What is Shaken Baby Syndrome and Support for Adele
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This document discusses shaken baby syndrome, its causes and effects, and introduces Adele, a 3-year-old child with cognitive and motor delays due to being shaken as an infant. It provides information on adapting environments for children with Adele's delays and lists several support agencies in Toronto for children with special needs as well as for their mothers, including those providing speech therapy, occupational therapy, rehabilitation, early intervention programs, housing support, and substance abuse support groups.
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What is Shaken Baby Syndrome and Support for Adele
- 2. What is Shaken Baby Syndrome? A form of child abuse Injuries can occur when a baby or young child is violently shaken by another person Other Names for Shaken Baby Syndrome Shaken Impact Syndrome Abusive Head Trauma
- 3. Causes of Shaken Baby Syndrome •Shaking a baby violently •Blows to the head •Dropping or throwing a child •Usually caused by a parent or caregiver
- 4. Signs a Child has been Shaken •Bleeding in retina of the eye •Bleeding in or around the brain •Bone fractures or bruises •Pale or blue skin •Lethargic eyes
- 5. Results of Shaken Baby Syndrome Can be severe or mild: Developmental delays Speech and learning difficulties Hearing loss Blindness (partial or total) Intellectual Disability
- 6. Meet Adele: Adele is a three year old child with special needs Adele suffered a brain injury at 15 months old as a result of Shaken Baby Syndrome and now has special needs Adele is now a child who has: Cognitive and speech delays Difficulty with gross/fine motor skills
- 7. Meet Adele: Adele and her mother are new to Toronto The mother has a history of alcohol and substance abuse Mother is currently sober and wants a fresh start Adele’s mother has asked for information about services available in the Toronto area
- 8. Adapting Environments Cognitive and Speech Delays: Label items with pictures and words Provide one on one time Provide multiple age appropriate toys for stimulation Encourage discussions at circle/group time
- 9. Adapting Environments Gross and Fine Motor Delays: Fine Motor: Enlarging (adding materials to make toys accessible) Gross Motor: Reduce clutter Provide time for outdoor play Walking/dancing activities
- 10. Support Agencies For Adele
- 11. Private practice Support for fine/gross motor difficulties Offers individual occupational therapy Therapy offered in clinic, in home, in school Group settings offered http://www.handskillsforchildren.com/
- 12. Four locations in Ontario Speech Pathologists and Communication Disorders Assistants Includes focus on acquired brain injuries and speech delays Offer therapy in individual sessions, pairs and groups Free parent workshops Financing available http://www.speechtherapycentres.com
- 13. Canada’s largest kids rehabilitation hospital Specialize in children with disabilities In-patient and out-patient programs Online family resource centre http://www.hollandbloorview.ca/
- 14. Not-for-profit organization Offer early intervention program In-home service for children up to five years old Designed for children with delays in two or more areas http://cicc.ca/
- 15. Support Agencies For Adele’s Mother
- 16. Alcoholics Anonymous Toronto Offers support meetings Website offers quick access to all meetings by date, time and location Sponsor to help with sobriety Sense of community http://www.aatoronto.org/
- 17. Support geared towards women with substance abuse Provide affordable housing for single mothers Childcare programs available Parenting workshops Support groups held on Tuesday evenings open to friends and family http://www.jeantweed.com
- 18. Reflection Before this assignment, I was unaware of the many services available in Toronto for children with special needs and their families. I am glad that I was given this assignment, because I now know more about certain special needs and organizations that are available for support. I am eager to share the information with my group and can’t wait to hear what organizations they found and the services that they provide. I hope to collect the information and keep it in a book that I can use for references in my future career as an ECE.
