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Published on: September 27, 2020
Neurodevelopmental disabilities: beyond the diagnosis
Jennifer Accardo1, Bruce K Shapiro
1The Johns Hopkins University School of Medicine, Department of Pediatrics, and Kennedy Krieger Institute, Baltimore, MD 21205, USA.
Insights
Clinicians play a vital role in managing children with neurodevelopmental disorders. Effective management requires patient advocacy and a coordinated, family-centered approach to therapies and services.
Area of Science:
- Pediatrics
- Developmental Pediatrics
- Child Neurology
Background:
- Clinicians are increasingly involved in managing children with neurodevelopmental disorders.
- Childhood neurodevelopmental disorder management extends beyond traditional healthcare.
- Effective clinical practice requires understanding a child's impairments and participation barriers.
Purpose of the Study:
- To offer clinicians a structured approach for managing children with neurodevelopmental disorders.
- To emphasize the critical role of patient advocacy in this population.
- To guide the development of comprehensive, family-centered management plans.
Main Methods:
- This review synthesizes current knowledge on managing pediatric neurodevelopmental disorders.
- It highlights the importance of interdisciplinary collaboration and family partnership.
- Key components of an effective management strategy are discussed.
Main Results:
- Patient advocacy is essential for addressing limitations and preventing participation barriers.
- A holistic approach is needed, considering multiple health and life domains.
- Coordinated and prioritized therapeutic interventions are crucial.
Conclusions:
- A collaborative, family-centered approach is fundamental for optimal outcomes.
- Clinicians must act as effective advocates, understanding individual child needs.
- Integrating various therapies and leveraging federal programs supports comprehensive care.
Abstract:
Increasingly clinicians are taking more active roles in the management of children with neurodevelopmental disorders. Management of these children extends beyond traditional boundaries of health. The purpose of this review is to provide clinicians with an approach to the management of children with neurodevelopmental disorders. Patient advocacy is crucial for effective practice when working with children with neurodevelopmental disabilities. An effective advocate understands how a child's impairments relate to his/her limitations and works to prevent barriers to participation. The advocate recognizes the multiple domains in a child's health and life that must be addressed. An overall management program should be developed in cooperation with the child's primary advocates, his/her family. There are multiple different therapies, each with its own goals, that should be coordinated and prioritized as part of this plan. Federal programs can provide some of these therapies for children.
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