“Samarpan” An Early Intervention Centre Model

1. “Samarpan” An Early Intervention Centre Model Dr Amar Jyothi Persha MD(Ped) Chairperson Developmental Delays & Disabilities , RBSK- NRHM MoH&FW, Govt. of India Former Head, Dept. of Medical Sciences, NIMH Secunderabad, Andhra Pradesh, India Email: ajpersha@gmail.com

2. Samarpan • Offering • Dedicated • Submission Samarpan: An Early Intervention Centre in Hoshangbad district M.P State Mr Nishanth Warwade IAS Collector of Bhopal

3. Samarpan is an Innovation

4. Innovate: • To introduce something new • Make changes • Renewed • Innovation: • Something new • Different introduce • Introduction of new things or methods

5. Need for Innovation • Old existing knowledge is • forgotten • ill understood • Unexplained • Lack of percolation of information • Negligent attitude

6. Knowledge existing • but the application and implementation process is not in place • Requires support from research and scientific explanation for better understanding • Addition of new knowledge from research • Knowledge held in pockets and difficulties in generalization and reaching the needy target population

7. Why…? • Innovations required • For easy understanding • Easy to perform • Easy to replicate • Initiated in any required location • Gives better health status( Mental & Physical) • Cost effective • Creates job opportunities

8. Child Development • Coping with the child • Poor understanding of the child & development • Poor exposure • Lack of knowledge and experience • Parental stress • Poor family support • Poor resources • Poor family function • Inadequate environmental stimulation

9. Factors influencing child development

10. Development of Intelligence Genetic Endowment Nature Environment Nature Initial patterns of learning Basic foundations of learning Complex Learning Perfection Increase in Intelligence & Adaptive behavior

11. Developmental delays & Retardation Defect in Genetic Endowment Non Conductive Environment Poor Interaction Delayed Deficient Learning Lowered Intelligence and Adaptive behavior Secondary Deprivation Social and Emotional handicaps Compounding performance deficits Cumulative achievement decrements

12. A child with birth defects, developmental delays and disabilities • Compounds and complicates child development • Answer: “ EARLY INTERVENTION ”

13. How early is Early Intervention….? • Birth to 3 years • Pregnancy (Prenatal) • Before conception

14. Rationale for Early Intervention Phase of Rapid Growth and development Critical period Neural plasticity

15. DEFINITION The introduction of planned programming deliberately timed and arranged in order to alter the anticipated or projected course of development Seigal 1972

16. DEFINITION “Early intervention is a term, which broadly refers to a wide range of experiences and supports provided to children, parents and families during the pregnancy, infancy and early childhood period of development” (Dunst 1996)

17. Population requiring Early Intervention • Children with Biological risks • Prematurity, LBW, Birth asphyxia • Genitic and Chromosomal abnormalities • Congenitial defects etc • Children with Environmental risks • Powerty, Low S.E status, Single parent • Abandoned, absued child etc

18. Children with established developmental delay • Motor, Cognitive, Speech Language communication delay • Age group: • 0 to 3 years Infants & toddlers • 3 to 6 years Preschool

19. Children with any disability • Visual Impairment • Hearing Impairment • Cognitive impairment • Children at all function levels

20. Aims & Objectives of EI Acceleration of rate of development in the child Acquisition of new behaviours/skills by the child Increase independent functioning of the child Minimizing the effects of handicapping conditions Early detection & prevention of secondary handicaps Render assistance to parents and family in coping skills & understand their child Cost effective services

21. EARLY INTERVENTION SERVICES

22. Approaches

23. Multidisciplinary approach A B C D Child

24. Interdisciplinaryapproach A B C D Child

25. Transdisciplinary approach D B C A Case Manager Child

26. APPROACHES OF EARLY INTERVENTION FOR THE CHILD • Developmental Milestones Approach • At risk infants & mild development delay -right experiences including parent child interactions, positive parenting attitudes. • Developmental Theory Approach • Mild and moderate developmental delays • Functional Approach • Severe and profound developmental delay and multiple handicaps

27. Intervention for Parents, Families & Communities Psychosocial approach Eclectic approach Therapeutic

28. Service modules Home Based Centre Based Combined Parent Consultation

29. Level of Service Provision Specialists and Professionals Apex Supervisors Multi Rehabilitation workers Intermediate level Grass root level Basic Level Worker

30. Early intervention in Medical & Health Field • Child development and Paediatrics • Prevention • Diagnosis • Intervention • Referral

31. NIMH Experience • 1984: NIMH established • HRD • Research • Services

32. NIMH Experience • 1987: Early Intervention services on once a week basis • 1989: Special unit of Early Intervention was established, services on daily basis • Indo US Project 1990

33. Samarpan

34. RBSK • Early detection & management of 4 D’s (Birth – 18 yrs) • Defects at Birth • Diseases • Deficiencies • Developmental delays including disabilities

35. Health conditions identified for screening • Implementation mechanisms • Screening of children • District Early Intervention Centre (DEIC) • Training and institutional collaboration • Reporting and Monitoring

36. Thank You ajpersha@gmail.com