scholarly journals Early Intervention in the Structure of Children’s Rehabilitation (on the Example of the Republic of Tatarstan)

2021 ◽  
Vol 20 (4) ◽  
pp. 99-105
Author(s):  
Darya L. Nefedeva ◽  
Rezeda A. Bodrova ◽  
Elena G. Ignashina ◽  
Ayrat I. Ziatdinov ◽  
Svetlana A. Senek

The early intervention system is currently considered as an independent activity which has a clear conceptual model. The generalmechanisms of the early intervention system facilitate the child’s social adaptation and its integration into the educational environment. This creates the conditions for the child development and the formation of the child’s skills necessary in daily life situations. At the same time, it remains unclear how the routing of a child in need of rehabilitation is carried out, taking into account the need toreceive early intervention services for the target group of patients. Aim. To determine the place of early intervention in the structure of the rehabilitation service of the Republic of Tatarstan. Results and Discussion. The early intervention system contains functional, personality-oriented and environmental approaches,which are implemented using the domains of activity and participation of the International Classification of Functioning, Disabilitiesand Health. The use of this classification implies the need for joint work of the number of specialists who make up a multidisciplinaryteam, forms a unified methodology for constructing rehabilitation plans and early assistance programs, and offers a conceptual basisfor analyzing the effectiveness of their implementation. In addition, the application of the International Classification of Functioning,Disabilities and Health makes it possible to determine the role of early intervention when planning a child’s rehabilitation route. The articlepresents a model of routing a child in need of rehabilitation measures, implemented in the Republic of Tatarstan, which providesfor early identification of children with indications and their referral accordingly to these indications to early intervention, medical orsocial rehabilitation. Conclusion. Identifying children of the target group in need of the early intervention and their timely referral to organizations that areproviders of relevant services is one of the stages in solving urgent problems of rehabilitation. Currently, the departments of early interventionsystem are opened on the basis of medical, social and educational organizations in the Republic of Tatarstan, and includedin the rehabilitation structure playing an important integrating role in the formation of interagency cooperation.

2020 ◽  
Vol 51 (4) ◽  
pp. 914-938
Author(s):  
Anna Cronin ◽  
Sharynne McLeod ◽  
Sarah Verdon

Purpose Children with a cleft palate (± cleft lip; CP±L) can have difficulties communicating and participating in daily life, yet speech-language pathologists typically focus on speech production during routine assessments. The International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY; World Health Organization, 2007 ) provides a framework for holistic assessment. This tutorial describes holistic assessment of children with CP±L illustrated by data collected from a nonclinical sample of seven 2- to 3-year-old children, 13 parents, and 12 significant others (e.g., educators and grandparents). Method Data were collected during visits to participants' homes and early childhood education and care centers. Assessment tools applicable to domains of the ICF-CY were used to collect and analyze data. Child participants' Body Functions including speech, language, and cognitive development were assessed using screening and standardized assessments. Participants' Body Structures were assessed via oral motor examination, case history questionnaires, and observation. Participants' Activities and Participation as well as Environmental and Personal Factors were examined through case history questionnaires, interviews with significant others, parent report measures, and observations. Results Valuable insights can be gained from undertaking holistic speech-language pathology assessments with children with CP±L. Using multiple tools allowed for triangulation of data and privileging different viewpoints, to better understand the children and their contexts. Several children demonstrated speech error patterns outside of what are considered cleft speech characteristics, which underscores the importance of a broader assessment. Conclusion Speech-language pathologists can consider incorporating evaluation of all components and contextual factors of the ICF-CY when assessing and working with young children with CP±L to inform intervention and management practices.


Sign in / Sign up

Export Citation Format

Share Document