Discussion of the case method of instruction (CMI) in early intervention personnel preparation offers information on selecting quality cases, preparing for case discussion, facilitating case discussion, and evaluating learner outcomes. Strategies described were field-tested and validated with 128 early intervention instructors who participated in…

Discussion of medical homes for children with special health care needs suggests such homes can provide quality health care services to children in partnership with families and community professionals. Early intervention and early childhood special education providers are encouraged to collaborate with primary health care professionals, thereby…

This article explains how comprehensive interdisciplinary, clinically oriented evaluation can become an intervention by educating the parent about a child's development, providing a context for observation, identifying child and family strengths, and helping the parent to interact with the child. During the evaluation process, parents begin to…

This article proposes use of birth defects registries in facilitating early intervention. It reports results of a survey to identify state programs that are using, or planning to use, birth defects surveillance systems to identify and refer children and families for services. It provides four case examples and recommended steps to encourage use of…

This article examines the clinical aspects of etiology-related behaviors in young children with genetic mental retardation syndromes. Discussion of the concept of behavioral phenotype leads to consideration of how interventionists can best provide more focused and more effective interventions for children with different genetic disorders and…

This article addresses the need to refocus the view of the natural environment as a family-chosen placement for early intervention services. Psycho-ecological theories are used to broaden the conception of the natural environment and illuminate possibilities for early intervention that utilize community and home resources while respecting family…

This introductory article discusses the large numbers of infants and young children affected by behavioral and emotional problems that pose salient challenges for clinical assessment and management. It examines barriers to the delivery of mental health services and stresses the need to develop data concerning efficacy and effectiveness of…

A framework is provided for thinking about how welfare reform affects young children with disabilities and their families and strategies are presented for addressing their unique needs. The article documents the relationship between disability and poverty, reviews major changes in the law, and highlights challenges. (Contains references.)…

This article focuses on early intervention implementation concerns and recommendations for addressing the needs of the wide range of infants and toddlers with disabilities and families to be served. It describes providing services in natural environments, as well as the issues of personnel preparation and models of service delivery. (Contains…

This article offers an alternative to the term "natural environment" in which delivery of individualized services consistent with family needs and values is of first-order importance. It is argued that the use of authentic intervention activities will produce better outcomes than focusing on placements that must include chronologically aged peers.…

This article presents a model for viewing and conducting early intervention in a way that de-emphasizes professional services and emphasizes the support that professionals can provide. Key strategies for providing informational support, material support, and emotional support to families of children with disabilities are described, along with…

This article discusses issues in developing effective professional development programs for pediatric occupational therapists who work with very young children and their families, focusing on: clinical and contextual trends affecting practice, professional preparation at the university level, continuing competency, and recommendations for ensuring…

A rationale for and components of a development systems model are presented to guide early intervention programs. Core principles emphasizing a developmental framework, integration, and inclusion are expressed in the context of a multicomponent interactive system. The model's focus on maximizing family patterns of interaction by addressing…

This article refutes 10 myths and identifies literature that supports service delivery to infants and toddlers with disabilities in natural settings. The benefits of naturalistic intervention, home-based services, and family-centered services are discussed, and concerns regarding therapist shortages, ethical problems, personal safety of providers,…

This article discusses the confusion, inaccuracies, and misperceptions arising from the term "infant mental health," and proposes a framework for the use of the term. This framework sets out a language and clear distinctions among the categories of promotion, relationship-based preventive intervention, and treatment. (Contains references.)…