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An introduction to Early intervention & early diagnosis of disabilities and its role in rehab+ Management.
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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 detection
Pre Natal. Natal & Post Natal.
Early detection through New Born screening.
Widescreen AdvantagesNew 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.
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 disorders
Important: 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 Communicati
on 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
Jouse
Footime 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