Evaluation of the processes of family-centred care for young children with intellectual disability in Western Australia.
BACKGROUND
Government early intervention services for children with intellectual disability (ID) in Western Australia have adopted the model of family-centred care. The aim of this study was to evaluate how well it was being practised, to describe the pattern of service utilization and to identify factors influencing parental perceptions of family-centred care.


METHODS
The study included children aged 0-6 years with ID, who were registered clients of Disability Services Commission, Western Australia. Parents completed a postal survey questionnaire about the frequency and type of services received and their perceptions of services using the Measure of Processes of Care (MPOC-56) questionnaire. Mean scores for the five MPOC domains were compared using anova against the independent variables of child age group, child diagnostic group, service type and frequency, place of residence, family and demographic variables. Significant variables in each domain were then entered into multivariate analyses.


RESULTS
Of 292 eligible families, 165 (59%) returned a completed questionnaire. While over 50% of children had contact with occupational, speech and physical therapists at least once per month, less than 20% of children had at least annual contact with either psychology or dental services. Families rated their satisfaction highest for 'respectful and supportive care' and lowest for 'providing general information'. Individual item analyses indicated less satisfaction with 'co-ordinated and comprehensive care'. Higher means were associated with more frequent contact with occupational therapy.


CONCLUSIONS
Overall respondents reported early intervention services for young children with ID in Western Australia provided satisfactory family-centred care by means of the 56-item MPOC. The frequency of contact with allied health professionals was positively associated with parental ratings of family-centred care. The study indicates under-servicing in dental care and psychology services.
Wilkins
A
A
School of Population Health, University of Western Australia, Crawley, WA, Australia.
Leonard
H
H
Jacoby
P
P
Mackinnon
E
E
Clohessy
P
P
Forouhgi
S
S
Slack-Smith
L
L
D002648:Child; D002662:Child Health Services / Q000592:standards*; D002675:Child, Preschool; D003695:Delivery of Health Care; D018479:Early Intervention, Educational / Q000379:methods*; D005192:Family Health; D006801:Humans; D007223:Infant; D008607:Intellectual Disability / Q000534:rehabilitation*; D015999:Multivariate Analysis; D009788:Occupational Therapy / Q000379:methods*; D010290:Parents / Q000523:psychology*; D011795:Surveys and Questionnaires; D014904:Western Australia