Special Needs Flashcards
Define developmental delay
“Functional aspects of the child’s development in 1 or more domains are significantly delayed compared to predicted level for age”
(Motor, language, cognitive, social & emotional)
What is required to diagnose Global Developmental Delay?
GDD = performance 2SD below mean of age-appropriate norm-referenced testing
What tools can we use in primary care to assess development?
ASQ (age & stage questionnaire)
PEDS (Parents evaluation of developmental stages)
M-CHAT (checklist for Autism in toddlers)
SOGS-2 (Schedule of growing skills)
What tools would be more applicable in secondary care?
- Griffiths mental development scales
- Bayley scales of infant development
- Weshcler preschool/primary scales of intelligence
What parts of a history are particularly relevant to assessing child’s development?
FH
H/o miscarriages
Course of pregnancy, birth and early life
Drugs/alc in pregnancy
Medications
Development, behaviour, social & education history
What red flags could pop up in history or exam of a child?
- Regression of skills
- Hearing/vision concerns
- Floppiness
- Assymetrical movement
- Persistant toe walking
- No speech by 18-24months
- Head circumference >99.6thC or <0.4thC
What first line tests can we run when we’re concerned about a child’s development?
1) GEnetic testing for chromosomal disorders & Fragile X
2) CK for muscular dystrophy
3) TFTs for hypothyroidism
4) U&Es + Urate
5) FBC
6) Ferritin
7) Lead (poisoning)
8) Opthalmological exam & Audiology assessment
Define Additional Support Needs?
Kids have ASNs if they need additional support with education that isn’t normally provided in mainstream education
List 4 types of plan we can set in place for a child with ASNs?
- Personal Learning Plan (PLP)
- Individualised Education Plan (IEP)
- Coordinated Support Plan (CSP)
- Child’s Plan
Which “plan” is described by:
“A way to plan what/how a child learns, assess their progress and act on that assessment”
A personal learning plan
PLP
What plan is described by:
“Detailed plan for child’s learning using SMART targets”
IEP - individualised Educational Plan
What plan is used if a kid needs extra support e.g. access to mental health services, respite care or help from multiple agencies? And may include an IEP or CSP?
A child’s plan (Part of the GIRFEC approach)
What plan is a legal document and has the following criteria:
- Complex or multiple needs
- Needs likely to continue >1yr
- Support required from >1 agency
A coordinated Support Plan (CSP)
The only legally binding document
