A review of 36 social interaction measures found that there are no measures available to evaluate infants and preschool children's basic capacity for social interaction. The available measures are described and grouped into parent-child interaction, social skills, social competence, play, adaptive behavior, communication, general development, and…

Discusses how meta-analysis allows clinicians to determine objectively both presence and size of an effect or correlation within the existing literature by pooling the results of various studies and performing statistical analyses. Describes the risks and benefits of applying information obtained from meta-analysis into clinical practice.…

Discusses the transferring of Medicaid recipients to managed care in Oregon and the effects on physical therapy and occupational therapy services for children with disabilities. Describes a process that balances fiscally responsible utilization of therapy resources with advocacy for appropriate therapy services. Guidelines for services are…

Discusses factors affecting the ability of states and local programs to seek and secure reimbursement for occupational and physical therapy services in early childhood programs. Cost concerns in early childhood are addressed, and strategies for ensuring programmatic success in securing reimbursement for such services are presented. (Author/CR)

Identifies the diverse array of resources being used by states to finance early intervention services. Strategies for addressing issues that arise when combining resources are discussed, including identifying which funding source is first or last payer, the use of family resources, determination of medical necessity, and service coordination.…

Discusses the history, epidemiology, biomechanics, diagnosis, treatment, outcomes, long-term management, and prevention of shaken baby syndrome. It presents medical-legal issues as well as a discussion of programs aimed at prevention of physical abuse. (Author/DB)

Discusses the importance of screening infants and toddlers for social-emotional problems and the benefits of using parent-completed questionnaires in the screening process. Six screening tools that rely on parent report, including three experimental tools, are reviewed. Additionally, challenges to screening for social-emotional disorders are…

The Prescribed Pediatric Center (Toledo, Ohio) is a community-based, multidisciplinary program for infants and children with chronic, complex medical conditions. This article describes program beginnings; the planning process; and the program's growth, development, and components. Initial program evaluation indicates positive effects on some…

This study investigated the structure and content of the language that medical personnel used with 15 pediatric hospitalized patients during medical procedures, by observing in two hospital settings. Medical procedures were rarely characterized by appropriate verbal structuring. Results suggest that the unsupportive communicative environment may…

The Family-Centered Interdisciplinary Preservice Training Program in Early Intervention at the University of Wisconsin-Madison is providing training to professionals that fully integrates parent involvement. Student activities include a curricular focus on family-centered early intervention, hands-on activities building interdisciplinary team…

Addresses public policy issues concerned with treatment of children with autism under the Individuals with Disabilities Education Act (IDEA). Emphasis is on issues raised by the popular, but labor-intensive, Lovaas method, such as whether these therapies are an entitlement under IDEA, the choice of an intervention strategy decision process,…

Describes a behavior analytic program for preschool children with autism, the University of California, Los Angeles, Young Autism Project. It reviews outcome data, replication and dissemination efforts, frequently voiced concerns, and future directions. It concludes that, based on existing scientific evidence, increasing the availability of…

Describes development and implementation of a home-based intensive applied behavioral analysis program based on the Lovaas method for a young child. Describes creation of the home-based program, lack of support from the child's school program, the child's progress, and the opening of a pilot school and resource center that serves seven children…

Describes the early-intervention program experiences and perceptions of parents of children with disabilities. Discusses the perceived inability of service providers to discuss frankly the fiscal or staffing barriers to services and the emphasis on transdisciplinary teams over a family-centered philosophy. Provides recommendations for increased…

Reviews research on the effect of stress hormones, particularly glucocorticoids, on the brain and early development. It describes the psychological and social processes that reduce stress hormone responses to threatening and painful procedures. Research on the cognitive and emotional effects of synthetic glucocorticoids is also discussed.…