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Updated: Sep 6, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
NICU infants born at developmental risk and the Individualized Family Service Plan/Process (IFSP)
R Krehbiel1, G Munsick-Bruno, J R Lowe
1University of New Mexico Medical Center, Albuquerque 87131.
Insights
Newborn intensive care requires a family-centered approach. The Individualized Family Service Plan (IFSP) process can help identify and support infants and families with specific developmental needs in the NICU setting.
Area of Science:
- Neonatal Medicine
- Developmental Pediatrics
- Healthcare Policy
Background:
- Newborn intensive care is evolving, serving diverse infant and family populations.
- A family-centered and developmental approach is crucial for basic nursery care.
- Some infants and families require specialized developmental support beyond baseline care.
Purpose of the Study:
- To describe a method for identifying infants and families who may benefit from the Individualized Family Service Plan (IFSP) process.
- To present the IFSP process and plan within the context of neonatal intensive care.
- To propose a framework for integrating a continuum of care into the Neonatal Intensive Care Unit (NICU).
Main Methods:
- The study describes a method for identifying eligible infants and families.
- It presents the components of the IFSP process and plan.
- A framework for integrating this care continuum into the NICU is proposed.
Main Results:
- A method for identifying infants and families for the IFSP process has been outlined.
- The IFSP process and plan are presented.
- A framework for NICU care integration is proposed.
Conclusions:
- Implementing the IFSP process in hospitals should be gradual and cautious.
- Early risk factors do not always correlate with long-term outcomes.
- A family-centered/developmental perspective is essential in newborn intensive care.
Abstract:
In summary, newborn intensive care is a rapidly changing field serving a heterogeneous population of infants and families. A family-centered/developmental perspective needs to be incorporated as a part of basic nursery care. Some infants and families have developmental needs beyond this baseline. The ability to respond to these needs is supported by PL 99-457. A way to sort out which infants and families might benefit from entering the IFSP process has been described. The IFSP process and plan have been presented and a framework for integrating this continuum of care into the NICU has been proposed. Implementing the IFSP process in the hospital setting needs to be approached gradually and with caution, recognizing the lack of correspondence between early risk factors and ultimate outcome.
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