This article explores how providing early intervention in natural environments reinforces family-centered care, discusses benefits for all parties when therapy is provided within daily routines and settings, describes a decision-making process for embedding natural environments within intervention, and concludes by identifying challenges and…

The utility of cost-benefit analysis in program evaluation is illustrated using hypothetical examples of the consequences of natural environments service provision. Areas for further research related to cost and benefit implications are presented. Early intervention programs can use the cost-benefit framework to evaluate the social impact of…

This article reviews the most frequent causes of seizure disorders in young children and the classification of different seizure types. It discusses current therapies, including alternatives to medication. Emergency response to seizures is covered a well as non-epileptic episodes that may resemble seizures. Epilepsy's potential impact on the…

This article proposes that the learning stories model can be used effectively as an assessment method for young New Zealand children with special needs. In this model, early intervention assessment data are collected in natural contexts. A description of experiences in using learning stories is provided. (Contains 13 references.) (CR)

This article profiles SpecialCare training, a model of training for home- and center-based childcare providers that fosters collaboration between caregivers and early intervention and early childhood special education personnel to support successful placement of children with disabilities in inclusive child care settings. The training offers a…

This article discusses the incidence of infant hearing impairments, auditory screening tests, and available intervention choices for infants with severe to profound congenital hearing loss, including methods for communication and cochlear implantation. American Sign language, manually coded English, fingerspelling, total communication, and…

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 survey of 984 mothers in Bavaria of young children with disabilities investigated their views regarding cooperation and what they expect to achieve from parent-expert partnerships. Results indicate dialoguing with professionals and model learning during intervention is the most helpful way for parents to learn how to cope with their child.…

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…

Discusses the critical role of the early interventionist in working with young children with Down syndrome and their families. Reviews physical problems that the children may have, including growth and dental problems, medical disorders, and medical problems that need monitoring. (CR)

An approach to the diagnosis of pervasive developmental disorders is presented that considers the difficulties in relationships and communication secondary to sensory and motor processing deficits. These difficulties are conceptualized as Multisystem Developmental Disorder (MSDD), and case vignettes illustrate typical patterns of MSDD and…

This article discusses four solution-focused assumptions in providing early intervention services to children with speech-language disabilities and their families. These assumptions are: a polyocular perspective promotes successful family participation in treatment, a family's story contains resources for change, successful experiences promote…

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…

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…