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IHC Start Strong Seminar:  Earl y and Sustained Support for Children with a Disability 23 March 2010  Andrew Marshall Developmental Paediatrician Puketiro Child Development Team
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction – My Personal Perspective ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early Diagnosis - Why is it important? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early Diagnosis –  Why is it important? ,[object Object],[object Object],[object Object]
Pharmacological Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early Correct Diagnosis - Trends Behaviour Cognition ,[object Object],[object Object],[object Object]
Overlapping Neuromaturational Delays
Early Correct Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early Correct Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early Supports: Remember the Social Model of Disability NO PROBLEM PROBLEM GENES ENVIRONMENT An impairment is only disabling if the environment is not adapted to it
Early Supports ,[object Object],[object Object],[object Object],[object Object],[object Object]
Early Supports currently available: ,[object Object],[object Object],[object Object],[object Object]
Government financial assistance (WINZ) ,[object Object],[object Object],[object Object],[object Object]
Government Agencies (funded by MoE/MoH/MSD) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Educational Services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Educational Strategies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contracted Charity Organisations / NGOs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Private Providers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goals – Early and Sustained Support  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early and Sustained Support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Start Strong Seminar - Developmental Paediatrician - Dr Andrew Marshall

  • 1. IHC Start Strong Seminar: Earl y and Sustained Support for Children with a Disability 23 March 2010 Andrew Marshall Developmental Paediatrician Puketiro Child Development Team
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  • 11. Early Supports: Remember the Social Model of Disability NO PROBLEM PROBLEM GENES ENVIRONMENT An impairment is only disabling if the environment is not adapted to it
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Notes de l'éditeur

  1. 60% individuals with Autism have inattention, and 40% have symptoms of hyperactivity.
  2. Arbitrary “boxes“ superimposed on a continuous distribution of behavioural symptoms, overlapping with severe intellectual disability at one end and the normal range at the other. Cognitive function is not part of the standard diagnostic criteria, but is an important variable that affects the social and language phenotype, and may also determine the type of repetitive or restricted behaviours exhibited.
  3. Some evidence of a “second hit” from an environmental insult, such as viral infection, causing autistic regression in some children. Controversy whether it conveys a worse prognosis or whether it is a biologically distinct disorder from autism without regression
  4. 25-30% clients with SLD have ASD 75% of ASD have SLD