2. OBJECTIVES
• To understand the principles of child development for
children birth to 5 years old
• To learn about the implications of development on
behavior
• To examine the impact of caregiver interactions on
young children
• To understand the impact of trauma and toxic stress
• To learn about effective interventions and
documentation
• To identify services available to young children and their
4. 0- 6 months 6 – 12 months 1 year 2 years 3 years 4 years 5 years
Physical Development
Gross Motor
Fine Motor
Sheridan 1997
Fahlberg, 1994
Supports head
Tracks objects
Grabs foot
Turns to sound
Rolls over front to back
Puts everything in
mouth
Sits and crawls
May stand alone
Uses both hands
Crossing midline
Picks up objects
Changes positions without
falling
Pulls up to standing
position
Drinks from cup
Gives toys on request
Stranger anxiety
Walking
Runs and climbs
Walks down stairs
Feeds self
Kicks ball
Stacks blocks
Difficulty sharing
Walks upstairs
Opens doors
Uses utensils
Rides tricycle
Cuts with scissors
Toilet trained both day
and night
Hops and climbs
Changes directions
Throws ball
Catches balls
Draws people
Dresses self with some help
Skips, dances, walks on
tiptoe
Cuts food with fork and
knife
Dresses alone
Writes letters
Copies shapes
Laces shoes
Cognitive
Development
Piaget
1896-1990
SENSORY MOTOR STAGE
Understanding of the world is achieved through sensory exploration. Understands concepts of cause and effect,
object permanence.
PRE-OPERATIONAL STAGE
Becoming less egocentric. Capable of symbolic representations. Expresses self
through language and play. Not yet able to organize information learned or
systematic thought.
Psychosocial
Development
Erikson
1902-1994
TRUST VS. MISTRUST
First feelings about the world are determined.
Positive experiences lead to feelings that one’s needs will be met. Unreliable care
leads to feelings of insecurity.
AUTONOMY VS. SHAME AND DOUBT
Increasing self-awareness and impact on
environment. Needs safe place to try new skills.
Needs help managing transitions.
INITIATIVE VS. GUILT
Imagination and conscience develop. Takes responsibility
for own actions. Balance between boundaries and
responsibility important.
5. 0- 6 months 6 – 12 months 1 year 2 years 3 years 4 years 5 years
Peer
Relationships
Stages of play
Hall
Piaget
Vygotsky
SOLITARY PLAY
Play is limited to self and interaction with object.
Little to no interest in others in environment.
PARALLEL PLAY
Plays adjacent to peers but without cooperation. Based on
shared interest. Shares space.
ASSOCIATIVE PLAY
Plays with others by sharing toys but remains in own role.
COOPERATIVE PLAY
Able to manage roles in play that relate to
others. Shares space and materials. Understands
games with rules.
Language
Development
Receptive
Expressive
Chomsky
1980-1992
Cooing
vowel sounds
(eee, oooh, ah)
Babbling
Turns head
toward sounds
Laughs
Crib talk
Consonant sounds
Syllable variation
First word
approximations
Relates words with
objects
Knows and reacts to
name
10-15 words
Uses nouns and
pronouns
Some unintelligible
speech still
Practicing inflection
Follows simple
commands
Relates nouns to
objects
40-50 words
May say 2-3 words in
sentence
Understands 150-300 words
Understands simple
questions
Uses own name
Points to pictures
150-300+ words
Asks simple questions
Can have poor fluency
Answers what, where, when
questions
Understands 600-1000 words
600-1500 words
3-4 word sentences
Fluency improving
Uses adjectives,
adverbs, conjunctions
Follows multi-step
directions
Understands if,
because, when
1500-2100 words
3-4 syllable words
Uses complete
sentences
Knows full name and
birthday
Knows time concepts
Understands more
complicated sentences
6. Zero-6 months 6 – 12 months 1 year 2 years 3 years 4 years 5 years
Physical
Development
Cognitive
Development
Emotional
(psychosocial)
Development
Peer
Relationships
(type of play)
Language and
Communication
Development
Caregiver Strengths:
Caregiver Concerns:
Next Steps:
7. Implications of Development on Behavior
Egocentric vs. Egotistical
Children learn by exploring their world in relationship to themselves
Experiences are IMMEDIATE, INTENSE, AND PERSONAL
8. Implications of Development on Behavior
WHY?
Answering “why” questions involves reversibility of thought in the concrete operational stage of
cognitive development
Using “who” , “what” and “where” are more appropriate
9. Implications of Development on Behavior
Fear of Independence
New skills are both exciting and concerning
Expectations beyond developmental norms lead to feelings of inadequacy
10. Implications of Development on Behavior
Spoiled Rotten?
Spoiling is when an action is taken by the adult which meets their
needs, not the child’s.
11. Implications of Development on Behavior
Reality vs. Fantasy
The ability to distinguish between reality and fantasy is dependent on
both cognitive and emotional development.
12. Implications of Development on Behavior
Actions speak louder than words
Children learn through play and exploration
Observations of play can tell you a lot!
14. Trauma
Serious injury or shock to the body, as from violence
or accident
Emotional wound or shock that creates substantial,
lasting damage to the psychological development of a
person, often leading to neurosis.
Event or situation that causes great distress and
disruption
• (AMERICAN HERITAGE DICTIONARY, 2000)
15. Toxic Stress
Stress = organism’s response to environmental demands or pressures
Positive stress response
normal part of healthy development
Tolerable stress response
longer lasting/more severe difficulties
Toxic stress response
chronic/prolonged adversity
16. Trauma and Toxic Stress
Domestic violence/intimate partner violence
Physical abuse
Sexual abuse
Neglect
Mental health issues
Substance abuse issues
Loss of critical attachments
17. Impact of Trauma and Stress
Physically
depressed immune system=resulting illnesses
Emotionally
depression, anxiety, hyperarousal, sleep disturbances, anger,
withdrawal, substance abuse
Intellectually
inability to focus or concentrate, long and short term memory problems,
impaired decision making
19. Impact of Trauma and Toxic Stress
1. Feeding and Eating difficulties
2. Sleep difficulties
3. Developmental Concerns
4. Behavior Concerns
5. Physical and Medical concerns