摘要:

Children of parents with intellectual disabilities are at risk for neglect, developmental disabilities, and behavioral and psychiatric disorders. In addition to cognitive impairments, these parents may have numerous risk factors for parenting difficulties including a history of abuse, poverty, stigmatization, extreme stress, a lack of social supports, depression, and limited opportunities to have learned appropriate child-rearing skills. Not surprisingly, parents with intellectual disabilities are over-represented in child custody cases. This article describes an empirically validated assessment and training model. The parent education approach is based on an interactional model of parenting and the view that many parenting problems of parents with intellectual disabilities are due to specific skill deficiencies that are remediable. A case study is used to illustrate various aspects of the assessment and intervention process.

ISSN:0896-3746    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Cleft lip and cleft palate (CL/P) comprise the fourth most common congenital disability and affect approximately 1 out of every 700 children born in the United States. The treatment needs of children with CL/P are numerous and complex, requiring the specialized, coordinated care of an interdisciplinary team. Young children and their families must adapt to the impact of a congenital disability and the subsequent onslaught of emotions, questions, physician appointments, surgeries, and hospitalizations that accompany cleft lip and palate. This article discusses the multiple medical, dental, therapeutic, psychosocial, and early intervention needs faced during the first 3 years of life.

ISSN:0896-3746    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

This review of the literature is presented to familiarize the reader with the available measures as they relate to assessing the basic capacity for social interaction in infants and preschool children. A review of the literature revealed that broad concepts of social interaction that overlap with other aspects of social development have been included in the assessment of social interaction. Only those measures that included assessment of the basic capacity for social interaction, either as the main goal or as part of assessing different aspects of social development, were considered. The identified measures are grouped in this review by the main area of social development for which they were established. Brief descriptions of the measures are provided in a table format.

ISSN:0896-3746    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Studies involving children with disabilities are usually conducted using small samples, often leading to contradictory conclusions or poor generalizability. Logistics, economics, and ethics make it difficult to obtain a large sample size for study. The resulting professional controversies that arise are counterproductive, confuse families, and internally divide the helping professions. Meta-analysis, a relatively new statistical technique, allows clinicians and researchers the ability to summate the objective results of all appropriate studies regarding a given subject, technique, or theory, thereby achieving clarity from confusion. This article discusses how to review a published meta-analyis.

ISSN:0896-3746    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

In 1994, the Oregon Health Plan challenged the delivery of physical therapy and occupational therapy services for children with special health needs by transferring Medicaid recipients to managed care. Primary care physicians and managed care plans attempting to provide appropriate services requested assistance. The authors coordinated a statewide collaborative effort to examine existing services, to clarify the complementary roles of medically based and educationally based therapy services, to advocate for best practice, and to publish a comprehensive document detailing guidelines for medically based outpatient therapy services. They describe a process that attempts to balance fiscally responsible utilization of therapy resources with advocacy for appropriate therapy services.

ISSN:0896-3746    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Discussions of the recent reauthorization of IDEA (Individuals with Disabilities Education Act) often focused on financing for early childhood service delivery systems. States and program administrators frequently cited increasing difficulties accessing third party payment sources for reimbursement of services, particularly occupational and physical therapy. Factors affecting the ability of states and local programs to seek and secure reimbursement for therapy services are discussed. Strategies for ensuring programmatic success in securing reimbursement for such services are also presented.

ISSN:0896-3746    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The development of a financing system to support services for infants and toddlers with developmental delays and their families must combine numerous funding sources and enable them to support all Individualized Family Service Plan services. The major funding sources are direct federal and state appropriations for Individuals with Disabilities Education Act, Part C and Medicaid. Others include government health, education, and human service programs; third party payers; and community and specialty organizations. Important issues arising when combining resources include identifying which funding source is first or last payer, the use of a family's own resources, determination of medical necessity, and the provision of service coordination. Strategies to address these issues include legislative mandates, the development and implementation of service guidelines, setting child- and family-centered performance outcomes, and following a clear vision of an early intervention service system.

ISSN:0896-3746    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0896-3746    

出版商:OVID    

年代:1998

数据来源: OVID