Children with special health care needs pose many challenges for community-based providers. The article describes a system of training community-based providers that includes the care of children with special health care needs, levels of training, and expected competencies for the care providers of such children. (SM)

Recent initiatives such as PL99-457 and Individuals with Disabilities Act (IDEA) require school psychologists to broaden their knowledge base in areas critical to problematic development in early childhood. This mini-series is designed to assist school psychologists in provisions of collaboration with other health professionals to enhance efficacy…

A study of 211 children and adults with autism (n=81), other pervasive development disorders (PDD) (n=24), and conditions other than PDD (n=106) found the prevalence of medical conditions with suspected etiologic relationships with autism varies between 10 and 15%, depending on the diagnostic system employed. (Author/CR)

School personnel must know which students have asthma, typical warning signs, and appropriate actions in an emergency. Administering appropriate medication and reducing environmental triggers are not enough. Policymaking in schools and workplaces and legislation to increase health care access and eliminate substandard housing and air pollution are…

Knowledge of and preparation for life-threatening food allergies will enable school personnel to better respond to students who have severe allergic reactions. Given the high incidence of food-related anaphylaxis in public places, teachers and school personnel should be aware of and prepared to handle severe food allergy reactions. (SM)

This article describes basic assessment considerations for infants and toddlers exhibiting nonorganic failure to thrive. The evaluation process must examine feeding, maternal-child interactions, child temperament, and environmental risks and behaviors. Early identification and intervention are necessary to minimize the long-term developmental…

This article discusses the efforts of Virginia school divisions as they prepared for and received students with complex health care needs. Findings from four studies that interviewed early childhood special education teachers and occupational therapies are described. The need for team planning and the development of a Health Services Plan is…

Noting the rapid changes occurring in the world of infectious diseases, this book provides updated information for care providers, educators, and parents on the increasingly complex issues of childhood infection. The book is organized into two parts. The first part discusses general considerations for group settings. Chapter 1 introduces the…

This manual provides information to assist individuals in working together more effectively to provide comprehensive services and improve outcomes for children with special health care needs. The manual emphasizes the need for a union of services that places the child and family at the center and exists to provide educational, medical/health, and…

This instructional kit is intended to increase understanding and empathy within the school community to the needs of the student who has a facial disfigurement. For kindergarten to grade 3, the kit provides information for discussion and activities. For grade 4 through secondary school, an associated video features young people who have a facial…

The 1988 Progress Report covers research activities of the five branches of the Center for Research for Mothers and Children of the National Institute of Child Health and Human Development. An introductory section briefly describes the Center, notes staff activities and Center sponsored conferences and workshops, and identifies highlights of…

The study examined aspects of daily living of Swedish children with osteogenesis imperfecta, a mineral deficiency in the skeleton which results in stunted growth and frequent fractures. A questionnaire was administered to 24 families with children under the age of 18 and 3 families were interviewed. The study found the families in great need of…

The guidelines are written to assist school systems in establishing an environment for the safe and well-adapted functioning of children with chronic illness, physically disabling conditions, and medical dependency. The guidelines provide a basic structure for operations and suggested procedures intended to help schools and families as they…

Participants in this workshop were scientists from various disciplines, including public health, oncology, nutrition, epidemiology, biochemistry, immunology, pharmacology, pediatrics, geriatric medicine, and the behavioral sciences. The workshop featured deliberations by medical experts on the dimensions and demographics of hunger in America. The…

The review summarizes research (1978-1989) on the medical needs of persons with mental retardation living in institutional and community settings. Specifically it addresses six questions: (1) do mentally retarded persons in institutions have more serious medical needs than their community counterparts? (2) when people with mental retardation are…