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Early Childhood Intervention – Everybody’s Doing It!

1070264_child_on_ranch.jpg Well, maybe not everybody, but more and more families today are learning all about Early Childhood Intervention!  I entered the world of developmental therapy as soon as my first child came home from the hospital because she had Down syndrome and was 100% tube fed.  In my circle of friends with children with Down syndrome, therapy has been part of our normal day-to-day routine since our children’s birth.  However, in my circle of friends who have healthy, typical children, developmental delays are far from uncommon and I have watched many friends of typical children enter the world of therapy I once thought was isolated to only children with “special needs.”  One of the biggest reasons for this is people are recognizing the advantages of treating developmental delays early.

While it’s not uncommon for a child in any sandbox across the United States to be receiving some form of early intervention, nobody wants their child to have a developmental delay in any area.  Watching your child achieve developmental milestones is probably one of the most rewarding things about parenting!  When your child isn’t doing something that most of his peers are doing, it can be incredibly discouraging. It’s important to remember that typically, a delay in developmental milestones DOES NOT mean your child is not going to catch up!  Most children who receive early intervention services catch up to their peers in their area of difficulty and no one knows the difference from that point on!

If your child does have a diagnosis that is going to stick with him or her long-term, you are far from the end of the world!  I have a child who will always be behind her peers in most areas of development, however we wouldn’t change anything about her.  In fact, she has brought so much joy and delight to our family, that we are adopting another child with Down syndrome .   It took some adjustments because of continuous therapy, but we very much have a life outside of developmental therapy!

So, what exactly is Early Intervention?

  • Early Intervention (sometimes called Early Childhood Intervention) was created by the United States Congress is 1986 to provide services for infants and toddlers under the age of 3 who have a developmental delay of any kind or a disability.

What services does Early Intervention provide?

  • Physical Therapy {PT} – for children with gross motor delays {late sitting, late crawlers, late walkers, etc…}
  • Occupation Therapy {OT} – for children with sensory issues, fine motor delays, feeding difficulty, cognitive delay, or a delay in social or emotional skills. {In very young infants, there is sometimes an overlap between OT and PT, so an Occupational Therapist may also treat some gross motor delays.}
  • Speech Therapy {ST} – for children who are late to speak or have feeding difficulties
  • Other services early intervention provides: Family education and counseling, Assistive technology devices and services, Audiology testing and services, Nursing services, Nutrition services, Psychological services, Service coordination, Social worker services, Vision evaluation and services, and some provide respite care for families!

What if my child is over 3 years old?

  • If your child is 3 years old or older, they do not qualify for your state’s early intervention program.  However, they do qualify for services through your public school system!  Contact your school district if you suspect a delay in any area of your child’s development after they turn three years old.

Getting started

  • If you think your child is taking a little too long in an area of their development, you can make either contact your child’s physician or you can contact your local early intervention provider.  You do not need your physician to refer your child for services.  You can find your local provider by going to your state’s website.  Here is Texas’ listing of early childhood intervention providers.  If you have trouble finding your early intervention provider, let me know and I will be happy to help!
  • After you or your physician calls to make a referral, your early intervention provider will schedule a visit to your home to evaluate your child and determine if they are eligible for services.  If your child is determined to have a delay, he or she will start receiving services shortly after the  evaluation.  That simple!
  • Remember that every child develops at a different rate and do not accomplish milestones at exactly the same rate.  If you have questions on whether your child is developing at an appropriate pace, contact your child’s pediatrician or your early intervention provider.

Here’s some more links for you!

Do you know anyone whose child is receiving services from Early Intervention?  Has your child received services from Early Intervention?  Do you have any other experience with Early Intervention? 

  • PS: In the spirit of National Adoption Month, I want to sneak this article in here (even though it has nothing to do with the topic at hand!) This article talks about the tax credit the IRS provides adopting families to help make adoption more affordable.  Most people don’t know that they can receive up to an $11,000 dollar for dollar reimbursement for their adoption expenses!!

Nailbiting

Ack!  For about a month now, Lucy has perpetually had her fingers in her mouth.  I trim her nails about every two weeks, but lately there’s been nothing there for me to trim! 

I grew up hearing, “Dawn, stop biting your nails.”  (That, and, “Dawn, stop cracking your knuckles.”)  If you’re like me, that’s like being asked to stop breathing – it’s just a nervous habit!  I still do both of those things, but I’m much better about nailbiting than I used to be.