- 19. Bibliography See notes page below
Editor's Notes
- My topic is Shaken Baby syndrome which is a form of child abuse. I have chosen to use the colour blue because it is the colour that represents child abuse. I also chose the colour red because it represents substance abuse which is something that Adele’s mother had to deal with in her past. I felt it was important to include red to represent Adele’s mother because she is Adele’s family and it is important to support not only the children in our care but also their families because they are important to the children’s overall well being.Sources:"Awareness Ribbon Colors And Meanings." Craftsnscraps - jewelry, handmade clay gifts, beads, charms, collectibles and awareness ribbons.. N.p., n.d. Web. 5 Mar. 2012. <http://www.craftsnscraps.com/jewelry"Stock Photograph of Dark Blue Ribbon Child Abuse Or Water Quality Awareness Symbol - World of Stock." World of Stock - Stock Photos and Fine Art Prints. N.p., n.d. Web. 5 Mar. 2012. <http://www.worldofstock.com/stock_photos
- According to the Public Health Agency of Canada, Shaken Baby Syndrome is a medical condition that refers to injuries that occur when a baby or young child is violently shaken by another person. Sources:"Child Health Topics - Public Health Agency of Canada." Public Health Agency of Canada (PHAC) .N.p., n.d. Web. 5 Mar. 2012. <http://www.phac-aspc.gc.ca/hp-ps/dca-dea/cht-sse/shaken-secoue/index-eng.php>.
- One may wonder what would cause someone to violently shake a child. It is said that stress and pressure can push a person to abuse a child in such a way. When a child is cryingthe adulttaking care of the child may become impatient, frustrated, or angry and shake the baby.Sources:Joint Statement on Shaken Baby Syndrome." Canadian Public Health Association. N.p., n.d. Web. 5 Mar. 2012. <http://www.cpha.ca/uploads/policy/sbs_" shaken baby syndrome." Dollkid.com::kids care guide. N.p., n.d. Web. 5 Mar. 2012. <http://dollkid.com/tag/shaken-baby-syndrome>.
- There are different signs to look for that can show you if a child has been abused and shaken. The signs that people who are not doctors may look for or notice are that a child may have lethargic eyes or their skin colour may look pale or blue. Doctors can tell if a child has been shaken by looking for bleeding in the retina or around the eye, bleeding in or around the brain and bruises or bone fractures.Sources:"Abusive Head Trauma (Shaken Baby Syndrome) ." KidsHealth - the Web's most visited site about children's health. N.p., n.d. Web. 7 Mar. 2012. <http://kidshealth.org/parent/medical/"Shaken baby symptoms: MedlinePlus Medical Encyclopedia Image." National Library of Medicine - National Institutes of Health. N.p., n.d. Web. 7 Mar. 2012. <http://www.nlm.nih.gov/medlineplus/ency
- Developmental Delay: A developmental delay is when a child has not acquired the skill or reached a milestone by the expected time frame.Speech Delay: Speech is defined as the sound that comes out of the mouth. If that sound is not understandable there is a problem or delay with the speech. Speech problems can include stuttering and mispronunciation. Hearing loss: problem with one or more parts of the ear Blindness: Total blindness is when one cannot see at all in both eyes. Partial blindness is when there is difficulty seeing. E.g.: Can see in one eye and not the other or has low vision meaning even with glasses they have difficulty seeing.Intellectual Disability: significant limitations in both intellectual function and adaptive behaviour.Sources:"Abusive Head Trauma (Shaken Baby Syndrome) ." KidsHealth - the Web's most visited site about children's health. N.p., n.d. Web. 7 Mar. 2012. <http://kidshealth.org/parent/medical/brain"Definition of Intellectual Disability | AAIDD." AAIDD. N.p., n.d. Web. 7 Mar. 2012. <http://www.aaidd.org/content_100.cfm?navID=21>. "How Kids Develop." How Kids Develop. N.p., n.d. Web. 7 Mar. 2012. <http://www.howkidsdevelop.com/developDevDelay"Speech and Language Delay and Disorder: Your Child: University of Michigan Health System." University of Michigan Health System. N.p., n.d. Web. 7 Mar. 2012. <http://www.med.umich.edu/yourchild/"What's Hearing Loss? ." KidsHealth - the Web's most visited site about children's health. N.p., n.d. Web. 7 Mar. 2012. <http://kidshealth.org/kid/health_problems
- Introduction of Family: Meet Adele: Adele is a three year old child with special needs. Adele was not born with a special need but acquired one as a result of an incident that took place with her babysitter. When Adele was in the care of a babysitter at 15 months old she was crying and the frustrated babysitter shook her. As a result Adele got a brain injury and was diagnosed with Shaken Baby Syndrome. As a result of the Shaken Baby Syndrome, Adele is a child with cognitive and speech delays and has difficulty with gross and fine motor skills. Adele`s mother had lost custody of Adele and she entered herself into a rehabilitation facility to help her overcome her drug and alcohol addictions. She is now sober and has regained custody of Adele. Adele and her mother have just moved to Toronto to start over and her mother attending Centennial College. She would like to know what kinds of services are available in Toronto. I have decided to include services that can help Adele as well as services for her mother because I believe in order to support the child you must provide support for their family.
