early intervention in phc

EARLY DETECTION & INTERVENTION IN DISABLED CHILDREN

DR SAIM ALI SOOMRO.(MBBS,MCCM)

Physical HandicappedWho is disabled ?A child with a half age (50% or more) developmental delay in one of the 5 developmental areas: Physical, Cognitive, Adaptive, Communication or Social Emotional

Diagnosing & early detectionPre Natal. Natal & Post Natal.Early detection through New Born screening.

New Born Screening: Testing children for potentially harmful, disabling or fatal conditions with first few days of life.•early 1960s, scientist Robert Guthrie, PhD, developed a blood test to determine PKU.•Metabolic disorders.•Tendem mass spectrometry.•PKU, Galactosemia, Hypothyroidism, Sickle cell disease, Biotinidase, C. Adrenal hyperplasia, MCAD deficiency, Tyrosinemia, Toxoplasmosis , MSUD, CF…etc.• Hearing Screening .•Heel prick test one day after birth.

NBS….

Genetic syndrome ass with Developmental Disabilities:

Genetic Conditions known to be associated with developmental disabilities including but not limited to:

•Down Syndrome• Cri‐du‐Chat Syndrome• Klinefelter's Syndrome• Trisomy 18 (Edward's Syndrome)• Trisomy 13 (Patau's Syndrome)• Turner's Syndrome• Triple‐X Syndrome• Fragile X Syndrome• Prader‐Willi Syndrome• Pierre Robin

Developmental disorders can be detected Early..

ICO………..!

Developmental disordersImportant: Always start with your slide size set to the aspect ratio you intend to use. If you change the slide size after you’ve created some slides, your pictures and other graphics will be resized. This could potentially distort their appearance.

Hypoxic‐Ischemic Encephalopathy (HIE) and at term (36 weeks gestation or more)

Cranio‐facial anomalies Epilepsy/Seizure Disorder Spina Bifida Blindness, including visual

impairments Macro/Microcephalus,

including Hydrocephalus Deafness, including hearing

impairments

Fetal Alcohol SyndromeCyanotic Congenital Heart DiseaseCerebral PalsyViruses/bacteria (Herpes, syphilis,cytomegalovirus, toxoplasmosis, and rubella)Acquired Immune Deficiency Syndrome (AIDS)Autism Spectrum Disorders

How to provide services Children with a half age

(50% or more) developmental delay in one of the 5 developmental domains:

Physical Cognitive Communicatio

n Adaptive Social/

Emotional

•Physical Therapy•Occupational Therapy•Special Instruction/Developmental Services•Speech and Language Services•Assistive Technology•Audiology•Family Training•Health Services

•Medical Services(for evaluation purposes only)•Nursing Services•Nutrition Services•Psychological Services•Service Coordination•Social Work/Counseling•Transportation•Vision Services

DAYC & Individualized Family Service Plan (IFSP)

Developmental Assessment of Young Children (DAYC) tool to help determine if a child is eligible to receive services.

The DAYC evaluates the child’s developmental skills in all 5 developmental domains.

In addition to the DAYC; service coordinator interview, feedback from parents and primary caregivers, physician reports, etc., will be used to help determine if a child is eligible for the program.

An IFSP is a written “road map” or action plan for the services that a child and family will receive.

When will the IFSP meeting take place?Part C federal and state regulations require that the IFSP meeting for eligible children be held no more than 45 days after the referral to First Steps.

Who makes up the IFSP Team?The IFSP team includes: The Parents of the Child,Service Coordinator, Early Intervention Providers, Health Care Provider and anyone that the family would like to invite to the IFSP.

16x9

4x3

MEDICAL REFERRALS DEVELOPMENTAL DELAY REFERRALS

ELIGIBILITY DETERMINATION Medical Records or DAYC

CHILD & FAMILY ASSESSMENTS (Assessments, CPRs, RBI)

DELAY SUSPECTED

ELIGIBLE NOT ELIGIBLE

NO DELAY SUSPECTED Parent Withdraw or SPOE Refusal

SCREENING Existing Information and/or Phone Interview

IFSP DEVELOPMENT

INTERVENTION REFERRAL TO COMMUNITY

PROGRAMS

NOTICE & CONSENT Initial Evaluation

NOTICE & CONSENT Initial Evaluation

RELEASE OF

INFORMATION

NOTICE & CONSENT Initiation of Service

Assitive Technology for PHC One handed Ergonomic Onscreen Small Large Unique

Pointing Devices Trackballs- mainstream products

available in computer retail stores and specialty products such as P&G roller plus trackball

Ergonomic Head or mouth controlled (Jouse,

HeadMouse Extreme)

Pointing Devices3M Ergonomic

AirObic

JouseFootime Foot

Speech recognition soft wares Dragon naturally speaking SpeakQ MacSpeech Dictate (Mac)

Forearm support Wrist rests Keyboard trays Desk height Chair Foot rests

Switch Access Switch selection Switch site software

Thank You……DSAS.

Changing disability into Ability through Accessibility