Now I’m hearing myself say the same things repeatedly: “Lucy, please take your finger out of your mouth.”  Sometimes she obeys, sometimes she doesn’t.  When I catch her doing it in the rear-view mirror, she leans over so I can’t see her, and then keeps doing it.  Oh, that savvy little girl!

 I grew up knowing about a bitter formula that could be put on kids’ nails to deter them from thumbsucking or nailbiting.  Not Tabasco sauce; there’s something different that I’m thinking of.  Anyone know what it is?  I’d rather find out here than pay to ask my doctor this simple question.

How have you dealt with your child’s finger-chewing habits?  Any other strategies I should know about?  Thanks for your help!

Hot Kid Topics in The News: Cereal, Down syndrome, SIDS, and Child Medication

cheerios.jpg Many of us don’t have time to read the paper or watch the news. (Most of it is fear-mongering anyway, but that is an entirely different story.) So I am sharing some headlines that have been in the news lately that may be of interest of interest to us moms. Starting off with one of my most favorite foods on the planet, cereal. Seriously, do you remember that episode of Seinfeld with Janeane Garofalo where she even orders cereal at a restaurant and eats it for lunch? I am close to loving cereal that much.

  • Consumer Reports Rates 27 Different Kids Cereal – Based on the cereal’s fiber, sugar, calories, and nutritional content in a serving the top four cereals are plain Cheerios, Kix, Life, and Honey Nut Cheerios (yay!). The worst cereals are Post’s Golden Crisp and Kellogg’s Honey Smacks, Apple Jacks, Fruit Loops, Cap’n Crunch, and Pops. You have to be a member of Consumer Reports to get the full report, but WebMD does a good job summarizes the report.
  • New Blood Tests During Early Pregnancy for Down syndromeProceedings of the National Academy of Sciences came out with a report yesterday from a few doctors who are testing the pregnant mother’s blood, because some of the fetus’ blood ends up in the mother’s blood. They are looking for extra chromosomes usually found in Down syndrome, Edward syndrome, Patau syndrome. They are hoping that their findings will help women be tested as early as 5 weeks and lessen the need for more invasive tests that could lead to miscarriages. For me, I can see the need for this, but it doesn’t effect me. I just recently turned down all those tests in my own pregnancy. I am going to have the baby either way. My fear is that almost 9o% of women diagnosed with a fetus with Down syndrome abort the baby. When they do get the DS confirmation and abort, the baby is pretty far along. So if this test does become common and women find out at 5 weeks that their baby has Down syndrome will the abortion rate rise or fall?
  • Letting Your Newborn Sleep With a Fan On May Reduce the Risk of SIDS – According to the report, “Young infants who sleep in bedrooms with fans have a lower risk of sudden infant death syndrome than babies who sleep in less well-ventilated rooms, new research shows. Investigators concluded that sleeping with a fan lowers SIDS risk by more than 70%.” The article says that a fan is not a substitute for placing them on their backs. The reports are interesting, because I know SIDS was a fear of mine and I am up for anything I can do reduce the risk. I am not sure I will be militant about this for my next little one, but it is something to consider.
  • More Controversy over Cough and Cold Meds for Children – We have already covered previous FDA findings here and here. Now the New York Times is reporting, “manufacturers of pediatric cough and cold medicines announced Tuesday that they would voluntarily change their products’ labels to say that they should not be used in children under the age of 4.” The FDA is considering taking some cough and cold medications off the shelves and making them available by prescription. However, none of this would actually take place for a few years if it did happen. The FDA also fears that adults will then give their children medication meant for adults instead and over medicating them. My daughter is still under 2, so I haven’t used any of them on her. I am more of a Tylenol and home remedy kind of mom.

What is your favorite cereal? Would you start using a fan now for reduce the risk of SIDS? Has the news about cough and cold medications changed your mind about using them? Or do you find that they work?

The Fears of Letting Your Little One Stay Overnight

by Amanda on October 4, 2008
category: 0 – 1 year (baby),1 – 3 year (toddler),Children’s Health

old_bears.jpg One of our readers recently sent us this question about sending her son for an overnight stay with his father.

Hi, I wonder if anyone can give me any advice. I separated from my son’s father when I was in early pregnancy. He has had a little contact with him, one visit once a week sometimes once a fortnight. He is now asking for my son to stay with him every other weekend. Naturally at the moment I am planning on telling him that he needs to get more used to his father being around before I can even consider it but I’m probably being really selfish and I don’t want him to go to stay there at all. I don’t think his father will be able to cope and he lives an hour or so away. I’m petrified something bad will happen. Can anyone relieve my fears and give me advice on how to deal with it and how to get my son used to his father being around? I just don’t know what to say.