- Labelling will help the child to recognize things through pictures and words. If the child has trouble to read they can use the picture to recognize an item or activity that is part of the daily schedule. Having the word as well as the picture can help the child to create a connection between the to and help them to learn to recognize and sound out the word. You can label by putting the pictures and names of things on toy baskets, shelves, and activity centres. You can also post pictures and words on charts for routines. This can work for the individual child but also for a large group of children because they are changes to the physical environment and can benefit everyone within it.One on one time is something you can do to help give extra attention to the child and their need. You can use one on one time to asses the child's ability and progress and to encourage the child and teach them new strategies. Age appropriate toys that stimulate the child can help with their developmental delays. For example for a speech delay you can use toys that sing songs, teach the alphabet, and say words. Playing with these toys can help the child to learn the sounds of letters and words.Encouraging discussions at circle time and meal time will provide opportunities for all children to speak and share. A child with a speech delay can learn by listening to the other children speak and by choosing to speak and share as well when comfortable.
- Enlarging is a way to help children with fine motor delays. According to our class notes “The Inclusive Environment Weeks 4 & 5”, enlarging involves adding small pieces or materials to make a toy accessible. Some examples of this can be to add things like sponge hair rollers or play dough to build and make a handle larger. This can be done on writing utensils like pencils, crayons and markers and as well on handle of paint brushes. You can also put out activities like threading beads. This can be done with many different materials to suit all children’s developmental levels and change the level of difficulty. E.g.: if a child had difficulty with fine motor skills you can start by using string that is more thick and larger beads. As the child begins to get the hang of it you can change the materials (smaller beads, different thickness of string) to increase the difficulty level according to the progress of the child. Having materials that have been enlarged out for all children instead of just the child with the delay is a way to include then entire group. Include the enlarged materials and not enlarged materials of the same item when setting up the environment to allow all children the choice of what they would like to use.The best way to adapt the environment for children with gross motor delays is to reduce clutter in order to create a more open space. This will allow child who may need the help of an aid for walking to have less difficulty getting around the room. Also making time for outdoor play and physical activity is important. Outdoor play provides more space for children to be able to move around and attempt challenges on the playground e.g.: steps on the playground, different levels. Also activities such as dancing will provide the opportunity to use more movement and attempt different dance moves.Source:Cadieux, Chris . "The Inclusive Environment." Inclusion of Children with Special Needs. Centennial College. Ashtonbee, Toronto. 30 Jan. 2012. Class lecture.
- Adele has difficulties with gross and fine motor skills and cognitive and speech delays. The following organizations can help her to develop her skills further and reach her full potential.
- Hand Skills for Children is a private practice that consists of occupational therapists that assist children with fine and gross motor difficulties. They also offer help with feeding skills, sensory skills and printing skills. The clinic is located in Toronto on Danforth Ave. Therapy is offered in the clinic but they also can provide therapy at your home or at your child’s school. Hand Skills for Children provides individual therapy and therapy in group sessions. An organization like this would benefit Adele and children with special needs because they help with fine and gross motor skills. They conduct an initial assessment and then design a program for your child based on the assessment. This means that the program is specific to your child’s needs which ensures that your child is getting help where they need it. They offer gymnastics with a focus on hand eye coordination, bilateral coordination and strength in group settings as well.Additional Information: Address: 658 Danforth Ave. Suite 412Toronto, ON M4J 5B9Phone: 647-236-4263Email: lizette@handskillsforchildren.com Source:"Hand Skills for Children." Hand Skills for Children. N.p., n.d. Web. 15 Mar. 2012. <http://www.handskillsforchildren.com>.
