摘要:

An information processing assessment of mental ability coupled with a conventional test of development can identify normal intelligence in children with pervasive developmental disorder and autism. A variety of measures indicate that a treatment program designed to foster compliant behavior, first with actions and then with words, can result in substantial “catch-up” in the majority of children with intact information processing ability.

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Gastroesophageal reflux (GER) is a common problem among infants and young children. The symptoms of GER in children with major developmental disabilities or neurologic impairment are often more severe and/or persistent than in other children. This article reviews the anatomy and physiology of the upper gastrointestinal tract and discusses the potential causes of GER in young children, especially those with major developmental disabilities or neurologic impairment. In addition, the signs, symptoms, and complications of GER in young children and the association between GER and recurrent or chronic respiratory symptoms are presented. The authors also discuss the various diagnostic tests used to aid in the diagnosis of GER in young children, their theoretical and practical utility, and their limitations. Finally, there is a discussion of the therapeutic options for GER in young children including positioning, dietary and feeding manipulations, medications, and surgery.

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

This article discusses the vulnerabilities for living and learning disorders of children in care and the difficulties they often present to their foster and adoptive families. It is concluded that training courses that provide information about early child development and special needs, in conjunction with social service and other professional support, plus foster parenting groups, can have beneficial influences on reducing placement breakdown and encouraging healthy development.

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

In establishing a system of family-centered early intervention services, it is essential to bridge gaps between the needs voiced by families and the policies that drive the delivery of services. This article discusses the findings of a qualitative study involving six states regarding the state-level policy- and organization-centered strategies that are compatible with the needs identified by families of young children with disabilities. Families of Part H-eligible children participated in focus groups and the three priorities they perceived are identified and linked with examples of state-level policies that address the priorities. Challenges states face in meeting parent priorities are discussed, followed by federal recommendations to support family-centered, coordinated service systems.

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

An educational program developed to prepare health professionals in a neonatal intensive care unit to initiate family-focused developmental care (FFDC) is described.The program was designed in response to a desire to better support families with preterm infants and to do so in a cost-effective manner. It served to bridge the gap between a traditional model of care and a family-centered model. Evaluation findings suggest that the program was cost-efficient, prepared nurses to effectively initiate FFDC, and improved maternal self-esteem.

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

This article discusses an interactive process model and related technical assistance strategies for planning and implementing a finance system for early intervention services. The process model emphasizes collaboration with key stakeholders, vision development, identification of existing and needed resources, problem analysis, strategy development, and implementation. This article details the application of the planning process steps within the framework of three case examples. Evaluation measures are discussed, and outcome results for the three state case examples are presented. Implications for the utility of the model for strategic planning for systems change are considered.

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Multiple factors have shifted the delivery of services for children with special health care needs to community settings. The ability of care providers to ensure a safe, supportive environment for this population is challenged in emergency situations as technologic advances have broadened the capacity and spectrum of emergency responses. Collaborative development of portable individualized emergency response plans is an optimal acknowledgment of the current care environment. Illustrative care scenarios, a sample plan, and policy recommendations are provided.

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID