THE HOME CARE OF SEVERELY RETARDED CHILDREN

PEDIATRICS ◽  
1958 ◽  
Vol 22 (4) ◽  
pp. 744-755
Author(s):  
K. S. Holt

A study is reported of the practical and emotional problems found in 201 families with mentally retarded children in Sheffield, England. The families were selected for study solely because they had a retarded child, so that the observations might give a true measure of the incidence of the various disturbances. The main practical problems were nursing care in 14 families (7%), constant supervision in 63 families (31%), and frequent attention at night in 31 families (15%). These problems caused the exhaustion of the mother in 19% of the families and of the father in 5%. The siblings suffered from attacks by the mentally retarded child in 12% of the families, and through helping in 5%. The parents' activities were limited: in 41% of families they were never able to go out together and in 17% they never had a holiday. The retarded child was the cause of extra expense in 59 families (29%). The emotional problems observed were disappointment, guilt, shame and a sense of inadequacy. These reactions led to quarrelling between the parents in 6% of the families. The parents had separated in 5% of the families but usually there were other causes behind these separations. In 10% of the families the siblings showed resentment, and in 5% they were ashamed of the retarded child. The emotional factors led to social isolation in 63% of the families. The place of home care for retarded children is discussed. It is suggested that this can be helped by careful counselling and guidance for the parents, by attention to the needs for practical help, and by reducing the still prevalent stigma against mental defect.

PEDIATRICS ◽  
1959 ◽  
Vol 24 (1) ◽  
pp. 105-105
Author(s):  
ROBERT B. KUGEL

Mrs. Dittman skillfully utilizes her wide experience as a specialist in child development to bring together in this small booklet information which doubtless will be of inestimable value to parents as they attempt to cope with the varied and complex problems of day-to-day-living which their mentally retarded children present. It is written in a style suited for a wide variety of people and stands as an excellent companion-piece with other Children's Bureau publications pertaining to child care. Nowhere in the booklet is there any maudlin sentimentality or crass indifference, so often seen material written about handicapped children. Quite the contrary, the style is one of sympathetic understanding where every effort has been made to present the problem of home care in an honest, forthright manner.


PEDIATRICS ◽  
1972 ◽  
Vol 49 (6) ◽  
pp. 937-938
Author(s):  
Jean K. MacCubrey

In six illustrated booklets Cornelia Hollander has set forth a rationale and directions for an arts and crafts program for handicapped children. The first booklet describes how a group of parents and teachers of mentally retarded children organized a workshop to teach "uncreative adults" skills that they in turn could teach their handicapped children." The succeeding booklets deal, respectively, with finger painting and simple print making, drawing and painting, clay and other dimensional media, stitchery, and woodworking and odds and ends.


Curationis ◽  
1985 ◽  
Vol 8 (2) ◽  
Author(s):  
S.J. Moolman

There is a shift in emphasis in nursing care of the mentally retarded child in the community. Firstly, the child must be identified and then his condition is evaluated, usually by a multi-disciplinary team. A decision must then be made whether the child will be cared for in the community. The nurse assists the parent or guardian in training for independence which includes self-care, use of toilet, personal hygiene, and dressing. Training in various perceptual and motor skills are also included in the nursing care plan. The nurse makes follow-up visits to evaluate progress and adapts the nursing care plan as necessary. She also has an important role in encouraging and guiding the parents. Nursing the mentally retarded child in the community requires specialised knowledge — and a lot of love.


Author(s):  
A. A. Ovchinnikov ◽  
A. N. Sultanova ◽  
T. Yu. Sycheva ◽  
Yu. E. Vasilieva ◽  
P. A. Maksimenko

In article the detailed analysis of modern researches in the field of studying of emotional and personal characteristics of mentally retarded children is given. During the carried-out work features of the emotional and personal sphere of the children of younger school age with easy degree of intellectual backwardness who are brought up in families and being in boarding school conditions which are shown that mentally retarded children from families to a thicket are guided by motives of behavior as self-approving and social approved elections and have the increased uneasiness level are revealed; mentally retarded children from families are more disturbing. Authors focus attention on importance of carrying out psychoeducational programs as one of the most important components of system of rehabilitation of the families which are bringing up the mentally retarded child.


1987 ◽  
Vol 4 (1) ◽  
pp. 4-13 ◽  
Author(s):  
Oliver C. Mudford

The acceptability of three treatments for the maladaptive, but not injurious, repetitive stereotyped behaviour of a mentally retarded child was evaluated. Evaluation was conducted by questionnaires to two groups of staff (nurses and teachers) at two New Zealand institutions for mentally retarded people. A differential reinforcement procedure was found to be most acceptable. A visual screening procedure was judged as being more than moderately acceptable by nurses but less than moderately acceptable by teachers. When visual screening and reinforcement were combined in a treatment package and a rationale for so doing was provided, acceptability was increased significantly for both groups of staff. Teachers rated visual screening, when explicitly prescribed with differential reinforcement, as more than moderately acceptable. The implications of the finding of differential rating of acceptability across and within occupational groups was discussed.


