摘要:

In this article, the construct of centrality of relationships is framed as a new organizing principle for the field of early intervention. Centrality of relationships, broadly defined as the integration of relationship-based concepts at all service levels, exemplifies an emerging, fundamental reconceptualization of services. The changes represent a shift from developmental-deficit-based principles to relationship-based organizing principles that require reformulating intervention approaches and program models. This perspective stresses the commonalities across disciplines that unify the work of early interventionists. Key qualities of leadership, flexibility, support, and teamwork, necessary for program development, are elaborated. Finally, implications for system-level support, efficacy research, and personnel preparation are discussed.

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Myelomeningocele is the most common hadicapting birth defect in the United States. Incomplete development of the spinal cord occurs within the first month of gestation and places the child at risk for major medical problems in multiple body systems, including the central nervous system, genitournary system, and musculoskeletal system. Although there is no cure at this time, early and comprehensive treatment by knowledgeable medical professionals, and appropriate early intervention with appropriate therapeutic and educational modalities, will improve outcome and minimize disability.

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Infants recovering from medical and surgical disorders frequently require nonoral feeding. Alternate methods of providing nutrition may be complicated by the development of an aversion to oral feedings, resulting in a delay in the resumption of normal feeding pattern and possibly nonorganic failure to thrive. The purpose of this study was to examine retrospectively the effectiveness of an inpatient multidisciplinary program for treatment of severe feeding refusal, using a modified method of rapid introduction of oral feedings. Medical records were reviewed of all patients (19) treated in the Infant Feeding Program at Texas Children's Hospital in Houston, Texas, from 1985 to 1993. At entry, all patients were fed greater than 95% by nasogastric or gastrostomy tube. Following the program, the majority of patients (12) were successfully converted to total oral feedings over a reasonably short period of time

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

High-quality parent—infant interaction has been linked to resilient outcomes characterized by secure infant attachments and infant and child cognitive and social-emotional development. The purpose of this article is to show that high-quality parent-infant interaction is important in the promotion ol child resiliency, and ought to be promoted in family-centered early intervention. Research is reviewed that shows the relationship between high-quality parent-infant interaction and resilient outcomes. Potent risk factors that threaten the quality of parent-infant interaction and thus resiliency in infants and young children are also reviewed. Finally, clinical guidelines for assessing and intervening to promote parent-infant interaction are suggested.

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Young children ages 18 months to A years commonly present to mental health clinics with hyperactive and disruptive behavior problems, including temper tantrums and aggression. This heterogeneous group of children have a variety of risk factors, including environmental, constitutional/maturational, and interactional concerns. General principles of intervention are described. In addition, three cases illustrate how Diagnostic Classification of Mental Health ami Developmental Disorders of Infancy and Early Childhood (DC: 0-3) provides organizing principles helpful in furthering our understanding of and intervention with these young children and their caregivers.

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

This article relates to philosophy of service provision to families with infants and young children with disabilities in Sweden. Early intervention is based on a “habilitation-model” focused on four perspectives: (1) medical, (2) educational, (3) psychological, and (4) social. The Act lor Services and Support lor Persons with Disabilities (1994) stresses intervention focused on the handicapping consequences of the child's disability and family involvement in planning and implementing interventions. A change toward a handicap perspective and a family-oriented approach may be distinguished in assessment and intervention practices and inservice training of professionals. A number of Swedish studies reflecting those changes are related

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Several models for explaining early intervention team member interactions have been discussed in the literature. Systems theory offers a different perspective for viewing these interaction patterns. Rather than viewing a team in isolation, a systems perspective considers the interrelationships and interdependencies of the various elements comprising early intervention service. This article proposes a model, a multilayered framework, that takes into account the larger system of community and organization within which early intervention teams function.

ISSN:0896-3746    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The Mobile Van Evaluation and Screening (MoVES) program was established in 1994 lo provide developmental screening and evaluation services to the children receiving primary pediatric medical care from the Georgetown University Pediatric Mobile Clinic. The program grew rapidly and presently consists of an array of developmental services in addition to evaluation and screening. The purpose of this article is to describe the developmental services that have been established as part of a pediatric mobile health care clinic. A descriptive analysis ol the children seen during the first year of the program will also be 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