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A model for the assessment and management of children with multiple disabilities

H Cass1, K Price, S Reilly

  • 1Neurodisability Service, Great Ormond Street for Children NHS Trust, The Wolfson Centre, London, UK.

Child: Care, Health and Development
|June 1, 1999
PubMed

Insights

A hierarchical model helps manage children with multiple disabilities by prioritizing care. Addressing foundational needs like vision and nutrition is crucial before focusing on complex skills like communication.

Area of Science:

  • Pediatrics
  • Rehabilitation Medicine
  • Developmental Disabilities

Background:

  • Children with multiple disabilities face complex care challenges.
  • Numerous professionals involved often lead to conflicting advice and coordination issues.

Observation:

  • A hierarchical model for assessment and management is proposed.
  • This model emphasizes the interdependency of various functional and medical areas.

Findings:

  • The model aids parents and professionals in prioritizing care needs.
  • It improves interdisciplinary collaboration and supports staff training.

Implications:

  • Resolving foundational issues (vision, positioning, nutrition) is vital.
  • Successful intervention in basic functions enables progress in complex skills like communication.

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