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Background: Part C of the Individuals with Disabilities Education Act mandates that eligible children under age three receive free access to early intervention (EI) through state-based programs. Despite a robust "Child Find" system, enrollment remains lower than expected. Community and medical professionals often rely on parent report of service utilization to gauge whether children are receiving developmental services. Understanding the reliability of parent report of EI can guide strategies to increase EI participation. Objective: To assess the extent to which parental reports of Part C EI services agree with state-based service records. Method: We address this research objective among 162 children and their parents from marginalized communities in Boston, MA and New Haven, CT who were identified as having a higher likelihood of autism and participated in a randomized controlled trial to facilitate access to autism evaluation and treatment. Parents reported whether their child was currently receiving EI services at four time points and released their child's EI service records from state agencies. Results: Overall agreement between parent and service records was 70% and ranged from fair to moderate and service-specific agreement ranged from 46% to 81.6%. Sensitivity, specificity, and positive/negative predictive values ranged widely for both overall and service-specific EI use. We found no differences in agreement by sociodemographic characteristics, but agreement was higher when children received EI services at home. Conclusions: Our findings support community and medical professionals' elicitation of children's EI service use from parents, especially for participation in EI overall and for physical and occupational therapy.

Numerous studies have reported that socioeconomic status (SES) predicts language skills in typically developing children. However, this association has been less systematically studied in children with developmental disabilities, such as autism spectrum disorder (ASD) or other developmental delays (DD). In the present study, we examined the association between SES, operationalized as maternal education attainment and health insurance status, and receptive and expressive language skills in a sample of children from lower SES, racial/ethnic minority families at increased 'clinical risk' for ASD based on early screening. Neither maternal education attainment nor health insurance status were significantly associated with children's language skills. Expressive and receptive language skills were significantly higher in children with DD compared to children with ASD. Findings differ from previously published work, highlighting the importance of study replication. Further research is needed to understand why the association between SES and children's language skills might vary across samples.

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth of color experience high rates of mental health disorders, yet they experience challenges to accessing mental health services. Community health worker (CHW) models of care have potential to promote equitable mental health services among LGBTQ youth. Our aim was to understand how CHW models could be adapted to better support LGBTQ youth of color in accessing mental health services. Semi-structured qualitative interviews were conducted with LGBTQ youth of color (n = 16), caregivers of LGBTQ youth (n = 11), and CHWs (n = 15) in Massachusetts and California. Interviews were coded by 8 members of the research team. A Rapid Qualitative Analysis was conducted to identify themes. Caregivers, youth, and CHWs all endorsed the value of CHW models for this population. They also almost universally suggested multiple adaptations are needed for the model to be effective. Four main categories of themes emerged related to intervention adaptations: (1) Why adaptations are needed for LGBTQ youth, (2) Who should serve as CHWs providing care, (3) How CHWs should be trained, and (4) What content needs to be included in the intervention. Broadly, findings suggest the relevance of having CHW models for LGBTQ youth of color to address stigma and discrimination experienced, access to culturally and linguistically relevant services, and the need for caregiver support of LGBTQ youth. CHWs need increased training in these areas.