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Children's Medical Services - Special services for children with special needs
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Infant Toddler Development Training
Module 6, Lesson 3

Activity #1

Consider this scenario.

An ITDS is working with Ricky, a healthy two month-old infant, who has a profound hearing loss in both ears. Ricky's Case Example is found in the SHINE Case Examples. Review samples of outcomes from the SHINE Functional Outcomes resource.

What goals does Ricky's Plan of Care address? What SHINE services are recommended? Consider functional outcomes.

Activity #2

Consider this scenario.

The ITDS has been chosen by the team to participate in Sandy's first developmental evaluation and assessment. Sandy is 8 months old and smiles when spoken to. Sandy turns her head to sound bilaterally, but the ITDS notices that she does not track objects and shows no response when the ITDS passes her hand in front of Sandy's eyes.

What are the suggestions you will make to the team, including Sandy's parents?

Activity #3

Consider this scenario.

The ITDS is a member of an assessment team for 20 month-old Danny who was referred to Early Steps by his mother because he didn't seem to be talking. The First Contact information indicates that Danny is an only child and was born in an out-of-state hospital. Danny's mother does not recall if he had a hearing screen. The Mother takes Danny to the Health Department Immunization Clinic for his shots. Danny has not seen a Primary Care Physician since moving to the area four months ago.

What should be the first step in the evaluation/assessment process? What would the Plan of Care include for Danny and his family?

Lesson 3 Highlights

This lesson provided the ITDS with an introduction to infants and toddlers who have sensory impairments. Information on the criteria for infants and toddlers to receive vision or hearing services through Early Steps was reviewed. Resource information related to common vision and hearing conditions, assessment, and teaching strategies was provided in the resource materials. It is particularly important to the ITDS to review the SHINE and Blind Babies Foundation materials.


Anderson, K. (2004). Personal text files on hearing impairments and deafness. Children's Medical Services – Early Steps Program. Department of Health, State of Florida.

Batshaw, ML (2002). Children with disabilities, (5th ed.). Baltimore: Paul H. Brookes.

Blind Babies Foundation (2004). Blind Babies Fact Sheets. 5016 Mission St. San Francisco, CA 94112.

Children's Medical Services: Early Steps Program (2003 – 2004). Early Listening Function Questionnaire.

Children's Medical Services: Early Steps Program (2004). Eye Specialist Report.

Children's Medical Services: Early Steps Program (2004). New vision criteria.

Harrell, L. (1992). Understanding the diagnosis. Children's vision concerns. Placerville, CA: L. Harrell Productions.

Jackson, PL, Vessey, JA (2000). Primary care of the child with a chronic condition. (3rd ed.) Mosby Publishing Co.

Levack, N. (1994). A resource guide with adaptations for students with visual impairments. Austin, TX: Texas School for the Blind and Visually Impaired.

Newachek, PW, Halton, N. (1998). Prevalence and impact of disabling conditions in childhood. American Journal of Public Health 88 (4). 610-617.

Sandall, S., McLean, M.E., Smith, B.J. (Eds.) (2000). DEC Recommended practices in early intervention/early childhood special education. Denver, CO: Division of Early Childhood.

Scott, J. U. (2003 – 2004). Text files Pediatric health issues for birth to five: web- enhanced course for the ITDS at the University of South Florida: Grosz & Scott.



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