Describes a continuing medical education program designed to provide physicians with the information and skills necessary for early intervention. The model provides competency-based training through an introductory seminar and a program of independent study in the areas of child-find, assessment, Individualized Family Service Plan development, and…

Describes a model for team developmental assessment of high-risk infants using a fiber-optic "distance learning" televideo network in south-central New York. An arena style transdisciplinary play-based assessment model was adapted for use across the televideo connection and close simulation of convention assessment procedures was successfully…

Discusses factors associated with the development of secure and insecure mother-infant attachments and reviews results from intervention studies designed to promote secure attachment. Presents recommendations for early interventions to promote secure attachment that can be carried out by practitioners in a variety of settings. (CR)

Discusses the effects of a cognitive-behavioral intervention that focused on facilitating expressive behaviors with their parents of 44 children (ages 22-32 months) with pervasive developmental delays and autism. Results found the program "Learning to Speak" increased the children's verbal compliance and decreased acts of verbal noncompliance. (CR)

A study of 105 parents and 30 state-level administrators from six states investigated the state-level policy- and organization-centered strategies that are compatible with the needs identified by families of young children with disabilities. Results found parents identified access to services and the need for improved coordination as continuing…

An educational program developed to prepare health professionals in a neonatal intensive care unit to initiate family-focused developmental care (FFDC) is described. The program was designed to support families with preterm infants. Findings suggest that the program was cost-efficient, prepared nurses to efficiently initiate FFDC, and improved…

Addresses responding to a child with special health care needs with a life-threatening medical emergency, including an equipment malfunction, when it occurs in community settings. Collaborative development of portable individualized emergency response plans is discussed, and illustrative care scenarios, a sample plan, and policy recommendations…

This article describes the application of an interagency model to provide integrated services for children with disabilities in the Republic of Palau, a former United States Pacific island trust territory. Emphasis is on complying with Part H of the Individuals with Disabilities Education Act through indigenous people working together with…

Centrality of relationships (the integration of relationship-based concepts at the program, family, and child levels) is proposed as an organizing principle for the field of early intervention with children having disabilities. The shift from developmental deficit-based models to relationship-based organizing principles requires reformulating…

This review of medical concerns in dealing with spina bifida examines neurologic and neurosurgical issues, learning issues, urological dysfunction, orthopedic issues, bowel control, latex allergy, and prenatal diagnosis and prevention. (JDD)

This retrospective study examined the effectiveness of an inpatient multidisciplinary program for treatment of severe feeding refusal. Nineteen infants and toddlers recovering from medical and surgical disorders which had required non-oral feeding were studied. A modified method of rapid introduction of oral feedings resulted in conversion to…

This article reviews research showing that high-quality parent-infant interaction is important in the promotion of child resiliency and should be emphasized in family-centered early intervention programs. Research on risk factors that threaten the quality of parent-infant interaction and thus resiliency in infants and young children is also…

Young children with hyperactive and disruptive behavior problems have a variety of risk factors, including environmental, constitutional/maturational, and interactional concerns. Following a description of general principles of intervention, three case studies illustrate use of the "Diagnostic Classification of Mental Health and Developmental…

This article describes early intervention services provided to families with infants and young children with disabilities in Sweden. The "habilitation model" is based on medical, educational, psychological, and social perspectives placed in a family context. Government legislation stresses intervention focused on the handicapping consequences of…

Rather than viewing an early intervention team in isolation, a systems perspective considers the interrelationships and interdependence of the various elements comprising service delivery for children with disabilities. This article proposes a model, a multilayered framework, that takes into account the larger system of community and organization…