Society is becoming increasingly multi-lingual and this presents monolingual professionals, particularly those in special education and speech pathology, with severe problems. Is the language delay in a child from a bilingual environment a result of this background or is there a specific speech problem? Is a child's poor performance in school due to his problems of coping with two languages, or does he need remedial teaching? Originally published in 1984, this book is not concerned with second language learning, but with speech and learning difficulties in bilingual children as they are presented to remedial teachers, psychologists and speech therapists. To this end the first group of specially written articles deals with the patterns of language usage in bilingual communities and the social and psychological factors which shape these patterns; with processes in normal bilingual language acquisition; and with the relationship between cognitive development and growing up with two languages. Management issues and methods involved in helping children with language problems are also tackled: they include taking case histories, family liaison, counselling, bilingual programmes, mother tongue teaching, curriculum development and the training of personnel to work in the bilingual-bicultural field. This book provided a great deal of practical help, in a field that was relatively new at the time of writing, and helped to enlighten readers on the issues involved and assist in crystalising thought and directing future research.

This book offers a comprehensive and readable account of theoretical aspects of the origins of normal development of handedness and its relationship to cerebral lateralization and intellectual function. Later chapters review the evidence for links between non-right-handedness and various developmental disorders: mental impairment, autism, epilepsy, and disorders of spoken and written langauge. The emphasis is on understanding the range of underlying mechanisms that might lead to associations between handedness and disorder, and on identifying assessment procedures that can distinguish between different explanations.

Why should today's parents read yet another pediatric advice book? What's changed about babies in the last 30 years? Nothing. What's changed about parents? Plenty. Today both work. Grandparents retire to the sunbelt and aren't around to help. And that terrific neighbor who pitched in when you grew up is hard to find today.

Dan Heller, a celebrated Boston pediatrician, saw parents becoming significantly more anxious and less confident about their child- rearing skills. He poo-pooed today's medical system that eschews common sense and favors dependence on pediatricians, pediatric specialists and consultants. He wanted parents to relax and enjoy bringing up children, to understand that most childhood issues are within the realm of normal.

He called himself "Crazy Dr. Heller" and this book is his legacy-- very sane advice that can make a difference in your parenting. Daniel G. Heller, MD practiced pediatrics for 28 years before his death in November, 2004. He graduated from Columbia College and New York University Medical Center and completed residency at Massachusetts General Hospital for Children. Board certified in pediatrics and pediatric nephrology, he was an assistant clinical professor at Harvard Medical School and loved teaching medical students, residents and parents. Nancy S. Heller, MSW, JD is a pediatric practice administrator in Brookline, Massachusetts where she served on the School Committee for several years. Her legal and social work concentrated on children's issues, like foster care, adoption, child abuse. Her three children are grown, and she has one grandson, named for his late grandfather.

This essential reference book is must reading for mental health professionals who assess and treat children and adolescents. Comprehensive, detailed, clearly written, and innovative, it presents the approaches of the leading clinicians in their fields.

Invaluable to the practising pediatrician in solvinge common and not so common conditions and at the same time educating and placating parents' concerns and anxieties. Illustrative common to not-so-common clinical cases. Hundreds of clinically-useful pictures. Easy to comprehend interrogative format. Highly acclaimed authors. A handy tool for clinicians to tackle parents' queries.

This volume provides a detailed survey of the clinical development of Rett syndrome from its earliest manifestations in childhood through to adulthood. The volume surveys the developmental profile of the disease, its characteristic cluster of symptoms and signs, and categorizes the four main clinical stages in the development of motor disability. Particular emphasis is given to Rett syndrome variants and other clinical conditions which manifest themselves in a similar way to Rett syndrome. The development of scoliosis with age and disease stage is analyzed. The neurophysiologic, neuropathologic and neurochemical characteristics are also examined. In addition, the volume looks at the molecular genetics of the syndrome. The final two chapters cover drug treatment and look ahead at future developments in the study of Rett syndrome.

The Gross Motor Function Measure (GMFM) has become the best evaluative measure of motor function designed for quantifying change in the gross motor abilities of children with cerebral palsy. The new version of the scoring programme has now been released, and includes two abbreviated methods of estimating GMFM-66 scores using the GMFM-66-Item sets and the GMFM-66-Basal & Ceiling. The measure is very widely used internationally, and is now the standard outcome assessment tool. This new edition builds on the wide success of the first edition and: * Is now based on an updated version of the GMFM scoring program (GMAE-2) * Includes an update on the psychometric properties of the GMFM-88 and GMFM-66 * Covers development and validation of two abbreviated methods of estimating GMFM-66 scores using the GMFM-66 Item sets (GMFM-66-IS) and the GMFM-66-B&C (Basal and Ceiling) * Includes a new longitudinal case illustration of the development, application and interpretation of the measure * Presents a forward look to an upward extension of the GMFM to assess skill development in highly functional young people with cerebral palsy * Presents a forward look to 'Quality Function Measure' to quantify changes in quality of gross motor function Readership * Physical Therapists and other health professionals working with children, youth and adults with cerebral palsy * Clinical and health services researchers as an outcome measure to assess the impact of numerous interventions that are proposed as methods of enhancing gross motor function in this population * Any clinician who is assessing and describing current gross motor function and evaluating its change over time * It serves the needs of clinical and health services researchers as an outcome measure to assess the impact of any of a host of interventions that are proposed as methods of enhancing gross motor function in this population.

