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Ocular aspects of learning disabilities in children.

A total of 160 children were investigated to establish the role of ocular problems in children with learning disabilities. Thirty-eight per cent were found to have associated ocular problems. Eight per cent (8%) of these showed improvement in scholastic achievement after the elimination of the ocular defect. When there was evidence of brain dysfunction, correction of errors of refraction or muscle balance problems failed to improve scholastic achievement. A multidisciplinary approach to the problem is mandatory.

Attention Deficit Disorder with Hyperactivity↗

[What protection for handicapped child and his family today and tomorrow? The Precariousness Commission of the French Society of Pediatrics].

The recent decision of a large insurance company to put an end to the contracts of insurance subscribed by thousands of French parents for their disabled children, has brought to light the precariousness of the disabled children in our society. The available assistance for the disabled children in the French social welfare is described. Although significant this national assistance remains insufficient in order to avoid the precariousness of the disabled children and their families. An additional effort of solidarity of both the community and the insurance companies is therefore necessary.

Adolescent↗

Stress and compliance with a home exercise program among caregivers of children with disabilities.

PURPOSE: To determine the relationship between caregiver stress and compliance with home programs in caregivers of children with disabilities. METHODS: Sixty-six caregivers of children with disabilities responded to a mailed survey to determine their level of compliance with a prescribed home physical therapy program and the level of caregiver stress. Compliance was defined as the degree to which caregivers followed the prescribed frequency of the home program. RESULTS: Sixty-six percent of the caregivers reported some level of noncompliance with their home program. Linear regression analysis revealed a significant relationship between the caregivers' level of noncompliance with the home program and the level of stress that they reported. Correlation coefficients showed a significant relationship between family problems and noncompliance with home programs. As caregiver and family problems increased, noncompliance with home programs increased. CONCLUSIONS: Caregivers of children with disabilities experience stress that should be addressed by therapists to maximize compliance with home programs.

Journal Article↗

A conceptual model of the factors affecting the recreation and leisure participation of children with disabilities.

Participation in everyday activities is considered to be a vital part of children's development, which is related to their quality of life and future life outcomes. Research studies indicate that children with disabilities are at risk for lower participation in ordinary activities at home and in the community. This article presents a conceptual model of 11 environmental, family, and child factors that are thought to influence children's participation in recreation and leisure activities. The article outlines the existing evidence for the influence of these factors on one another and on children's participation. The review encompasses four bodies of literature: the participation of children or adults with disabilities, the risk and resilience of children facing adversity, the determinants of leisure and recreation activities, and the factors influencing physical activity and exercise. The proposed model is expected to be a useful tool for guiding future research studies and for developing policies and programs for children with disabilities and their families.

Child↗

Prevalence of children with disabilities in central region, Ghana.

A cross sectional survey was conducted in Central Region, Ghana to determine the prevalence of children with disabilities. Forty-seven (1.8%) out of a total of 2,556 children under fifteen years of age had disabilities. About a third, had difficulty with movement of which post poliomyelitis infection disability formed the majority. Twelve children (25.5%) had difficulty with hearing and speech (deaf and dumb). Three children were reported as having epilepsy and 2 others had mental retardation. There was no case of total blindness, however, two children complained of poor vision and three others had a squint. Other disabilities identified, included one child each with kyphosis (hunch back), hydrocephalus (very large head) and extensive facial scars from burns. Disability was more common among children who had not been immunized or who did not have immunization card at the time of interview. The prevalence of disability was higher among female children in the rural community and in children with no formal education. Prevalence of disability increased with age. The prevalence of disability was 14.4 per 1,000 for children (1-5) years, 16.6 per 1000 for children (6-9) years and 3.7 per 1,000 for (10-15) years age group. Younger children had better immunization status and lower disability rates. Thirty percent of the children with disability said they were experiencing discrimination especially among the female children. This study has demonstrated that there is a need to intensify the preventive efforts at reducing the problem of childhood disability and to increase public support to the disabled children by avoiding discrimination and encouraging education and training of the disabled children.

Adolescent↗

58,228 children with disabilities in Massachusetts.

The 2000 Census data on the numbers of children with disabilities in Massachusetts are presented in each community in the state. There are numerous difficulties associated with the delivery of dental care to these youngsters with special needs. The 2002 Kids Count Census Data Online, developed by The Annie E. Casey Foundation (using Census Bureau 2000 data), provides an extended detailed numeric picture of noninstitutionalized United States children between the ages of 5 and 15 at the state, county, city, New England town, and metropolitan area levels. In addition to standard demographic characteristics, the report provides a detailed review of the prevalence of children with one or more disabilities (including long-term sensory, physical, mental, and self-care limitations.

Child↗

Children with disabilities are aging out of dental care.

Each year thousands of poor children with disabilities "age out" of dental programs that were established to meet their needs. But now they are older. Most states provide minimal if any dental services (with limited reimbursement levels) for adults within the Medicaid system. In an effort to stimulate an awareness of these difficulties, a review is provided of 1) the number of the "former" children with disabilities who are faced with the unavailability of dental services and 2) the limitations of the adult Medicaid dental program.

