Benefits of Early Detection and Identification

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    Importance of Early Detection and

    Identification for Differently Able

    By

    Manisha Verma

    Asha School Danapur

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    What Is Early Identification andDetection?

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    Identification-Recognitionof Condition

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    Early

    Means In the Course of Childs problem

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    What Do Statistics Say?

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    Nature and Nurture

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    Etiological Factors of Disability Pre-natal

    Genetic

    Developmental Malformation

    Maternal Age

    Drugs/Medicines/Radiation etc

    Peri-natal

    Low birth Weight\Pre-Maturity Trauma during Labor

    Asphyxia etc

    Post-natal

    Infections(Poliomyelitis, tuberculosis, meningitis,

    encephalitis)

    Accidents

    Malnutrition

    Environmental factors

    Psycho-social factors

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    Growth And Development

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    Fixed Development Pattern After Birth

    Social Smile at the age of 1month

    Holding neck at approx 3 months

    Sitting by 6 months Standing by 7 months

    Walking and talking by 1 year

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    Language

    Most sensitive, receptive, language skills andability to recognize speech till 5-6 years

    Motor Skills

    Myelination of Cerebellum peaks by 4 years ofage

    Gross Motor skills grow through stimulationinitiated by childrens advances

    Hearing

    Auditory perception has reached adult levels by2 years

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    What are Developmental Delays

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    Early Detection

    Reveals the area of Difficulty

    The special ability of child to learn

    Special help he needs

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    Ways Identification

    Informal or Natural Referral

    Questionnaire or Inventory

    Screening

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    Screening is a procedure which

    accurately categorizes individuals

    as possibly handicapped or

    delayed or as not currentlyhandicapped or delayed

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    Important Areas of Assessment

    Measurement of overall level of

    Intellectual functioning

    Assessment of Adaptive Behavior

    Detailed Analysis of Individual abilities

    and deficits

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    Screening MethodsSensitive

    Specific

    Inexpensive

    Simple

    Repeatable

    Acceptable to Public and Professionals

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    Outreach or

    CaseFindings

    ScreeningFurther

    AssessmentEarly

    Intervention

    Process of Screening

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    School Entry Level Screening

    Neurodevelopmental Screening

    Visual Screening

    Auditory Screening

    Language Level Screening

    Screening Instruments NIMH Developmental Screening Schedule

    Basic-MR

    Dolls Vineland Social Maturity Scale

    The Automated Software Screener Developed by

    Sampath kumaran Veeraraghavan and Dr Karthik

    Srinivasan

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    Requires input of various professionalsPhysiotherapists

    special educators

    psychologists

    Occupational therapists

    social workers

    speech therapists

    Multidisciplinary Approach of Identification

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    Includes Developmentally disabled

    at risk children and

    their families

    Early Detection and Identification

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    Benefits Of Early Detection

    o Restrict Number of Handicaps

    o Timely treatment

    o

    Trainingo Counseling

    o Steps of Prevention

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    Counselling

    Information of risk factors in birth of

    other siblings

    Efforts to create a positive

    environment

    Involvement of All family members

    Opening of channel of communication

    among family members

    Providing support and necessary

    training

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    As soon as it is recognized that young

    child is developmentally delayed

    These start with Diagnosis and

    continue till age of 5 or 6 years.

    Infant brain is more adaptable

    First 24 months of childs life involves

    tremendous and rapid growth and

    development

    When to Start Early Intervention

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    Use It or Loose It

    2 Years Twice the no: of Synapses inthe adult

    5 Years Brain is 95% of adult size

    10 Years

    Weakly formed SynapsesStart regressing

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    Child Development

    Critical Periods

    Windows of Opportunity

    Time of Selective Vulnerability

    Plasticity

    Parts of the Damaged brain can becompensated with in by formingalternate pathways

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    Nature of early intervention services

    No two kids are the same Designed to suit the specific needs of the child

    Concentrates not only on child but also its

    environment

    Inclusive of family and other important members inchild

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    Early Intervention for a Child

    Motor

    Sensory

    Cognitive

    Social

    Emotional

    Activities of Daily living

    Provid ing St imulat ion and exposing chi ld to al l

    pos sib le act iv i t ies can w ork w ond ers !! !

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    Develop skills for future learning

    Reduces occurrences of associated

    handicaps

    Provides opportunity to live with familyfrom beginning

    Child can attain maximum potential

    Early Intervention For Child

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    Early Intervention for Families

    Provide Info and Skills

    Individualized Family Service Plans (IFSP)

    Understanding Limitations, strengths and needs of thechild

    Genetic Counseling

    Emphasizing need for Spacing and Small size of Family

    Ensuring Future Guardianship role

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    Learning of effective parenting skills toteach and stimulate the child

    Early counseling to accept child better

    Minimize disruption in the family,establish positive of interaction among

    family members

    Feelings of self worth is increased

    among siblings

    Future guardianship role is facilitated

    Early Intervention For Family

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    challengesto

    Early Childhood Identification

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    Sharing of information across disciplines

    Labeling IssuesChanging family dynamics

    Sharing criteria for referral, shared protocols

    Work towards better understanding betweenculture/agencies

    Who should be involved in Early Childhood

    Intervention-Parents, case workers, family members

    Strategic Planning

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    children's development must be

    viewed as integrated and interactivechildren must be served with in the

    context of the family.

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    Ayan* :A SuccessDIAGNOSIS

    Ayan Was diagnosed with spastic Quadriplegia -when he

    was 2 year old

    He had balancing problems

    Scissor Gait

    He was given physiotherapy since July 2010Goals of Therapy

    To improve his balance

    Facilitation of Equilibrium

    To continue academic activities in play way method

    (*-Name changed)

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    Ayan : A Success

    After 3 months an evaluation was done

    Sitting posture improved..he can sit and

    maintain balance when legs are kept straight in

    front for short duration

    Can pull himself up from sitting position

    Now can stand with support

    Can bear weight on the legs

    Inverted tendency of feet is reduced Shows interest in coloring and can scribble with

    crayons and identifies family members as well

    as colors and five pictures

    (*-Name changed)

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