摘要:

Intensity of therapeutic intervention as it relates to occupational therapy and physical therapy regimens for infants and young children with cerebral palsy is examined. Relevant studies are categorized as descriptive, contrast, and control group investigations. The review reflects that little consensus exists pertaining to the meaning of intensity of therapeutic intervention. Inadequate instrumentation and assessment procedures are suggested as major contributory influences to this conundrum. Accountability in the early intervention professions requires heightened levels of sophistication in research designs, careful documentation of procedures and outcomes, and approaches incorporating theories of general child development if the disciplines of occupational and physical therapy are to attain a better understanding of the meaning and importance of therapeutic intervention intensity.

ISSN:0896-3746    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:0896-3746    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:0896-3746    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Brain injury is a frequent cause of major disabilities, such as cerebral palsy and mental retardation, in surviving very low birth weight infants. This article describes patterns of intraventricular hemorrhage and periventricular echodensity as identified by cranial ultrasound in such infants. The literature was reviewed with respect to the prognosis of these abnormalities, with emphasis on the importance of individualization. An approach to early intervention for infants with these lesions in the neonatal intensive care unit is discussed. The coupling of these perspectives is intended to emphasize the interrelationships of diagnostic, therapeutic, and prognostic approaches in affected infants.

ISSN:0896-3746    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Home visitor programs based in health, education, and social service agencies provide services to a wide range of families for multiple reasons. Federal and state policies on family support in the home are rarely coordinated and have little empirical base to support their efficacy. Effectiveness studies and solid demonstration efforts are needed for informed policy decisions.

ISSN:0896-3746    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The implementation of Part H of IDEA (formerly PL 99-457) will increase the current demand for personnel who provide services to infants and toddlers with special needs and their families. A significant shortage, however, exists in most such professions. This article presents the use of consultation, as it is traditionally defined in the mental health professions, as a possible service delivery option to use in early intervention. The authors describe consultation—its applications to work with families—and a case study of a child receiving early intervention services and offer verbal consultation strategies to use with the family.

ISSN:0896-3746    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Part H of PL 90-457 requires programs to provide health services to enable children to benefit from early intervention. There has been little help to states in planning and implementing health services in early intervention programs. Health needs of infants and roddlers with disabilities are used as a framework to present a model for integrating health services in early intervention programs. Implications for use of the model in financing, staffing, the service delivery model, personnel preparation, child assessment, developing the IFSP, case management, and data collection are discussed.

ISSN:0896-3746    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The 1988-1990 Training Approaches for Skills and Knowledge Project of the National Center for Clinical Infant Programs identified four elements of training that seem particularly important in helping individuals become competent infant/family practitioners. These are 1) a knowledgebase built on a framework of concepts common to all disciplines concerned with infants, toddlers, and their families; 2) opportunities for direct observation and interaction with a variety of children from newborn to age 3 and their families; 3) individualized supervision that allows the trainee to reflect on all aspects of work with infants, families, and colleagues; and 4) collegial support, both within and across disciplines.

ISSN:0896-3746    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The purpose of this article is to describe the Nursing Child Assessment Feeding Scale and Nursing Child Assessment Teaching Scale instruments. Both scales are measures of the important concept of parent-child interaction. They were developed by Barnard and colleagues and based on the theory of Child Health Assessment Interaction. The scales utilize familiar (feeding) and novel (teaching) situations as settings for observations of the quality of interaction. Description of test properties and examples of uses of the scales are included. The scales were originally designed for use in nursing practice but are now utilized by professionals in a variety of disciplines.

ISSN:0896-3746    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Controversies exist over what is appropriate stimulation for the hospitalized preterm infant and how it should be administered. One approach advocates the provision of additional and isolated sensory stimulation, while another approach advocates the detailed assessment of the infant's functioning in the extrauterine environment as a baseline for highly individualized intervention. This review shows that extensive research has been conducted in support of both approaches. Sensory stimulations have been shown to have an impact on the development of preterm infants. However, an understanding of the infant's level of functioning in the extrauterine environment provides the context within which stimulations can be applied.

ISSN:0896-3746    

出版商:OVID    

年代:1991

数据来源: OVID