Adolescent↗

181,450 children with disabilities in New York State.

2000 Census data on the number of children with disabilities in New York State are presented on a county-by-county basis. There are numerous difficulties associated with the delivery of dental care to these youngsters with special needs. Nevertheless, if all dentists were willing to help, each practitioner would need to care for about one dozen of these youngsters.

Adolescent↗

Mothers' perceptions of parenting children with disabilities.

PURPOSE: To describe how mothers of children with physical disabilities identified their parenting strengths and weaknesses, encouraged their child's social skills and learning, nurtured and disciplined their child, and perceived their parenting successes and problems. DESIGN: Grounded theory. METHODS: Focused telephone interviews were conducted with mothers of preschool to elementary schoolage children with mild to moderate physical disabilities. The mothers were asked what they were doing well and "not well" in parenting their disabled child, their difficulties, their child's preparation for other children's questions/teasing, their encouragement of social skills and learning, and their discipline and nurturance. RESULTS: The theory that emerged from the data was parental straddling, which occurred on three levels. Parents were living in the past and the present, striving to view their child as "normal" when, in fact, the child was disabled, and were simultaneously dealing with their own and their child's issues and feelings. CLINICAL IMPLICATIONS: Nurses need to understand the complexity of the parents' straddling their roles and tasks. They can provide needed emotional support by allowing parents to express their fears and feelings in an atmosphere of nonjudgmental acceptance. Nurses can prepare parents for anticipated grief work, reassure them that their experiences are expected and normal, reinforce their use of normalization strategies, and help them separate their own from their child's issues and feelings.

Adaptation, Psychological↗

A "dirty secret": the abuse of children with disabilities.

The media and professional and lay literature are replete with the tragic stories of the abuse and neglect of children. Limited references, however, are made to the even more unbelievable reality that children with disabilities are maltreated at a rate that may be as great as four to ten times that of children without disabilities. The characteristics that make children with disabilities more vulnerable to abuse, the nature of the abuse, the variation by gender, the financial costs of abuse and the reality that this abuse may occur in the "best of families" are reviewed in an effort to increase practitioner awareness of the "dirty secret."

Attitude of Health Personnel↗

Survey methods for the assessment of physical disability among children.

Estimates of the prevalence of physical disablement are based on results of population surveys. In investigations of this kind questionnaires are employed directed at the limitations on activities, resulting from long-term health problems including difficulty or an inability to perform activities of daily living, such as walking, dressing, reading and talking. This approach, however, is less appropriate for children, because many inabilities in young age merely indicate normal developmental phenomena. Researchers in several countries have dealt with the problem of how to obtain proper data on disability among children. This article reviews these approaches and concludes that questionnaires should reflect the significant activities which are common for children. Relevant screening items for three age groups (0-2, 3-4 and 5-7 years) are outlined. They show that in screening for disablement with children relatively general indications of disability must be accepted.

Activities of Daily Living↗

Reconsidering the social location of the medical model: an examination of disability in parenting literature.

This paper challenges the view that there is one medical model of disability monolithically and oppressively imposed on disabled people. Because the presence of disability may be ambiguous in any given case, multiple actors, lay and professional, may invoke particular medical models of disability and advance competing claims about an individual's disabilities and related needs. The literature for parents of disabled children is seen as a resource on which parents can draw in making claims about their children's disabilities and disability-related needs. Particular attention is given to the assumptions that this literature makes about the identity, resources and dispositions of the audience. Ultimately, these assumptions favor disability claims made by white, highly educated, upper-income parents.

Adult↗

An evaluation of community learning disability services for children with a learning disability.

This study outlines the results of a survey carried out with parents of children with a learning disability, general practitioners and community learning disability teams as to the health service needs for this client group. Overall, 40% of parents were very dissatisfied or dissatisfied with the services they received. A number of gaps in service provision were identified. In particular, psychological and behavioural difficulties of children were of major concern to all those involved, but needs in relation to these areas were often unmet or inadequately dealt with. Of greater concern was that some families in the area studied were paying privately for child learning disability clinical psychology services because they had such difficulty in accessing NHS services. Implications for service provision are discussed.

Adolescent↗

Cost of care for a geographically determined population of low birthweight infants to age 8-9 years. II. Children with disability.

AIM: To determine the cost of health and educational service provision for low birthweight children with a clinical disability. METHODS: Cohort study of a geographically defined population in five health districts that comprise the County of Merseyside was undertaken. All children with a clinical disability born in 1980 and 1981 to mothers resident in the County of Merseyside were followed up to age 8-9 years. The cost of care associated with the initial admission to the neonatal special/intensive care unit and subsequent use of hospital, family practitioner, and special education services was assessed. RESULTS: There were 52 children with a disability; the disability rate in children of birthweight < or = 2000 g was estimated at 7.7%. Of the total expenditure to age 8-9 years, special education was the largest category (52%) and neonatal care accounted for 35%. The disabled children accounted for 38% of the cost of the whole cohort of 693 disabled and non-disabled children who weighed < or = 2000 g at birth. CONCLUSION: In a cohort of low birthweight children, those who are disabled account for a disproportionate amount of the total expenditure to age 8-9. The cost of long term care for disabled young persons and adults will increasingly dominate the cost of care for the whole cohort of low birthweight children.

