In Touch With Families by wxf15856


                                                                                                                   EIS In Touch With Families
                                             The Happiest Toddler on the Block                                                                                                                             Spring 2005

                        Review               by Dr. Harvey Karp, M.D.
                                             Published by Bantam Dell 2004

 In his second book, Dr. Harvey Karp focuses on the years between one and four. He describes typical child
 development and some of the behaviours applicable to each of the age groups. Some of the issues covered by
 Dr. Karp include temper tantrums, biting, sleep and eating concerns, and separation anxiety. Positive
 approaches to assist children through these stages are outlined here.

 Other points of interest include a chapter titled Gentle Diplomacy: Ways to Set Up and Enforce Limits. Here
                                                                                                                 2004 was a busy year for
                                                                                                                 Early Intervention Services   Considering a Developmental
 Dr. Karp discusses when to use strategies such as ignoring, loss of privileges and time-outs. Another chapter
 titled Respect and Rewards guides parents on how to praise their child's compliant behaviour in order to
                                                                                                                                               Assessment for your child?
 promote cooperation between themselves and their preschooler.                                                   We completed three major      When a parent is worried that their child might have an autism spectrum disorder, the
                                                                                                                 office renovations to         waiting lists for an assessment in a child development clinic can be very discouraging.
 By Nancy Headdon, Early Interventionist, Markham Office                                                         improve space for staff       Many hospital-based clinics have waiting lists of a year or more.
                                                                                                                 and families receiving
                                                                                                                 office-based services. EIS    Some parents decide to seek an assessment elsewhere rather than wait. For parents
                                                                                                                                               who choose to take this option, there are many factors to
                                                                                                                 served 1,328 children last
  Traffic Light Treat                                                                                                                          consider. Private assessments can be expensive, especially
                                                          4. Using the round cookie cutter the child             year (a 10.2% increase over
                                                                                                                                               if you do not have extended health coverage.
                                                          makes a circle with the cheese.                        2003) and we served a
  Ingredients for one:                                    5. Child puts the pepperoni on the top                 monthly average of 952        Parents should be as informed as possible before choosing
  -3 Ritz crackers                                        cracker to represent the red light.                    children.                     a private practitioner. Even if you are considering a
  -pepperoni slice                                        6. Child puts the round yellow cheese on the                                         clinician who is covered by OHIP, there are some
  -half a cheese slice                                    middle cracker to represent the yellow light.          We also received additional   important points you should know.
    (cut diagonally)                                      7. Child puts the slice of cucumber on the             funding through the
  -thin slice of cucumber                                 bottom cracker to represent the green light.           Provincial Early Learning     First, who can legally make a diagnosis of autism? Any
                                                          8. Eat!                                                and Child Care initiative     medical doctor can make the diagnosis, although many do
  Utensils and supplies:
                                                                                                                 that allowed us to hire two   not feel they have the adequate experience or the time
  3" x 6 ½" rectangle of black
  poster board                                            Traffic Light Song                                     temporary full-time and       required to do so. The ideal is a developmental paediatrician, who is a paediatrician
                                                          (sung to the tune of "Twinkle, Twinkle,                                              with additional training in child development. A registered psychologist with the
  paper plate                                                                                                    one temporary part-time
                                                          Little Star")                                                                        relevant training and experience is also able to diagnose autism.
  round cookie cutter                                                                                            Early Interventionists.
  knife (for caregiver only)                                                                                     Regional Council approved
                                                          Twinkle, twinkle, traffic light                                                      The other types of professionals that might be involved with your child, such as a
                                                                                                                 these positions as            speech language pathologist, behavioural therapist, early interventionist or teacher will
  Directions:                                             On the corner, shining bright.                         permanent in February of
                                                          Red means stop and green means go.                                                   be great sources of information about your child's development, but they are not able
  1. Child washes hands.                                                                                         this year.
                                                          Yellow means go nice and slow.                                                       to make a diagnosis of autism. These profeesionals can discuss their concerns with you
  2. Black poster board (longest side up) is
                                                          Twinkle twinkle, traffic light.                                                      and explain what the benefits of a developmental assessment might be.
  placed on the paper plate.
                                                          On the corner, shining bright.                         We continue to develop
  3. Child places crackers on the black poster
                                                                                                                 and improve our services      Current research strongly supports multi-disciplinary assessments, which are completed
  board to resemble lights on traffic lights.
                                                          from The Mailbox Feb/Mar. 2004                         in this ever changing and     by a team of professionals who have clinical experience with autism. If you are
                                                                                                                 fast growing environment      considering a private assessment with a psychologist, ask if he
                                                                                                                 and look forward to a         or she works with any other professionals such as a speech
                                                                                                                                               language pathologist and an occupational therapist.
                                                                                                                 productive year in support
  EIS In Touch With Families is a newsletter for families who receive service from York Region’s
  Early Intervention Services. For more information on any aspect of this newsletter please contact
                                                                                                                 of your needs.
                                                                                                                                               continued on page 3
                  W               8 4                                  8 4 9
  Linda Leveiller-Wheeler at 905-830-4444, Ext. 2075 or toll free at 1-877-464-9675, Ext.2075.                   Dan Beale
  For more information about York Region’s Children’s Services, go to:                                           Manager, EIS
                                                                                                                                                                    Community Services and Housing Department
                                                                                                                                                                                              Family and Children’s Services Division

