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…

This article discusses attachment problems and disorders among infants and young children, the consequences of attachment problems in child development, and factors leading to attachment problems. It provides the current status of diagnostic criteria and classification systems means of assessment and available empirically supported interventions.…

This article reviews the clinical literature regarding self-injurious behavior in infants and young children with particular emphasis on the developmental aspects of the behavior. It also discusses ways that the behavior is identified, methods of clinical assessment, and appropriate clinical interventions. The final section addresses unmet…

This article discusses the etiology and scope of autism in young children, screening and diagnosis, intervention options, and the use of applied behavior analysis. Supporting evidence of the efficacy of intensive behavioral intervention is cited, and variations in treatments and techniques are reviewed. Barriers to effective services are also…

This article discusses the prevalence and stability of disruptive behavior in preschool-age children and the use of parent-child interaction therapy (PCIT) to treat such children and their parents. PCIT focuses on changing ineffective parent-child interaction patterns by first focusing on child-directed interaction and then on parent-directed…

This article presents an overview of personality disorders in adults and suggests strategies for early interventionists to use in interacting effectively with these families. Three vignettes of parents with personality disorders accessing the early intervention systems are provided to illustrate the challenges and suggested techniques of working…

This article first considers how plasticity of the brain in response to differential experience was discovered in research with laboratory rats around 1960. Animal research soon followed on effects of enriched experience as therapy for brain dysfunction. Relations between animal research and some human therapies are considered. (Contains…

The recognition of the importance of brain development in the early years of life has led to expanded early intervention programs for very young children with or at risk for developmental disabilities. A biological basis for early intervention is explored, and brain plasticity is discussed. (Contains references.) (Author/CR)

Sleep problems may occur in up to 88% of children with visual impairments who have developmental disabilities. The use of oral melatonin has recently been used for the management of sleep difficulties in children with and without disabilities. Sustained-release melatonin may reduce nighttime awakenings and increase total sleep time. (Contains…

This article outlines key components of a medical evaluation of a child who is not talking. Factors to consider during diagnosis and screening are discussed, including the presence of mental retardation, hearing impairments, autism, cerebral palsy, and other disorders. The physiology of speech/language disorders in children is also examined.…

This article summarizes the early development of the visual system within the context of the other sensory systems and preterm birth and relates this information to early intervention. Retinopathy of prematurely, ocular defects, cortical visual impairment and potential impact of the neonatal intensive care unit environment are discussed. (Contains…

There is an increased incidence of language-learning disabilities with dyslexia by school age. As infants and toddlers, these children have neuromotor and speech dysfunction within their first year. This article postulates that the language and motor dysfunction is caused by infantile presentation of developmental dyspraxia rather than a…

This article describes a family-centered assessment and intervention approach that empowers and enables families of young children with disabilities in the selection and use of assistive technology. Included in the discussion are key characteristics of parent/professional partnerships and effective, helpful practices that facilitate the level of…

This article offers an historical perspective and evaluation approach for technical assistance efforts provided by U.S. based agencies in the Pacific and two studies of outcome evaluation at the regional and local level. The Palau Interagency Model is discussed in depth as a model for change and improved interagency coordination. (Contains…

The authors describe a zone defense schedule (ZDS), a system for organizing the staff and environment of a preschool classroom. Specifically, it is used to organize the roles of adults in the classroom so that transitions between activities are easier for children and provides greater opportunity for teaching (both during the transition and…