The period of early childhood sets the stage for how well children view themselves, each other, and their world. Shared positive emotional experiences between caregivers and children serve as building blocks for the development of social and emotional well-being in infants and toddlers. Incorporating the three principles of promotion, prevention, and intervention within a systems framework (child-parent-environment) will enable early childhood practitioners to foster the emotional health and well-being of all children and families, especially those individual children who are more vulnerable due to the presence of multiple risk factors. The primary intent of the authors of this paper is to discuss the importance of attending to the social and emotional well being of very young children as a primary focus of early learning and school success.
There is considerable controversy regarding the provision of appropriate services for young children with autism and their families. A plethora of therapies have become available, most of which have uncertain efficacy. There is debate regarding which public agencies and private third-party payers have responsibility for the financing of services. There is particular controversy as to whether these therapies should be considered part of the scope of the entitlement under the Individuals with Disabilities Education Act (IDEA). This article identifies the factors that make autism a vexing public policy issue. These include an increase in the incidence and prevalence of children with autism; a lack of consensus on the etiology of the disorder; a lack of consensus on the most successful methodology for clinical intervention; coincidence of the age of diagnosis with the upper age limit of Part C of IDEA; a shift to a family-centered decisionmaking paradigm; and an increase in due process hearings and litigation. The authors identify concerns regarding the gradual shift to an expectation that early intervention and special education systems should include a full array of services for this population. They argue that the service delivery system should include a range of public and private agencies with a shared obligation for services to children with autism. They also propose the creation of a community-based mechanism for pooled funding of highcost services. Autism is viewed as a metaphor for the dilemma that policymakers encounter when they attempt to fashion policies for children with special needs at a time when there is insufficient data to determine which services should be made available by public and private agencies. ssues involved in public policy for children with autism can be both dramatic and traumatic. Autism is an extraordinarily complex disorder, and it presents unique challenges to those providing services to young children.
The rise in the number of children With autism poses challenges to professionals in the field of early care and education. The restricted patterns of communicating, relating, and behaving seen often in children With autism necessitate a sophisticated approach to assessment. There is an increasing need in the field to use alternative assessment approaches in order to alloW professionals to interact and communicate With the child on multiple levels. Assessment approaches that provide the child With choices yield data that go beyond confirmation of a diagnosis to include information about suitable educational and therapeutic interventions and programming outcomes as Well as ideas to support functioning in the natural environment. This article describes an innovative approach to assessing a girl With autism. The approach includes incorporating interests and a structured schedule.
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