Evaluating the Impact of Integrated Services for Children with Neurodevelopmental Disorders: A Qualitative Study of Parents’ Perspectives

Abstract
Background and Objective: \r\nSpecialized care for children with neurodevelopmental disorders (NDDs) remains limited in Iraq due to resource limitations and the lack of integrated multidisciplinary services. This study aimed to explore, from the perspective of parents, the perceived impact of integrated interventions provided in a specialized center.\r\n\r\nMethods: \r\nA qualitative design was used through structured interviews with 64 parents of children receiving care at the Bahoz Centre in Erbil. The center was chosen for its accessibility and comprehensive therapeutic services, including psychotherapy, speech and language therapy, occupational therapy, physiotherapy, special education, and family counseling. The interviews were transcribed and analyzed using Braun and Clarke’s thematic framework with a deductive approach.\r\n\r\nResults: \r\nThree main themes emerged: (1) The general impact of services, highlighting changes in children’s functioning before and after receiving interventions; (2) the specific effects of individual therapies, with improvements reported in communication, emotional and behavioral regulation, cognitive and learning abilities, motor development, and social participation; and (3) caregiver satisfaction, focusing on service quality, staff competence, and accessibility. Although most parents expressed high satisfaction and observed significant developmental improvements, some noted challenges in access and individualized care.\r\n\r\nConclusion: \r\nIntegrated multidisciplinary services play a crucial role in the support of children with NDD and their families in Iraq. Strengthening these services through improved accessibility, adequate resources, and individualized approaches is essential to improve child outcomes and parental satisfaction.

Author
Darya Rostam Ahmed

DOI
DOI: 10.4103/mjp.mjp_27_25

ISSN
2950-1911

Publish Date: 17-Dec-2025