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Published on: September 27, 2020
Parenting a Child with a Neurodevelopmental Disorder
Peter L Rosenbaum1, Monika Novak-Pavlic2
1Faculty of Health Sciences, McMaster University, CanChild Centre for Childhood Disability Research, 1400 Main Street West, Hamilton, ON L8S 1C7 Canada.
Insights
Childhood disability approaches now center the family, not just the child. Interventions focus on function, family, fun, friendships, fitness, and future, empowering parents in care.
Area of Science:
- Pediatric Rehabilitation
- Developmental Pediatrics
- Family-Centered Care
Background:
- Historically, childhood disability research focused on the child's impairment and professional-led interventions.
- Parental perspectives and well-being were often overlooked, with an emphasis on compliance with professional recommendations.
Purpose of the Study:
- To review the paradigm shift in childhood disability from a child-centric to a family-centric approach.
- To highlight the influence of frameworks like the International Classification of Functioning, Disability and Health (ICF) and the 'F-words for Child Development' on modern practices.
Main Methods:
- Literature review and synthesis of conceptual frameworks in childhood disability.
- Analysis of the evolution of intervention goals and service delivery models.
Main Results:
- A significant shift towards recognizing the family as the unit of care in childhood disability.
- Integration of the 'F-words' (function, family, fun, friendships, fitness, future) into intervention goals, emphasizing parental involvement.
- The International Classification of Functioning, Disability and Health (ICF) framework supports a holistic view of disability.
Conclusions:
- The 'F-words' concepts have gained global acceptance, positively impacting parents and professionals.
- These shifts necessitate changes in the structure, processes, and content of services for children with neurodevelopmental disorders and their families.
Purpose Of Review:
Traditional thinking and focus in 'childhood disability' have been on the child with the impairment - with the imperative to make the right diagnosis and find the right treatments. The implicit if not direct expectation was that interventions should aim to 'fix' the problems. Professionals have led the processes of investigation and management planning, with parents expected to 'comply' with professionals' recommendations. Much less attention has been paid to parents' perspectives or their wellbeing.
Recent Findings:
In the past two decades, we have seen a sea change in our conceptualizations of childhood disability. The WHO's framework for health (the International Classification of Functioning, Disability and Health (aka ICF)) and CanChild's 'F-words for Child Development' inform modern thinking and action. We now recognize the family as the unit of interest, with parents' voices an essential element of all aspects of management. The goals of intervention are built around the F-words ideas of function, family, fun, friendships, fitness and future.
Summary:
There has been world-wide uptake of the F-words concepts, with increasing evidence of the impact of these ideas on parents and professionals alike. There are important implications of these developments on the structure, processes and content of services for children with neurodevelopmental disorders, their families and the services designed to support them.
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