Cross Disability Early Intervention Centres: Inauguration of

Inauguration of
CROSS DISABILITY
EARLY INTERVENTION CENTRES
17.06.2021
Government of India
M/o Social Justice and Empowerment
Department of Empowerment of Persons with Disabilities
Need for Cross Disability Early Intervention
• Magnitude:
― Children with Disabilities (0-6 years):
20.42 lakhs (Census, 2011)
― 1 in every 100 children (0-6 years)
suffers from some type of disability.
• Numbers likely to increase due to:
― Population growth
― Increse in number of disabilities (7 to 21) under RPwD Act, 2016.
― Psycho-social disabilities, Autism and Specific Learning Disabilities showing
an increasing trend.
• Lack of Rehabilitation professionals
• Magnitude of the impact would be manifold if not managed with proper and
timely identification & intervention since infancy.
Inauguration of Cross Disability Early Intervention Centers 2

Cross Disability Early Intervention : An Approach
Evidence based findings bear out that disability burden can be

reduced through Early Intervention for Children At-Risk, with
REDUCING
DISABILITY
Developmental Delays and with Disabilities.
BURDEN
0-6 years is a critical phase when maximum brain development

occurs & facilitates overall development & learning. It
determines a person’s well-being, productivity, achievements and
TIMELY
INTERVENTION
quality of life.
To prevent/ reduce impact/ reduce secondary disabilities, it is

vital that Early Intervention services are provided. This can lead
to lesser economic burden by creating a better future and
CATCH THEM
YOUNG independent/less dependent lives.
Cross Disability Early Intervention : An Approach
Rehabilitative care requires multi-sensory stimulants and
activities for motor/physical skills, cognitive skills,
communication/language skills, self help/adaptive skills and
social/emotional skills through sustained and repetitive
TRANS-
DISCIPLINARY Intervention protocols.
APPROACH
Acknowledging the primacy and centrality of the role of parents

and family, the needs of parents given focus to motivate them to
PARENTS/
FAMILY AS avail the services regularly for their child’s betterment.
PARTNERS
Coordinated approach between Health Centers and Medical

Facilities as well as Early Intervention services is required for
early and regular referrals to help reduce the impact & severity of
COORDINATED
APPROACH disabilities.
Current Scenario: Identifying the Gaps
• No full fledged Cross Disability Early Intervention Centers in existence.
• The National Institutes (NIs) have specific disability focus. The current
Institutional structure of NIs and CRCs provides rehabilitation services to
Divyangjan, including intervention for children without provision for cross-
disability early intervention services.
• Capacity building for Cross Disability Early Intervention needs to be
focused across India to reduce the overall disability burden of the country and
provide a better future for our children.
• As a PILOT, 7 NIs and 7 CRCs to be equipped for early intervention for
catering to all categories of disabilities.
• District Disability Rehabilitation Centers need to be revived by the State
Governments. Disability being a State subject, involvement of State authorities
is crucial.

Cross Disability Early Intervention : Conceptualization
Cross-disability: Coalition of different
disabilities & interventions that intersect and
provide opportunities for intervention through
varied perspectives.
Single Window Approach: Providing
rehabilitation services for different disabilities
under one roof and in a contiguous manner.
Parent-centric: Optimizing parents’ role in
parenting or intervention of children (0-6 years)
with demonstrated therapies and parental
counseling sessions.
Multi-sensory Learning: Opportunities for
Children with Disabilities to learn through
visual, auditory, kinesthetic, tactile, balance,
touch, etc.
Cross Disability Early Intervention : Conceptualization
Aesthetically Designed Facilities: Providing
modern, child-friendly facilities keeping in mind
needs of the children and space to grow playfully.
Special efforts made to create attractive and
appealing interiors.
Accessible Features: Ensuring accessibility
through Ramps, Parking, Braille Signage, Tactile
Flooring, Washrooms with Grab Bars, Low Height
Drinking Water Points, Accessible Reception and
Furniture, Well-lit Interiors, etc.
Preparatory Schools for School Readiness: To
enable Children with Disabilities to develop
communication, language, motor, social,
emotional and cognitive abilities for inclusive
schooling.
Facilities and Services at Cross Disability EICs
● Facilities for identification by Medical
Screening Specialists
and
● Referral for appropriate rehabilitative
Identification
services
● Physiotherapy, Occupational Therapy,
Developmental Therapy
Therapeutic ● Audiology and Speech Therapy
Services ● Rehabilitation/Clinical Psychology
● Prosthesis, Orthosis, Assistive Device
& TLM (ADIP)
● Parental Counselling and Training

Counselling
● Peer Counselling
● Preparatory School
● Communication and Language
School Development
Readiness & ● Yoga, Music, Dance, Drama, Art &
Transition Craft and Play Therapy
● Transition & Facilitating Mainstream
School Admission
14 Cross Disability EICs
EICs in National Institutes
1. Dehradun - Uttarakhand
8
2. Delhi - Delhi
1
3. Mumbai - Maharashtra
2 4. Secundrabad - Telengana
9 5. Kolkata – West Bengal
6. Cuttack – Orissa
12 7. Chennai – Tamil Nadu
10
11 5 EICs in Composite Regional
3 Centers
6
4
8. Sundernagar – Himachal Pradesh
9. Lucknow – Uttar Pradesh
7 10.Bhopal – Madhya Pradesh
13
11.Rajnandgaon - Chhattisgarh
12.Patna – Bihar
14
13.Nellore – Andhra Pradesh
14.Kozhikode – Kerala
Human Resource at Cross Disability EICs
Medical Professionals
Rehabilitation
Professionals • Pediatrician
• Part-time Medical Specialty
(ENT, Neurology, Orthopedic,
Ophthalmology, etc)
• Clinical/Rehabilitatio • Orthotist and Prosthetist
n Psychologist
• Physiotherapist Education Professionals

• Occupational • Special Educators
Therapist • Activity Teachers (Yoga,
Dance, Music, etc.)
• Audiologists cum
Speech Therapists
Others
• Developmental
Therapist • Community Worker
• Trained Caregiver

Handbook on Early Intervention Centers
 Provides overall perspective and
conceptualization of the Cross
Disability Intervention Centres
 Provides insight into these EICs:

― Infrastructure and Services
― Case Studies
― Strategizing Rehabilitative
Interventions
 Serve as a guide to States/UTs to

develop Cross Disability EICs.


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Inauguration of

Inauguration of Cross Disability Early Intervention Centers 2

Evidence based findings bear out that disability burden can be

0-6 years is a critical phase when maximum brain development

To prevent/ reduce impact/ reduce secondary disabilities, it is

Acknowledging the primacy and centrality of the role of parents

Coordinated approach between Health Centers and Medical

Inauguration of Cross Disability Early Intervention Centers 5

● Parental Counselling and Training

• Physiotherapist Education Professionals

Inauguration of Cross Disability Early Intervention Centers 10

 Provides insight into these EICs:

 Serve as a guide to States/UTs to

Inauguration of Cross Disability Early Intervention Centers 11

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