Gives recommendations for providing culturally sensitive service coordination for Hispanic families, including become part of the family, be flexible, accept different views of time and punctuality, be accessible, speak the language, be aware of views of authority, and understand why families may not follow up on recommendations. (CR)

This article traces a personal and professional journal that paralleled the growth and direction of personnel preparation in early childhood special education. The development of a professional identity is discussed, along with future trends toward generalist certification and funding early intervention services through a fee-for-service…

Describes Project CREATE (Caregiver Recruitment, Education, and Training Enhancement), designed to improve the quality of community-based child care programs in Delaware, and provided in three 1-credit modules at no cost to participants. Identifies barriers to providing education to infant and toddler caregivers. Presents preliminary evaluation…

This study tested the predictive validity of the Communication Composite of the Communication and Symbolic Behavior Scales with 58 children (ages 17 to 34 months) functioning at the prelinguistic stage of language development. Evaluation of expressive vocabulary 1 year later found that the Communication Composite and all tested clusters were…

Discusses the problem of toddler biting behavior in child care settings. Describes reasons for biting by toddlers, recommends caregiver responses to toddler biting, presents tips for observing children to identify the biter's patterns, and outlines ways to prevent biting in child care settings. (KB)

Analysis of the first 4 months of word combinations recorded for an Estonian-English learning child suggests that meaning-based generativity may play a role in this important transition in that mixed language utterances, sequence reversals, and errors revealing early attempts at analysis provide clear evidence that distributional learning alone…

The vocalizations and speech production of 20 infants with hearing impairments were examined at three age levels: between 5-13 months, 2-5 years, and 5-10 years. Degree of hearing loss had a significant and moderately strong relationship with speech outcome at the second and third age levels. (Contains extensive references.) (Author/CR)

Describes a program that addresses social, emotional, and behavior issues along with the developmental problems of infants and toddlers with developmental delays. Steps the early-intervention program in Montgomery County, Maryland, took to incorporate infant mental-health services are discussed and case studies are provided. (CR)

A study assessed the effect of family-centered early intervention services on 47 children and their families during a 12-month period. During family-centered intervention, children's developmental gains were equivalent to their rate of development prior to intervention. The intervention also did not reduce parental stress or enhance family…

Describes the evolution of a transdisciplinary team for assessing infants and toddlers identified as at-risk for developmental delay. The assessment process is outlined and includes information on instruments used in assessing the cognitive, language, and motor development of infants and toddlers. Obstacles encountered with families and methods…

Discusses the multiple medical, dental, therapeutic, psychosocial, and early intervention needs faced by children with cleft lip and cleft plate during the first three years of life. The physiological development of children with these disabilities is described and the need for interdisciplinary team involvement is emphasized. (Author/CR)

Discusses factors affecting the ability of states and local programs to seek and secure reimbursement for occupational and physical therapy services in early childhood programs. Cost concerns in early childhood are addressed, and strategies for ensuring programmatic success in securing reimbursement for such services are presented. (Author/CR)

Twenty-eight local interagency coordinating council (LICC) coordinators were surveyed on their perceptions of the implementation of early intervention legislation. Participants reported positive local impact in the areas of family-centered services and service coordination, improved childfind, funding, networking, and developmental outcomes.…

This article offers an alternative to the term "natural environment" in which delivery of individualized services consistent with family needs and values is of first-order importance. It is argued that the use of authentic intervention activities will produce better outcomes than focusing on placements that must include chronologically aged peers.…

A mother writes of her early years with her son as a single parent and the difficult years with twin younger siblings when she was trying to find a diagnosis and help for her son. Her son is 9 years old now, and she reflects on her experiences. (Author/CR)