Service Delivery

The future of children is now.

Schroeder et al. (1990) · Journal of autism and developmental disorders 1990
★ The Verdict

One neutral broker who puts kids first can keep services flowing for years.

✓ Read this if BCBAs who help families navigate clinics, schools, or waiver systems.
✗ Skip if Anyone looking for behavior-intervention tactics or data sheets.

01Research in Context

01

What this study did

The authors watched one community program for seven years. The program acted like a smart broker. It matched kids with delays and mental-health needs to the right services.

Instead of each agency guarding its turf, one team put the child first. They tracked what each family needed and filled the gaps.

02

What they found

The model stayed alive for the full seven years. Kids kept getting speech, behavior, and mental-health help without falling through cracks.

No numbers are given, but the authors call the setup a success.

03

How this fits with other research

Hostyn et al. (2010) extends this idea. They show that twenty years later, community clinics still help autistic kids with behavior problems. They even measured gains in symptoms and family stress.

Johnson et al. (2009) is a successor model. They swapped the lone broker for a university-community partnership. The goal is the same: bend evidence-based care to fit real-world clinics.

Massey et al. (2024) echo the client-first theme. They let parents co-design therapy tools, proving the spirit of "family before agency" is still alive.

04

Why it matters

You do not need a new clinic to fix service gaps. You need one coordinator who shops the system for the family. Ask your county or school who plays that broker role. If no one does, script a one-page referral map that lists who pays for what. Hand it to parents at intake so they leave with a next step, not a dead end.

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Write a one-page local resource map and give it to every new family at intake.

02At a glance

Intervention
not applicable
Design
case study
Population
developmental delay, mixed clinical
Finding
not reported

03Original abstract

A community resource network, Annie Sullivan Enterprises, Inc., is described as a system for community integration of children and youth who have developmental disabilities and mental health problems. A brokerage model is espoused for accessing and delivering services. The model is based on Hobb's (1975) view that organization of human services must be based primarily on the client's needs rather than on the needs of the service agency. Lessons and recommendations based upon 7 years of successful operation are described.

Journal of autism and developmental disorders, 1990 · doi:10.1007/BF02206548