Child Care↗

ties"ties".

The diagnostic category of learning disabilities is a heterogeneous one, but few empirical attempts have been made to distinguish subgroups. Recent research, however, suggests that it may be meaningful to discriminate between "hyperactive" and "nonhyperactive" learning-disabled children. In the present study, 21 learning-disabled children identified as "hyperactive" through teacher nominations and ratings were compared to 15 learning-disabled children identified as "nonhyperactive" in the same manner. The two groups differed on rated behavior, birth order, amount of prescribed stimulant medication, amount of psychosocial stress, and Verbal, Performance, and Full Scale WISC-R IQ scores. They did not differ, however, on several demographic variables, the number of perinatal complications, reading achievement, and a number of tonic and phasic measures of autonomic activity. These findings support the distinction between "hyperactive" and "nonhyperactive" subgroups of learning-disabled children, but suggest that the two subgroups may have a similar biological substrate.

Attention Deficit Disorder with Hyperactivity↗

Postnatal causes of developmental disabilities in children aged 3-10 years--Atlanta, Georgia, 1991.

Primary prevention of developmental disabilities requires knowledge of the specific causes of these conditions. Postnatal causes account for 3%-15% of all developmental disabilities and often are preventable. To assess the prevalence and determine the specific etiology of postnatally acquired developmental disabilities, CDC analyzed data from its ongoing Metropolitan Atlanta Developmental Disabilities Surveillance Program (MADDSP) for 1991 (the most recent year for which complete data were available). This report summarizes the findings of the analysis, which indicate that bacterial meningitis and child battering were the leading postnatal causes of developmental disabilities and that children with postnatally acquired developmental disabilities had a higher average number of disabilities than all other children with developmental disabilities.

Cerebral Palsy↗

Reading disability in children with clefts.

The prevalence of reading disability was examined in 172 elementary school children with cleft lip and palate (CLP) or cleft palate only (CPO). Approximately 35 percent of the sample displayed a moderate degree of reading disability, and 17 percent of the group exhibited severe reading disability. Reading disability was more prevalent at younger ages, presumably because of peripheral speech deficits. For older children, those with CLP displayed an incidence of reading disability similar to the general population (9 percent), whereas children with CPO exhibited a much higher rate of reading disability (33 percent). There were no sex differences in the prevalence of reading disability in this sample. The study supports earlier suggestions that children with CPO may be more likely to experience general language disorders leading to long-term reading disabilities. Children with CLP appear to manifest reading problems that tend to resolve with increased age.

Adolescent↗

Prevalence of selected developmental disabilities in children 3-10 years of age: the Metropolitan Atlanta Developmental Disabilities Surveillance Program, 1991.

PROBLEM/CONDITION: Serious developmental disabilities affect approximately 2% of school-age children and are lifelong conditions that incur substantial financial and societal costs. REPORTING PERIOD: January 1991-December 1991. DESCRIPTION OF SYSTEM: The Metropolitan Atlanta Developmental Disabilities Surveillance Program (MADDSP) monitors the prevalence of four serious developmental disabilities--mental retardation, cerebral palsy, vision impairment, and hearing impairment--among children 3-10 years of age in the five-county metropolitan-Atlanta area. Children who have at least one of the four developmental disabilities are ascertained through annual review of records at schools, hospitals, and other sources. RESULTS AND INTERPRETATION: During 1991, rates for mental retardation varied by age, race, and sex; rates ranged from 5.2 per 1,000 children to 16.6 per 1,000 children. Regardless of the absolute rate of mental retardation in each of the age-, race-, and sex-specific categories, severe mental retardation (i.e., an intelligence quotient of <50) accounted for one third of all cases. The overall crude rate of cerebral palsy was 2.4 per 1,000 children; however, the rate was higher among black children (3.1 per 1,000 children) than among white children (2.0 per 1,000 children). The rate of moderate to severe hearing impairment was 1.1 per 1,000 children, and the rate of vision impairment was 0.8 per 1,000 children. Rates of hearing impairment were higher among black males than among children in the other race and sex groups, whereas rates for vision impairment varied only slightly between these groups. The rates of the developmental disabilities were not adjusted for possible confounding factors (e.g., maternal education, family income, and various medical conditions). Consequently, the variation in rates may reflect social or other characteristics unique to the study population. ACTIONS TAKEN: MADDSP data will be used to direct early childhood intervention efforts to reduce the prevalence of these four developmental disabilities. MADDSP data also are being used to measure progress toward the year 2000 national objectives for the prevention of serious mental retardation.

Cerebral Palsy↗