Page 4                                                                                                                                                                                                                     Page 1
  Active Learning                                                                                                      Developmental Assessment continued
  An effective approach with multi-disabled children                                                                   Also be aware that the younger the child is, the more difficult it can be to provide a definitive diagnosis. It is
                                                                                                                       important that the child is seen on more than one occasion for observations and formal testing. Also, there are
   In late September I attended an Active Learning              with others to fulfill their own needs, allowing       many tools available to help clinicians to complete the assessment; however, a diagnosis of an autism spectrum
   Conference in Burlington sponsored by the                    them to gradually react relevantly to instructions     disorder must be made based on the Diagnostic and Statistical Manual IV (DSM IV) criteria.
   Canadian National Institute for the Blind. This              and education and making them as independent
   conference provided information on another                   as possible.                                           Call several different practitioners and ask them questions about their assessment process and their area of
   approach to working with multi-disabled children.
                                                                                                                       specialty. Talk to other parents and ask for their experiences.
                                                                These are some of Dr. Nielsen's suggestions
   Dr. Lilli Nielsen is a preschool teacher and                 when developing the child's environment for            If you do choose to wait for an assessment in a child development clinic, call agencies that provide services
   psychologist with her PhD thesis on spatial                  learning:                                              (such as Intensive Behavioural Intervention) to children with autism to inquire about placing your child on the
   relations of congenitally blind infants. She has
                                                                                                                       waiting list even if he or she does not yet have a formal diagnosis.
   authored many books and professional articles in             * Observe the child. Assessing the child's existing
   her 40+ year career, and lectures around the world.          skills and preferences (strengths) is the first step   By Karen Dillon, BSW, Social Worker
   Dr. Nielsen is a highly respected expert on the              in programming.                                        Paediatric Developmental Assessment Clinic
   education of those with multiple severe disabilities.        * Provide the child with more activities and           Markham Stouffville Hospital
   Her approach is called Active Learning.                      objects that are similar to the ones he or she
                                                                enjoys. This encourages the child to explore,
   All children learn through play and need to be               introduces new experiences and broadens his or
   encouraged to explore their environment and
   objects in their environment. Dr. Nielsen believes
                                                                her base of knowledge.
                                                                * Provide the child with opportunities to                Markham Office Offers Parent Workshops
   that all very young children learn by being active,          practice and/or to compare. Children need to be
   rather than through passive forms of stimulation.            able to repeat an action many, many times in             The purpose of parent education workshops is to provide a forum, where parents can gather, learn about a
   She believes that interactions during which the adult        order to learn.                                          particular topic, and be supported by other parents. The workshops run from September to May in the
   performs most of the activities (e.g., hand over             * Provide activities at a slightly higher                Markham Early Intervention Services office, located at 144 Main Street, Unit 10.
   hand), or refrains from waiting for the child to             developmental level to provide a challenge for the
   initiate his/her part of the interaction, fails to give      child.                                                   All workshops are hosted by EIS with a "special presenter". Cost is $5.00 per family per workshop. To
   the child an opportunity to learn to initiate. Instead       * Do not interrupt a child by talking when he or         register call Cathy Horlick at (905) 294-0762, Ext. 221.
   the child may become passive or unable to perform            she is actively engaged in play. Pick your moments
   any skill without being prompted.                            to talk.                                                 Parents have said...
                                                                * Slow down when interacting with the child. Be
   Children with multiple disabilities should be viewed         willing to wait.                                         "I was able to learn from other parents' problems and solutions."
   as children who are just as eager to learn as are                                                                     "...a relaxed atmosphere and open discussion."
   children without disabilities. Parents of a child with       Dr. Nielsen has designed numerous pieces of              "The information was very valuable."
   disabilities are just as eager to see their child learn as   equipment for Active Learning. LilliWorks is the
   the parents of a child without disabilities.                 exclusive provider of this equipment.                    Upcoming workshops:

                            The philosophy behind the           Active Learning is an approach which has been            Focus on Fathers - Wednesday, April 6th - 7-9 p.m.
                            approach of Active                  proven to be highly effective for multi-disabled         A father of a child with special needs will discuss how fathers
                            Learning is that, if given          individuals. The approach is popular in Europe           can have a significant impact in the lives of their children.
                            opportunity to learn from           and is being used in the United States and
                            their own environment,              Canada. A goal for 2005 is to train York Region          Picky Eaters - Wednesday, May 4th - 7-9 p.m.
                            children will achieve skills        Early Intervention staff in Active Learning.             A dietician with the York Region Health Services will give
                            that become part of their                                                                    suggestions on how to provide nutritious meals to children
                            personality. Therefore it is        By Linda Leveiller-Wheeler                               who are "selective eaters".
                            natural for them to interact        Supervisor, Early Intervention Services
                                                                                                                         We welcome ideas for future topics.

Page 2                                                                                                                                                                                                                            Page 3

To top