1 Departments of Pediatrics and Special Education, University of Iowa, Iowa City
Formal "statements of understanding" can serve several purposes. The process of writing such statements helps clarify issues and offers opportunities to resolve areas of conflict existing between the involved parties. The signing itself serves a symbolic function, announcing that previous areas of disagreement have been resolved and accord has been achieved. The statement, "Principles of Treatment of Disabled Infants," recently written and approved by nine professional associations and voluntary organizations,1 has served these varied punposes.
However, the value of such statements in accomplishing change is dependent upon the status as well as the integrity of the signatories. Fortunately, the individuals and organizations involved with this statement possess both the status to assist substantially in accomplishing its tenets, and the integrity to use this and future opportunities to influence the care and treatment of infants with disabilities.