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Definition:
"Special Needs" Mild learning disabilitiesProfound Cognitive impairmentDevelopmental delaysTerminal illness Psychiatric ProblemsFood AllergiesAsthma - Brittle
Causes: Congenital- Downs syndrome, Potter’s
syndromeAcquired- Brain injury, Brain infections –meningitis, cerebral malaria, Hypoxic Ischaemic EncephalopathyKernicterus- severe jaundiceAutistic spectrum disorder
Statistics
• People with LD have twice as many health problemsPeople with learning disability die 16 years younger than the general populationHealth needs are often unrecognised and unmet
Nigeria- 2006 census:3,253,169 persons39% od school age
Educating Students with Disabilities in Nigeria:
Some Challenges and Policy Implications Oladejo, Maruff Akinwale (PhD)* Oladejo, Sofiyat Abimbo - 2011
Legal & Ethical Framework
• Nigeria with disability decree 1993UNESCOThe Salamanca StatementConvention on the right of the Child -1990Declaration of the Rights of the disabled -1998
Healthcare• Aims:
RecogniseRefer SupportOngoing care
Access to High QualityEvidence based careDiagnosis, assessment, treatment and ongoing care
Challenges
• DiagnosisComplex healthcare needsCommunications difficultiesUnusual presentationFamily
TrainingFunding
Challenges• Multidisciplinary :Paediatrician, physical therapist, speech
& language therapist, Play therapists, education psychologist, dietitian, counsellors, teacher.
Multiagency Specialist Teams: Government agencies- Education, social / welfare, Voluntary sector, NGO
TrainingChild CentredCo-ordinated
Supporting Parents & Strengthening Families• Parental knowledge & Expertise
Recognise personal & emotional investmentEnsure understandingRespect Differing opinions and needsFlexibility
Supporting Parents & Strengthening Families• Parental Stress
Sleep DeprivationBehaviour problemsMultiple disability
Fathers, Siblings
Supporting Parents & Strengthening Families• Effective support
Home School Hospital Respite care Long term care
Failure to participate• Underestimating the problem• Normalising the problem• Not seeing the child• Considerable source of anxiety/ evokes profound
emotion• Fear of personal consequence of challenging
parents• No medical model• Lack of awareness & inadequate training• Wary of testifying in court
Implications / cost of abuse• Death• Disability• Mild learning difficulties• Poor Mental Health• Poor Educational Outcome• Drug & Alcohol Abuse• Violence – criminal, domestic & violence against
children
Implications / cost of abuse• 30-50% of abused children develop mental health
problems• 50% of psychiatric patients have a history of
abuse
For individuals, Family, Small Business and Corporate Business:Our patients are at the centre of the care we provide#LifeLongCare
For more information please contact: Dr Toyin AdenaikeMBBS, DCH, MRCP, DFFP, MRCGP
Dr Adenaike was the Named General Practitioner for Child protection ( safeguarding ) for Basildon in Essex UK.She remained the lead safeguarding children & adults until she relocated to Nigeria in 2015.
Niyotmedical.comTel : +234 814-0000-1959 Anthony Etukudo Avenuelekki Phase 1, Lagos, Nigeria
Email: [email protected]