Clinics in Developmental Medicine No. 178

For most children with cerebral palsy, the extent to which they can use their hands is critical to their overall development. Over the last two decades there have been major advances in the understanding of hand function. Particularly in children with cerebral palsy, assessment of hand function has become more exact and the range of possible interventions has expanded. Changes in treatment approaches can be seen in neurorehabilitation, orthopaedic management, developmental pediatrics and rehabilitation including occupational and physical therapy practices.In this book, selected experts from around the world in the fields of neuroimaging, neurology, orthopaedics, anatomy, motor control and motor learning provide fundamental theoretical information for the development of hand function in children with cerebral palsy. The book also shows how theory can be translated into practice by clinicians who provide assessment and intervention services to improve hand use in this population in sections written by researchers in occupational and physical therapy. Linking different fields of knowledge, this book highlights new perspectives and provides the best evidence for different types of intervention. By focusing only on hand function this essential book highlights new concepts for clinicians and others working towards the overall well-being of children with cerebral palsy.

Save hours of time-consuming paperwork with the bestselling therapist's resource The Adolescent Psychotherapy Progress Notes Planner, Fifth Edition, contains more than 1,000 complete prewritten session and patient descriptions for each behavioral problem in The Adolescent Psychotherapy Treatment Planner, Fifth Edition . The prewritten notes can be easily and quickly adapted to fit a particular client need or treatment situation. The Fifth Edition: Provides an array of treatment approaches that correspond with the behavioral problems and new DSM-5 diagnostic categories in the corresponding companion Treatment Planner. Organizes treatment for over 30 main presenting problems, including conduct disorder, chemical dependence, low self-esteem, suicidal ideation, ADHD, sexual acting out, and eating disorders. Provides over 1,000 prewritten progress notes summarizing patient presentation and treatment delivered. Offers sample progress notes that conform to the requirements of most third-party payors and accrediting agencies, including The Joint Commission, COA, CARF, and NCQA. Saves clinicians hours of time-consuming paperwork, yet offers the freedom to develop customized progress notes. Presents new and update information on the role of evidence-based practice in progress notes writing and the special status of progress notes under HIPAA.

This work discusses all aspects of the effects of spina bifida and hydrocephalus on the foetus, the child, and the adolescent. Chapters review current neurosurgical techniques, perinatal death and malformation, together with the effects of spina bifida and hydrocephalus on behavior and education. The book thus presents an up-to-date view on the current diagnosis, investigation, and treatment of these two conditions.

The application of neurophysiological examination techniques to the newborn infant has increased considerably in recent years. This book gives an up-to-date description of these techniques, and evaluates their importance in the care of newborn babies.

Well child care is designed to promote optimal health status for children, including school and life success. This preventive care includes anticipatory guidance; continuity of care; assessment of growth and development; screening procedures for vision, hearing, dental, and cognitive development; and immunizations. Anticipatory guidance provides parental health education, counseling, and reassurance. The vast majority of Medicaid-insured children receive fewer than the American Academy of Pediatrics (AAP) recommended number of well child visits in the preschool years, and a disproportionate number of children have poor health and lack school readiness. With little empirical data available indicating clinical effectiveness other than for immunizations, the AAP recommendations for well child care were originally based on consensus expert opinion, and more than three decades later, documentation of effectiveness remained unavailable. This information gap led policymakers to question the value of well child care and limited incentive to correct its underuse. Only in the last five years have experimental findings indicated an association between well child care and both more cost efficient health care and increased school readiness. Awareness of these findings by insurance company and Medicaid administrators is limited. The purpose for this book is to increase awareness by all stakeholders of the empirically determined clinical effectiveness of well child care. The short-term goal is to facilitate increased utilization of well child care, with a longer term goal of improved child health and life success.

