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Transcript of Developmental Delay
Early Detection of Developmental Delay
Developmental Delay Developmental Difference
Developmental Difference (disability)
"Ragan has been diagnosed with a developmental delay. We don't know why, but she is unable to sit up on her own, crawl, walk, stand alone, talk, pick up small objects and other delays. She's been tested for just about all the syndrome's she might be showing the signs of and all of them have come back normal. So She is now 2 years old and just a happy little girl. But we have no idea why she is still not speaking, crawling or walking."
-Kasi Thursby (Mother)
Can be identified from birth by comparing the baby's development to the pre-determined developmental milestones for their age.
Well- baby visits!
Child healthcare activists working to increase awareness about the importance of early detection.
Is "fixing" a developmental delay possible?
Yes... and No
Yes... in some cases, when children receive support from professionals, such as occupational therapists, or their parents, it is possible for their developmental gap to close.
No... when the DD’d child has a secondary diagnosis, such as autism, the pace of their development can’t necessarily be “fixed”.
Condition can be improved with interventions, certain medications and diets
1. Complications during pregnancy or birth
2. Genetic Factors
3. Cannot be identified
Causes of Developmental Delay
Child with a disability for children aged three through nine (or any subset of that age range, including ages three through five), may…include a child—
(1) Who is experiencing developmental delays as defined by the State and as measured by appropriate diagnostic instruments and procedures in one or more of the following areas: Physical development, cognitive development, communication development, social or emotional development, or adaptive development; and
(2) Who, by reason thereof, needs special education and related services. [34 CFR §300.8(b)]
Pervasive Developmental Disorder (PDD)
Global Developmental Delay
• Mental retardation
• Emotional disturbance
• Specific learning disability
(Non-categorical early childhood)
(a) Early childhood intervention (ECI) services that must be provided at no cost to the parent are:
(1) child find;
(2) evaluation and assessment;
(3) development of the IFSP;
(4) services to children with auditory or visual impairments that are required by an individualized education program (IEP) pursuant to Texas Education Code, §29.003(b)(1);
(5) case management;
(6) translation and interpreter services; and
IFSP: individualized family service plan
Based on the student’s strengths and abilities and works towards individual goals.
A team creates it with the family, which may include doctors, therapists, child development specialists, and social workers.
An important acronym...
Preschool Program for Children with Disabilities (PPCD)
Classroom for 3-5 year olds (most have PDD)
Some have gone through the ECI program
Their service provider helps them transition into PPCD
Parents or other service providers may also suspect the child should be in PPCD
Children work on
fine and gross motor skills
Everything is play-based
Social and Emotional Development
Typical Behavior for Developmentally Delayed Children
Difficulties with gross motor skills - using the large muscle groups that assist in walking, running, standing, sitting, changing positions and maintaining balance
Difficulties with fine motor skills - ability to grasp, pinch, eat and dress
Has stiff arms and/or legs
Has a floppy or limp body posture compared to other children of the same age
Fails to develop sounds or words that would be age appropriate
Speech may be delayed or there may be no speech at all
Uses very loud or very soft voice
May not respond to own name
Struggles with basic learning, problem solving, and remembering tasks
Shows delay in basic reasoning skills and play
Shorter attention span than norm for age
Trouble thinking logically and solving basic problems
Difficulty interacting with others and developing relationships with family and friends
Trouble understanding social rules
May not seek love and approval from caregiver
Seems to be in his/her "own world"
Difficulty bathing, dressing, grooming, and feeding oneself
Trouble seeing consequences of actions
Cannot choose own activities
Social and Emotional Development
Strategies for working with Developmentally Delayed Children
Examples of Interventions in PPCD
Speech impairment is a type of communication developmental delay. Interventions with these students include pulling them out to work with a speech-language pathologist.
Other developmentally delayed children will be pulled out of the PPCD classroom to work with an occupational therapist. They work towards minimizing the developmental delay and identifying “activities for families to use outside of therapy that will reinforce learning new skills.” The OT also provides individual-specific life-skills activities in addition to those present in the PPCD classroom. They also improve the child’s fine motor skills and sensory processing through on-going therapy.
Plan physical activities for times when the student has the most energy
Use songs with finger puppets to develop fine motor skills
Let students practice swinging and hitting (gross motor skills)
Use the student’s preferences and interests to build lessons
Speak in clear and short sentences
Be consistent with classroom routines
Use large clear pictures to reinforce what you are saying
Speak slowly and deliberately
Use active listening
Use strategies to assist student in separating from parent
Read books about feelings
Explore feelings through use of play
Explicitly teach life skills related to daily living and self-care
Find ways to practice personal care and self-help skills
Plan experiences that are relevant to the child’s world