Early intervention for infants and toddlers: Applications for pediatric oncology

Jennifer L Harman1, Jillian Wise1, Victoria W Willard1

  • 1Department of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee.

Pediatric Blood & Cancer
|December 23, 2017
PubMed

Insights

Pediatric cancer patients under 3 years old often experience developmental delays. Early Intervention (EI) services can help, but children with cancer are seldom referred, impacting long-term outcomes.

Area of Science:

  • Pediatric oncology
  • Developmental pediatrics
  • Early intervention services

Background:

  • Young children (<3 years) with cancer face significant risks for developmental delays.
  • These delays stem from the disease itself, cancer treatments, and necessary health restrictions.
  • Early Intervention (EI) services are crucial for addressing developmental delays in young children.

Purpose of the Study:

  • To highlight the critical impact of early childhood development on long-term outcomes for pediatric cancer patients.
  • To review current considerations and eligibility criteria for Early Intervention services.
  • To advocate for increased referrals of young children with cancer to Early Intervention programs.

Main Methods:

  • Literature review on early childhood development in the context of pediatric cancer.
  • Analysis of the Individuals with Disabilities Education Act (IDEA) Part C regulations regarding EI services.
  • Examination of referral patterns for EI services among young children diagnosed with cancer.

Main Results:

  • Children with cancer are identified as a population at high risk for developmental delays.
  • Despite potential eligibility, referral rates for EI services for these children are notably low.
  • Developmental delays in early childhood can have profound and lasting effects on overall outcomes.

Conclusions:

  • Early Intervention is vital for mitigating developmental deficits in young children with cancer.
  • Systematic referral to EI services is necessary to support the developmental trajectory of these vulnerable children.
  • Increased awareness and advocacy are needed to ensure access to EI for all eligible pediatric cancer patients.

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