…………………………………………………

Here is my sister-in-law’s, Denise, response to the question. I asked Denise to write up a response, because I know that she has been in that same situation. I can’t even begin to imagine what kind of fears I would have sending my little one off and establishing a new kind of relationship.

…………………………………………………

When my ex-husband decided he wanted a divorce I was shocked. My first reaction was that he would never see our daughter again. That was obviously not a rational thought. Whatever happened between us she was still ‘our’ child, he had not done anything illegal, and he wanted to be in her life.

Our split happened when she was 2 1/2. She was not ready for an overnight visit at that age. It began with him taking her for 6 hour visits at a time, usually on Saturdays. The next step was a one night visit. Progressively we made it to a Friday-Sunday visit.

Before any of that could happen he and I sat down to discuss ground rules beyond the divorce decree. Things like where and when he would pick her up and drop her off.  I wanted consistency.
The one thing that helped me get through all of this has been remembering that she is not just my child. Even thought he had wronged me, I couldn’t penalize our daughter for. She needed/wanted to see her father on a regular basis. When we sat down I asked him to make the decision to either be in her life or not. I told him he couldn’t do it half way, that would not be fair to her. Another important issue was where he stayed, it needed to be kid friendly and safe.

After all of that was settled and she went with him for the first time I had to deal with my emotions. The first few times I was terrified, I cried, and I let my imagination get away from me. What I did the next time was plan things for myself, things that kept my mind busy.
All of this seems to have worked. I have nothing more than a working relationship with her father but she is a well adjusted teenager now. She knows that things did not work out between us  but she also knows that both of us lover her fully.

Things have not always been perfect between her father and I. There were many time when we had discussions abot her care but they were just discussions. We made sure not to have them in front of her. I worked very hard not to let my personal feelings for him get in the way.
I know that this answer is long winded and may not fit your personal situation perfectly but hopefully you can take something away that will help you!

Have any of you been in this situation? How did you handle it? 

The Cats Have To Go

by Amanda on September 15, 2008
category: 0 – 1 year (baby),1 – 3 year (toddler),Children’s Health

bothkitties.jpg We have been having some drama with our cat, Samuel, recently. It all began when he peed in our friend’s car seat. I even wrote about it here. Since then about once a week we would something else he peed on – a blanket, t-shirt, an empty plastic toy bin on floor. The last straw was when he peed in Annabelle’s toy basket in her toy corner. In an emotional response my husband threw him out the back door. I didn’t see him for at least two days.

On the third day we decided to take him to the vet and get him checked out and make sure that it wasn’t an infection or anything. I saw him on day four and brought him inside. About three hours later I was on the phone with the vet and I heard Annabelle scream like I have never heard her scream before. I immediately got off the phone and found that she was messing with the cats and Samuel scratched her. He scratched her inside her left ear and down her cheek. Samuel lost his second chance.

We took both Samuel and Elizabeth to the vet and they are both fine. We got them updated on their shots. The vet agreed that it was a behavioral problem. Last night I posted them on Craigslist. Hopefully I can find them a home without young children. If not, then our only other option is to find a no-kill shelter that will take them.

We never took the pets and a new baby class. Maybe I would have learned something. What I know is that our cat doesn’t like having a toddler in the house messing with him. With a second baby on the way we can’t take any chances. We have had our cats for 5 years and love them. They used to be my babies, until Annabelle came home. It was a tough decision to find them new homes, but in the end we have to do what is best for our family.

Have you ever had a problem with your pets and your children getting along? Have you had to find a new home for your pet when you brought your baby home?

UPDATE:

In the end Samuel scratched our daughter at least twice. We honestly couldn’t trust him with her and her safety is important to us. I feel that it would be impossible to keep them separate at all times. I don’t feel like Annabelle was doing much to entice the scratching. After two people were interested in looking at the cats, but never showed, we placed them back on Craigslist. A lady who only wanted Samuel came and adopted him. He has the most perfect home now. Her last cat just passed away last month. She lives by herself in a huge house and I know that Samuel is going to be spoiled beyond measure.

I did have hard time letting him go. I was very sad after he left, but I prayed about it. I feel like God told me that he sent the lady and that Samuel is fine now. In the end I realized that Samuel wasn’t acting like his usual laid back and loving self. Now I hope without a baby bugging him, he is more relaxed and happy.

We still have his sister, Elizabeth. My husband caved in and let me keep her. She isn’t pee’ing or scratching Annabelle. I think it is much easier to only care for one cat.

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