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Delivery of wheelchairs to disabled children.

In a follow-up study from a children's wheelchair clinic the delivery times for 120 wheelchairs ordered during 1973--7 were analysed. Delivery delays were considerable: only 22 of the 120 chairs were delivered within one month and 69 within three months, while 21 took over six months to arrive. Factors such as the type of chair ordered, the need for modifications, and the centre handling the transaction did not influence delivery time. Administrative delays may be an important contributory factor.

Child

Perspectives on play for young children with disabilities in South Africa: a qualitative study.

PURPOSE: All children have the right to play. Children with disabilities are often excluded from play activities. We aimed to explore caregivers', older community members', and key stakeholders' perceptions and experiences of play as influenced by socio-cultural, institutional, and public policy factors. These insights informed the early stages of intervention development. MATERIALS AND METHODS: In-depth semi-structured interviews (n = 23) were conducted with caregivers of children with disabilities aged 2-5 years, older community members, and key stakeholders who had experience working with children with disabilities. Data were thematically analysed, following a socio-ecological approach. RESULTS: Four themes emerged: (i) making play doable and affordable, (ii) play away the challenges, (iii) playing together or not, and (iv) play opportunities. The results highlighted how intrapersonal and interpersonal factors and experiences shaped perspectives of play and play-based interventions for children with disabilities. CONCLUSIONS: Our findings emphasise the importance of a community-informed approach in grounding the early stages of intervention development, which may help to ensure that a future play-based intervention is contextually appropriate.

Humans

A look at mainstreaming in light of children's attitudes toward the handicapped.

Mainstreaming is a legislative reality, yet there is still a question as to whether non-handicapped students are prepared for it. In the present study 131 grade school students were each asked to select from the Personal Attribute Inventory for Children 15 adjectives which best fit three groups of handicapped children as well as normal children. The groups were described in a hierarchical fashion: "normal children" were rated most favorably, then "physically handicapped children," "learning disabled children," and "emotionally disturbed children.".

Adolescent

Pharmacists' knowledge and attitudes regarding monitoring the behaviors of children with learning disabilities.

The attitudes and knowledge of pharmacists in Nebraska regarding children's learning disabilities were surveyed by questionnaire. One hundred thirty-three pharmacists responded. The results were analyzed according to type of practice (community, chain and hospital) and age (20--30 years, 31--40 years, 41--50 years, and 51 years and over). The results indicate that pharmacists are being asked about learning disabilities. Overall, 53% of the pharmacists responding had been asked about learning disabilities by parents, physicians, teachers or others. No significant interactions were found between the type of practice and age, and no significant main effect for type of practice was found in the ANOVA results for knowledge scores or attitude scores. Even though there were no differences owing to age in pharmacists' knowledge of learning disabilities, age was found to have a significant effect on attitudes toward increased pharmacist involvement in monitoring behaviors of learning-disabled children; the younger groups had a more positive attitude. The pharmacist seems to have the knowledge and attitudes required to become more actively involved in monitoring the medications and behaviors of children with learning disabilities.

Adult

Intelligence structure and personality in various types of physical handicap in childhood and adolescence.

Intelligence structure and personality were assessed in a sample of 104 physically disabled children of normal intelligence (IQ is greater than or equal to 85). Findings were compared to those of healthy controls matched by age, sex, rank order and number of siblings and socioeconomic status. Physically handicapped children had lower scores in all subtests of a multi-factorial intelligence test. Furthermore five different subgroups of physically disabled children could be discriminated along one factor marked by different variables of visual perception. Personality of the total group of handicapped children was different when compared to normal controls. This specific personality pattern may be labeled: lack of emotional integration into social environment without conflict. Various subgroups of physically handicapped children differed only little as far as personality is concerned.

Adolescent

Voluntary organizations for handicapped children and their families: the meaning of membership.

Two surveys of families caring for very severely disabled children at home reveal that about half the families belong to a voluntary organization. Membership varies by disease, social class, income, family composition and locality. Over half the non-members would like to belong to such organizations and practical obstacles are the most common reason for not belonging. The principal benefits derived by members are the opportunities to share problems and exchange information and advice. In general such bodies hava a role that is different from and complementary to statutory services.

Age Factors

[Ocular signs in cases of down's syndrome (author's transl)].

420 mongoloid children aged between one month and 14 years were examined in a special ophthalmology department for disabled children employing biomicroscopy, retinoscopy under atropine and, if possible, visual acuity testing. Epicanthal folds were present in 46%, mongoloid slanting of the lids in 72% of cases. A decrease in binocular vision was present in 40% of the children. Brushfield's spots were encountered in 86% of the patients in a circular arrangement, whilst in 7% only the temporal half of the iris was involved. Lens changes of a variable degree were present in altogether 55% of cases and an increase in the number of retinal vessels, as well as their radial arrangement, as described by Williams, were documented in 46% of the cases. A comparison of the incidence and degree of refractive anomalies in mongoloid and normal children was undertaken. The present findings are discussed and compared with the results of other investigators.

