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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.
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.
Abstract:
Young children (<3 years) with cancer are at risk for delays in development due to their disease and its required treatments and restrictions. In the United States, Part C of the Individuals with Disabilities Education Act describes a system of early intervention (EI) services for young children with delays or the potential for delays in development. Children with cancer may be eligible for EI but are rarely referred. Our objectives are to describe the critical impact of early childhood development on long-term outcomes, review current considerations for EI, and advocate for the referral to EI for young children with cancer.
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