Certified child life specialists (CCLS) serve as an integral component of the health care team by attending to the psychosocial concerns that arise as children and their families face stressful situations. The CCLS provides individualized care to meet the developmental needs of infants, children, teens, and young adults and assists in coping with…

Students with additional health and developmental needs are at risk of poor psychosocial and academic outcomes as they enter and move through school. Early identification and supports to promote participation and learning can be highly effective in meeting the needs of these students helping them thrive academically, socially, and emotionally.…

Limited information exists about management of asthma in child care settings and primary school classrooms. The goal of this study was to evaluate a brief asthma management intervention for child care providers and primary school teachers. Child care providers and primary school teachers were recruited to participate in two 3-h workshops on asthma…

This study examines access to, utilization of, and quality of health care for Latino children with autism and other developmental disabilities. We analyze data from the National Survey of Children with Special Health Care Needs (N = 4,414 children with autism and other developmental disabilities). Compared with White children, Latino children with…

The school nurse has a crucial role in the seamless provision of comprehensive health services to children and youth. Increasing numbers of students enter schools with chronic health conditions that require management during the school day. This policy statement describes for pediatricians the role of the school nurse in serving as a team member…

Although research suggests why disability may cause poverty, it is not well understood why poverty may cause disability. This article presents the Poverty Disability Model, which includes four groups of factors that increase the risk that poverty will cause disability and chronic health problems. Rehabilitation interventions and counselor…

Approximately 10% to 15% of children have some chronic health condition; 2% of children in the United States have severe chronic illnesses. Certain problems are common to most families with a chronically ill child: high costs, heavy daily care burden, conflicting professional advice, and social isolation. Early intervention may diminsh handicaps…

A behavioral package was used to shape and maintain adherence of five adult females with recurring vascular headache to a program of aerobic exercise training. Results demonstrated a functional relationship between the behavioral package and exercise adherence, as well as clinically significant collateral reductions in vascular headache activity…

Resting metabolic rate and its relation to selected anthropomorphic measures were determined in 11 male and 7 female noninstitutionalized children with Down Syndrome. Dietary analysis was performed to determine the children's nutritional status. Results have implications for the prevention and treatment of obesity in children with Down Syndrome.…

Neuroleptic malignant syndrome, an uncommon but potentially lethal complication of antipsychotic medication, is reviewed, including analysis of 29 cases in which the condition appeared in individuals with mental retardation. Recommendations about reducing morbidity and mortality in this population are offered. (Author/DB)

This review focuses on a classification of the concept of obesity, childhood growth patterns, current diagnostic procedures, physiological and psychological implications, etiology, environmental influences, and the special needs of the obese child. Obesity is viewed as a medical condition requiring medical and educational interventions. (Author/RH)

Discusses ways to assist the development of individual, interpersonal, and social adequacy in adolescents who are chronically ill. (SS)

The article reviews studies showing that speech and language intervention during the period of cannulation can benefit tracheostomized and ventilator-dependent children by improving their communicative functioning while decreasing their frustration with the tracheostomy placement. Therapeutic interventions with feeding skills are also recommended.…

This article reviews the literature on the relationship of otitis media with effusion (OME) during early childhood to intelligence, academic achievement, and classroom behavior during the preschool and primary school years. Guidelines for assessment, program planning, and intervention for the child with an active episode or past OME history are…

Reviews the definition of failure to thrive (FTT) and its relationship to theories of child development as FTT is an early physical marker of risk with long-term consequences. These children are often eligible for services through PL99-457, and psychologists can play an integral role in multidisciplinary evaluation and on intervention team.…