Wyatt is a happy 19-month old child who was recently released from the hospital, where he lived for the first 17 months of his life. Wyatt was born very prematurely and has been diagnosed with a visual impairment and cerebral palsy. You want to conduct an assessment to learn about Wyatt’s strengths and needs, especially …

In Part 1 of this series, we met Phoebe, a service coordinator, and Wyatt’s family. Wyatt had just been referred to early intervention, and his family was eager to begin services but feeling overwhelmed by the process and their son’s new diagnosis of cerebral palsy. We began the discussion about the DEC Recommended Practices (2014) under …

Nicholas visits with Mia and her grandmother, Mrs. Wilson, during breakfast. Mrs. Wilson loves to cook and would like to involve Mia but she isn’t sure how. When she’s tried, Mia pulls her hand away or arches her back instead of touching the ingredients. Mrs. Wilson knows that she should help Mia touch different textures …

The outcomes have been written, so now it’s time to determine services. The team sorts through possibilities for Arnold, a two year old with global developmental delays, and his family. Multiple team members recommend multiple services, then Winnie, the service coordinator, suggests they consider a primary service provider (PSP). The team decides that Patrick, the …

Abby has significant motor delays. Her mother asks you some version of this question during every visit: “Is it my fault that Abby isn’t walking yet?” or “What did I do to cause this?” The question itself makes you uncomfortable, because you can’t really answer it well and because you feel like you’ve tried to answer …

Meet Chris – He and his family have moved 7 times since he was born and are now staying with friends. Chris was referred to your program by his mother at the suggestion of her friend’s mom. The referral said that Chris was 29 months old and not walking. When you arrive for the screening, you see …

Jackie receives a call from Tate’s mother, Mrs. Comer. Mrs. Comer is really frustrated because she feels like she’s not benefiting from her visits with the physical therapist. She tells Jackie that she feels like all Alex (the PT) does is ask her questions. She says “I don’t want to just be asked questions that …

“Come look at his knees,” a concerned parent asked me.

The toddler climbed off the couch and ran, no, barreled towards me.

“Look! When he stands, his knees are touching!  What’s wrong with his legs?”

“He’s 2-years-old, right?” I asked.

“Yes,” said the mom.

“Nothing, this is typical knee alignment for his age.  Let me explain…”

Parents are most concerned about …

About 30 min into your first visit with Mason’s family, his father asks “Will he ever walk?” Mason had a stroke shortly after he was born which affected the left side of his body. He is just under two years old and is beginning to sit with very little support. His father is an athlete …

It’s Thursday, the week’s almost over, and I bet you were just thinking…man, I sure wish I had a few ideas to help (insert child’s name) use his hands to play! 🙂

You may be supporting an infant or toddler who has cerebral palsy or another neurological condition that causes increased muscle tone. If the child has tightly fisted …

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