The gold-standard text in pediatric hospital medicine - updated and streamlined for today's practice Hailed by reviewers and clinicians alike, Comprehensive Pediatric Hospital Medicine has become the specialty's cornerstone text. Edited by five leading figures in pediatric hospital medicine, this acclaimed resource brings you the most up-to-date, evidence-based approaches to inpatient pediatric care from experts in their fields. Comprehensive Pediatric Hospital Medicine, Second Edition opens with an informative introductory section that defines hospital medicine and addresses general issues of hospitalist practice and administration. This includes important topics such as medical legal issues, communications, electronic health records, palliative care, ethical issues, careers, professional organizations, and more. The book then moves into commonly presenting signs and symptoms. This is followed by the largest section, a breakdown of diseases by system. The text concludes with a procedures section that provides hard-to-find instruction on the procedures most commonly performed on children in a hospital setting. The Disease chapters are templated to include Background, Pathophysiology, Differential Diagnosis, Diagnostic Evaluation, Management, Special Considerations, Key Points, References, algorithms, and more. The Procedures chapters include Indications, Contraindications, Anatomy, Equipment, Procedure, Preparation, Technique, Complications, and Special Considerations. If you're in need of an up-to-date, comprehensive, and authoritative text that spans the emerging field of pediatric hospital medicine, your search ends here.

Psychodermatology is a relatively new field in evolution and thus, there is a comparative paucity of information in general. However, when it comes to children and adolescents there is a complete vacuum of information as no other book has aimed to specifically address the psychodermatological issues facing this particular population. For assessment, diagnosis, comprehensive treatment of children with psychodermatologic conditions and establishing a relationship between skin and psyche, there is a lack of clear and relevant clinical information about these complex disorders. The complexity of these disorders is related to lack of understanding in genetic, embryonic, physiologic, neuroimmunologic, neurocutaneous, stress-related neuromodulation, and psychosomatic interconnections. This book presents a clinically relevant approach to the management of psychodermatologic issues encountered in normal practice. Various classifications and major categories that are discussed include psychophysiologic disorders, psychiatric conditions with dermatologic manifestations, dermatologic disorders predisposing to psychiatric disorders, systemic diseases with psychodermatological manifestations, and special issues in management of psychocutaneous disorders in children and adolescents.

Healing Stories for Challenging Behaviour brings together the fruits of Susan Perrow's work in storymaking. It is richly illustrated with lively anecdotes drawn from parents and teachers who have discovered how the power of story can help resolve a range of common childhood behaviours and situations such as separation anxiety, bullying, sibling rivalry, nightmares and grieving.

Designed as an easy-to-access essential resource for any registered dietitian nutritionist who provides nutrition care to pediatric patients, this updated third edition includes: Summary and discussion of validated pediatric malnutrition risk screening tools Indicators and criteria for classifying pediatric malnutrition Expanded information on anthropometrics and pediatric nutrition-focused physical exam Updated and expanded list of specialized growth charts Coverage of laboratory tests and procedures Predictive equations for estimating energy needs Updated charts of age-specific nutrient needs, food group amounts, and more

Is Attention Deficit Hyperactivity Disorder (ADHD), the most prevalent neuropsychiatric label in childhood, a valid medical condition? Should we really refer to the millions of children diagnosed with ADHD as children who suffer from the 'diabetes of psychiatry' - a chronic and harmful biological condition that must be treated regularly with powerful psychoactive substances? Building on previous critiques, this thorough, elegant, and mainly courageous book answers these questions through a step-by-step rebuttal of the scientific consensus about ADHD and its first-line treatment with stimulant medications.While maintaining scientific rigor, this book is written in a clear, creative, and flowing way, using colorful examples - some funny, some tragic - which sweep the reader and inspire social change. The book integrates key critiques into one consolidated source, uncovers massive evidence against the efficacy and safety of stimulant medications, and offers principal solutions to this burning socio-educational problem. But most importantly, this book reviews dozens of reliability and validity gaps in the overriding biomedical consensus. It exposes multiple biases and non-parsimonious bandages (unjustified rationalizations) aimed at hiding the scientific holes of the consensus and it redefines ADHD as a non-pathological quality/mode-of-thought that has both weaknesses and strengths. In this way, the book serves as the missing needle required to pierce the over-blown theoretical balloon commonly known as ADHD.

Fully revised, this second edition presents trainees with the latest guidance on preparation for OSCE examinations. Comprised of fourteen chapters, the book covers all the key learning points and provides an understanding of the basic concepts behind the OSCE and advice on appropriate response. The new edition includes many new cases and covers numerous topics including genetics, neurology, drugs and vaccines, neonatology, cardiovascular system, endocrinology and much more. Enhanced by nearly 240 clinical photographs and illustrations, the book also includes multiple choice questions to help students prepare for MRCPCH and US Specialty Board examinations. Key points Fully revised, new edition providing guidance on preparation for OSCE examinations Includes multiple choice questions to help revision for MRCPCH and US Specialty Board exams Enhanced by nearly 240 clinical photographs and illustrations Previous edition (9789350251553) published in 2010

An intensely moving, frequently shocking account of a child's life in an adult mental hospital.