Adolescent

[Treatment through special education].

The author discusses the problem of integration of disabled children, and he points out that the present practices of the Swiss invalidity insurance scheme have a counter-productive effect with respect to early detection and early treatment of children with behavioral disorders.

Adolescent

New directions in the evaluation and education of handicapped children.

The Education for All Handicapped Children Act of 1975, which went into effect last October, ensures the right of handicapped children to free appropriate public education. State and local education agencies are required to identify, evaluate and provide services for all disabled children. This multibilliondollar program will guarantee special education resources for up to 12 per cent of American children. A role for physicians in the program is implied rather than defined in the law. Their involvement will vary somewhat from state to state, but will at a minimum involve counseling parents whose children are under evaluation. The law assumes a sophistication of diagnostic ability and curriculum design that does not yet exist, and therefore places a special burden upon physicians to deal effectively with patients now, while developing better training programs and assessment tools, and makes essential the enhancement of the communication between doctors and educators.

Adolescent

[Youth work with the disabled--a contribution to social rehabilitation (author's transl)].

It is particularly the disabled children and adolescents who suffer most from marginal group life in our society. For a sound social and emotional development they need interaction with their peers. Youth group activities as carried out in the Federal Republic of Germany, for instance by the Georgspfadfinder, provide the disabled young people with living space which enable them to train social skills and come to terms with the environment. These wide-ranging, common activities can help to change the attitudes of all participants, thus enhancing the process of social integration.

Adolescent

An interpersonal-effectiveness approach to consumer health education: rationale and case study.

The development and implementation of a program for teaching prospective consumers of medical care services interpersonal-effectiveness advocacy skills are described. Parents of developmentally disabled children attended one of two six-hour workshops to learn self-management, communication and social influence skills for dealing more effectively with health consultants. Consumer satisfaction evaluations indicated that the workshops were successful, and directions for future research and development are discussed.

Child

Pearson and the patient.

This lecture covers some subjects of direct concern to the medical profession contained within the Pearson Report. Each injury group was examined by the Royal Commission, both here and abroad, particular attention being paid to the relationship between tort and social security. By consensus it was proposed that in the majority of fields no-fault compensations should be extended but that the tort system should continue to have a role. Recommendations were also put forward that no damages should be permitted for non-pecuniary loss during the first 3 months and that the full value of the social security benefits should be deductible from all tort damages. Damages for permanent injury or death should be index-linked periodic payments. A new no-fault compensation scheme for road accidents was described as well as a new disabled children's allowance of 4 pounds per week with a mobility allowance at the lower age of 2 years. Medical injury was examined carefully, but it was decided that negligence liability should continue unchanged, with the proviso that the no-fault compensation schemes in New Zealand and in Sweden should be followed. These two schemes have therefore been described in some detail.

Child

Preparing children for parental disability.

Based on the recognition that the sudden onset of disability with attendant, often prolonged hospitalization can compromise family integrity, mobilize anxieties in all family members, and lead to major role changes within a given family structure, this paper describes specific techniques designed to minimize family crisis secondary to the disability of a parent through the preparation of the children to understand parental disability within the limits of the child's readiness and to help the child master his feelings about these life events. Methods include the use of "special stories," creative play, and active involvement of the child with the handicapped parent in the rehabilitation process.

Adolescent

A model interdisciplinary diagnostic and treatment nursery.

A model interdisciplinary diagnostic and treatment nursery program for developmentally disabled children is objectively described to enable documentation of effectiveness and replication. The major components of the program were the parent-professional partnership and the objective specification by the interdisciplinary team of problems, treatment plan, and treatment methods for each youngster. The concept of efficiency index is used to document and compare program effectiveness for four treatment cases, one of which is presented in detail. Reasons for program effectiveness and potential problem areas are discussed.

Child

[Health education through the teacher: recent development in the canton of Berne].

In the Canton of Berne, two working groups are currently developing a concept of school health education, in which the individual teacher assumes the principal role. In terms of documentation and availability of teaching aids, he is assisted by three addiction information centers, as well as other health institutions. Teaching goals are being formulated, socio-cultural conditions are being considered, and based on these, age specific lesson plans and exercises are being developed. On the other hand, the opportunity of a general reform of teacher training is being taken advantage of, in order to define main ideas, teaching goals and instructional contents for teacher training in human biology and health. The aim of teacher training in health education is twofold: on the one hand, it is to prepare the future teacher to include health education in his teaching skills; on the other hand, it is to enable the teacher to act appropriately, when faced with diseased or disabled pupils. The latter point becomes particularly important, as disabled children are being integrated into normal classes.

Adolescent