- Speech Therapy Centres of Canada offer speech therapy for adults and children. They have four locations in Ontario including one location in Toronto on Avenue Road in between Lawrence Ave W and Wilson Ave. They offer therapy with speech pathologists and communication disorders assistants and no wait times for assessments. Therapy can be done one on one, in pairs with another person who has similar difficulties as you do or in groups to help build social skills. An agency like this would benefit Adele and children with special needs because they have programs specializing in Acquired Brain Injuries and Speech delays. They have a particular six week program called Making and Keeping Friends that is specifically targeted for children with Autism Spectrum Disorders, Attention Hyperactive Deficit Disorder and Acquired Brain Injury. The program is a group program that focuses on teaching children how to start a conversation and take turns while speaking. It helps to develop social skills and teach skills necessary to communicate in social settings. Aside from offering programs for Adele it also offers free workshops for the parents. These workshops teach parents about speech disorders and give them strategies and activities to do with their children to help with their speech.Additional Information: Toronto Location1896 Avenue Rd., Suite 201Toronto, ONM6M 2K9Tel: 905.886.5941Fax: 905.886.2362info@speechtherapycentres.comSource:"Speech Therapy Language Development, Pathology & Activities." Speech Therapy Language Development, Pathology & Activities. N.p., n.d. Web. 15 Mar. 2012. <http://www.speechtherapycentres.com
- Holland Bloorview is the largest kids rehabilitation hospital in Canada. It specializes in care for children with disabilities offering both in-patient and out-patient programs. They have a rehabilitation program for children with acquired brain injuries which work to help children recover as fully as possible and return to their daily lives. Bloorview has an online family resource centre that provides support and resources for families. They also have a blog for parents called Bloom that has resources for families raising children with special needs. Additional Information: Address:150 Kilgour Road, Toronto Ontario Canada M4G 1R8Telephone: 416 425 6220 Toll Free: 800 363 2440Source:"Holland Bloorview Kids Rehabilitation Hospital." Holland Bloorview Kids Rehabilitation Hospital. N.p., n.d. Web. 15 Mar. 2012. <http://www.hollandbloorview.ca/>.
- Centennial Infant and Child Centre if a not-for-profit organization located in the Toronto area at Yonge and St. Clair. The goal of this organization is to help children with special needs learn skills to functions as independently as possible in society. Their website offers information resources for parents about learning through play. They include interesting activities to try with your children. This organization would benefit Adele and other children with special needs because it offers an Early Intervention Program that takes place at your home for children from birth to age five. This program is designed in particular for children with delays in two or more areas. A referral to this program can be made by a parent or caregiver and there is no fee for the program.Additional Information: Address:1580 Yonge StreetToronto, OntarioM4T 1Z8Centre: 416 935-0200Foundation: 416 935-1200Source: "Centennial Infant and Child Centre | committed to the development and education of young children with developmental challenges." Centennial Infant and Child Centre | committed to the development and education of young children with developmental challenges. N.p., n.d. Web. 16 Mar. 2012. <http://cicc.ca/>.
- Adele’s mother is now sober but addiction is a life long battle and at times it can be hard to stay sober. Recognizing the challenges Adele’s mother has risen above it is important to make sure she has support when it is needed. The following organizations can help her to continue to be successful with her sobriety on an ongoing basis or when she feels it is needed.
- This website offers a search engine where you can enter your location and find meetings that are taking place in you area. Adele’s mother can attend these meeting if she feels she needs the support and can also get a sponsor if she feels the need to have someone to talk to on an ongoing basis. Sources: "Welcome! - Alcoholics Anonymous - Greater Toronto Area Intergroup." Welcome! - Alcoholics Anonymous - Greater Toronto Area Intergroup. N.p., n.d. Web. 16 Mar. 2012. <http://www.aatoronto.org/>.
