EARLY DETECTION & INTERVENTION
IN DISABLED CHILDREN
DR SAIM ALI SOOMRO.(MBBS,MCCM)
Physical Handicapped
Who is disabled ?
A child with a half age (50% or
more) developmental delay in
one of the 5 developme...
Widescreen Advantages
New Born Screening: Testing children for potentially
harmful, disabling or fatal conditions with fir...
Genetic syndrome ass with
Developmental Disabilities:
Genetic
Conditions
known to be
associated
with
developmental
disabil...
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 cha...
How to provide services
Children with a half age
(50% or more)
developmental delay in
one of the 5
developmental domains:
...
DAYC & Individualized Family Service Plan
(IFSP)
 Developmental Assessment of
Young Children (DAYC) tool to
help determin...
16x9
4x3
MEDICAL REFERRALS DEVELOPMENTAL DELAY REFERRALS
ELIGIBILITY DETERMINATION
Medical Records or DAYC
CHILD & FAMILY ...
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 ...
Pointing Devices
3M Ergonomic
AirObic
Jouse
Footime Foot
Speech recognition soft wares
 Dragon naturally speaking
 SpeakQ
 MacSpeech Dictate (Mac)
 Forearm support
 Wrist res...
Switch Access
 Switch selection
 Switch site
 software
Thank You……DSAS.
Changing disability into Ability through Accessibility
Over view of Early detection & Intervention in Disabilities
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Over view of Early detection & Intervention in Disabilities

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An introduction to Early intervention & early diagnosis of disabilities and its role in rehab+ Management.

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Over view of Early detection & Intervention in Disabilities

  1. 1. EARLY DETECTION & INTERVENTION IN DISABLED CHILDREN DR SAIM ALI SOOMRO.(MBBS,MCCM)
  2. 2. Physical Handicapped Who is disabled ? A child with a half age (50% or more) developmental delay in one of the 5 developmental areas: Physical, Cognitive, Adaptiv e, Communication or Social Emotional Diagnosing & early detection Pre Natal. Natal & Post Natal. Early detection through New Born screening.
  3. 3. Widescreen Advantages New 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.
  4. 4. 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
  5. 5. Developmental disorders can be detected Early.. ICO………..!
  6. 6. 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, inclu ding Hydrocephalus  Deafness, including hearing impairments Fetal Alcohol Syndrome Cyanotic Congenital Heart Disease Cerebral Palsy Viruses/bacteria (Herpes, syphilis,cytomegalo virus, toxoplasmosis, and rubella) Acquired Immune Deficiency Syndrome (AIDS) Autism Spectrum Disorders
  7. 7. How to provide services Children with a half age (50% or more) developmental delay in one of the 5 developmental domains:  Physical  Cognitive  Communica tion  Adaptive  Social/Emo tional •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
  8. 8. 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.
  9. 9. 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 REFERRAL TO COMMUNITY PROGRAMS NOTICE & CONSENT Initial Evaluation NOTICE & CONSENT Initial Evaluation RELEASE OF INFORMATION NOTICE & CONSENT Initiation of Service
  10. 10. Assitive Technology for PHC  One handed  Ergonomic  Onscreen  Small  Large  Unique
  11. 11. 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)
  12. 12. Pointing Devices 3M Ergonomic AirObic Jouse Footime Foot
  13. 13. Speech recognition soft wares  Dragon naturally speaking  SpeakQ  MacSpeech Dictate (Mac)  Forearm support  Wrist rests  Keyboard trays  Desk height  Chair  Foot rests
  14. 14. Switch Access  Switch selection  Switch site  software
  15. 15. Thank You……DSAS. Changing disability into Ability through Accessibility

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