A developmental systems model for early intervention
Family; Children; Intervention; Interventions; Families; Process Mapping; Core Principles; Developmental Framework; Developmental Systems Model; Early Intervention SYstems; Research to Practice
The article presents a rationale for and components of a developmental systems model to guide early intervention programs for vulnerable children and their families. Core principles emphasizing a developmental framework, integration, and inclusion, as well as related principles, are expressed in the context of a multicomponent interactive system. A central organizing feature of the model is its focus on maximizing family patterns of interaction by addressing potential stressors related to risk and disability conditions. It discusses the importance of consistency across the model's conceptual framework, knowledge based on developmental and intervention science, and professional practices and experiece.
2001
Guralnick MJ
Infants & Young Children
2001
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1097/00001163-200114020-00004" target="_blank" rel="noreferrer">10.1097/00001163-200114020-00004</a>
Feeding Disorders in Children With Developmental Disabilities.
Nutritional Failure
Children with cognitive and adaptive disabilities are at increased risk for developing feeding difficulties and secondary nutritional deficiencies. Problems such as poor oral-motor coordination, swallowing dysfunction, gastroesophageal reflux, and aversive feeding behaviors comprise significant obstacles to growth, prevent the achievement of developmental potential, and threaten clinical stability. Feeding and nutritional problems in patients with developmental disabilities have been well documented, and malnutrition has been reported in up to 90% of nonambulatory children with cerebral palsy. Although diverse factors certainly contribute to this startling and disturbing observation, feeding disorders have been observed in a high percentage of children with major motor and cognitive disabilities. Failure to assess and treat these problems in a timely fashion not only hastens the onset of significant nutrient deficits, but also heightens the incidence of complications, increases hospitalization rates, and results in impaired quality of life. This article describes an approach to evaluating and managing feeding disorders in children with developmental disabilities; and it examines effects of these management strategies on growth and clinical outcomes. The importance of a structured approach to these problems is discussed, and a diagnostic and treatment algorithm for addressing common feeding disorders is presented. Utilizing this approach in a group of 79 children with moderate-severe neurodevelopmental disabilities, 2-year follow-up data demonstrate that diagnosis-specific interventions significantly improve nutritional status and reduce clinical morbidity in these patients.
2003
Schwarz SM
Infants & Young Children
2003
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1097/00001163-200310000-00005" target="_blank" rel="noreferrer">10.1097/00001163-200310000-00005</a>