Global attention on early child development, inclusive of those with disability, has the potential to translate into improved action for the millions of children with developmental disability living in low- and middle-income countries. Nurturing care is crucial for all children, arguably even more so for children with developmental disability. A…

The Baby Bridge program was developed to ensure timely and continuous therapy services following neonatal intensive care unit (NICU) discharge. A systematic process for development of the Baby Bridge program included a review of the evidence, integration of theory, and input from NICU health care professionals, early intervention leadership, and…

When predicting child developmental outcomes, reliance on children's scores on measures of developmental functioning alone might mask more subtle behavioral difficulties, especially in children with developmental risk factors. The current study examined predictors and stability of examiner behavior ratings and their association with concurrent and…

Infants who are born prematurely may experience developmental delays and impairments during infancy and beyond. Those who are born at extremely low birthweight face the greatest challenges. Many families could benefit from early intervention services through their local Part C of Individuals With Disabilities Education Act (IDEA) programs, but…

Levels of evidence differ according to the audience addressed. Implementation of universal newborn hearing screening requires responses to a complex myriad of diverse groups: the general public, families with children who are deaf or hard of hearing, the deaf and hard of hearing communities, hospital administrators, physicians (pediatricians,…

In response to O'Brien et al., who examined predictors of child outcome among at-risk infants as possible eligibility criteria for early intervention programs, this paper notes that most biological risk factors in infants are not adequately predictive of developmental dysfunction. It stresses that when social problems are the cause of…

A brief history is provided of extracorporeal membrane oxygenation (ECMO), a treatment option for infants that provides prolonged circulation and reoxgenation of blood outside the body to temporarily support a failing heart or lungs. The University of Kentucky ECMO program is described, along with the positive outcomes of 19 infants. (Contains…

In response to O'Brien et al., who examined predictors of child outcomes among at-risk infants, this article suggests that the goal of prevention and early detection can be more efficiently met if the focus shifts from prediction to ongoing monitoring of children's developmental growth. A three-step model involving ongoing screening, eligibility…

This article summarizes the early development of the visual system within the context of the other sensory systems and preterm birth and relates this information to early intervention. Retinopathy of prematurely, ocular defects, cortical visual impairment and potential impact of the neonatal intensive care unit environment are discussed. (Contains…

Outcomes for infants with birth weights less than 800 grams, consequences for their families, and implications for primary care providers are considered. Early identification of difficulties, such as disorders of sensory integration and learning disabilities, and early intervention are advocated. Follow-up when the child is school-age is also…

This manual describes the results of a 3-year research project at George Washington University (District of Columbia) called the Assessment as Intervention Project, which explored approaches to parent-sensitive developmental follow-up for prematurely born infants who received neonatal intensive care and their families (N=25). After an…

Neonatal assessments should provide valid estimates of behavior and neurological status, reflect recovery from acute effects, predict subsequent outcome, and point to specific intervention strategies for any problems noted. The authors report relations among measures designed to evaluate early behavioral capabilities and dysfunctions in areas…

This thesis discusses normal principles of infant development during the first 2 to 3 months of life and applies these principles to the provision of services to drug-exposed infants. Emphasis is on the infant as an active and interactive participant in his/her own development, the primacy of the body during this early developmental period, and…

Describes the various direct and indirect effects of HIV and AIDS on children's development and the implications for early intervention assessment. HIV and AIDS effects include disorganization during the neonatal period, failure to thrive, motor difficulties, cognitive dysfunction, expressive language behavior, attention problems, and…

This document comprises two leaders' guides and two participants' guides to two inservice presentations on the speech/language professional's role in working with at-risk infants and toddlers. Videotapes are intended to accompany the materials. The needs assessment, field testing, content/design analyses, and validation studies conducted in the…