摘要:

During the last decade, there has been a marked increase in the survival of the micropremic —:infants with birth weights less than 800 g, which is a testimony to the advances in perinatal medicine. However, with this survival has come significant morbidity. This article reviews the outcome of these tiny infants, some of the consequences for their families, and the implications for primary care providers. Many of these infants have growth delays and many medical problems despite adequate nutrition and general care. Also, while only about 10% to 20% of the survivors have significant neurodevelopmental problems, almost 60% have some disability. Significant numbers of these children—including those without major neurologic disturbances—have disorders of sensory integration and learning disabilities that significantly affect their school and psychosocial functioning. Moreover, these disabilities are stressful for these infants' families. Taking these findings into consideration, it is strongly suggested that practitioners take a proactive approach to the management of these children with close monitoring and assessment that hopefully will lead to the early identification of difficulties and intervention. With this strategy, it is believed that many of these children's difficulties can be ameliorated, leading to a more positive outcome for the child and family.

ISSN:0896-3746    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Cumulating evidence exists that children of mothers with cognitive deficits are at risk for developmental delay, psychosocial mental retardation, and behavior disorders. The authors review the literature on the effects of genetic and environmental contributions to children's intellectual functioning and on the effects of preventive intervention designed to improve intellectual outcomes for high-risk children. Case studies from a longitudinal study of socioeconomically disadvantaged families are used to illustrate how low cognitive functioning affects maternal caregiving and how carefully planned interventions can enhance a mother's ability to provide a supportive learning environment for her young child. Key words: early intervention, environmental risk, maternal cognitive deficits

ISSN:0896-3746    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Young children with severe communication and relationship disorders, often diagnosed with pervasive developmental disorders, respond to intensive intervention started at early ages. These disorders may be secondary to various sensory and motor processing deficits which can be conceptualized as Multisystem Developmental Disorder (MSDD). Diagnostic understanding of variations in multisystem disorders can now be linked to integrated treatment models that take into account the individual differences and developmental level of each child. Clinical vignettes describe different patterns typical of MSDD, a familybased interactive-relationship model needed by all children, and related intervention approaches to consider for each pattern. Keywords: autistic spectrum disorder, behavioral models, floor time, integrated intervention, multisystem developmental disorder, pervasive developmental disorder, relationship-based treatment

ISSN:0896-3746    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Prenatal drug exposure (PDE) is a significant problem in our society, and media attention has caused confusion about developmental outcome for these children. This article deals with the identification of clusters of behavior that are commonly seen in infants with PDE. Intervention techniques are presented that have been successful in both hospital and home programs. Reading behavioral cues, modifying the environment, and providing support for the infant's attempts at self-regulation can begin to ameliorate sleep disturbances, difficulties in self-consoling, feeding disorders, and emotional lability and begin the process of behavioral organization

ISSN:0896-3746    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Scientific research is questioning an ancient belief that massage lias preventive, health maintenance, growth, and developmental benefits for infants and children. The belief is that by using massage, the quality of life and interaction between parent/ caregiver and infant/child is enhanced. Current studies are attempting to prove that benefits are experienced by the caregiver administering the massage as well as by those receiving the massage. If the outcomes prove to be clinically positive, their application to the special needs population may be of significant importance

ISSN:0896-3746    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Institutions of higher education are key players in ensuring that qualified personnel will be available to implement family-centered, interdisciplinary, community-based early intervention services. This article describes the Southeastern Institute for Faculty Training (SIFT), a regional project designed to prepare interdisciplinary teams of higher education faculty from the Southeastern states and jurisdictions to serve as leaders in providing training in the area of early intervention. Included in this article are an overview of the critical components of the project, a summary of lessons learned from implementation, and promising training strategies that were successful in implementing the SIFT model and that SIFT participants are now using in their training. Key words: early intervention, faculty training, institutions of higher education, personnel preparation

ISSN:0896-3746    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Early intervention will be successful only when services are coordinated across agencies and sectors. This article briefly reviews the barriers to interagency coordination as outlined in the literature and then presents results of a 2-year case study. A synthesis of data collected from six diverse states revealed that agencies are qualitatively and fundamentally different from one another in many crucial aspects. This article presents 13 ways that public agencies differ from one another and provides a set of recommendations to assist diverse agencies in coming together to develop a comprehensive and coordinated system of services. Key words: collaboration, cooperation, coordination, interagency, interdisciplinary, service integration, systems

ISSN:0896-3746    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Premature infants in the neonatal intensive care unit (NICU) who are acutely ill or at developmental risk are often likely to require early intervention services in the NICU and following discharge. The NICU Training Project is an interdisciplinary training model designed to promote collaboration between NICU health professionals and early interventionists. Utilizing principles of adult learning, the project's goal is to train service providers to implement a seamless system of family-centered interventions in the NICU, at discharge, and through transition to community early intervention services. This article describes the training model, methods, and outcomes.

ISSN:0896-3746    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0896-3746    

出版商:OVID    

年代:1996

数据来源: OVID