Lecture 2: Pediatric Settings Flashcards
What is the age range on early intervention?
birth-3 years old with a disability
federally funded
Its support based - meaning you’re supporting the famly and helping them to give the best care to their child as possible
TEST: For early intervention where are services supposed to be?
In the natural environment.
* This is anywhere the child can be EXCEPT for the therapy clinic
When does the transition plan for early intervention begin?
3 months before 3rd birthday
What does IDEA cover?
* who pays?
Early intervention services in school
Are provided at no cost except where federal or state law provides for a system of payments by fmamilires, including a schedule of sliding fees - its kind of paid for, but its kind of not. Up to the states to decide
Designed to meet the developmental needs of an infant or toddler with a disability, as identified by the individualized family service plan team, in any 1 or more of the following areas:
* physical development
Cognitive development
Communication development
Social or emotional development or adaptive development
The experiences and opportunities afforded to infants and toddlers with disabilities by the childrens and other primary caregivers that are intended to promote the childs acquisition and use of behavioral competencies to share and influence their prosocial interactions with poeple and objects
* basically this is saying our job is to help them to acquire function - for infants - preschoolers - help them interact with environment and people
early intervention
1) Infants and toddlers learn best through everday experiences and interactions with familiar people in familiar contexts - this is kind of an “it demends situation” - sometimes children will perform really well for other people and they’ll be a monster at home. If they’re constantly looking at a parent to save them this could be an argument in the other direction
2) All families with the necessary support and resources, can ehnace their childrens learning and development. - basically saying anyone can help their child out. However, we know this isnt true.
3) The primary role of the service provider in early intervention is to work with and support the family members and caregivers in a childs life - meet the family where they are. However, this is basically saying we can only work on what the family wants to work on, and thats wrong
4) The early intervention process, from initial contacts through transition, must be dynamic and individualized to reflect the child’s and family members’ preferences, learning styles, and cultural beliefs
5) IFSP outcomes must be functional and based on childrens and families needs and priorities - so were not working on ROM etc… much like the neuro population
6) The family’s priorities, needs, and interests are addressed most appropriately by a primary provider who represents and receives team and community support - this used to only be us, however, now they have people called service providers that may or may not have a medical background
7) Interventions with young children and family members must be based on explicit principles, validated practices, best available research, and relevant laws and regulations.
* best avilable research in PEDS is sketchy at best, so i can say almost anything is best avilable research
What is the primary purpose of early intervention? iDEA 2004 part c - primary purpose of EI services
To minimize the potential for delay and to recognize before 3 years old we have a lot of brain development.
To reduce educational costs to our society, by minimizing the need for special education and releated services after infants and toddlers with disabilities reach school age (because remember, its under 3) - hopefully before 3 they won’t need special education
* however, this doesnt work for everyone
Maximize the potential for individuals with disabilities to live independently in society
to enhance the capacity for familities to meet special needs of their infants and toddlers with disabilities
* this is a big shift becuase they’ve realized that just going to a PT clinic a few times a week isnt enough, they need constant intervention
To enhance the capacity of state and local agenices and service providers to identify, evaluate, and meet the needs of all children, particularly minority, low-income, inner city, and rural children, and infants and toddlers in foster care
* so the goverment really wants to address everyones needs
* want to get kids who don’t typically get seen, seen (think kids back in rural areas)
* the problem is this doesnt seem to be happening enough
How many measures/assessment tools are required during the eval?
* are we writing for the family or the insurance companies
at least 2
they need to be appropriate to the family culture
Assessment report family-friendly language - so not writing for insurance
flordia doesnt have loads of these
respite services = if you need someone to take care of your child
* can be things as simple as showering
* think pts w/ dementia
early intervention services
What is an individualized family service plan (IFSP)
* when do they start transfering
Comprehensive document that basically says what services you’re going to provide and why
each state creates an IFSP form (so individalized per state)
Main components outlined by the federal law
NOTE: this is for early intervention. They have to start transfering 3 months before third birthday. sposed to transfer into the school system (however, they can actaully start public school at 3 if needed) - the day you turn 3
Once the child is 3 years old they transfer from the early interventions plan into school based plan. What is the age range for the school based plan?
3-21 years
What is the goal of school based plan?
Acess education
* goal is always education based
What is the goal of shcool therapy?
For the child to be able to learn.
NOTE: If the child has a physical disability but no education disability THEY DO NOT QUALIFY
out patient/ clinic based for peds population
* how often?
* how long does treatment last (like total, not per session)
*
non daily, 1-3x/week
6-12 weeks to years (so pretty long)
* she writes goals much longer term so you don’t have to do the goals as often
coverage can be limited
explain the 4 levels of hospital perinatal care?
Level 1: Well-baby nursery
* just babies that need to be watched by someone
Level 2: Special Care Nursery
* have something small wrong
Level 3: NICU
Level 4: Regional NICU
these levels go from least to most care required
What level of care can provide neonatal rescitation at every delivery?
level 1
