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A conceptual model for tracking high-risk infants and making early service decisions
1Clinic Center for the Study of Development and Learning, University of North Carolina, Chapel Hill 27599.
Insights
This study introduces a new model for early intervention services for at-risk infants. It systematically assesses developmental risks over time, aiding timely support for children with handicapping conditions.
Area of Science:
- Developmental Pediatrics
- Special Education Policy
Background:
- PL 99-457, the Education of the Handicapped Amendments of 1986, facilitates physician-educator collaboration for at-risk infants.
- Early identification and intervention are crucial for infants with or at risk of handicapping conditions.
Purpose of the Study:
- To present a conceptual model for systematizing, tracking, and making early intervention service decisions for at-risk infants.
- To contrast this model with previously proposed frameworks.
Main Methods:
- The proposed model assesses risk status across multiple developmental areas at various time points.
- It incorporates differential weighting of risks based on measurement timing and allows for dynamic changes in risk status over time.
- Risk is conceptualized as additive across areas at a given time, but not cumulative over time.
Main Results:
- The model provides a structured approach to evaluating and managing developmental risk in infants.
- It offers a framework for individualized early intervention planning.
Conclusions:
- The described model offers a dynamic and comprehensive approach to early intervention for at-risk infants.
- It supports collaborative decision-making between physicians and educators to optimize outcomes for children with developmental challenges.
Abstract:
Recent passage of PL 99-457, the Education of the Handicapped Amendments of 1986, has presented a unique opportunity for physicians and educators to work together on behalf of very young children who are at risk for, or are known to have, handicapping conditions. A conceptual model for systematizing, tracking, and making early intervention service decisions for infants born at risk for developmental problems is described. The model is contrasted with others recently proposed, particularly by Aylward and Kenny (1979). The model proposed conceives of risk as additive across areas at any given time, but not cumulative over time. It provides for (1) assessment of risk status at several times during early development, (2) assessment of risk in several areas at each time, (3) differential weighting of risk in each area depending on the time of measurement, and (4) allows for the fact that individuals move in and out of risk at various times. Research ideas are addressed, along with a practical suggestion for use of the model.