PEDIATRICS Vol. 92 No. 1 July 1993, pp. 163-165
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation

Pediatric Services for Infants and Children With Special Health Care Needs

Committee on Children With Disabilities

The discipline of infant and child development has expanded greatly during the last 3 decades.1 Much of this growth is due to new knowledge regarding special services that can improve early development of children with, or at risk for, disabilities.2 Passage of Public Law 101-476, the Individuals With Disabilities Education Act (IDEA) revising Public Law 99-457,3 particularly Part H, coupled with existing federal child care mandates and increasing public expression of concern regarding all forms of child care, shows a significant national commitment to the concept that early services are critical if children with disabilities are to reach their full potential.4

While there may be debate over the relative importance of environmental vs hereditary factors in a child's developmental outcome, any approach used to promote child development must consider how these factors interact. A child's intelligence, temperament, and motor skills combine in a complex fashion with family and peers, to influence his or her development. There is much to learn about how to positively influence child/caregiver/societal interactions. As work in the area of early intervention* grows, attempts to prove that such efforts can help a child with disabilities overcome innate cognitive and motor skill limitations have met with inconsistent and often controversial results.5 Improved outcomes are most likely to occur when services are based on the premise that parents or primary caregivers are the most important factors influencing a child's development. All services, even those as clear-cut as a specific health intervention, must follow this premise.6-8

Future studies documenting successful outcomes of programs influencing child development—namely measures of effects on cognitive and motor development—need to be expanded to include at least the following variables:

Submitted on March 15, 1993
Accepted on March 15, 1993




This article has been cited by other articles:


Home page
 PediatricsHome page
R. C. Sneed, W. L. May, and C. Stencel
Policy Versus Practice: Comparison of Prescribing Therapy and Durable Medical Equipment in Medical and Educational Settings
Pediatrics, November 1, 2004; 114(5): e612 - e625.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
Subcommittee on Attention-Deficit/Hyperactivity Di and Committee on Quality Improvement
Clinical Practice Guideline: Treatment of the School-Aged Child With Attention-Deficit/Hyperactivity Disorder
Pediatrics, October 1, 2001; 108(4): 1033 - 1044.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R. C. Sneed, W. L. May, and C. Stencel
Physicians' Reliance on Specialists, Therapists, and Vendors When Prescribing Therapies and Durable Medical Equipment for Children With Special Health Care Needs
Pediatrics, June 1, 2001; 107(6): 1283 - 1290.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R. C. Sneed, W. L. May, and C. S. Stencel
Training of Pediatricians in Care of Physical Disabilities in Children With Special Health Needs: Results of a Two-State Survey of Practicing Pediatricians and National Resident Training Programs
Pediatrics, March 1, 2000; 105(3): 554 - 561.
[Abstract] [Full Text]

Home page
 PediatricsHome page
Committee on Pediatric Emergency Medicine
Emergency Preparedness for Children With Special Health Care Needs
Pediatrics, October 1, 1999; 104(4): 53e - 53.
[Abstract] [Full Text]

Home page
 PediatricsHome page
Committee on Children With Disabilities
The Pediatrician's Role in Development and Implementation of an Individual Education Plan (IEP) and/or an Individual Family Service Plan (IFSP)
Pediatrics, July 1, 1999; 104(1): 124 - 127.
[Abstract] [Full Text]