EARLY DETECTI ON & I NTERVENTI ON

I N DI SABLED CHI LDREN

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 developmental
areas: Physical, Cognitive,
Adaptive, Communication or
Social Emotional

Diagnosing & early detection
Pre Natal. Natal & Post Natal.
Early detection through New
Born screening.
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, CFetc.
Hearing Screening .
Heel prick test one day after birth.


NBS.
Genetic syndrome ass with
Developmental Disabilities:
Genetic
Conditions
known to be
associated
with
developmental
disabilities
including but
not limited to:
Down Syndrome
CriduChat Syndrome
Klinefelter's Syndrome
Trisomy 18 (Edward's Syndrome)
Trisomy 13 (Patau's Syndrome)
Turner's Syndrome
TripleX Syndrome
Fragile X Syndrome
PraderWilli Syndrome
Pierre Robin

Developmental disorders can be detected Early..
ICO..!
Developmental disorders
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HypoxicIschemic
Encephalopathy (HIE) and
at term (36 weeks gestation
or more)
Craniofacial anomalies
Epilepsy/Seizure Disorder
Spina Bifida
Blindness, including visual
impairments
Macro/Microcephalus,
including Hydrocephalus
Deafness, including
hearing impairments
Fetal Alcohol Syndrome
Cyanotic Congenital Heart
Disease
Cerebral Palsy
Viruses/bacteria
(Herpes,
syphilis,cytomegalovirus,
toxoplasmosis, and rubella)
Acquired Immune
Deficiency Syndrome (AIDS)
Autism Spectrum Disorders

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
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 childs
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.

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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
INTERVENTION
REFERRAL TO COMMUNITY
PROGRAMS
NOTICE & CONSENT
Initial Evaluation
NOTICE & CONSENT
Initial Evaluation

RELEASE OF
INFORMATION
NOTICE & CONSENT
Initiation of Service
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 roller plus trackball
Ergonomic
Head or mouth controlled (Jouse, HeadMouse
Extreme)


Pointing Devices

3M Ergonomic
AirObic
Jouse
Evolution
Mouse-Trak
Footime Foot
Speech recognition soft wares
Dragon naturally speaking
SpeakQ
MacSpeech Dictate (Mac)

Forearm support
Wrist rests
Keyboard trays
Desk height
Chair
Foot rests




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Changing disability into Ability through Accessibility