The document discusses early diagnosis and support for children with disabilities. It argues that early diagnosis is important for brain development and long-term outcomes. Barriers to early diagnosis include socioeconomic factors, lack of knowledge, and resistance to assessment. The document outlines various government and private supports available, but notes barriers like lack of continuity, coordination, and sustained funding. The goals are outlined as high-quality, timely, integrated, family-centered support to maximize potential and participation for children with disabilities.
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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
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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60% individuals with Autism have inattention, and 40% have symptoms of hyperactivity.
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.
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
25-30% clients with SLD have ASD 75% of ASD have SLD