PEDIATRICS ◽  
1965 ◽  
Vol 35 (4) ◽  
pp. 724-724
Author(s):  
HARRY BAKWIN

Maria Egg has written a wise and understanding book for the parents of mentally retarded children. The book is filled with practical suggestions about every-day management—toilet training, self-feeding, dressing, and undressing, how to handle the siblings, the child in the community and the like. Emphasis is placed on family responsibility, rather than community responsibility, for the care of the retarded child. Families with a retarded child should find solace and help in this small, well-written book.


PEDIATRICS ◽  
1974 ◽  
Vol 54 (3) ◽  
pp. 376-377
Author(s):  
Melvin L. Thornton ◽  
Eugene F. Diamond ◽  
John P. Garvin ◽  
John C. Heffelfinger ◽  
John H. Kennell ◽  
...  

Recreation and athletic activity are important for all children, regardless of their mental capacity. A physician's recommendation about athletic activity for mentally retarded children, as is true with other children, must take into account differences in size, coordination, degree of physical fitness, and physical health. The stage of maturation, the level of mental development, and the emotional stability of the child are all important considerations when organizing activities for children who are mentally retarded. Children with average mental development usually have multiple opportunities for athletic activities and recreation without special planning. In contrast, there is a tendency for parents and children in most communities to exclude the mentally retarded child so he completely lacks the type of exercise and personal experiences he needs. Children who are mentally retarded frequently are not physically fit, have poor coordination, and are obese. These conditions become progressively more severe as the retarded child grows older, partly as a result of limited opportunity for athletic activity. The majority of mentally retarded children can and should participate safely and productively in athletic activities when appropriate supervision is provided. Parents of children who are mentally retarded are often confused and uncertain about what to expect from their child. Some tend to restrict their youngsters from physical activities, and others may push their children at too rapid a pace. However, most parents are anxious for guidance to help determine what is best for their child. The pediatrician is in a unique position to advise these parents because he is likely to know the family and to know the emotional and personal needs of the child and his physical capabilities.


PEDIATRICS ◽  
1955 ◽  
Vol 15 (2) ◽  
pp. 234-236
Author(s):  
Clarence H. Webb

DURING the past year the Children's Bureau has given special attention outside of its regular activities, to three problems which should be of some interest to Academy members because of their nationwide significance and almost universal applicability. These activities have been directed at mentally retarded children, children of migrant families, and juvenile delinquency. 1. Mentally Retarded Children. The past few years have seen an upsurge in attention on to and planning for the medical care and educational needs of "exceptional" children, and particularly the mentally retarded child, since this is by fart the largest segment. Part of the Children's Bureau's special work in this field has been in fostering studies of this problem as well as in giving assistance to state groups in meeting their particular problems. It is hoped that during the coming year the Bureau can give assistance and advice where it is desired, to Academy members in states where the problem of caring for the mentally retarded is urgent. State Chairmen can call to the attention of Academy members the opportunities which pediatricians have to give guidance and assistance to parent groups and other bay organizations which are attempting to meet the needs of retarded children and other exceptional children. 2. Children of Migrant Families. The Children's Bureau has engaged in a study of migrant families along the Eastern seaboard. The Bureau hopes to extend these studies to the two larger migrant streams, one which passes through Texas to Colorado and the Midwest and the other along the Pacific Coast. Difficult problems are offered which involve the coordination of medical, educational, and welfare services through the various agencies concerned. The rapid transit of these people from state to state creates special problems.


1994 ◽  
Vol 22 (1) ◽  
pp. 41-51 ◽  
Author(s):  
M. R. Ali ◽  
A. Al-Shatti

This study was designed to assess the personality characteristics and psychological problems of parents of mentally retarded children. Seventy-six parents, whose mean age was 42.12 yr with SD 10.15. 38 of mentally retarded and 38 of normal children, were investigated. A Bengali version of the Eysenck Personality Questionnaire was used to measure the psychoticism, neuroticism and extraversion-introversion responses of the parents. Results showed that parents of mentally retarded children had significantly higher scores only on the neuroticism scale, indicating that they were more emotionally unstable than the parents of normal children. The findings were discussed in terms of certain constraining factors associated with having a mentally retarded child. Counseling programmes for these parents should take into account these factors.


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