of the role of the family
actual servicing of the child. How can these services help this child function better
program for their toddler/infant can often lead to their participation in carrying
Coordination and scheduling of services and communication with each of the service
providers could easily become overwhelming to a parent whose daily household routine can
be interrupted regularly by visiting service providers. These programs can impact not just the
toddler or infant targeted as needing the service but the entire family. The importance of not
negatively impacting the family is a complication that those who deliver services in a public
school or center setting do not have to consider. The program coordinator position is critical
to the success of toddler/infant and the family acceptance and understanding of what is taking
place. While the in home service delivery model is absolutely the right place for infants and
toddler programs, it does add another layer of coordination of services and extra attention to
me most after reading chapters 9 and 10 is how the “family focus” of the infant/toddler
intervention program shifts to “child focus” once they enter public school. Both programs are
focused on improving the quality of life and function of the child, The big difference is that
infant and toddler programs really work with the family, within the family home and work
not just on child goals but family goals as well. I can see where this transition of focus can
be difficult for parents who are used to being an active member of the “team” and program
that has been a part of their household and are suddenly, and while still an important member
of the team, a less hands on active participant in the day to day program. The importance of
keeping them in the loop is critical. Just as the adjustment to going to school is for the child,
it is also an adjustment for parents. I think of my Mom telling me how hard it was for her to
let me go when I went to Kindergarten. I can just imagine how hard it must be for a parent of
a special needs child. Your role as care giver, advocate, and parent of a special needs child
can be an intense experience. Your child is often more dependent on you for even basic
needs and your time the first 5 years of their life and suddenly they are gone off to school
without you. Teachers who recognize the concerns of these parents and have some
knowledge of their family needs will be able to ease these concerns through communication
and reassurances. While the paperwork involved in IEPs and assessments, they do insure
that each child’s specific needs are being addressed. Programs are truly structured to provide
1. Wouldn’t it be great if every state/territory could agree to a single criteria for all
diagnosed with a disability, this data would be of great interest to me. It could literally
help determine where I might want to live in order to support the needs of my child. It
would seem that in the United States we should be able to get what is needed for our
children and not worry about eligibility differences from State to State.
2. The North Eastern U.S. appears to be more comprehensive and progressive in their
eligibility as compared to the South East US. I would be curious to look into whether