This introductory article discusses factors that have led to changes in speech-language pathology practices, including a better and broader understanding of the human communication process, revised federal guidelines and regulations for special education and related services, and a strong desire to encourage scientific pursuit through…

Focus groups of family members of children with disabilities discussed augmentative and alternative communication (AAC) practices within a Mexican American community. Among seven perspectives identified are: (1) children understand nonverbal communication in the home; (2) aided techniques are useful outside of the home; (3) families have great…

This article summarizes what is known about: (1) Vietnamese history and immigration patterns; (2) probable demographics of consumers within the Vietnamese American community who would need speech-language services; (3) the culture and structure of the Vietnamese-American family; and (4) traditional Vietnamese medical practices. Six principles for…

The utility of cost-benefit analysis in program evaluation is illustrated using hypothetical examples of the consequences of natural environments service provision. Areas for further research related to cost and benefit implications are presented. Early intervention programs can use the cost-benefit framework to evaluate the social impact of…

The Individuals with Disabilities Education Act includes school health services among possible related services. A review of relevant documents and court decisions from the past 10 years provides insight into congressional intent, federal regulations, and local implementation of service delivery related to children with extensive health care…

This commentary on "The Effects of Family-Centered Service Coordination: A Social Validity Study" (Romer), discusses findings that the three service coordinators did not change their behavior to be more family-centered after one workshop and that it took follow-up work to get their behaviors to a minimal level of performance. (CR)

Two gifted program evaluations found an absence of data on student learning, fragmentation of service models across the K-12 expanse, and a lack of systemic staff-development strategies and parent involvement. Insufficient resource bases and complex leadership demands that required movement on multiple fronts simultaneously created barriers to…

This article analyzes the 1999 Supreme Court decision, Cedar Rapids Community School District v. Garret F., which affirmed the school district's responsibility to provide medical services to a student with disabilities. It traces the legal history of the issue, examines lines of case law underlying the decision, and discusses the likely…

Presents an action plan for the many developmental educators who have been enraged by the entry of private companies into the developmental education field. Asserts that developmental educators should combine the best that learning assistance has to offer with the best that the private companies have to offer, within a framework and language that…

A study of 150 children and adolescents with reactive attachment disorder found that inpatient admission was related to limited psychosocial strengths, previous hospitalization, and history of sexual abuse. Most children admitted to inpatient care were rural and had never received community-based services. Implications for public health education,…

Presents a meta-analytic review of evaluations of state-funded preschool programs over 20 years. Identifies several methodological flaws but also suggests that pattern of findings offers modest support for positive impact in improving children's developmental competence, improving later school attendance and performance, and reducing subsequent…

Using schools as a hub, full-service community schools bring together many partners to offer wide-ranging supports to community members every day. Community schools generally foster strong partnerships, share accountability for results, set high universal expectations, build on community strengths, embrace diversity, and avoid cookie-cutter…

In an attempt to respond to confusion about--or resistance to--the tutoring requirements of the No Child Left Behind Act, the U.S. Department of Education issued guidance outlining what it expects states and school districts to do in supplying the help to needy children. This nonregulatory guidance clarifies the roles of states and school…

This study investigated families of children with autism spectrum disorders using early intervention and early childhood services, as well as the perceived efficacy and developmental outcomes related to the services and service delivery methods. Results indicated that a variety of recommended practices are not being used by families and…

In this concluding article for an issue on serving students at-risk in Canada, emergent service themes are discussed, including the growing emphasis on prevention, a focus on lifelong learning, the development of children and youth centered service support and delivery models, and the movement toward agency and family collaboration. (Contains…