- The Jean Tweed Centre provides support for women with substance abuse issues. They have meetings and support groups for women who are currently battling addictions and women who are in recovery. They offer various types of support for women such as affordable housing and childcare if needed. There are also workshops on parenting and support groups for friends and families of people who have battled substance abuse. The Jean Tweed Centre is an organization geared toward helping and supporting women and is a helpful resource for any woman that needs support.Sources:" Drug and Alcohol Addiction Rehab for Women Toronto - Jean Tweed Centre." Drug and Alcohol Addiction Rehab for Women Toronto - Jean Tweed Centre. N.p., n.d. Web. 16 Mar. 2012. <http://www.jeantweed.com>.
- "Drug and Alcohol Addiction Rehab for Women Toronto - Jean Tweed Centre." Drug and Alcohol Addiction Rehab for Women Toronto - Jean Tweed Centre. N.p., n.d. Web. 16 Mar. 2012. <http://www.jeantweed.com>." shaken baby syndrome." Dollkid.com::kids care guide. N.p., n.d. Web. 5 Mar. 2012. <http://dollkid.com/tag/shaken-baby-syndrome>."Abusive Head Trauma (Shaken Baby Syndrome) ." KidsHealth - the Web's most visited site about children's health. N.p., n.d. Web. 7 Mar. 2012. <http://kidshealth.org/parent/medical/brain/shaken.html#>."Awareness Ribbon Colors And Meanings." Craftsnscraps - jewelry, handmade clay gifts, beads, charms, collectibles and awareness ribbons.. N.p., n.d. Web. 5 Mar. 2012. <http://www.craftsnscraps.com/jewelry/ribbons.html>."Centennial Infant and Child Centre | committed to the development and education of young children with developmental challenges." Centennial Infant and Child Centre | committed to the development and education of young children with developmental challenges. N.p., n.d. Web. 16 Mar. 2012. <http://cicc.ca/>."Child Health Topics - Public Health Agency of Canada." Public Health Agency of Canada (PHAC) | Agence de la sante publique du Canada (ASPC). N.p., n.d. Web. 5 Mar. 2012. <http://www.phac-aspc.gc.ca/hp-ps/dca-dea/cht-sse/shaken-secoue/index-eng.php>."Definition of Intellectual Disability | AAIDD." AAIDD. N.p., n.d. Web. 7 Mar. 2012. <http://www.aaidd.org/content_100.cfm?navID=21>."Hand Skills for Children." Hand Skills for Children. N.p., n.d. Web. 15 Mar. 2012. <http://www.handskillsforchildren.com>."Holland Bloorview Kids Rehabilitation Hospital." Holland Bloorview Kids Rehabilitation Hospital. N.p., n.d. Web. 15 Mar. 2012. <http://www.hollandbloorview.ca/>."How Kids Develop." How Kids Develop. N.p., n.d. Web. 7 Mar. 2012. <http://www.howkidsdevelop.com/developDevDelay.html#devDelay>."Joint Statement on Shaken Baby Syndrome." Canadian Public Health Association. N.p., n.d. Web. 5 Mar. 2012. <http://www.cpha.ca/uploads/policy/sbs_e.pdf>."Shaken baby symptoms: MedlinePlus Medical Encyclopedia Image." National Library of Medicine - National Institutes of Health. N.p., n.d. Web. 7 Mar. 2012. <http://www.nlm.nih.gov/medlineplus/ency/imagepages/9013.htm>."Speech Therapy Language Development, Pathology & Activities." Speech Therapy Language Development, Pathology & Activities. N.p., n.d. Web. 15 Mar. 2012. <http://www.speechtherapycentres.com>."Speech and Language Delay and Disorder: Your Child: University of Michigan Health System." University of Michigan Health System. N.p., n.d. Web. 7 Mar. 2012. <http://www.med.umich.edu/yourchild/topics/speech.htm>."Stock Photograph of Dark Blue Ribbon Child Abuse Or Water Quality Awareness Symbol - World of Stock." World of Stock - Stock Photos and Fine Art Prints. N.p., n.d. Web. 5 Mar. 2012. <http://www.worldofstock.com/stock_photos/PSO1464.php>.Cadieux, Chris . "The Inclusive Environment." Inclusion of Children with Special Needs. Centennial College. Ashtonbee, Toronto. 30 Jan. 2012. Class lecture.