title: Barriers to the effectiveness of EPSDT for children with moderate and severe developmental disabilities.
abstract: Barriers were examined to the effectiveness of the EPSDT program for children with moderate and severe developmental disabilities. Responses from parents of 281 Michigan children and from the 45 directors of local EPSDT clinics were used to identify three sets of barriers. Strategies to overcome these obstacles are presented and implications for services are discussed.
mesh_terms: D001321:Autistic Disorder / Q000628:therapy; D002648:Child; D002662:Child Health Services; D003695:Delivery of Health Care; D002658:Developmental Disabilities / Q000517:prevention & control / Q000628:therapy*; D006801:Humans; D008607:Intellectual Disability / Q000628:therapy*; D008403:Mass Screening; D008824:Michigan; D011369:Professional-Patient Relations; D012017:Referral and Consultation