Literature review on the calculation of the optimal frequency and intensity of therapeutic intervention within children’s disability services

Literature review on the calculation of the optimal frequency/intensity of therapeutic intervention within children’s disability services

The aim of this review was to explore the level of intervention or therapy received by children with disabilities and identify current practices and theoretical frameworks used by therapists and interdisciplinary teams.

The literature review found that children with disabilities generally received interventions and therapies based on their individual needs. There was no ‘one size fits all’ formula to determine the optimal level of therapy. The frequency and intensity of intervention varied considerably across jurisdictions. While some guidance exists about the formula for developing interventions, none of the guidance is widely accepted. The calculation of frequency and intensity of interventions depended on several factors including the setting, therapist experience and training, family involvement, an assessment of their overall condition, as well as personal characteristics such as age and willingness to participate. To maximise benefit from therapy, a child must have specific, achievable goals.

The literature showed that there are a number of key considerations for therapists and other stakeholders when making decisions:

• Conduct thorough assessments,
• Individualise treatment plans,
• Involve the child and family,
• Monitor progress continuously, and
• Consult evidence-based guidelines.