Young Alys, Temple Bogusia, Davies Linda, Parkinson Gillian, Bolton Joanna
School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
Health Soc Care Community. 2008 May;16(3):222-33. doi: 10.1111/j.1365-2524.2008.00765.x. Epub 2008 Mar 18.
Early Support (ES) is the flagship government programme aimed at improving multi-agency working with, and supporting enhanced outcomes for, children with a disability 0-3 years and their families. This paper draws on results from the recently completed Department for Education and Skills commissioned national evaluation of ES involving 46 pathfinder projects throughout England. Data were collected by survey at two points in time (9 months apart), by focus groups with service providers and parents, and through secondary data analyses, including exploratory economic evaluation. This paper outlines some of the key findings pertaining to the relationship between integrated children's services and the impact of ES. As such, we address three concerns: what the evidence from ES can tell us about the relationships between universal and targeted provision within integrated children's service structures, the relationship between specific short-term initiatives and their longer-term sustainability within integrated children's services structures and the potential costs and benefits of ES looking forward to its implementation on a national basis within an integrated children's services environment. Although focused primarily on children with a disability in the early years, implications will be drawn for the implementation of Lead Professional Guidance and the Common Assessment Framework more generically.
早期支持（ES）是政府的旗舰项目，旨在改善多机构协作，为0至3岁残疾儿童及其家庭提供支持，以提升相关成果。本文借鉴了近期完成的由教育与技能部委托开展的ES全国评估结果，该评估涉及英格兰各地的46个试点项目。数据通过在两个时间点（相隔9个月）进行的调查、与服务提供者和家长进行的焦点小组讨论以及二次数据分析（包括探索性经济评估）收集。本文概述了一些与综合儿童服务之间的关系以及ES的影响相关的关键发现。因此，我们关注三个问题：ES的证据能告诉我们关于综合儿童服务结构中普遍提供和针对性提供之间的关系；特定短期举措与它们在综合儿童服务结构中的长期可持续性之间的关系；以及展望ES在综合儿童服务环境中全国范围内实施时的潜在成本和收益。尽管主要关注幼儿期残疾儿童，但也将更广泛地探讨对首席专业指导和共同评估框架实施的影响。
