Early detection and access to interventions for developmental delays in young children have been shown to improve health, social, and academic outcomes later in life. The purpose of this study is to examine the factors associated with caregivers' perception of child developmental concerns in low-income communities. A countywide survey was…

Developmental screens are often used in nonstandardized conditions, such as pediatric waiting rooms, despite validation under standardized conditions. We examined the reproducibility of the Ages and Stages Questionnaire (ASQ), a developmental screening instrument commonly used in pediatric practices, under standardized versus nonstandardized…

Various issues related to positioning infants and children with central nervous system dysfunction in order to conduct videofluoroscopic swallowing function studies are discussed. Extensive illustrations demonstrate solutions to specific problems. (DB)

This paper on autism in young children discusses the differences between classic infantile autism and autistic-like conditions; the evolving manifestations of autism; accompanying handicaps such as mental retardation, epilepsy, blindness, and deafness; possible infectious or metabolic disease etiologies; and treatment through behavior…

This article provides an overview of procedures commonly used in prenatal screening and diagnosis including ultrasound, amniocentesis, chorionic villus biopsy, maternal serum alpha-fetoprotein, and deoxyribonucleic acid (DNA) analysis. Emphasis is on the role of the early interventionist in supporting families during prenatal diagnosis. (Author/DB)

This article describes medical problems that occur more frequently in young children with Down syndrome. These include common cardiac, hearing, and vision problems and less common thyroid and celiac diseases. Guidelines for preventing dental and obesity problems are followed by suggestions to early interventionists for watching for leukemia, neck…

This article reviews neuroimaging techniques such as cranial ultrasound, computed tomography scanning, and magnetic resonance imaging. Their roles in the care of children with neurodevelopmental disabilities include identification of high-risk infants, establishment of the diagnosis and prognosis in affected children, and enhancement of discussion…

The Chronically Ill Infant Intervention Project at Georgetown University (Washington, D.C.) initiates treatment in the special care nursery for chronically ill infants and infants with multiple health problems. The project's interdisciplinary team provides developmental evaluations, direct intervention in the hospital and in the home, and parent…

Discusses the critical role of the early interventionist in working with young children with Down syndrome and their families. Reviews physical problems that the children may have, including growth and dental problems, medical disorders, and medical problems that need monitoring. (CR)

This article outlines key components of a medical evaluation of a child who is not talking. Factors to consider during diagnosis and screening are discussed, including the presence of mental retardation, hearing impairments, autism, cerebral palsy, and other disorders. The physiology of speech/language disorders in children is also examined.…